Chronic Pain Whatever the cause, support for managing long term or intractable pain.


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Old 08-26-2015, 02:33 AM #1
CrazyIndyGirL CrazyIndyGirL is offline
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Default MRI Results.. HELP me please?!?!

MRI Results on Cervical Spine:
There is disc space narrowing and particularly at the C5-6 level with associated spurring at the end plate margins.

C5-C6: there is a diffuse and somewhat bilobed disc-osteophyte complex causing anterior extradural defect on the thecal sac with slight mass effect on the cord. there is moderate right and severe left for forminal stenosis.

C6-C7: there is a mild diffuse disc-osteophyte complex greater towards the right. there is mild left and severe right forminal stenosis.

IMPRESSION:
There is degenerative disc disease of the lower cervical spine levels as detailed above. no significant findings are as follows :
C5-6: diffuse disc-osteophyte complex causing slight cord compression with moderate right and severe left for aminal stenosis .
C6-7: right posterolateral disc-osteophyte complex causing severe right foraminal stenosis.

LUMBAR SPINE RESULTS:

Findings: there is mild straightening of the lumbar lordosis. there is slight retrolisthesis of L5 over S1, apparently on the basis of facet joint arthropathy. no pars inter articulates defect is identified. there is diffuse narrowing of the disc spaces. several small Schmorl's node's are noted. the vertebral body heights are otherwise maintained. the osseous structures demonstrate normal marrow signal intensity. the conus Medullaris terminates normally at the L 1–2 level.

L1-L2: mild diffuse disc bulge without significant mass effect

L4-L5: mild diffuse circumferential disc bulge with a superimposed shallow posterior midline herniation. mild bilateral facet and ligamentum flavum hypertrophy he contribute to moderate right and mild left lateral recess stenosis. there may be a slight mass effect on the right L5 nerve root. the exit foramina are patent.

L5-S1: bilateral facet arthropathy with small bilateral facet joint effusions. there is a large right paramedian disc herniation extending into the lateral recess and origin of the right exit foremen. fragment measures 1.6 cm transverse by 1.3 cm AP. it displaces and probably compresses the right S1 nerve root.

IMPRESSION:
There is mild degenerative disc disease throughout the lumbar spine as detailed above the most significant findings are as follows:

L4-5: diffuse disc bulge with the posterior central protrusion contributing to moderate right and mild left lateral recess stenosis. there may be a slight mass effect on the right L5 nerve root.

L5-S1: large right lateral recess disc herniation displacing and probably compressing the right S1 nerve root.

What does all this mean? Any help I'd greatly appreciate!! Ty. God Bless
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Old 08-29-2015, 06:00 PM #2
Enna70 Enna70 is offline
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Quote:
Originally Posted by CrazyIndyGirL View Post
MRI Results on Cervical Spine:
There is disc space narrowing and particularly at the C5-6 level with associated spurring at the end plate margins.

C5-C6: there is a diffuse and somewhat bilobed disc-osteophyte complex causing anterior extradural defect on the thecal sac with slight mass effect on the cord. there is moderate right and severe left for forminal stenosis.

C6-C7: there is a mild diffuse disc-osteophyte complex greater towards the right. there is mild left and severe right forminal stenosis.

IMPRESSION:
There is degenerative disc disease of the lower cervical spine levels as detailed above. no significant findings are as follows :
C5-6: diffuse disc-osteophyte complex causing slight cord compression with moderate right and severe left for aminal stenosis .
C6-7: right posterolateral disc-osteophyte complex causing severe right foraminal stenosis.

LUMBAR SPINE RESULTS:

Findings: there is mild straightening of the lumbar lordosis. there is slight retrolisthesis of L5 over S1, apparently on the basis of facet joint arthropathy. no pars inter articulates defect is identified. there is diffuse narrowing of the disc spaces. several small Schmorl's node's are noted. the vertebral body heights are otherwise maintained. the osseous structures demonstrate normal marrow signal intensity. the conus Medullaris terminates normally at the L 1–2 level.

L1-L2: mild diffuse disc bulge without significant mass effect

L4-L5: mild diffuse circumferential disc bulge with a superimposed shallow posterior midline herniation. mild bilateral facet and ligamentum flavum hypertrophy he contribute to moderate right and mild left lateral recess stenosis. there may be a slight mass effect on the right L5 nerve root. the exit foramina are patent.

L5-S1: bilateral facet arthropathy with small bilateral facet joint effusions. there is a large right paramedian disc herniation extending into the lateral recess and origin of the right exit foremen. fragment measures 1.6 cm transverse by 1.3 cm AP. it displaces and probably compresses the right S1 nerve root.

IMPRESSION:
There is mild degenerative disc disease throughout the lumbar spine as detailed above the most significant findings are as follows:

L4-5: diffuse disc bulge with the posterior central protrusion contributing to moderate right and mild left lateral recess stenosis. there may be a slight mass effect on the right L5 nerve root.

L5-S1: large right lateral recess disc herniation displacing and probably compressing the right S1 nerve root.

What does all this mean? Any help I'd greatly appreciate!! Ty. God Bless
Sorry I can't help. I am just trying keep your post current.
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Old 08-29-2015, 06:07 PM #3
CrazyIndyGirL CrazyIndyGirL is offline
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Ty


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Old 08-30-2015, 04:29 PM #4
Blairzo Blairzo is offline
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I'm not a doctor but it seems you probably have pain in both arms and sciatica in your leg!
When do you next see your doctor?
What are you hoping for as your next steps?
I've had surgery on l4/5 and l5/s1 twice. I'm still needing pain management some 20 odd years later. It's not as horrific as prior surgery but it was life changing and took a long time to recover.
I'm not suggesting its this way for everyone but please be aware that it sometimes doesn't go quite as planned. That's why they give you statistics as to recovery etc.
Take time to research your options and if you can, a very experienced neuro to guide you through the next steps.
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Old 08-30-2015, 07:02 PM #5
CrazyIndyGirL CrazyIndyGirL is offline
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I have horrible pain in neck shoulders & back, hips. Hands are numb & burn when I touch anything. Idk what to do


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Old 08-31-2015, 03:14 PM #6
caroline2 caroline2 is offline
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I have 2 MRI's that read somewhat like yours except for cervical issues. I have OA in my neck but I keep moving it.

Did you have an accident or is long time coming on.

My back issues started at 18 and I got thru my life with chiro, osteopath, massage, PT, exercise and stretching etc....lots of supplements starting about 25 yrs ago and no back surgery. Hip replacement in 2010 that left me with many issues I deal with now 5 yrs post op and ongoing.

You have a lot of issues going on and so do I but somehow I've stayed away from surgeries, except hip job....and often think, what if I hadn't done it. I'd be limping, but I do enough limping and more and had major surgery.

So one has to make decisions on how best to manage.
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