Herniated Disc Questions and Answers Archive 2010 Part 3

This Q&A section is not intended to diagnose or treat any medical condition. Any medical condition should be referred to a qualified medical professional.

Q: hi!! i have a prob with my spinal cord. i have taken an MRI test and I am sending the report. REPORT:AT L5/S1 THERE IS A LEFT PARACENTRAL DISC EXTRUSION WITH INDENTATION OF THECAL SAC,ENCROACHMENT OF LEFT NEURAL RECESS AND SEVERE COMPRESSION OF LEFT NERVE ROOT AND MILD COMPRESSION IN RIGHT NERVE ROOT. WHAT SHOULD I DO NOW? plz reply early as I am having severe pain i cant even move my left leg.. regards.... SULAIMAN

Q: Hi,I recently had a herniated disc in my lumbar spine which I had a discectomy surgery for in February. It is over 2 months post surgery now and I am having severe nerve pain down my left leg into my foot. Numbness in big toe and pain in my lumbar spine. The pain is also on my right side too, down my right leg into the middle of my thigh. Before the surgery I had no pain on my right side. My recent MRI scan post surgery luckily dosn't show a re-herniation, but does say:

"generalised discal prominence at L4/5 with contact on both L5 nerve roots within the lateral recesses. Increased signal intensity in the L4/5 annular fibres is a new finding. New annular tear"

I am trying to do physical therapy but this is making my pain so much worse and leg symptoms increase. I have been told that steroid injections may help my pain but the idea of this concerns me. My GP has told me to wait and see if it gets better. What options do I have? should I wait it out and see if it gets better? should I continue with physical therapy? Would you recommend steroid injections? I am on medications that are meant to help with my nerve pain but are doing nothing at the moment. I am so frustrated and confused with what to do and would greatly appreciate your opinion. Jessica

Q: what does this mean there is a central protrusion that effaces the thecal sac and impinges on the transiting L5 nerve roots? Shannon

Q: L4-L5 Evaluation of the forament limited by extradural contrast. Posterior disc bulge more eccentric towards right and mild facet arthropathy. There is borderline central canal stenosis at this level. There is asymmetric effacement of the right lateral recess suggesting right L5 neural compression. Impression: There is likely compression of Right L5 nerve root at lateral recess, secondary to eccentrically rightward posterior disc bulge and facet arthropathy. No evidence of significant nerve root impingement, canal or foraminal stenosis elsewhere. WHAT DOES THIS MEAN? AND DO I NEED SURGERY.Thanks, Sandy

Q: i am 32 years old.i have central disc herniation at L5-S1 compressing upon anterior spinal theca.i have a pain in my back. i am really upset. i want to play badminton. I want to go jogging as well. My work is in office till 8:00am to 4:pm. How can i relieve my pain. Playing badminton in this condition is good for me or not,Plz help me, Misbah

Comment: Had surgery for a sequestered disc in July last year. still have alot of problems, numbness, pain, crawling feelings, drop foot causing tendon problems! had countless drugs I feel so down > Samantha

Q: I've had a problem in my back for 4 months the pain goes down my leg into my foot and its at its worse when i wake in the morning. i cant walk. my mri scan says l4-5 significant left lateral recess secondary to left paracentral disk herniation with impingement upon the transiting left l5 nerve rootat l5-s1 there is a more central and lesser disk protrusion which demonstrates minor impingement upon the transitting s1 nerve roots a little greater on the righti've had previous to mri 6 physio sessions. will i need surgery? - Phillipa

Q: osteoarthritic of the lumbar vertebrae with slight reduction of the intervertebral disc space between L4-L5 vertebrae with grade-I spondylolisthesis no erosion or any other bony abnormality detected. plz sir what is treatment for this answer us... thanks & Regards, soniya

Q: I was hoping that you might be able to help me interpret this...the first part is my lumbar MRI and the second part is the X-ray of pelvis...I am due to have an MRI of my sacrum sometime in the next two weeks. L4-L5: There is a large right central dish herniation (extrusion type) that extrudes inferiorly and deforms the anterior thecal sac. There is mild spinal canal stenosis and mild bilateral foraminal narrowing.L5-S1: There is a mild broad central disk herniation (protrusion type) There is no spinal canal stenosis. There is mild bilateral foraminal narrowing. And then... X-rays of the pelvis demonstrate no obvious fracture, although there may be a hint of a nondisplaced fracture through the foramen of the left portion of the sacrum. What does all this mean?! Shannon

