He just came back from his physician and she told him that his back pain condition is severe and that he may need immediate treatment for it. The MRI results are below.
M47.16 Other spondylosis with myelopathy, lumbar region. Low back pain and right leg pain.
Multiplanar, multisequence MRI of the lumbar spine was performed without intravenous contrast.
MAGNETIC RESONANCE IMAGE FINDINGS
There are Modic type Il endplate changes at L5-S1. There are endplate osteophytes at L5-S1. Otherwise, the vertebral bodies of the lumbar spine are normal in height, alignment, and marrow signal characteristics without evidence of fracture, subluxation, compression deformity, or marrow replacing lesion. The conus medullary is terminated at Ll. The cauda equina is it is of normal morphology.
At T12-L1 there is no disc herniation, central canal stenosis, or neural foraminal narrowing.
At L1-L2 there is no disc herniation or central canal stenosis, or neural foraminal narrowing.
At L2-L3 there is no disc herniation, central canal stenosis, or neural foraminal narrowing.
At L3-L4 there is no disc herniation, central canal stenosis, or neural foraminal narrowing.
At L4-L5 there is disc desiccation and mild loss of disc height. There is a large diffuse disc bulge. There is mild facet arthropathy. There is effacement of the thecal sac with mild central canal stenosis. There is moderate left and mild-to-moderate right neural foraminal narrowing.
At L5-S1 there is disc desiccation and loss of disc height. There is a large diffuse disc bulge with a central, left paracentral, and foraminal disc protrusion. There is mild facet arthropathy. There is effacement of the thecal sac with mild central canal stenosis. There is narrowing of the left lateral recess. There is mass effect on the left S1 nerve as seen on series 3 image 5. There is moderate right and severe left neural foraminal narrowing.
1. Large central, left paracentral, and foraminal disc protrusion at L5-S1. This causes narrowing of the left lateral recess and mass effect on the left S1 nerve. There is mild central canal stenosis, moderate right neural foraminal narrowing and severe left neural foraminal narrowing.
2. Large diffuse disc bulge at L4-L5 with resultant mild central canal stenosis, moderate left neural foraminal narrowing and mild-to-moderate right neural foraminal narrowing.
What are our options? He's been having a lot of pain lately and sometimes it has shut him down completely due to how severe the pain can get. We want to avoid surgery at all costs, so please let us know what to do. ********************************************
No one on the Spine-Health patient forums is medically qualified to provide any advice or recommendations on any diagnostic test. However, the following key words can always be applied.
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- MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't helpSEVERE Need for stronger medications. The requirement for surgery may be necessary
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 areI’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