Joined: 20 Jul 2008 Posts: 7 Location: gulfport, ms usa
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MRI results in layman terms Posted: 07-20-08 06:25am
Please someone tell me in layman terms
what this means
C4-5 disc: anterior and right
posterolateral disc protrusion and
osteophyte producing mild right
intervertebal foraminal stenosis but no
definite nerve root compression,
C5-6 disc: anterior disc protrusion and
osteophyte. No significant posterior disc
abnormality.
C6-7 disc: Mild concentric disc bulge
without discrete disc herniation or neural
impingement.
T1-2 disc: mild broad posterior disc
protrusion without apparent neural
impingement. IMPRESSION:mild multilevel
degenerative disc disease as noted above
with RIGHT FORAMINAL STENOSIS at C405
without apparent neural impingement. No
intrathecal abnormality.
MRI LUMBAR SPINE:
Conus medullaris appears normal. There is
mild anterior wedging of the T11-12 disc
with mild broad based posterior disc
protrusion but no discrete disc herniation
or neual impingement.
T12-L1 disc: within normal limits
L1-2 disc: mild anterior disc bulge w/o
posterior disc contour abnormality.
L2-3 disc: within normal limits, Mild
bilateral facet arthropathy.
L3-4 disc: no disc contour abnormality.
Mild bilateral facet arthropathy.
L4-5 disc: Far lateral disc protrusion on
right w/o nerve root compression.
L5-S1 disc: left posterolateral disc
protrusion.W/O impingement nerve root.
Mild bilateral facet arthropathy.
IMPRESSION: L4-5 right far lateral & L5-S1
left disc protrusions w/o nerve root
impingement. Mild facet arthropathy
throughout the lower Lumbar Spine. No mass
seen.
Thank You Thank You
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gurr8
New User, Becoming EHEALTHy
Joined: 20 Jul 2008 Posts: 7 Location: gulfport, ms usa
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follow up to first post Posted: 07-20-08 09:42am
I am 58 year old, retired from work Jan
2006 because of pain and close hand, took
1 year to be refer to a Hand surgeon so
finally April 2007 had (2) surgery at
same time : CTS left upper extremity;
compression of Ulnar nerve @elbow and
Dupuytren contraction of left palm
had no complication. By Oct & Nov 2007
was given cortisone shots..
Jan 2008 started having Halo in left eye
lost complete vision for about 45 mins.
went to doctor order blood work... nothing
Feb 2008 awlful lower back pain.. was bed
ridden for 4 days finally was able to get
a doctor appt.. nothing
Finally I changed GP after 18 yrs.
April 2008 new doctor he ordered 2 mri
(MAY) and ultrasound of kidneys.Left hand
pain and claw like shoulder froze up and
lower back pain,
June 11 received 2 shots,
June 24 (2) more shots,
July 9, (1) shot to lower back.
July 15, back to hand doctor... he says it
is definely nerve in neck for claw hand
fingers stiff, swollen, shoulder pain.
July 16, started massages weekly. Still in
pain, arm, shouler, lower pain.. Leg
cramps, tingling in toes foot asleep,
numbness in buttocks No restful sleep
waking up, leg cramps, hand cramps
As of today while typing this lost vision
left eye... silver halo around the eye
with limit vision, this lasted for 15
mins.
worry to death what is going on.. Still no
word from GP doctor for a referral
neuosurgeon like the Hand doctor
suggested. Do I find a doctor on my own?
thought of chiropractor.
I live Gulf coast (Katrina) we also lost
doctors relocated ( insurance cost for
them) and the few left here have bad
reputation (from friends) for screw up and
quack job. Have very good insurance now.
Please help just don't know which way to
go. Thank You
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RichT
Active User, Really EHEALTHy
Joined: 22 Jul 2007 Posts: 911
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Posted: 07-21-08 11:44am
Hello Jackie,
Welcome to this forum Jackie!!
It HURTS to read what you have been
through and are still going through. Plus
you have been through Katrina.
I will give your posts some thought before
I respond later today.
Take care.
RichT
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RichT
Active User, Really EHEALTHy
Joined: 22 Jul 2007 Posts: 911
Thanks: 21
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Posted: 07-21-08 13:57pm
Hello Jackie,
AHHhhh a bit better now after a rest.