Q: Can you explain this to me? Joni There is diffuse disc bulge, facet disease and degenerative facethypertrophy and broad-based central disc protrusion causingsignificant canal narrowing at L4/L5 where the canal measures lessthan 6 mm in maximal AP dimensions measure in the sagittal plane.Deep annular fissuring of the disc is noted. Moderate to severe facet disease is identified at this level.There is moderate narrowing of the neural foramina bilaterallyright worse compared to left and significant narrowing of thesubarticular recesses bilaterally.

Q: is it possible to have difficulty swallowing from herniated discs in the neck? Missy

Q: A recent MRI shows the following. Cortisone shots are not working, will I require surgery? Mild disc bulge with annulus fibrosis tear at L3-L4 Small Left paramedian disc herniation at L4-L5 Moderate sized right paramedian disc herniation at L5-S1 - Leda

Q: I have a left paracentral herniation at t11- t12 and i am now have intermittent pain radiating from my right knee to my right ankle. I was advised 4 years ago from my ortho md that I would have to be concerned with my ankles. Is this something I should be concerned about? Carl

Q: I'VE BEEN SUFFERING BACK PAIN GOING ON 5YEARS AND HAVE BEEN UNDER THE CARE OF A DOCTOR SINCE IT HAPPEN WELL HE JUST ORDERED A MRI ON 12-23-09 OF MY LUMBAR SPINE AND THE MRI REPORT STATES L4-L5 THERE IS MILD TO MODERATE DESICCATION.THERE IS A 4MM CENTRAL DISC PROTRUSION AND FOCUS OF ANNULAR FISSURE. THERE IS MILD STENOSIS THERE IS NO LEFT NEURAL FORAMINAL NARROWING THERE IS MILD RIGHT LATERAL RECESS NARROWING.L5-S1THERE IS MILD DISC DESICCATION.THERE IS 4MM CENTRAL DISC PROTRUSION AND FOCUS OF ANNULAR FISSURE.THERE IS NO SPINAL STENOSIS OR NEURAL FORAMINAL NARROWING. WOULD THIS CAUSE THE PAIN I AM HAVING FOR 5 YEARS NOW? AND THE NUMBNESS AND WEAKNESS IN MY LEGS MORE IN THE LEFT THAN RIGHT. JOSHUA

Q: I woke up 14 days ago with severe muscle spasms on the right side of my back/neck shoulder area. The pain was excruciating, I was not able to sleep, sit for long, had numbness all down my right arm. I was unable to see my family doc for two weeks, in the mean time I saw 3different clinics, two visits to the emergency ward as the pain was excruciating. I was told I had bursitis, muscle pain, I was given T3's, did not help, then I was given naproxen, at the hospital I was put on Morphine,valium for the pain. The morphine lasted 4 to 5 hours but the pain came back ten fold.I am unable to sleep , sit for longer than 10 minutes. I have not been able to work for the last two weeks, I have been to chiropractor, massage therapy, acupuncture and nothing works. Yesterday I finally went to my family doc, and again he seemed to think it was muscle damage,he prescribed me novo-ketorolac, and agreed the mri was a good idea as the wait here in BC is approx 6 months. The findings are as follows: sagittal imaging allows visualization from the pontomedullary junction to L1, which demonstrates the cord to be of normal signal and morphoogy. At the C6/7 level there is a moderate to large asymmetric right focal disk herniation involving the lateral recess, and intervertebral neural foramen, which results in severe right sided neural foraminal and lateral recess narrowing. The disk herniation demonstrates slight increased T2 signal , in keeping with a degree of fluid from the nucleus pulposis. The ap spinal canal dimension is slightly narrowed. the Left lateral recess and neural foramen are maintained. No cord signal changes are present. At the t5-6 lelv is asmall focal right sided disk herniation, which does not affect the lateral recess, neural foramen, or ap spinal canal. There is associated loss of disk height and signal. At the T7-8 level of the left there is a small focal disk herniation , which does not affect the lateral recesses, neural foramen, or ap spinal canal dimension. There is associated loss of disk height and signal. Impression: Moderate to large right sided acute appearing focal disk herniation at C6-7 resulting in mild canal stenosis, and severely narrowing the right lateral recess, and intervertebral neural foramen. Neurosurgical/spinal surgical consultation is recommended. This is my full MRI, I am to see my Doc next week and have had so many different diagnoses, I would like to know if this means I will always be in pain, do I require surgery and if so would it be successful, what can help manage the 24/7 pain I am experiencing and the numbness in my right arm so that I can barely sit and type for longer then 10 min at a time. Please help. Alex

