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Back Problems Message Board

Back Problems Board Index

I'm 33 years old and I've been having chronic back and neck pain for 4 years with increased problems in the last 9 months (+). I recently had an MRI of my lumbar spine and cervical spine. My general practicioner says that the results of the MRI do not indicate that I should have any pain. He wants me to see a chronic pain clinic. I think that they're might be something more going on. What do you think?

Could I have degenerative disc disease? Or could my pain be attributed to ankylosing spondylitis?

I am most of all looking for a diagnosis.

L4-5: There is loss of disc space height and signal of the intervertebral disc consistent with disc dessication. There is a diffuse disc bulge, slightly more prominent on the right, however, this does not appear to be contacting the exiting nerve roots and may be barely contacting the transversing nerve roots at this level, right greater than left, however, there is no evidence of significant displacement or impingement of these nerves from this disc bulge. No evidence of spinal stenosis.

L5-S1: There is a tiny midline disc bulge. No evidence of spinal stenosis or disc herniation. Nerve roots exit normally.

Impression: Degenerative changes of the lumbar spine at L4-5 and L5-S1. Of note is a prominent right of L4-5 disc bulge.

C4-5: Mild bilateral uncovertebral hypertrophy without canal stenosis or neural formainal narrowing.

C5-6: Bilateral uncovertebral hypertrophy and facet hypertrophy. The left neural foramen appears to have moderate narrowing. A distinct disc protrussion is not demonstrated.

Impression: Spondylosis at C4-5 and C5-6 with suggestion of left neuroforaminal narrowing at C5-6. As this appears related primarily to the spondylitic change, a CT of the cervical spine will be confirmatory.


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