First. Let me introduce myself, since I'm new. I'm Tami. I've had lower back and left hip/leg pain for years, just getting help from my internist, dealing with it, getting steroid and muscle relaxers (injected and by mouth) for about 10 years. Recently, everything has gotten worse. Everything hurts my back, especially standing and walking, but also sitting (for lengths of time) Those periods that used to happen a couple to three times a year are happening so frequently they are over lapping: pain doesn't let up, my left foot is numb, weak and tingling, at times. Advil doesn't work, hate taking pain meds, etc etc. Have tried therapy (when my back went out while on crutches for knee surgery, PT helped w back). None of that is working. Also have worked w personal trainer, and can't get relief. Need some help, if some one can, with MRI results as I am scheduled to see neurosurgeon in a few weeks. Just thought knowing what some of this means might be helpful in knowing what questions to ask note: I am 43 yo, female, Good physical condition (weight training, spinning, running 5ks and my first half marathon in January Not much working out in the last 6 mos. too painful when I tried, could only tolerate spin bike, and now, can't do that). Currently on no meds for health conditions, don't smoke, am not over weight (5'7" 120 lbs)
Here's my MRI. (And thanks in advance to whomever can help!)
Multi planar imaging as performed through the lumbar spine without contrast, lumbar spine demonstrates normal alignment. Vertebral body heights are well maintained Facet enlargement is seen at several levels as well as ligamentun flavum hypertrophy.
At L4-L5 there is moderate to severe disc space narrowing with posterior disc protrusion extending posterior to the L5
Vertebral body. There is broad based mass effect and spinal stenosis at this level. AP canal dimension along the superior end plate of L5 is 7.8 mm. There is left greater than right foraminal narrowing secondary to lateral disc bulging as well as prominent facet hyper trophy.
At L5-S1 there is also broad based diffuse disc bulging with some central focality. No significant spinal stenosis
Impression: multilevel degenerative disease most prominent at L4-L5 with posterior disc protrusion extending posterior to the L5 vertebral body with significant spinal stenosis and foraminal narrowing