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Multiple Sclerosis Message Board


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HI and welcome to healthboards...

You are in a predicament, arent you? Lets start with the facts. First of all, no matter how "Good" a doctor you think you are seeing- you said he is a pain mangement/ spine guy...this does NOT qualify him to read a MRI or to order one to rule out MS. So, I wouldnt believe that what he told you, that there is no problems on your MRI is true. Next thing, hell be telling you he wants to send you to a neurosurgeon for surgery....do you have the MRI report? There is an area at the bottom of it, which is called the impression, if you read this to us, we can help you interpret it. If you dont have it, get it tomrorow. Stop by and ask for a copy. And, if you do NOT have the films - go whereever you went for the MRI and ask for a copy of them, too. Youre going to need them.

Second, MS is not hereditary. No one in my family has it either...and MS lesions, which are attacks on the central nervous system, show up on either a Cspine or Brain MRI and can affect the eyes as well. Occasionally, those lesions also show up lower in the spine... a brain MRI is no scarier than the Cspine one which you had...however, without having had Contrast, your MRi isnt accurate for an MS test....also, whoever you told you have 8 broad based disc buldges in your lower back from your Cspoine MRI is either lying to you, or you heard it wrong. Nothing about your lower back will show up on a Cspine MRI...so where does this make any sense?

You need a neurologist. Plain and simple, preferably one who is a MS specailist...they are the ONLY doctors qualified to read a MRI for MS diagnosis. Occasionally, you will find a general Neurologist who has a special interest in MS, and a large patient load of MS patients- they are out there (I have one) and they are also qualified to read the MRI; however if your general Neuro is a Parkinsons specialist, he is worthless to you....finding a MS specialist is sometimes a lenghty wait...they are few and far in between and can take months to see...however, if you call and beg, with an "emergecny" you sometimes get lucky....but you will need the films and report from your test so far.

No pain managemnt specialist is qualified to rule out or dx MS. Sorry...but "your best in the town doc, isnt the right doctor for you. Since the Ortho guy referred you, Im wondering why you dont call the ortho doc and ask him for his opinion on why he thought you had all these issues, but the pain specialist doesnt agree. Id work backwards.

Do you have MS? Could you have MS? Yes, but MS mimics 400 other diseases- every single one of your symtoms could be explained by slipped discs and herniations......or it could be 1 of 400 other things...you really need a MS specialist to A. order the right tests B. read the tests you have had so far and comment on them and C. diagnose or rule out MS.

Sorrry, but a pain specialist doesnt cut it and whoever told you about your lower back, based on a Cspine MRI.....thats not even possible.
Nikki
[QUOTE=MSNik;4921594]HI and welcome to healthboards...

You are in a predicament, arent you? Lets start with the facts. First of all, no matter how "Good" a doctor you think you are seeing- you said he is a pain mangement/ spine guy...this does NOT qualify him to read a MRI or to order one to rule out MS. So, I wouldnt believe that what he told you, that there is no problems on your MRI is true. Next thing, hell be telling you he wants to send you to a neurosurgeon for surgery....do you have the MRI report? There is an area at the bottom of it, which is called the impression, if you read this to us, we can help you interpret it. If you dont have it, get it tomrorow. Stop by and ask for a copy. And, if you do NOT have the films - go whereever you went for the MRI and ask for a copy of them, too. Youre going to need them.

Second, MS is not hereditary. No one in my family has it either...and MS lesions, which are attacks on the central nervous system, show up on either a Cspine or Brain MRI and can affect the eyes as well. Occasionally, those lesions also show up lower in the spine... a brain MRI is no scarier than the Cspine one which you had...however, without having had Contrast, your MRi isnt accurate for an MS test....also, whoever you told you have 8 broad based disc buldges in your lower back from your Cspoine MRI is either lying to you, or you heard it wrong. Nothing about your lower back will show up on a Cspine MRI...so where does this make any sense?

You need a neurologist. Plain and simple, preferably one who is a MS specailist...they are the ONLY doctors qualified to read a MRI for MS diagnosis. Occasionally, you will find a general Neurologist who has a special interest in MS, and a large patient load of MS patients- they are out there (I have one) and they are also qualified to read the MRI; however if your general Neuro is a Parkinsons specialist, he is worthless to you....finding a MS specialist is sometimes a lenghty wait...they are few and far in between and can take months to see...however, if you call and beg, with an "emergecny" you sometimes get lucky....but you will need the films and report from your test so far.

No pain managemnt specialist is qualified to rule out or dx MS. Sorry...but "your best in the town doc, isnt the right doctor for you. Since the Ortho guy referred you, Im wondering why you dont call the ortho doc and ask him for his opinion on why he thought you had all these issues, but the pain specialist doesnt agree. Id work backwards.

Do you have MS? Could you have MS? Yes, but MS mimics 400 other diseases- every single one of your symtoms could be explained by slipped discs and herniations......or it could be 1 of 400 other things...you really need a MS specialist to A. order the right tests B. read the tests you have had so far and comment on them and C. diagnose or rule out MS.

Sorrry, but a pain specialist doesnt cut it and whoever told you about your lower back, based on a Cspine MRI.....thats not even possible.
Nikki[/QUOTE]



My apologies. I have 4 broad-based disc bulges in my lumbar and 4 in my cervical. The ortho had ordered a cervical & lumbar MRI. Both showed issues with degerenative discs as well.

Who should I go to in regards to the results of the original mri? The ortho read them and sent me to this "specialist" for pain management. So now I'm just as confused as before.

the impression on the lumbar; mild denerative changes as most significant at l3-l4 and l4-5

the bulges were at l2-l3, l3-l4, l4-l5, l5-s1. there was mild stenosis on all, and moderate on l3-l4


cervical impression; degenerative chances, as above, most significant at c2-c3 and c3-c4.

in the findings it also says; disc desiccation is noted at c2-c3 and c3-c4.

c2-c3: central disk protrusion, mild central spinal without neural foraminal stenosis.

then there are broad-based disk bulges at c3 through c7. with mild central spinal and right or left neural forminal stenosis on them.

this is why i was confused with the doctor stating that they often 'overwrite' mri reports. I've never had any back/neck pain prior to these issues.. and to me, it makes sense that the c2-c3 protrusion would cause some of these symptoms including; dizziness, nausea, head pressure/pain.


The other issue is that he gave me a 5 day pack of steroids to take, and I did read online that the steroids can interfere with the MRI results. The MRI is scheduled for Wednesday.

He said he was concerned with the symptoms I'm experiencing at my age.. blahblah. I just feel lost with the change in answers and now a lack of answer at all.





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