Could someone please translate this mri
report to english....
Findings...There is a transitional
vertebral segment present at the
lumbosacral junction which, foer the
purpose of numbering, will be referred to
as a sacralized l5 segment with a
rudimentary l5-s1 disc space. Given this
numbering, at the l4-5 level, there is
asymetric disc space narrowing, right more
than left, associated with an asymmetric,
right sided posterior and far
posterolatera disc protrusion/herniation,
with some accompanying osteophytes,
resulting in some asymmetric compromise of
the right lateral recess and right l4
neural foramen. This is superimposed upon
posterior disc bulging and mild
hypertrophic changes of the facet joints,
resulting in some narrowing of the left
lateral recess, as well. Discogenic bony
degenerative signal change is seen
adjacent to the vertbral end plates at
this level. The remainder of the
intervertebral discs appear maintained and
the remainder of the canal and neural
foramina appear free of compromise.
Intradurally, the cauda equina appears
intrinsically within normal limits and
there are no intradural abnormalities
noted. There are no fractures or
destructive osseous lesions demostrated.
There are no paravertebral soft tissue
masses noted.
Impression... A transitional vertebral
segment is present at the lumbosacral
junction and referred to as a sacralized
l5 segment. Given this numbering, at the
l4-5 level, there is right sided posterior
and far posterolateral disc
protrusion/herniation, with some
accompanying osteophytes, encroaching upon
the canal and resulting in some asymmetric
narrowing of the lateral recesses, right
more than left and asymmetric compromise
of the right l4 neural foramen, as noted
above.
Would this be consistent with terrible
lower back pain, hip pain, leg, foot pain
and numbness.
Thank you for the courtesy of a reply.
|
Rellik01
New User, Becoming EHEALTHy
Joined: 08 Oct 2004 Posts: 3
Posted: 10-12-04 21:37pm
Hoping for a reply
|
Tamadrummer
Active User, Really EHEALTHy
Joined: 15 Oct 2004 Posts: 710 Location: Zephyrhills,Fl
Posted: 10-15-04 09:00am
If you are anywhere near one of the many
spine institutes around the us. Go and
get help. If not, take your mri results
to your normal doc and ask for a referral
to an orthopedic doctor and try to get
help.
|
Rellik01
New User, Becoming EHEALTHy
Joined: 08 Oct 2004 Posts: 3
Unbiased Opinion Posted: 10-15-04 17:54pm
Well.......What I was hoping for was an
unbiased opinion, my concern is that
doctors would calculate their next
mortgage payment on my back.
|
Tamadrummer
Active User, Really EHEALTHy
Joined: 15 Oct 2004 Posts: 710 Location: Zephyrhills,Fl
Posted: 10-15-04 21:06pm
In this day and age of hmos, doctors
mortgages are paid in the first 2 or 3
days of the month. They are forced to see
a bizillion patients a day and so that
really agrevates me! Anyway, all I can
say is the way I feel about "self-help and
chiropractic and acupuncture" is that it
is all voo-doo and that trained doctors of
medicne should be left to their jobs.
Fixing you up. It is a long process, they
do all they can in the most conservitive
methods possible and then the big "s"
comes. You now have choices, disc
replacement or fusion for the biggest and
the many, many other forms that are
outpatient before those. I am hoping the
doc that has been posting here will post
in here, algsdoc where are you???? You
need to be fixed and voo-doo medicine can
and probably will only hurt you worse.
|
willbeone
New User, Becoming EHEALTHy
Joined: 18 Oct 2004 Posts: 4 Location: williamsburg va
Sounds Like Posted: 10-18-04 14:31pm
Sounds like sciatica to me. There are
many opinions on how to treat it ranging
from exercises to surgery. You can read
about my experience and others at
sciaticaforum.Com. This site was a
lifesaver for me.
|
drlarry
New User, Becoming EHEALTHy
Joined: 25 Oct 2004 Posts: 7 Location: Portland, OR
Posted: 10-25-04 14:21pm
tamadrummer
wrote:
in this day and age of hmos,
doctors mortgages are paid in the first 2
or 3 days of the month. They are forced
to see a bizillion patients a day and so
that really agrevates me! Anyway, all I
can say is the way I feel about "self-help
and chiropractic and acupuncture" is that
it is all voo-doo and that trained doctors
of medicne should be left to their jobs.
Fixing you up. It is a long process,
they do all they can in the most
conservitive methods possible and then the
big "s" comes. You now have choices,
disc replacement or fusion for the biggest
and the many, many other forms that are
outpatient before those. I am hoping the
doc that has been posting here will post
in here, algsdoc where are you???? You
need to be fixed and voo-doo medicine can
and probably will only hurt you
worse.
wow real helpful response. If doctors
see a bizillion patients per day they must
be very thorough with evaluating patients
and staying abreast of new research etc.
Self-help must be a real horrible approach
to helping a patient help themselves, man
I think this gives a whole new meaning to
preventitive health care or proactive
health care.
Oh now I get it, if patients actually help
themselves a little more I will probably
go broke because I wouldn't have anyone
coming to my office anymore for the
ridiculous amount of prescriptions
written, me the human pill dispenser would
be out of job. The pharmaceutical
companies would go broke and wouldn't be
able to pay all us silly docs to sit on
their stupid panels, for money of course,
as we all know this is a legal way around
kickbacks to the docs for pushing their
meds down our poor stupid patients
throats. The poor colleges and
universities, not to mention the
politicians(lobbyists) would lose an
immense amount of money from lack of
pharmaceutical profit, we surely would not
want this to happen.
