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Back Problems Message Board


Back Problems Board Index


I injured my back in a parachute jump in 1996, I am now 48 y/o and still in pain on and off so I am considering if surgery will help me. Please someone look at my latest MRI result and shine some light (opinions, suggestions) into which direction I should take.

I guess my questions are:
A) Even thought I can manage the pain, and I am provided with 800mg 3 x day of Ibuprofen, should I consider surgery?
B) Is there surgery for what I have?
C) If I don't do surgery, will the issue increase as I grow older and after my window for surgery closes?
D) Would you have the surgery done by the VA hospital since it is the only option I have?
E) Is Ibuprofen addictive or does it the body develop a tolerance?


MRI LUMBAR SPINE WO CONTRAST (MRI Detailed)

Reason for Study: Low back pain
Clinical History:
Recent Images:

Report Status: Verified Date Reported: OCT 03, 2013
Date Verified: OCT 03, 2013
Verifier E-Sig:/ES/ XXXXXXXXXXXXXX MD

Report:
MRI OF THE LUMBAR SPINE WITHOUT CONTRAST
Technique: Sagittal T1-weighted, T2-weighted and STIR, and axial
T1-weighted and T2-weighted images.

Comparison: None.

Findings: The normal lumbar lordosis is preserved. Vertebral
alignment and vertebral body heights are normal. There is no
spondylolysis. There is disc desiccation and moderate disc
height loss of L5-S1 with trace active inflammatory
(STIR-hyperintense) endplate discogenic changes. There is disc
desiccation of L3-L4 and L4-L5 with preserved disc heights. There
are minor chronic fatty endplate discogenic changes at L4-L5.
Marrow signal is otherwise normal. The conus medullaris
terminates at L1, a normal level. The conus medullaris and cauda
equina are normal. The paraspinal soft tissues and caliber of the
infrarenal abdominal aorta are normal.

T12-L1, L1-L2, L2-L3: Normal.

L3-L4: Shallow central/right paracentral disc protrusion which
abuts the traversing right L4 nerve root in the right lateral
recess. No central zone thecal sac stenosis or neural foraminal
stenosis.

L4-L5: Mild concentric disc bulge which mildly touches the
traversing L5 nerve roots in the lateral recesses. No central
zone thecal sac stenosis or neural foraminal stenosis.

L5-S1: Right paracentral inferiorly-migrating disc extrusion
measuring 1.3 cm AP x 1.5 cm transverse x 2.3 cm craniocaudal
which completely effaces the right lateral recess and compresses
the traversing right S1 nerve root. No central zone thecal sac
stenosis. Mild bilateral neural foraminal stenosis due to disc
bulge, uncovertebral osteophytes and facet arthropathy with mild
impingement of the exiting L5 nerve roots.

Impression:
1. L5-S1 large right paracentral disc extrusion with complete
effacement of the right lateral recess and compression of the
right S1 nerve root.
2. Mild spondylosis at L3-L4 and L4-L5 as described above.
3. No central canal stenosis or cauda equina impingement.
Primary Diagnostic Code: NO ALERT REQUIRED





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