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Lumbar and cervical MRI results please help

I have severe lower back pain and leg pain. My left leg is worse which I'm told is strange. I have swelling on my left hip and up. Numbness and pain down my hip and leg to my feet. I'm looking into surgery. I can't sit stand or lay down for more than a half hour without pain.  I have decreased sensitivity and nerve damage to my legs and right arm. 
I've have lower back problems for 15 Years. The last 5 have been increasingly worse I'm in extreme pain daily only sleep 2-3 hours a night. Cannot perform normal activities. In the last year I've been having neck pain and right arm pain and numbness. Any opinion is appreciated I'm over ready to do surgery. 


Date/Time Exam Description PACS Acc #
7/6/2016 11:51 AM MRI LUMBAR SPINE 

.EXAMINATION: MRI LUMBAR SPINE 
EXAMINATION DATE: 7/6/2016 11:51 AM
COMPARISON/CORRELATION: 96 2015
CLINICAL HISTORY: 39 years old Female with ; LOW BACK PAIN AND/OR
RADICULOPATHY, PATIENT CAN HAVE SURGERY/INTERVENTION 
ICD code M 47.816 
TECHNIQUE:
Magnetic resonance imaging of the lumbar spine performed. 
Sagittal T1, T2, sagittal STIR axial, T1 and T2 weighted images,
coronal T1 localizer.
FINDINGS:
Alignment: No measured listhesis. Left-sided curvature positional or
scoliosis.
Conus medullaris: Intact. Normal normal position at the T12-L1 level. 
No bone marrow edema.
No vertebral body fragmentation or destruction.

L5-S1: Intact conus.
Bulging component of the disc with protruding disc effacing the
ventral right paracentral margin of the sac. Size about 9.6 x 6.6 mm
craniocaudad a and AP dimension. Moderate canal stenosis. Mild
foraminal narrowing left more than right

L4-L5: 
No herniation.
No tight canal stenosis. 
No tight foramen. Some of fluid in the facet joint minimal facet
arthropathy.

L3-L4: 
Stable disc bulge.
No herniation. 
No tight canal stenosis. 
No tight foramen.

L2 L3: 
No herniation. 
No tight canal stenosis. 
No tight foramen.

L1-L2: 
No herniation. 
No tight canal stenosis. 
No tight foramen.

T12-L1:
No herniation. 
No tight canal stenosis. 
No tight foramen.
\H\
\N\\H\IMPRESSION:
Stable. Herniated disc at the L5-S1. Minimal bulge at the L4-L5.\N\
No site of tight Canal a blockage or tight foramina.

RECOMMENDATION:
Clinical correlation and followup would be recommended based on
clinical 


Here is a Mri from last year.  September 2015 MRI

T12-L1: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.

L1-L2: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.

L2-L3: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.

L3-L4: Minimal broad-based disc bulge without evidence of central
canal or neural foraminal stenosis.

L4-L5: Minimal broad-based disc bulge without evidence of significant
central canal or neural foraminal stenosis.

L5-S1: Large posterior disc herniation without significant central
canal stenosis. This causes mass effect on the right S1 nerve root.
The neuroforamina appear to be maintained.

Impression:

1. Large posterior disc herniation involving the L5-S1 level with mass
effect on the exiting right S1 nerve root. There is approximately 4 mm
retrolisthesis of L5 on S1.
2. No abnormal signal intensity involving the lumbar spinal cord.
3. Minimal degenerative disc disease at L3-L4 and L4-L5.


I also had a Mri on my neck along with the lower. I'm having problems with my right arm and a lot of pain in the neck and arm.  
Here are those results done this week. 
C2-C3: . 
Desiccation of the disc space. 
No herniation.
No tight canal stenosis.
No tight foramina.

C3-C4: 
Desiccation of the disc space.
No herniation.
No tight canal stenosis. No tight foramina.

C4-C5: 
Desiccation of the disc space. 
Posterior disc osteophyte with indentation along the ventral
paracentral margin of the sac. Mild canal stenosis. Some foraminal
narrowing bilaterally.
C5-C6: 
Desiccation of the disc space. 
Posterior disc osteophyte indentation along the ventral margin of the
sac some foraminal narrowing. Minimal stenosis. No tight blockage

C6-C7: 
Posterior disc osteophyte indentation along the ventral paracentral
margin of the sac moderate stenosis. Mild foraminal narrowing.

C7-T1: 
No herniation.
No tight canal stenosis.
No tight foramina

IMPRESSION:

Degenerative changes throughout, primarily at the C6-C7 level.
Discussed above. No site of complete spinal blockage. Follow-up



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Comments

  • SavageSavage United StatesPosts: 7,270
    hello rbrokett1 !
    welcome to spine-health
    please click on link for helpful information!
    Sue
    Honorary Spine-Health Moderator
    -------------------------------------------------------------------------------------------------------------------------
    Please read my medical history at: Medical History

  • SavageSavage United StatesPosts: 7,270
    Hello....
    Reminder: ..as mentioned on right side of page....
    There are no medical professionals on discussion forums.
    We are not qualified or permitted to offer analysis, interpretation or advice based on any diagnostic testing.
    Thank you.....

    I am curious what kind of doctor are you working with? Pain management Doctor?
    I too suffered sleep deprivation which I think worsened all my symptoms and was just plain crazy making!
    I was so irritable and easily confused.

    My pain management Doctor put at top of my list..to have a sleep study done.
    I didn't think he would see anything as I didn't think I slept enough. But he saw something and was able to treat me.
    I may still have a night or two a week were I don't sleep, but that is tolerable



    Sue
    Honorary Spine-Health Moderator
    -------------------------------------------------------------------------------------------------------------------------
    Please read my medical history at: Medical History

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  • Hello now I'm dealing with a surgeon. Just looking for opinion 
  • hvillshhvills Suzhou, ChinaPosts: 996


    ... and so what has the surgeon recommended???

    Harry - 65 year old male...
    PLIF L4-L5-S1 due to disc degeneration... May 23, 2013
    PLIF L5-S1 due to failed fusion and broken screw... Jan 19, 2015
    Microdiscectomy, decompression L3-L4 due to herniated disc... Jan 19, 2015
  • He is recommending doing the cervical surgery and not the lumbar.  This makes no sense to me due to having problems for 15 years.   I have extreme pain in lower back, numbness, muscle spasms  that go down my butt, left leg and feet.  I have swelling on my left hip. I have some pain with the right leg and numbness not as bad.  
    My neck issue is recent in the last year. 


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  • hvillshhvills Suzhou, ChinaPosts: 996


    You and your current surgeon are clealy not in sync... you should probably seek a second opinion.

    Harry - 65 year old male...
    PLIF L4-L5-S1 due to disc degeneration... May 23, 2013
    PLIF L5-S1 due to failed fusion and broken screw... Jan 19, 2015
    Microdiscectomy, decompression L3-L4 due to herniated disc... Jan 19, 2015
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