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Back Problems Message Board


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Need help interpreting the following MRI Report.

MRI of the Lumbar Spine without contrast History: Lumbosacral spondylosis without myelopathy Comparison: none Technique: Sagittal T1-weighted, T2-weighted, STIR, and axialT2-weighted spin echo and gradient echo images of the lumbar spinewere obtained without intravenous contrast. Findings: There are 3 bars along the right sacroiliac joint region resulting inmagnetic susceptibility artifact partially limiting the evaluation ofthis region.Lumbar lordosis is normal. Vertebral heights and alignment aremaintained. Marrow signal is diffusely diminished on T1 weightedsequences without abnormal signal on STIR or T2-weighted sequences.There are Schmorl's node like indentation along the superior endplateof L3, inferior endplate of L2 and superior endplate of L2. Otherwisevertebral heights are maintained. At L3-L4 there is tiny annular fissure and tiny disc bulge withoutcausing canal stenosis or foraminal stenosis.There is disc desiccation at L4-L5. Annular fissure and disc bulge atL4-L5 slightly impinging the anterior aspect of the thecal sac. Thereis bilateral mild facet arthropathy changes. Canal remains patent.Neural foramina are patent.The remainder disc spaces are normal without disc bulge or protrusion. Paravertebral structures are normal. Distal spinal cord and conussignal are normal. The neural foramen foramina are patent.

Impression: Mild discogenic disease at L3-L4 and L4-L5 without causing any canal stenosis or neural foraminal stenosis.

End of MRI Report.


If it helps to know....I have extremely severe pain that is specifically Rt sided along spine, (which is approximately at the height of my belly button or waist line). Not sure if this is L4-L5 or L3-L4. I am thinking it is right between both. When I exercise, sit, stand, walk, for longer than 1/2 an hour I get lots of pain in back (site stated above) as well as in my legs along accompanied by numbness and tingling. In addition, there is a sensation of dry ice coldness that flows through both legs or mostly the right leg at any one time regardless of activities.

Is this something can be corrected with surgery?

If so, what type of surgery?

Presently, I have tried and exhausted all therapies that I can think of. Chiropractic, massage, accupunture, physical therapy, warm water exercise, wearing back brace, inversion board. I don't sleep much because of the pain. So I take lots of cat naps of 1 to 1 1/2 hours duration.

Does anyone have any insights?

Any response is welcomed.

Thanks in advance.





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