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Hi All,

I need your help to u/stand my MRI reports.

I have lower back pain since few years but it got diagonsed in Dec2009 when I went for MRI (Lumbo Sacral Spine with Screening of Whole Spine). Now again I went for same MRI.

New MRI results:
1) Diffuse annular bulge with posterocentral annular fissure of L4/5 intervertebral disc indenting the thecal sac and abutting the bilateral exiting L4 nerve roots.
2) Diffuse bulge with right paracentral annular fissure of L5/S1 intervertebral disc indenting the thecal sac and compressing the exiting right L5 nerve root.

Old MRI results :
1) A transitional vertebra at the lumbosacral junction (S1) is lumbarized
2) Minimal retrolisthesis of L4 vertebra over L5 and L5 vertebra over S1
3) Mild diffuse bulge of L5/S1 disc
4) Diffuse bulge with focal posterocentral annular tear and protusion of S1-2 disc

[COLOR="red"]Comparing the two above reports, can anyone tell me whether the results are worse or better and explain the meaning for these both results ?[/COLOR]

I am having tremendous pain in my back and legs. Also has numbness.
I have got the nerve block injection too after my first MRI and have done physiotherapy too.

[COLOR="red"]Can anyone tell me the treatment for the above problem ?[/COLOR]

Thanks
[QUOTE=rony israni;4643097]Hi All,

I need your help to u/stand my MRI reports.

I have lower back pain since few years but it got diagonsed in Dec2009 when I went for MRI (Lumbo Sacral Spine with Screening of Whole Spine). Now again I went for same MRI.

New MRI results:
1) Diffuse annular bulge with posterocentral annular fissure of L4/5 intervertebral disc indenting the thecal sac and abutting the bilateral exiting L4 nerve roots.
2) Diffuse bulge with right paracentral annular fissure of L5/S1 intervertebral disc indenting the thecal sac and compressing the exiting right L5 nerve root.

Old MRI results :
1) A transitional vertebra at the lumbosacral junction (S1) is lumbarized
2) Minimal retrolisthesis of L4 vertebra over L5 and L5 vertebra over S1
3) Mild diffuse bulge of L5/S1 disc
4) Diffuse bulge with focal posterocentral annular tear and protusion of S1-2 disc

[COLOR="red"]Comparing the two above reports, can anyone tell me whether the results are worse or better and explain the meaning for these both results ?[/COLOR]

I am having tremendous pain in my back and legs. Also has numbness.
I have got the nerve block injection too after my first MRI and have done physiotherapy too.

[COLOR="red"]Can anyone tell me the treatment for the above problem ?[/COLOR]

Thanks[/QUOTE]

Dear Rony,
Sounds like we have alot of the same conditions. I was told I had a 5mm retrolisthesis of L5 around 2 years ago but the doctors acted as if it wasn't a big deal. I continued to have worsening symptoms of back, leg, and perineal pain. I eventually started having hips, knee, and foot pain, all worse on the right. Now it is to the point where I cannot sit, stand, walk, for very long, and I have perineal spasms that come on when I lie flat against sacral area or sit too long. I also recently developed plantar faciaitis, and sharp burning pains in groin area, as well as a feeling of having a burning belt half way around my waist on the right side. I've been to 13 different practitioners, ranging from GI, Neurologist, Orthopedic, rheumatologist, and Pain management doctors. I went through 4 months of physical therapy, chiropractic treatments, 9 L3/L4/L5 steroidal injections and 9 caudal injections.. I've tried every kind of gadget out there, massage devices, etc. All to no avail. I had a sitting MRI which showed the transitional vertebrae at L5/S1, DDD, facet arthropathy and some buldging discs at L4 and L5 and an osteophyte at L4/L5(which is a bone spur).
I decided enough is enough. Each of the doctors I have seen have only had limited knowledge of what could be causing these symptoms or the significance of them. They have only been able to keep me on medications. I decided to do my own research and try to find a way to fix this problem. I am a nurse, and even I, have been at a loss in trying to understand what is happening to me. I started searching for answers, and here is some of what I have found:
One thing for you to know is that the transitional vertebrae is very significant. It is a congenital birth defect called "bertolotti's syndrome". It is supposed to be a rare occurrence, but I think it is just being overlooked. I have met many others who also have it. There is one place that I found that operates on it. It is the Cleveland clinic. I believe that all the rest of the problems are a direct result of that birth defect and the fact that I fell on my sacrum when I was a teen, causing an injury that rendered me immobile for over a month. I am now 44 and I guess it is really starting to peak in severity. The Cleveland Clinic is quite far away for me, because I live in Louisiana. I am planning to take the information I have gathered to a well known neurosurgeon here and see if he would be willing to learn the surgery and perform it on me.
That tear you have in S1 and S2 will probably start causing you some sacral radiculopathy. That's burning pains in or around the sacral spine. I was diagnosed with Levator Ani Syndrome, Piriformis Syndrome, and Pudendal Neuralgia.
If you are having any of those other symptoms I mentioned, there is also a better test for looking at nerves than an MRI. It is called a MRN. Magnetic Resonance Neurography. A doctor in California developed it, but he is opening new radiology centers across the nation where one can get it done at. I think in your case and mine, we will have to do our own research and educate the doctors or make them aware rather of what is available. I believe some surgeons would be willing to take on a new challenge and learn about a new treatment if it were presented to them in a good way. This is my hope and prayer at least, because I cannot afford to go all over the country to seek treatment. I haven't had the MRN yet, but am scheduled to see the neurosurgeon soon and I am going to ask if he will order it for me. I am hoping I can get on the road to the right treatment with the new neurosurgeon. Best of luck to you in your search for relief. Feel free to write me anytime. I hope I can help one person not to have to go through what I have been through.
Good luck to you.





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