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What structures make up the spine? We review basic spine anatomy here...before identifying potential causes of back pain....
Click here to learn about the most common causes of back pain, and things that increase your risk of backache. We cover lower back pain and upper back pain....
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Q: Mri Reading
asked by: MSTOVER3 on September 13th, 2007
New User
Hello,

Can someone please explain my MRI reading so I can understand why I'm having so much pain in my lower back and left leg.

Report: Lumbar spine MRI without Gadolinium shows normal sinal alignment. Mildly narrowed L3-4 disc space. Mild bulging annuli of the lower three lumbar disc spaces.

At L5-S1, the bulging annulus effaces the fat ventral to the traversing S1 nerve roots as they exit the thecal sac but caused no posterior displacement of the nerve roots. No significant central canal or neural foraminal compromise.

Mild focal kyphosis at T11-12 with angulation of 17 degrees between the vertical access of the lower thoracic spine and upper lumbar spine. Broad-based bullging annulus at T11-12 effaces the ventral thecal sac but causes no significant central canal or neural foraminal compromise. Normal conus medullaris.

Impressions:
1. Mildly narrowed L3-4 disc space.
2. Mild bulging annuli of the lower three lumbar disc spaces and T11-12.
3. No significant central or neural foraminal compromise.
4. Mild focal kyphosis T11-12.


Thank you Smile
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yogahoneybunny
replied on September 13th, 2007
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Who administered the MRI? Where did you have the test run?
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MSTOVER3
replied on September 13th, 2007
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I had the MRI done at a radiology facility.
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yogahoneybunny
replied on September 14th, 2007
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So, did you go through an HMO or PPO to get the MRI? Did you have a consulting doctor? Or are you trying to self-diagnose?
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MSTOVER3
replied on September 14th, 2007
New User
I went thru a PPO. I have seen a neurosurgen and he said I don't need surgery but he sent me to a neurologist that specializes in pain management and also to get a nerve study done which is on the 24th of this month. I saw the neurologist and he sent me to a physical therapist whom I've seen once so far. And that was very very painful . I'm scheduled to see her 2x's a week for 6 weeks. I'm doing the stretch excercise she told me to do but after I do it I'm in so much pain it brings me to tears Sad . The doctor gave me a prescription for Tramadol HCL 50mg and told me to take it when I go to bed. I'm just worried the bulging disc are going to rupture because it seems like each day gets worse.

I'm not trying to self-diagnose I was just looking for some other opinions.

Thanks,

mstover3 Confused
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rollar64
replied on September 15th, 2007
Experienced User
Hello Mstover3 you have a number of bulging disks at the bottom of your spine, you also have another one at around about the level of the bottom of your rib cage, you also have a misalignment between some of the vertebra at this level.

Your mri also states that the bulging disks do not significantly protrude into your spinal canal.

Good luck Mstover3
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MSTOVER3
replied on September 17th, 2007
New User
rollar64....Thanks for the information. So would I be getting the pain from the disc or the misalignment? Or would that be the cause of the leg pain?

mstover3 Confused
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rollar64
replied on September 20th, 2007
Experienced User
Hi Mstover3 it is difficult for anyone to say for sure but both misalignment and bulging disks can be the source of back and leg pain, the two conditions often go hand in hand , where do you feel the back pain is, right down the bottom or up higher your T11-T12 is about 10 inches above the base of your spine if the vertebra are badly misaligned you might be able to feel the painful area with your hand.

Good luck with the neurologist let us know how you go.
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