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Conditions and Diseases > Back Pain Forum > sciatica MRI findings
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Q: sciatica MRI findings
asked by: Dewy on May 7th, 2008
New User
Hello long time lurker and first time poster.

I have had problems with my back for years but the last year I have developed severe Sciatica on my right side. I have a pinched nerve on my left side proved by an EMG, My Nuro ordered a Bone scan and was told I have degenerative changes in my joints and Back. Here are my MRI findings, I have an appointment with a Back doctor tomorrow. Any help would be appreciated.

Diagnostic Imaging Report
Findings
Finding : University of Tennessee Medical Center Knoxville, TN Patient Name: Sex: M Exam Requested: MRI L-Spine, Contents Without Contrast Requesting Physician: Date of Exam: 2007.11.15 Time Scheduled: 13:15:00.0000 PACS ID: 1473423 Accession Number: MI-07-0016871 Reason for Exam: VERTIGO QUESTIONABLE STROKE Order Number/Clinical Comments: 184757117^HNAM_ORDERID ------------------------Radiological Report--------------------------- Exam: MRI of the lumbar spine without contrast Clinical: Low back pain radiating into both legs. Findings: No prior studies. T1 axial sequence not performed secondary to patient discomfort. There is scoliotic deformity of the spine. The lumbar vertebral bodies are normal in height and marrow signal intensity. The conus terminates at the L1 pedicle level. L1-L2 and L2-L3: Mild broad-based disc bulging without canal or foraminal stenosis. Moderate facet joint arthropathy. L3-L4: Mild broad-based disc bulging and moderate facet joint arthropathy produce mild lateral recess stenosis. No central canal or foraminal stenosis. L4-L5: Mild broad-based disc bulging and severe facet joint arthropathy produce moderate lateral recess stenosis and mild central canal stenosis. No foraminal stenosis is evident. L5-S1: Mild broad-based disc bulging and facet joint arthropathy without canal or foraminal stenosis. Opinion: Multilevel degenerative changes as described. . Authenticated by: FOX, DANIEL R 11/15/2007 3:42 pm **FINAL REPORT** This exam and report have been reviewed by an attending physician who agrees with the findings. ------------------------------------------ --------------------------- PACS Report Creation Date: 2007.11.15 PACS Report Creation Time: 13:16:45.0000 THIS REPORT WAS RECEIVED FROM AN EXTERNAL RIS SYSTEM ------------------------------------------ ----------
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RichT
replied on May 7th, 2008
Active User, very eHealthy
Hello Dewy,

Welcome to this forum!!

I'm glad that you have had the MRI, etc. Those will be valuable for the spine doctor you will be seeing. Do let us know what he/she has to say.

I would recommend that you seek oiut the best spinal surgeon in your area and get a second opinion from that doctor.

Hope all goes well.

RichT
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Dewy
replied on May 7th, 2008
New User
Thanks for your reply. I am taking Plavix 75mg for the Stroke, Tramadol 100mg twice daily and 900mg of Neurontin at 6:00pm and walk with crutches. The Pain is driving me crazy I hope the Dr. can help.
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Dewy
replied on May 8th, 2008
New User
Here are the Doctors Findings, I have what he calls Lumbar Spinal Stenosis and is recommending surgery to open up Spinal canal. He said he would also do a fusion of the area where he takes out the bone. For today untill I make up my mind as to what I want to do he put me on Hydocodone-APAP 5-500 every six hours. He said that he believes that the scoliotic deformity is due to my adjusting my spine because of the Pain. He did say He could do steroid injections or send me to a pain clinic. What do you-all think and how effective is surgery for Stenosis?
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Dewy
replied on May 9th, 2008
New User
My prescription for the Hydocodone is for one or two tablets whenever needed for pain twice daily. I took one twice yesterday which did take off the edge, I took two this AM and can't believe how normal I feel. I was able to do the tread-mill for 30 min which I haven't been able to do for a year. Question is The Pain Medication therapy a good long lasting solution to my problem? Is there a chance after several months this wont work as well? Please for you that have these problems give me some advise.
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Allie828
replied on June 17th, 2009
New User
Hi there! I hope you're feeling better. An answer (though it's very late) to your pain medication question : Narcotic pain medicines are a short-term fix for most things. They work great at first, but the effect lessens over time. You'll wind up needing higher doses taken more frequently to get the same effect. Some people, like me, have been on pain medication for so long that they no longer work very well. The best course of action is to find and treat the underlying cause of your pain. It seems like you're on the right track there, and I hope that you've gotten better. I myself did not, and will most likely be on pain management therapy for life. It's not an ideal solution, but if you still have pain, medication may help. But again, the more you take it, the less it works over time. If you can manage without it, don't take it. If you can't, take it. It's a quality of life issue. I hope this helped! ^_^
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