Back Pain Forum - Need Advice Re: Pinched Nerve And Mri

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What structures make up the spine? We review basic spine anatomy here...before identifying potential causes of back pain....

Q: Need Advice Re: Pinched Nerve And Mri

asked by: alisonjoan on June 26th, 2004

New User

Hi I have posted my story on this forum befor ..But quick review for those who have not read it . A year ago I noticed a shooting painn in my hip when I did yoga and when I tried pulling the covers up over my shoulder in bed. # months ago I noticed bad pain when I tried to cross my left leg over my right . It was so bad I cried out. Int he last 2 months I have developed terrible back pain. It is for sure sciatic pian running down th eback of my leg from my low back. One suestion....I also ave pain running down the side of my thing from my hip. Would that be from a different part of my back? They did an mri this week and I really do not have full information right now but the drs assistant called and said the dr didn't think the mri looked bad but they want me to come in to discuss treatment. The questions in my haed are -- can I still have a pinched nerve that did not show up on the mri? If not why am I ain such horrible pain - right now my low back just above the hip is opinching so hard I could run screaming. If the mri was clean what treatment could they offer? Thanks so much alison ps they did not mri my upper opr mid back nor my hip. My hip seems most painfull.

Replies(6)

algosdoc

replied on June 26th, 2004

Experienced User

Stop Speculating

And wait for the results of the mri. It is impossible to decipher what might be happening to you without objective results.

alisonjoan

replied on June 26th, 2004

New User

Ok Well I Had a Curiosity Question Here (or Two)

Can someone have a pinched nerve that does not show up on an mri? And what can cause sciatic pain other than a pinched nerve?

algosdoc

replied on June 26th, 2004

Experienced User

Mri

The mri provides a small window of view which sees only the spinal bones and the spinal canal. There are other possibilities extraspinal which would not be picked up by mri. These include psoas muscle components (tumor, cysts, etc. ), piriformis muscle syndrome (entrapment of the sciatic nerve as it travels through the muscle, scar tissue bands over the muscle, foreshortening of the muscle), l5 transverse process neural impingement (entrapment of the nerve root in the l5 transverse-sacral ligaments), or entrapment of the nerve root in the transverse foraminal ligaments. Intraspinal causes sometimes missed during mri readings include high intensity zones in the discs which may leak cytokines such as tumor necrosis factors onto the nerve roots, conjoined nerve roots, far lateral disc herniations, or arachnoiditis.
Sciatica by definition is pain from the back or buttock all the way into the foot.

alisonjoan

replied on June 26th, 2004

New User

Thanks My Pain Is From Left of Lower Back Through Butt ...

And down back of lack to behind knee. Hip also hurts as well as outside thigh. What sort of treatment might they offer . Just looking for a heads up - food for thought before my appointment. Do they ever locate these other types of problems or just treat the symptoms?

sopwith

replied on December 29th, 2008

New User

after laser spine surgery

I had a laser spine surgery done about 9 weeks ago on my back because I had a herniated bulging on l4 and l5. after I've got surgery I couldn't walk . after 2 weeks later I could walk with a cane.But I had tingling,burning,shooting,numbing feeling which I never had before the surgery. can anyone help or tell me what is going on?

algosdoc

replied on December 29th, 2008

Experienced User

Possibly due to collapse of the disc space from removal of disc with subsequent bulging of the remaining annulus, or possibly due to further herniation. Injury to the nerve via laser or needle are unlikely, however if a portal instead of needle was used (5-10 times largery diameter), then nerve injury from the portal is possible. Scar requires 3 weeks or more to begin forming.

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