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.