Spinal Disorders & Back Pain For discussion of all spinal cord injuries, spinal issues, back-related pain or problems.

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Old 04-09-2013, 06:24 AM #1
steinec steinec is offline
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Originally Posted by Dubious View Post
Reading MRI results and then constructing various imaginary pain scenarios is truly putting the cart before the horse. Diagnostic imaging (MRI) is done to confirm or deny and facilitate a suspected diagnosis based off of the history taken and clinical examination findings. MRI impressions do nothing more than describe anatomy, both normal and abnormal, but do not "show" pain. Your doc determines whether or not the "findings" are significant for you.

I guess the take away here is that the MRI findings will help support or deny what your referring doc is already considering. They are almost never ordered as gateway to a "fishing expedition." I would simply ask your doc what each finding means and how it relates to your problems.
I'm disappointed and offended by your comment. My question has nothing to do with "constructing various imaginary pain scenarios". Did you get that impression from the MRI language ? Those are cut/paste words straight out of the mri results. I am simply trying to understand the language/meaning of the terminology in those line items so that I can ask intelligent questions when we meet the Dr. end of week. In the past, I would simply paste in the terms used in the mri's and get definitions and piece together the meaning, now there is this forum that offers another avenue of education. This IS NOT the kind of response I expected when I researched all of the posts last night and chose to join this forum.
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Old 04-09-2013, 10:04 PM #2
Dubious Dubious is offline
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I'm disappointed and offended by your comment. My question has nothing to do with "constructing various imaginary pain scenarios". Did you get that impression from the MRI language ? Those are cut/paste words straight out of the mri results. I am simply trying to understand the language/meaning of the terminology in those line items so that I can ask intelligent questions when we meet the Dr. end of week. In the past, I would simply paste in the terms used in the mri's and get definitions and piece together the meaning, now there is this forum that offers another avenue of education. This IS NOT the kind of response I expected when I researched all of the posts last night and chose to join this forum.
Sorry you are offended. Not sure why as my comments were not personal and directed at you. Sorry you took offense anyway. I had been up for 30 hours and was severly jetlagged when I wrote that. Perhaps something was lost in the translation. Look, my point was that clinical diagnosis runs downhill, like a river. History...systems review...subjective complaints...clinical exam...diagnostic imaging...labs...diagnosis! It only works in this direction. And at best, that works correctly 3 out of 10 times at first bat. Then it is called differential diagnosis. If you try to run the river back up the hill then all you have is a big mess. MRI's are anatomical so that normal and abnormal anatomy/findings mean nothing by themselves. Abnormal findings can be painless and normal findings can be a problem. What I mean is, taking MRI results and trying work them backwards, up the river, into meaning something by themselves without the progressive diagnostic flow mentioned above can only create many red herrings that you don't need. I was just trying to help....
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Old 04-10-2013, 10:27 PM #3
steinec steinec is offline
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Default MRI in plain english

Thanks, so much, Leesa ! Combined with some other sources, I'm cobbling together a list of questions which I hope will yield a good consult Friday. BTW friend of DrBob & BW as well; their first meeting (with each other) happened just 20 minutes from our home, my wife and I are very active, don't want to stray off topic but have you been down for Founder's Day ? Thanks again, I will update progress.
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Old 04-11-2013, 06:53 AM #4
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No I haven't been to Founders day, darn it. I'm disabled and traveling is difficult. I went to a Convention in Kentucky years ago, but haven't make it to Founders day. It sure would be wonderful to see tho. I have a feeling I'll never make it.

Nice to meet another friend of Dr.Bob & BW! Take care! Hugs, Lee
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recovering alcoholic, sober since 7-29-93;severe depression; 2 open spinal surgeries; severe sciatica since 1986; epidurals; trigger points; myelograms; Rhizotomy; Racz procedure; spinal cord stimulator implant (and later removal); morphine pump trial (didn't work);now inoperable; lumpectomy; radiation; breast cancer survivor; heart attack; fibromyalgia; on disability.



Often the test of courage is not to die, but to live..
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