[Justmean69]

Could someone help me translate my mri this is what it says evaluation is complicated by motion artifact. Thoacolumbar dextroscoliosis is noted with lower lumbar levoscoliosis vertebrae demonstrate normal height and marrow signal. L1-2 L2-3 L3-4 L4-5 level no herniated nucleus pulppsus or significant central spinal canal stenosis. The neural foramina appear essentially patent. L5,S1 level 2 millimeter posterolisthesis of l 5 on s 1 suggest some underlying instability. loss of disc height and hydration with large broad based disc herniation affecting ventral epidural fat and producing bilateral lateral recess stenosis with compression of rights s 1 nerve root. herniation extends imferiorly from disc space level by approximately 6 millimeters consistent with extrusion. Neural foramina are narrowed bilaterally. post tramatic etiology cannot be excluded. The conus medullaris and paraspinal case you appear un remarkable.

[Jomar]

not a pro at this but I'll give it a try.


evaluation is complicated by motion artifact - blurry imaging for some reason - difficult to decipher

Dextro scoliosis is a curvature of the spine that goes to the right, when viewed from behind

Levo scoliosis is the condition where your spine curves to the left more than 10 degrees

posterolisthesis - Backward displacement of a vertebra on a lower one (opposite of anterolisthesis)

This looks to be one of the main points-
[large broad based disc herniation affecting ventral epidural fat and producing bilateral lateral recess stenosis with compression of rights s 1 nerve root. herniation extends imferiorly from disc space level by approximately 6 millimeters consistent with extrusion.]

-A disc herniation is the term given to any uneven out-pouching or bulging of the posterior region (back region) of the intervertebral disc as seen on MRI

-Spinal stenosis occurs when the space around the spinal cord narrows. This puts pressure on the spinal cord and the spinal nerve roots, and may cause pain,

-A foramen is an opening or hole which lets nerves and blood vessels pass through bone.

[Neural foramina are narrowed bilaterally]

[Justmean69]

Do you know how to fix it

[Justmean69]

What needs to be done to fix this problem

[Dubious]

Originally Posted by Justmean69

Could someone help me translate my mri this is what it says evaluation is complicated by motion artifact. Thoacolumbar dextroscoliosis is noted with lower lumbar levoscoliosis vertebrae demonstrate normal height and marrow signal. L1-2 L2-3 L3-4 L4-5 level no herniated nucleus pulppsus or significant central spinal canal stenosis. The neural foramina appear essentially patent. L5,S1 level 2 millimeter posterolisthesis of l 5 on s 1 suggest some underlying instability. loss of disc height and hydration with large broad based disc herniation affecting ventral epidural fat and producing bilateral lateral recess stenosis with compression of rights s 1 nerve root. herniation extends imferiorly from disc space level by approximately 6 millimeters consistent with extrusion. Neural foramina are narrowed bilaterally. post tramatic etiology cannot be excluded. The conus medullaris and paraspinal case you appear un remarkable.

You have a rather large herniation at L5-S1 probably causing compression of the nerve roots that would appear to additonally be causing possibly more or less some instability issues at the same level. My guess is that assuming that you have a qualified spine surgeon that you are dealing with, as one of the possiblities he may suggest an L5-S1 discetomy with possible fusion of the same (should the instability be considered significant). But maybe not, depending on your clinical findings. There are other short term pain-management avenues to address as well and consider.

If you are absolutely miserable and worsening neurologically, then you probably stand a good chance at improving your current status with surgical consideration. Talk heart to heart with your doc!

[Justmean69]

I am in incredible pain and my docter as only percribed me valume they dont work should I ask for somethig else I dont see the ortho pedic until july 18 do you think I should see a ortho that what my primary gave me really scared about the whole situation and dont really understand whats going on in my back.

[Justmean69]

Could sombody exsplain exacly whats going on in my back I really dont understand

[Dubious]

Originally Posted by Justmean69

I am in incredible pain and my docter as only percribed me valume they dont work should I ask for somethig else I dont see the ortho pedic until july 18 do you think I should see a ortho that what my primary gave me really scared about the whole situation and dont really understand whats going on in my back.

Well, if you are that much pain, then you should absolutely relate that to your doc and let him know in no uncertain terms that your pain is not being controlled with the Valium. If your MRI findings are consistent with your clinical findings, then why are not a Medrol Dose Pak and stronger pain meds being prescribed?

If they are blowing you off for another 3 or 4 weeks before seeing the ortho (who won't do much very fast either), then that tells me they either don't seem worried about your clinical presentation; this is an HMO/WC/litigated issue or just simply don't have a clue (or care).