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Mri of the Lumbar Spine

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jkimm8

New User, Becoming EHEALTHy
Joined: 17 Jul 2007
Posts: 2
Mri of the Lumbar Spine
Posted: 07-17-07 13:13pm

Hey everyone. I am a 17 year old male who has been getting a sharp pain on the right side of my lower back, buttocks, and lower. I got an MRI and my family has no idea what to do. Please help translate!

Findings: The signal intensity of the bone marrow is unremarkable. No compression deformities, subluxations or paraspinal masses are seen. The conus medullaris is within normal limits.

The T12-L1, L2-3, L3-4 all show no disc herniations, stenosis or foraminal narrowing.
The L1-2 level shows a mild degenerated disc bulge without stenosis.
The L4-5 level shows a mild disc bulge without stenosis.
The L5-S1 level shows a right paracentral disc herniation with mild thecal sac compression and mass effect on the right S1 nerve root

Impression: Disc bulges at L1-2 and L4-5 levels without stenosis.
Right paracentral disc herniation at the L5-S1 level with mild thecal sac compression and mass effect on the right S1 nerve root

All this info just sort of scares me. Is this bad enough for me to get surgery? Or do I have to stretch it out? The only time I don't feel any pain is if I lay down on my back. Other than that, the pain is 24/7. ANY help would be appreciated.
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aszalajka

Experienced User , Rather EHEALTHy
Joined: 29 May 2007
Posts: 103
Location: ,

Posted: 07-20-07 08:26am

you need to take your MRI results back to the Doctor that ordered it and have them explain it to you in NON medical terms. have u followed up with the doctor at all?????
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jkimm8

New User, Becoming EHEALTHy
Joined: 17 Jul 2007
Posts: 2

Posted: 07-20-07 15:01pm

yeah i did do that. The doctor immediately said I needed surgery for it but my parents doubted it. So we went to another one and he said it's not needed. I was just asking if anyone here knew exactly what the problem is? I mean, i'm pretty sure its a herniated disc but the way i see it here makes it seem like it could be something more.
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sillyakchick

Moderator
Joined: 12 Apr 2007
Posts: 2701
Thanks: 6
Thanked:1

Posted: 07-24-07 13:52pm

You indeed have a disc herniation at L5 S1 (the lowest lumbar vertebrae). It is putting pressure on the right nerve root where it exits the spinal cord because some of the disc material is pushing on it. Surgery could help with this, but as a young person, IMO I would suggest conservative treatments. These include physical therapy, injections, acupuncture, exercise program. If these trreatments fail, then you could proceed with surgery. Ask your doc this question: "What conservative methods could we try prior to surgery?" That will hopefully get the conversation moving toward other options. I hope this helps.
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