Q: After years of severe back and leg pain, i had coflex stabilization implants a couple of years ago which relieved my leg pain but left me with severe & worsened back pain.I am convinced the implants contribute to my back pain because it cant be a coincidence that since the surgery, my back pain has worsened. I would like to have the implants removed but the surgeon is happy with my xrays and does not agree that the implants could be causing me pain. I've recently had another MRI scan which shows at L4/5 level there is disc dehydration with a central disc annual tear and disc bulge which in association with facet joint arthropy and ligamentum flavum thickening is causing narrowing of the spinal canal and lateral recess but no neural compression. I cant see the surgeon to discuss these results until June and was wondering if you could please tell me the following: What is a central disc annual tear? What is facet joint arthropy? What is ligamentum flavum thickening? What is a lateral recess? The conclusion states there are disc degenerate changes at the lower lumbar levels with mild narrowing of the spinal canal at the L4/5 level. Can you please tell me if this condition is likely to be the cause of severe my back pain and what you think the solution would be? I am also due to have diagnostic discography injections on Monday. Nicolas

Q: I had an MRI and went to the consult with the back surgeon. He has diagnosed me with the 2 herniated discs pressing on the exit nerve roots(causing sciatic pain down both legs), DDD, and osteoporosis (despite the fact I had 2 bone density tests in the past 10 years that were normal)as well of a host of at least 5 other problems of the spine. His recommendation is total fusion(9"worth) of the lumbar region complete with rods, screws and a multitude of other hardware. I have heard to many horror stories on fusion to jump into this. I had no back pain 3years ago, then I was involved in a horrendous car accident and was lucky to be alive. Recovery has been difficult. My lower back started hurting then. Now I am in agony every day and wonder if I can get out of bed another day. I have spasms and pain down my legs daily. I would much rather try something like knowledge therapy than embark on any surgery. Do you think there is hope for me? Sharon

Q: The findings of a recent CT scan reported "There is an extruded rightward disc herniation at T12-L1 level which contains a vacuum phenomenon. The patient has a transitional lumbosacral vertebra with assimilation joints." Please explain what this means!! The finding was incidental, as the scan was performed for an entirely different situation. Many thanks, Leslye

Q: Sir, I have been diagnosed with disc prolapse on L4-5 and L-5/S1. My neurologist asked me to take painkillers and start physiotherapy. After going through physiotherapy for three days, there was no relief. In fact, the pain increased and shifted from around ankles and sides of legs to the hip region (especially bad around tailbone). I have difficulty in getting up and even moving my body in bed. Hence the physiotherapist asked me to see a pain specialist for some nerve blocking injection. The pain specialist said the disc had not just come out but also migrated and there was no way it would go back in. She suggested I see a neurosurgeon who has advised surgery. I am not in favour of surgery. What do I do? Should I see another physiotherapist? I have consulted other doctors too who have said my case is one 'fit for surgery'. I have a 2 month old baby and cannot be on complete bed rest. Waiting for your reply anxiously. Sir, my MRI report says the following:- Findings:- Normal lumbar lordosis is maintained. Normal height and signal intensity of vertebral bodies.- Reduced signal intensity observed in L4-5 and L5-S1 discs. Normal end plate signal seen.- A large broad based posterocentral and left paracentral protusion at L4-5 is seen with caudal migration of the disc causing narrowing of both neural foramina and left lateral recess and possibly compressing the Lt traversing nerve root. The spinal canal is narrowed and AP diameter at this level is 9.4 mm.- A broad based posterocentral protrusion of L5-S1 disc with a posterior annular tear is present with bilateral foraminal narrowing and central canal stenosis. AP diameter is reduced to 9 mm.- No obvious facetal arthropathy.- Conus medullaris and cauda equina are normal.- Pre and Para Vertebral soft tissue appears normal.

