Low Back Pain, Dysmmenorhea, and Understanding the Language Posted: 02-25-06 09:17am
Dear Doctor,
Please enlighten me regarding my recent
MRI of the Lumbosacral Spine. I had been
suffering from a terribly exacerbating low
back pain, left side, for 4 days before I
decided to see a Physiatrist. I can not
lie in bed on my left side, nor can i get
up from the same. Sitting, standing and
walking, and even jumping creates terrible
pain in my back, localized to one area
only. I am suffering so much and my
studies is affected as well because I
could not concentrate. The pain is
comparable with that feeling when one's
tooth is being drilled by a Dentist. I can
not sleep well because I can't move from
side to side in bed. My current
medication is 1 tablet of Arcoxia and 1
tablet of Nexium to be taken together
before breakfast for 9 days. I will be
seeing my Doctor on Wednesday yet and
could no longer futher put on hold my
querries regarding the result of my MRI.
Please help me. The MRI reading is as
follows:
A transitional lumbosacral junction is
present. For the purpose of this report,
the transitional vertebra will be labeled
as a partially sacralized L5.
There is mild levoconvex curving of the
lumbar spine. The vertebral marrow signal
is normal.
L1-2, L2-3 and L3-4: Normal
L4-5: Mild disc bulging. No associated
focal disc herniation. The central canal
and neural foramina are patent.
L5-S1: Normal.
There is subcutaneous fat edema involving
the posterior soft tissues of the lower
back. Partially visualized on the
sagittal plane is a retroverted uterus
with thickened endometrium (approximately
13 mm. in full thickness).
Impression:
1. Transitional lumbosacral junction, with
partially sacralized L5.
2. Mild L4-5 disc bulge. No evidence of
disc herniation at any level.
3. Subcutaneous fat edema involving the
posterior soft tissues of the lower back.
4. Retroverted uterus with thickened
endometrium (approximately 13 mm. in
thickness). This may represent secretory
endometrium, although other processes
cannot be excluded. A gynecologic
consultation may be useful, if clinically
indicated.
Please enlighten me. I have been having
bloody spottings since 1st quarter of last
year, and i noticed that I bleed when i am
tired, nor stressed out.
Thank you so much for your time and
attention. I will be looking forward to a
reply. Thank you.
It seems that your MRI-report is almost
normal; it does, however, offer some
explanation for your back pain. According
to this MRI-report the back pain can’t
be explained by spondylotic changes of the
vertebral column. The mild levoconvex
lumbar curve, sacralised L5, and mild
bulging disc were the only vertebral
abnormalities found; these indicators are
not enough to cause such great pain. The
“subcutaneous fat edema involving
posterior soft tissues” is probably the
result of some muscle and fat
inflammation. THIS COULD BE THE reason
for the back pain. Non-steroid
anti-inflammatory drugs and
corticosteroids combined with physical
therapy could be very useful for treating
this condition. The MRI-report for the
uterus is only suggestive. A retroverted
uterus is an anatomical variation found in
20% of all women. Dysmenorrhea is one
condition that is caused by a retroverted
uterus. A retroverted uterus can also
cause low back pains. The spotting you
are experiencing can be caused by myoma of
the uterus or by another organic disorder
of the uterus. Now, a vaginal ultrasound
is necessary to explore the uterus. I
recommend you visit a gynecologist.
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