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-   -   Need your advice!! (https://www.neurotalk.org/spinal-disorders-and-back-pain/164897-advice.html)

d4ever 02-13-2012 10:59 PM

Need your advice!!
 
These are my results and I have some symptoms not sure if it has to do with it?? Like pain in the backs of my knees and legs. some buring sensations in the back of the legs amd front!! Can someone give me some feed back???

The conujs medullaris normal. No pre or paraspinal abnormalities. Transitional anatomies are se within lumbosacral spine with S1 vertebral body having partial lumbarized configuration. For the purpose of counting the last well developed disc space is counted as S1-S2.
L4-L5 thereis a mild difufuse disc buldge with small to moderate sized focal super impossd central disc protrusion. The disc protrusion is minimal super extension behind the interior aspect of the L4 veterbal body.This is having mild to moderate effet aspect of thhe theacl sac and together with facet artropathy and hypertrophy contributes to cause mild to moderate central canal stenosis as well as mild bilateral neural foraminal narrowing.

Dubious 02-14-2012 12:19 AM

Quote:

Originally Posted by d4ever (Post 851412)
These are my results and I have some symptoms not sure if it has to do with it?? Like pain in the backs of my knees and legs. some buring sensations in the back of the legs amd front!! Can someone give me some feed back???

The conujs medullaris normal. No pre or paraspinal abnormalities. Transitional anatomies are se within lumbosacral spine with S1 vertebral body having partial lumbarized configuration. For the purpose of counting the last well developed disc space is counted as S1-S2.
L4-L5 thereis a mild difufuse disc buldge with small to moderate sized focal super impossd central disc protrusion. The disc protrusion is minimal super extension behind the interior aspect of the L4 veterbal body.This is having mild to moderate effet aspect of thhe theacl sac and together with facet artropathy and hypertrophy contributes to cause mild to moderate central canal stenosis as well as mild bilateral neural foraminal narrowing.


Epidurals.....maybe selective nerve root blocks....

Dr. Smith 02-14-2012 02:54 AM

Quote:

Originally Posted by d4ever (Post 851412)
These are my results and I have some symptoms not sure if it has to do with it?? Like pain in the backs of my knees and legs. some buring sensations in the back of the legs amd front!! Can someone give me some feed back???

Your symptoms may or may not be related. What does your doctor say?

You can look at a chart of dermatomes and see if where you feel the symptoms corresponds with the areas mentioned in the report. Keep in mind that your report refers to vertebrae and dermatome charts refer to spaces between vertabrae (the notations are not exactly equal).

http://en.wikipedia.org/wiki/Dermatome_(anatomy)

Doc

d4ever 02-14-2012 09:07 PM

Quote:

Originally Posted by Dr. Smith (Post 851446)
Your symptoms may or may not be related. What does your doctor say?

You can look at a chart of dermatomes and see if where you feel the symptoms corresponds with the areas mentioned in the report. Keep in mind that your report refers to vertebrae and dermatome charts refer to spaces between vertabrae (the notations are not exactly equal).

http://en.wikipedia.org/wiki/Dermatome_(anatomy)

Doc

OK so the Neuro and basically she said the senoisos is what is causing the burning sensations with narrowing is as we age so it is common! so she perscribe me pain killers and told me to go physical therapy!!! To be carefull when doing Yoga!! She does want me to get an MRI of the neck to cover all basis she said have done that before!!!

Dr. Smith 02-15-2012 05:03 PM

Quote:

Originally Posted by d4ever (Post 851792)
OK so the Neuro and basically she said the senoisos is what is causing the burning sensations with narrowing is as we age so it is common! so she perscribe me pain killers and told me to go physical therapy!!! To be carefull when doing Yoga!! She does want me to get an MRI of the neck to cover all basis she said have done that before!!!

I'm sorry, I'm having difficulty understanding what you're asking or if you're just venting (which is fine/ok too!) :o

Actually, all that sounds pretty reasonable to me. Narrowing, stenosis, osteophytes (bone spurs), arthropathy (arthritis) degenerative disc disease.... these and other things ARE common as we age; they're part of the price we (as a species) pay for walking upright and having developed brains so smart as to increase our lifespan by about 100% (in the last couple centuries). Many/most people are walking around with these same things, and feeling fine and in no pain whatsoever. Others of us are not so lucky, and some are worse. The reasons are complex and unique. Genetics, jobs, activities, medical histories, and other factors all go into why some people are affected differently than others, and we're still a long way from knowing all the reasons and answers.

Physical therapy is the gold standard for firstline treatment; more than 50% of patients get some relief from it. Being careful when doing any exercise is good advice, and even better when we have conditions that can be aggravated by overdoing/overuse. If she prescribed some pain medication, count yourself among the lucky; many doctors won't do that at all anymore. The pain medication may be meant as a stopgap - something to help you be more comfortable at least until something else can be found to help or be done.

MRIs are like any other static image; they are a snapshot in time. Things can and do change, and some things may not be caught/noticed the first time around, or the doctor may want additional imaging (locations, positions), or imaging with contrast, to better see what's going on in order to decide what to do next.

Am I missing something? :Hum: (Very possible)

Doc

d4ever 02-15-2012 06:42 PM

Quote:

Originally Posted by Dr. Smith (Post 852073)
I'm sorry, I'm having difficulty understanding what you're asking or if you're just venting (which is fine/ok too!) :o

Actually, all that sounds pretty reasonable to me. Narrowing, stenosis, osteophytes (bone spurs), arthropathy (arthritis) degenerative disc disease.... these and other things ARE common as we age; they're part of the price we (as a species) pay for walking upright and having developed brains so smart as to increase our lifespan by about 100% (in the last couple centuries). Many/most people are walking around with these same things, and feeling fine and in no pain whatsoever. Others of us are not so lucky, and some are worse. The reasons are complex and unique. Genetics, jobs, activities, medical histories, and other factors all go into why some people are affected differently than others, and we're still a long way from knowing all the reasons and answers.

Physical therapy is the gold standard for firstline treatment; more than 50% of patients get some relief from it. Being careful when doing any exercise is good advice, and even better when we have conditions that can be aggravated by overdoing/overuse. If she prescribed some pain medication, count yourself among the lucky; many doctors won't do that at all anymore. The pain medication may be meant as a stopgap - something to help you be more comfortable at least until something else can be found to help or be done.

MRIs are like any other static image; they are a snapshot in time. Things can and do change, and some things may not be caught/noticed the first time around, or the doctor may want additional imaging (locations, positions), or imaging with contrast, to better see what's going on in order to decide what to do next.

Am I missing something? :Hum: (Very possible)

Doc


You got it all!! Now let me ask this??? Lately i have been getting pains in the back of my knees, when i walk to much or stand to long. sometimes working out???

Dr. Smith 02-15-2012 09:33 PM

Quote:

Originally Posted by d4ever (Post 852101)
You got it all!! Now let me ask this??? Lately i have been getting pains in the back of my knees, when i walk to much or stand to long. sometimes working out???

Patient: "Doc, it hurts when I do this."

Doctor: "Then don't DO that."

In the Chronic Pain forum, you also mentioned fallen arches (flat feet) and plantar fasciitis. You've got a lot going on there, and a lot more that we don't know (age, weight, medical history, jobs/professions, activities & more) plus the chronology of events that all go into a doctor's diagnosis. You may have some kind of strain, repetitive motion injury, osteoarthritis (degenerative cartilage) or just normal aging stuff as your body gets older. Some of this may be related or it may be coincidental.

Since you're going to an ortho surgeon in the near future, I'd read some articles Googling: first visit orthopedic surgeon and see what s/he's got to say.

Doc


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