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Help me understand MRI -- SantaClaraSpine

santaclaraspinessantaclaraspine Posts: 1
edited 12/18/2015 - 11:17 PM in Lower Back Pain
mri report says the following. can you help me understand and suggest whether surgery is needed. what is the best way to deal with this ? are there medicines or physiotherapy available ?
lumbosucral spine
exaggerated lumbar lordosis with scoliosis. marginal osteophytes are noted in all vertebrae. decreased l1-l2, l2-l3 discs. modic changes in end plates noted. end plate irregularity of l2, l3 vertebrae. annulus tear of l5-s1 disc. diffuse disc bulge of l1-l2, l2-l3, l3-l4, l4-l5, and l5-s1 discs with compression of bilateral neural foramina and impingement of exiting nerve roots. neural appendages are seen normally. canal stenosis at l5-s1 level and the diameters are as follows: l1 -- 1.36 cm, l1-l2 -- 1.44 cm, l2 -- 1.35 cm, l2-l3 -- 1.46, l3 -- 1.24, l3-l3 -- 1.34, l4 -- 1.24, l4-l5 -- 1.24, l5 ------ 1.04, l5-s1----- 0.89
cord ends at l1 mid body level and lower visible part of cord shows normal thickness and signal intensity. ligamentum flavum hypertrophy at l4-l5 level. degenerative changes in bilateral facet joint at l4-l5 and l5-s1 levels. paraspinal soft tissues are seen normally.
impression: degenerative disc disease. diffuse bulge of l1-l2, l2-l3, l3-l4, l4-l5, and l5-s1 discs with compression of bilateral neural foramina and impingement of exiting nerve roots. canal stenosis at l5-s1 level. annulus tear of l5-s1 disc.

no one on the spine-health patient forums is medically qualified to provide any advice or recommendations on any diagnostic test you will need to discuss this and with your doctor

welcome to spine-health

it would be very helpful if you could provide us with more details. so many times we read about members who have different tests and they all come back negative. the more clues and information you provide, the better chances in finding out what is wrong,

here are some questions that you should answer:
  • - when did this first start?- was it the result of an accident or trauma?- what doctors have you seen? (orthopedic, neurosurgeon, spine specialist, etc)- what conservative treatments have you had? which ones?- what diagnostic tests have you had? and their results (mri, ctscan, xray, emg, etc)- what medications are you currently using? (details, dosage, frequency, etc)- has surgery been discussed as an option? (if so, what kind)- is there any nerve pain/damage associated?- what is your doctor’s action plan for treating you?

providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

please take a look at our forum rules: forum rules

please remember that no one at spine-health is a formally trained medical professional.
everything that is posted here is based on personal experiences and perhaps additional research.
as such, no member is permitted to provide
  • - analysis or interpretation of any diagnostic test (ie mri, ctscan, xray, etc)- medical advice of any kind- recommendations in terms of medications, treatments, exercises, etc

what could be good for someone could spell disaster for another.
you should also consult your doctor to better understand your condition and the do’s and don’t’s.

it is very important that new members (or even seasoned members) provide others with details about their condition(s). it is virtually impossible to help another member when all the details we have are
i’ve had this for years, it hurts, i cant move my shoulder – what could this be, what treatment should i get?

diagnosing spinal problems can be very difficult. in many ways its like a game of clue. especially, when the diagnostic tests come back negative – no trouble found! then its up to the patient and the doctor to start digging deeper. the doctor is like a detective. they need clues to help them move along. so, you as the patient need to provide the doctor with all sorts of clues. that is like it is here. without having information about a condition, its impossible for anyone here to try to help.

specific comments :

personal opinion, not medical advice :

--- liz,spine-health system moderator
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