severe left foraminal stenosis
 

My wife has had severe pain in her vagina and butt crack for 5 months. We finally got a MRI report. We have been to Urologist, gynocologist, family doctor, spine doctor. It will be another month before we will have a follow up appointment to learn what the MRI means. Nurse cannot help.Doctor is too busy, go figure. Can some tell us what is going on?:)
below is the report. Thanks for anything.


RESULT:
MRI lumbar spine

Indication: Bilateral buttock, right side, rectal and peroneal pain in
57-year-old woman
Technique: Routine procedure

Findings: There is mild grade 1 retrolisthesis of L4 over L5, slight
retrolisthesis of L3 over L4 and slight anterolisthesis of T11 over T12.
There is no evidence for acute vertebral body compression fracture or
marrow infiltrative process. There are mild type I reactive endplate
changes about the L4-L5 disc space associated with Schmorl's nodes and
otherwise minor scattered type I chronic reactive endplate changes most
notably at inferior ventral L1 as well as about the T11-T12 disc space.
The conus medullaris is normal in size, position, and signal intensity.
Retroperitoneal paraspinal soft tissues are grossly unremarkable.
At L5-S1 there is minor disc desiccation. There is mild left
pre-foraminal to foraminal disc protrusion/herniation. There is moderate
facet arthropathy left side greater than right. The spinal canal is
adequately maintained. There is moderate to severe proximal left
foraminal stenosis. The right neural foramen is adequately maintained.

At L4-L5 there is moderate degenerative decreased height and T2 signal of
the intervertebral disc with moderate disc bulging and superimposed
moderate central disc extrusion/herniation with inferior migration
centrally and into the left lateral recess of L5 with displacement of the
traversing left L5 nerve root. There is mild facet arthropathy with
ligamentous thickening. There is bilateral lateral recess stenosis and
mild spinal canal stenosis. Discogenic spondylosis/disc osteophyte
complexes extend into the neural foramen with moderate bilateral
foraminal stenosis.
At L3-L4 are there is mild degenerative decreased height and T2 signal of
the intervertebral disc with mild disc bulging accentuated by slight
retrolisthesis and mild to moderate left foraminal and far lateral disc
protrusion. There is mild to moderate left foraminal stenosis. The
spinal canal and right neural foramen are adequately maintained.
The L2-L3, L1-L2 and T12-L1 disc spaces are normal and near normal.

At T11-T12 there is minor pseudo-disc bulge from the anterolisthesis and
there is mild to moderate facet arthropathy without significant canal or
foraminal stenosis.
IMPRESSION:
1. L4-L5 mild grade 1 retrolisthesis with a moderate central disc
extrusion/herniation with inferior migration into the left lateral recess
of L5 with impingement to the traversing left L5 nerve root, mild spinal
canal stenosis and moderate bilateral foraminal stenosis. 2. L5-S1 mild
leftward disc protrusion/herniation and facet arthropathy with moderate
to severe left foraminal stenosis. 3. L3-L4 mild to moderate left
foraminal disc protrusion/herniation with mild to moderate left foraminal
stenosis.
Transcribe Date/Time: Apr 3 2009 9:52A

Welcome to NeuroTalk, eastofms. Wish I could help interpret that report for you. Someone will no doubt come along to help.

I hope your wife will get some help for her condition -- please give us an update, k? :)

sure. It is just nice to have a place to vent.

The Left L5 nereve root cab be contributing to your wifes pain. Does she have additional pain or weakness in the left leg?

An additional consideration to review is Myofascial Trigger Points that contribute to pelvic and tailbone pain

Take a look at Sacral & Gluteal Pain specifically Levator Ani and Obturator Internus at:

http://www.triggerpoints.net/_sgt/m1m3_1.htm


Pelvic pain http://www.triggerpoints.net/_sgg/m2m1_1.htm

Pelvic pain can come from Myofascial trigger points from the vaginal muscles but may also result from abdominal, leg adductor, glutes and paraspinal muscles.

These Trigger Points respond well to hands on therapy by a trained PT, Myofascial Trigger Point Therapist, a specially trained massage therapist.

Good luck

foraminal stenosis
 

I am so sorry to hear of the pain you are having. I also have foraminal stenosis, so is that what has been causing constant pain in both of my legs 24/7? Sometimes it's unbearable. Also in the vagina but only during intercourse yours too? Thank god for this site I have been a loss soul since every Dr. I have seen says my leg pain is from chronic active hep c. Thank you and god bless you. LeeAnn

So sorry to hear
 

Our bodies sure can betray us. Sorry for her pain. Maybe lighing a fire under the doctors buttocks LOL...I think PT could help it helps me. I have L4 and L5 problems and some of the pain you discribes I understand. Take care and prayers and Huggles. From Texas...