I will try to make this short as possible. I have had back pain for more then 20 years, I am a 37 yo female living in constant pain. I had fusion surgery at l4-l5 5 years ago and a laminectomy at l5-s1 3 years ago. I have had nerve pain in both legs right worse then left, different areas of numbness and tingling, burning feet and constant low back pain like a gnawing or burning also pain in right hip and knee which gets worse when back pain does. I am currently taking oxycodone, antidepressants, and a few other meds which really dont help much other then take the edge off for an hour or so after I take the pain med, have been for nerve block injections prior to and after surgery, therapy numerous times also before and after. I saw my primary care doc in March and she was supposed to set me up for mri and evaluation by new neurosurgeon. 2 months later in May this still wasnt scheduled. I called for the 3rd time and finally got mri appt. The results came back as follows.
Magnetic susceptibility artifact is seen within the L4-5 disc space related to prior surgery with metallic cage interbody fusion.
There is desiccation of the L3-4 disc with mild to moderate disc space narrowing. There is mild scoliosis convex to the left.
At L1-2 L2-3 Normal
At L3-4 There has been interval development of a right paracentral and lateral disc protrusion mildly indenting the thecal sac. There is no evidence of central canal stenosis. Mild neural foraminal narrowing is present with mild facet joint degenerative changes.
At L4-5 There is laminectomy defect. There is no evidence of disc herniation or central canal stenosis. There is moderate neural foraminal narrowing, left greater then right. Mild epidural enhancement is present.
At L5-S1 There is no evidence of disc herniation or central canal stenosis. A laminectomy defect is present. Facet joint degenerative changes are seen. There is mild epidural enhancemt. There is mild to modertae right and mild left neural foraminal narrowing.
Conclusion:
1. again seen are postsurgical changes at L4-5 and L5-S1 with epidural scarring.
2. Interval development of a right paracentral and lateral disc protrusion at L3-4
Nothing is mentioned in the conclusion about the forminal narrowing seen at each lvl. Is that something that is normal ?
I got a copy of the Mri sent to me and I was told I would recieve it after the Dr was notified. But I had my results days before I heard from primary cares office. When they called, the nurse said everything appeared normal then asked if I had any pain numbness or tingling, I told her I did and that was why the Dr ordered the new Mri in the first place and that they were supposed to schedule an appointment with a neuro who specialized in just backs. I was told they would do that and call me back. They did and my new appt isnt for 3 months. I was wondering what other people think about my situation. To me its not normal to have pain all the time and those results dont look all that normal either, but I am not a Dr just someone who is suffering day in day out. If anyone can give me an opinion of what they think of the Mri results or if they have been thru the about the same thing, I would appreciate it. I know I am not alone although I do feel that way often. Sorry this was so long and thanks for your time.

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