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Back problems, MRI results showed

I don't understand my MRI results, so can anyone tell me what this means:
At L-5 to S-1, right paracentral disc protrusion superimposed on a disc bulge, there is impression on the epidural fat. There is mild right lateral recess narrowing (subarticular stenosis). There is mild facet overgrowth with small facet effusions. There is mild to moderate left neural foraminal narrowing. There is epidural lipomatosis extending to the sacral canal. There is mimulti level disc dehydration. There are edematous Modic Type l endplate changes at L-5 to S-1. Thereb is annual tearing at L-5 to S-1.

I would appreciate anyones help. I'm trying to find a back specialist that will fix me. Tryed pain management but all they wanna do is keep doing injections that have not worked. They are only there to keep feeding you pain pills and not fix you. Need to know what I should do and what kind of doctor to be seeg for all this.
Christina windle


  • LizLiz Posts: 9,611
    Please take the time to read this post and refer to it when you have questions

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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • I would suggest seeing an Orthopedic Surgeon or Neurosurgeon, they will read the MRI results and view the films and tell you exactly what is wrong. I went to both before I found a great Neurosurgeon that I liked and could trust. I looked through my insurance and cross referenced top rated doctors in my area. The key is to find one who is conservative (not knife happy) but who will listen and understand your pain.

    I do know that disc bulge means the same as a disc herniation, just depends on the radiologist. I had a few of the same readings in my MRI results.

    I know all those terms can be confusing. I did a lot of googling to research my results.
    Herniated discs & DDD at L4-L5 and L5-S1; ALIF L4-L5 & L5-S1 on 1/10/2014;
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  • A bulge is simply a disc that lies somewhat outside the normal borders of where the disc normally sits on the vertebra. It is usually broad based , meaning that is wider across the diameter of the disc....a herniation means the disc is bulged out in an area, and can include a breaking off the disc material but not always.....it is usually much smaller than a broad based bulge.
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