I understand your wish to have in
understandable terms a "translation" of
your MRI report. Jackie, I would highly
recommend that you get your doctor's
thoughts on the report AFTER he/she has
had time to actually review the MRI
images. I honestly do not believe anyone
on this forum can do so properly. It
takes a spinal surgeon to be able to do
so. EVEN my GP won't try to "analyze" the
MRI images of my spine. Thank
goodness!!!
If you are currently not under the care of
a spinal surgeon, then I would highly
recommend that you do so.
Okay, on to your 2nd post. Thanks MUCH
for all the info you have shared with us
Jackie, PLEASE see the very best
ophthalmologist who you can find. From
your post it appears best that you seek
such a doctor outside of the area in which
you live. Not easy to do I know. Is
there a major city north of where you live
that was not hit by Katrina? If, so, that
is where it may be a good idea to begin
looking for the specialists that you need
to have.
In my opinion you need to move on beyond
your GP. Don't wait for him/her to
recommend a specialist. Far better that
you do so yourself. Talk to those you
know and find out who they liked and did
not like. Call the office of a
professional sports team and ask which
doctors they use for their players. Call
the hospitals in a metro area and ask the
person you talk with who they personnally
would go to for the issues you have. Push
them if you have too.
SOOOooo very glad that you have good
insurance now. That helps so much.
Okay, you wondered about going to a
chiropracter. Some seem to like them.
However, speaking for myself, I'd never go
to one. I don't believe in their
"popping" this and "popping" that. THAT
to me is not how I wish to be treated.
Proper physical therapy under the
direction of a medical specialist (with MD
after their name) is fine, but no
chiropracter for me.
Jackie, I am no doctor, however, much of
the effects that you have described
indicate to this spiney nerve damage
caused by some issue in perhaps your
back.
PLEASE do also see a spinal surgeon.
Again, the very best one who you can find.
AND do so without delay. It may also be
a good idea to see a shoulder specialist.
If you need any help seeking a specialist
do let me know by PM.
Take care. My thoughts and prayers are
with you.
RichT
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RichT
Active User, Really EHEALTHy
Joined: 22 Jul 2007 Posts: 911
Thanks: 21
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Posted: 07-21-08 15:15pm
Hello Jackie,
Back again. I neglected to "chat" about
the "shots" that you have had. First
qestion - Did they all contain a
corticosteroid? If so, the rule of thumb
from the spinal surgeons and the pain
management doctor I see is NO more than 3
corticosteroid injections in a given
year.
If I read correctly you had injections
on/in
Oct "07
Nov '07
June 11 '08 2 injections
June 24 '08 2 injections
July 9 '08 1 injection
Jackie, if each of those injections
contained a corticosteroid, that is far
more than recommended by spinal surgeons.
Yes, back in '07 I too had more
injections to close together than I should
have. No, I did not have any noted side
effects, however, that will not happen
again for me.
Thoughts and prayers.
RichT
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gurr8
New User, Becoming EHEALTHy
Joined: 20 Jul 2008 Posts: 7 Location: gulfport, ms usa
Thanks: 0
Thanked:1
shots received Posted: 07-22-08 05:11am
Thank You for your help in this.. I am
trying very hard to get help but no one
seems to care or understand. Do this do
that wait and come back but with no
answers. My GP just brush the MRI off like
that was not a problem.. By the time I
went back to Hand Surgeon he was very
upset and told me to go back and get a
referral to neurosurgeon nothing less than
that. "You have a messed up back, a very
messed up back" and that ist is a nerve in
the neck it's in the report he read it and
re-read it "Go to neurosurgeon ASAP.
this is reading off docto's office notes
7/09 i don't have his report yet.. Lower
back.
6/24... she received 40 depoMedrol w/ 1 of
lidocaine and Marcaine in shoulder and 2nd
shot same dosage in her lateral
epicondyle. (shoulder and elbow)
6/11 gave her Depo-Medrol 80mg w/ 1cc of
lidocaine with each site (hip and elbow)
my hand surgeon gave cortisone shots into
the wrist,,, Oct and Nov 2007.
I finally called the referral doctor
office yesterday trying to get the ball
rolling, they will get back to me after
the doctor reads my reports. He is very
new to coast less than (1) year. I tried
calling another but he will not see me w/o
a referral.
My GP doctor is very good but his office's
staff and nurse sucks big time.. Claim
they are over worked and un pay and I am
at their mercy.
medicine I have been on since Jan 08
cymbalta 30mg/60mg
lyrica
finally
prednisone 21 day dose.
no luck with any, bad side effects with no
relief.
again I ramble but I hurt. Thanks for
listening and letting me vent.
Jackie