I'm not very up to speed on acupuncture
but there is an enormous amount of very
reputable research on chiropractic. Do a
search for "magna report". Study done by
the canadian govt. Etc., I guess the
canucks have their crap a little more
together shall we say.
It always facinates me with the wealth of
information on the web etc. That people
such as yourself make such comments.
I once heard an old saying that applies to
you, "better to be thought of as a fool
than to open your mouth and prove it"
maybe you might get it, maybe you won't.
|
broken
New User, Becoming EHEALTHy
Joined: 13 Oct 2004 Posts: 6
Posted: 10-25-04 14:46pm
Rellike01,
i'm not a radiologist, but
what that report describes appears to be a
"herniated disk" at your 4-5th lumbar
vertebre region...I don't know your age or
history, but alot of times this can be
treated with physcial therapy, surgery,
or, like others have
suggested...Chiropractic or accupuncture.
I hope you feel better soon.
|
RevolutionGrrrl5
New User, Becoming EHEALTHy
Joined: 02 Nov 2004 Posts: 3 Location: Ohio
Posted: 11-02-04 17:20pm
My doctor laughed at me today and saw me
for 3 minutes. I'm a 24 year old female
who has a mild back injury from a car
accident I was in 2 months ago... I have
a tear in my l5 and disc degeneration with
exteme pain... He said basically my pain
is made up and I should not be having
any..And that there was nothing he could
do..Not even some sort of injection. He
said I must not handle pain very well.
I'm beginning to lose my faith in
doctors...There's so very few good ones
around...My advice is to get a good doctor
through word of mouth and not just guess.
I'm so sorry your back is so bad and
don't let anybody tell you that you're
over-reacting from your pain. I'm sure
it's bad since your mri results are much
worse than mine.
I hope you start feeling better... I've
been in physical therapy for a month with
no results. I'm just a number to then
there as well. I'm moving to canada if
this continues.
Kristin
|
Tamadrummer
Active User, Really EHEALTHy
Joined: 15 Oct 2004 Posts: 710 Location: Zephyrhills,Fl
Posted: 11-02-04 22:15pm
Revolutiongrrrl5
you are in a great state for back doctors.
Maybe, if it is possible for you to do
this. You can have you doctor give you a
referal to cleavland or cincinatti(sp)
spine institutes. I am not sure if you
are close to either of these. It sounds
as though your regular doctor isn't being
very sensitive to your needs and with
tears in any of your discs you should be
able to have injections at a minimum if
not neucleoplasty or i.D.E.T. As a
conservitive treatment and then
laminectomy w/fusion or now that lumbar
disc replacement has been approved, you
can get the charite 3 lumbar disc. There
is absolutely no reason anyone should tell
you to live in pain and you certianly are
not weak for having pain! I hope you get
better and are treated fairly!
|
saphy
New User, Becoming EHEALTHy
Joined: 10 Nov 2004 Posts: 3 Location: Canada
Posted: 11-10-04 13:13pm
Hi, I live in canada, and I don't think
it is so great, I have a bulging disc and
a pinched nerve in the l5 area, with
numbness in my leg and foot. My injury
happened nearly 2 years ago and I still
live in pain. My doc told me I had to
learn to live with it because the
specialist I seen twice said he wouldn't
operate, it would get better on its own.
So now I wait to see another specialist,
and there is a 12 month waiting list. So
I really feel for you, it is horrible
pain, and very frustrating waiting on
doctors.
Saphy
|
ajames
New User, Becoming EHEALTHy
Joined: 17 Jan 2004 Posts: 48 Location: Houston, Tx
Posted: 11-11-04 16:05pm
revolutiongrrrl5
wrote:
my doctor laughed at me
today and saw me for 3 minutes. I'm a 24
year old female who has a mild back injury
from a car accident I was in 2 months
ago... I have a tear in my l5 and disc
degeneration with exteme pain... He said
basically my pain is made up and I should
not be having any..And that there was
nothing he could do..Not even some sort of
injection. He said I must not handle
pain very well.
I'm beginning to lose my faith in
doctors...There's so very few good ones
around...My advice is to get a good doctor
through word of mouth and not just guess.
I'm so sorry your back is so bad and
don't let anybody tell you that you're
over-reacting from your pain. I'm sure
it's bad since your mri results are much
worse than mine.
I hope you start feeling better... I've
been in physical therapy for a month with
no results. I'm just a number to then
there as well. I'm moving to canada if
this continues.
Kristin
i am with u on this one because I had to
fight for workers comp for about 5 years
to get a test on my back and to find that
my l4 l5 disk had a tear and lots of
doctors said before the test that the pain
was in my head.
Well I had a fusion done 9 months ago and
I am in severe pain right now and looks
like if the hardwear comes out maybe this
will help I hope but got to wait and see.
All I can say is that back surgery has not
been so nice to me. I had even a staph
infection after surgery and that is so
common now when you have any type of
surgery but not everybody gets it. Dang
sounds like you are getting the run around
with doctors. If my doctor laughed at me
I would have told the doc he or she was a
retard.
I hope you get
better and are treated fairly!