Impression:PIVD L4-5 and L5-S1 with:- Bilateral foraminal and left lateral recess narrowing with possible traversing nerve root compression at L4-5.- Bilateral foraminal narrowing at L5-S1- Discogenic canal stenosis at both levels.

Please let me know your views. Also please let me know if your book is available in New Delhi, India. Best regards, Sujatha

Q: Hello, I had a fall at work in July, 2009. MRI reports that I have a 11mm x 14mm tear in my right shoulder and a herniated c5/c6 disc pressing on a nerve, I experience a lot of pain and some days I do not have the use of my right hand due to swelling and numbness. My Neurosurgeon has recommended an operation for my disc bulge. What could be the possible outcome for my quality of life if I choose not to have the operation?Thank you for your time with this matter, MRI c5/c6 Disc osteophyte complex results in mild bilateral neural exit foraminal stenosis. Central canal patent. The protrusion type herniation component of the disc osteophyte indents the sac, however does not contact the cord. Conclusion: Mild right neural foraminal stenosis at c5/c6 results in mass effect upon the exiting c6 nerve and may therefore account for the patients presenting complaint (numbness and tingling right arm, hand and fingers)I might add that I am waiting for my operation but I am having trouble with mu employers Insurance company because they say this is degenerative and can not have been caused by my accident at work. I was climbing up a ladder and had to remove a box from a shell above head height, the box should have been full off foam filters, it had 25 to 30kl of gravel and rocks in it. I could not hold the wight and I dropped the box and fell against the shelving.

I also have Moderatesupraspinatus tendinosis, with bursal surface fraying of the mid insertional fibres resulting in approximately 50% loss of the tendon thickness and measures approximately 14 x 11mm in maximal dimension (ML x AP). No full thickness tendon tear. Infraspinatus, subscapularis, long head of biceps and teres minor tendons intact. Small amount of fluid with the subacrominal bursa. Muscle bellies of the rotar cuff demonstrate normal signal intensity and morphology, with no findings of denervation of fatty replacement.Prominent anterolateral spur formation. No os acromiale. Acromioclavicular joint within normal limits.No glenohumeral joint effusion or articular cartilage pathology. Glenoid labrum within normal limits. No local osseous lesion or MR findings of adhesive capsulitis.

Conclusion:1. Partial thickness bursal surface tear of the mid insertional fibres of the supraspinatus tendon results in approximately 50% loss of the tendon thickness measures 14 x 11mm in maximal dimension (ML x AP). This is secondary to an underlying prominent anterolateral acrominal spur and is associated with subacrominal bursitis.2. No abnormality of the acromioclavicular, nor findings of post traumatic clavicular osteolysis.

Well that's it. I might add I have never had back or neck pain and I have never been in an accident before this.I have always been very fit and active. I do not smoke or drink and I exercise. I hope this helps, thanks again. Julie

Q: I have been suffering from two (the bottom two) herniated disks (results of an MRI) for 5 months and have been doing physiotherapy for 2 months without any improvement. One disk is impeding the nerve which travels down my right leg. I have pain in my hip, leg (just above the ankle) and numbness and tingling in my right foot down to my toes. I see that you learned Knowledge Therapy from reading books, can you suggest a few books to get me started? That would be greatly appreciated. Thanks, Adam

