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Conditions and Diseases > Back Pain Forum > Lower lumbar MRI results
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Q: Lower lumbar MRI results
asked by: tferraro on May 13th, 2009
New User
Hi,
Need someone's help and/or medical opinion. I have been suffering from extreme lower back pains for several years, but in November of 2007 I had an episode of spasm that kept me in bed for 5weeks and eventually using a cane for another 2weeks. In December of the same year MRI results concluded "mild broad-based disc bulge, L5/S1. No spinal or neural foraminal stenosis." The pain has not gone away, and I have lived everyday since managing lower back issues. Pain originates in my lower back, radiates to my hip and down my left leg with occasional tingling sensations. I have been managing pain with Oxycocet, Oxycotin, Naproxen, Lyrica, and a few others....nothing seemed to help. I have seen countless chiropractors, acupuncturists, have tried managing the pain with nerve-block injections.

Another MRI was done last month, April 15th, 2009. "At L5-S1 there is a moderate central and left paramedian focal disc extrusion. The extruded disc measures 25mm transverse x 8mm AP x 10mm craniocaudad. The disc is seen encroaching upon displacing the left S1 nerve root posterior and laterally to the left. There is no significant spinal canal compromise. The disc extends into the proximal left L5-S1 recess but not into the neuroforamen and there is no encroachment upon exiting." I'm assuming my results are a little more definitive than the earlier MRI, but what does it mean? The specialist immediately suggested surgery, is there another option?

I have sent my results to a spinal decompression clinic as a possible alternative to surgery - they advised me that my herniation was not typical, and that due it would not work. What does that mean? What type of herniation do i have??? I'm lost and could help with some advise or explanation.

Tony
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rollar64
replied on May 16th, 2009
Experienced User
hi tferraro i don't believe that there is anything really unusual about your herniated disc i think because your disk is extruded, (this means the disk has ruptured and the jelly like material in the middle has been pushed outward or part of the hard outer casing of the disc has thrust outward) that decompression is unlikely to work.

What i think the people at the decompression clinic mean is your disc is not a typical one that they would treat due to the extruded material decompression is not going to suck this material back into the disc.

Its questionable that decompression is an effective treatment anyway.


"What type of herniation do i have???"
most herniations occur towards the rear of the disc because at the front, and sides there is a tough sheath of sinew on the outside of the disc that acts to restrain bulging, and bursting unfortunately the nerves that course down the spinal canal are located at the rear of the disk to, and often suffer from some kind of insult due to the herniation which is the case with your condition. not all herniation have extruded disc material as well.

Advising you on who to see or what to do is not possible for me all i can say is try to get and keep all copies of your reports see good doctors and get a second opinion before surgery. Post again any time and good luck.
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