Q: Hello. I would like to thank you for making this website. I am currently contemplating on having a microdiscectomy done. I am currently 26 years old and have been suffering from a L4-L5 herniation for the last 3 1/2 years. It took me about 2 years and 2 misdiagnoses to find out that I had a herniated disk. I was spiraling downhill. I tried various methods that did bring some relief. I have gotten spinal decompression combined with physical therapy, which had positive results.The disk was reduced in size and the physical therapy has allow for increased mobility and the pain to be either reduced to a 2 or 1. Today, the disk is still contacting the lateral aspect of the exiting L4 nerves on the left side and I have a disk bulge of 5-6mm. With this said, the only thing that has been constant is pain in my lower back, radiating slightly left. I have noticed that as my pain in other areas has started to go away, the pain in my lower back becomes more focused, regardless of doing my exercises, the pain is still there. This is causing me trouble to sit and bend over, also I can't make sudden movements without pain. I can feel where the disk is pressing on my nerves. I am currently getting a week of spinal decompression, considering that my first treatment lasted 6 weeks of decompression with 3 months of intense physical therapy. I was wondering, if this fails, should I consider getting the microdiscectomy. I feel that if that portion of the disk was removed, I could possibly be up to 100$% instead of 80%. I say this because when the decompression machine stretches me out, I can feel the pain defuse and go away. I feel good for a little bit, only for the pain to return. This condition has really deteriorated my life, if I stop doing my exercises for one day, I lose strength in my leg and begin to have muscle aches and stiffness in my hips and left leg and calf. I can feel that my left glute and left leg, calf muscles are not all being used. Like part of them have short-circuited. I can't run nor dance, and I feel that this surgery may allow me to get back to the life that I use to have. What is your advice? I haven't worked for about a year now, I really want to get back on track. I know that the surgery can be devastating, but I don't think I can live doing 3 hours of exercises everyday. Do you think I should just give it more time? My exercises include kettlebell workouts which have proved to help me with back strength, however I feel like I'm hitting a wall now and have not been able to lift more than 30lbs. Or am I a good candidate for the microsurgery? Thank you for helping us out with all this information. Esteban

Q: Dear Sensei Adam Rostocki: I appreciate your great works helping many people. I am hoping to getsome advise from you. My girl friend, 40 years old, has pain in hershoulder (and some her neck). So she went for MRI scan. Herorthopedist has referred her to a neurosurgeon for a surgery onshoulder. But we were unable to get much explanation from the doctorhow bad the condition is and any info on alternative treatment. Canyou give me an advance whether she should have surgery or should takean alternative treatment if available? Thank you in advance. Thefollowing is MRI reading on her neck and shoulder.

MRI reading on Neck: A broad based protruding herniated disc in C4/5which indents the thecal sac. Disc herniation is demonstrated at c6/7contacting and indenting the ventral spinal cord, with no apparentsignal change. The left c6/7 neutral foramen is narrowed secondary todisc bulge. MRI reading on Shoulder: A 3 mm rim-rent bursal sided tear of theinfraspinatus is demonstrated involving 50% of tendon thickness. Regards,Eric

Q: Hi Adam, Thanks a lot for your answer. My brother is having pain in the lower back and his legs are paining when he bend down and when he sits on ground. He is also feeling pain after waking up from the sleep and also pain while sleeping. He is feeling very pain when he lifts his left leg up to 40 degrees and he is not able to lift further. Left leg is paining more than right leg. Please look at the MRI Scan report and could you suggest is surgery required for him or not? Is the surgery very complicated? Is there any chance to leak disk again at the same place or other after the surgery? After surgery how many days will it take to cure? After surgery How many days he can do work like normal person? how many days will it take to recover from pain if he takes rest well, without surgery?

Mri scan of lumbo sacral spine Alignment of lumbo-sacral vertebrae is normal. E/o straightening of lumbo sacral spine seen E/o posterior extrusion of L4-L5 disc with caudal migration and causing focal spinal canal narrowing and bilateral nerve root compression seen. Rest of intervertebral discs show normal signal intensity. The vertebral bodies are other wise normal in shape and signal. Facet joints appear normal. Pre¶ spinal soft tissues appear normal. IMPRESSION: MR IMAGE MORPHOLOGY IS IN FAVOUR OF Ø Straightening of lumbo sacral spine. Ø Posterior extrusion of L4-L5 disc with caudal migration and causing focal spinal canal narrowing and bilateral nerve root compressionThanks in Advance. Veena

Q: I was involved in a roll over car accident almost a year ago. I have been through 6 months of Therapy. I finally skipped a referral from my doctor and found a neurologist. My MRI results were that I had a herniated disc at C6-C7 measuring 4mm that was impinging upon the surface of the cord. I also have a 4mm herniated disc that doesn't show signs of impinging. I have also just completed a series of 3 cervical epidural injections. I haven't received any real relief from the injections. My symptoms: I get a lot of headaches, pain when I turn my head left or tilt my head to the right. I have numbness in my left hand mostly in my pinky and ring fingers the numbness comes and goes. I also have shoulder pain and often it hurts to lift my arm. I am starting to have lots of pain in my right hip and it's starting to hurt my lower back to sit and raise my leg. It also hurts to stand or sit for long periods. Sleeping is tough too, I wake often through the night because I hurt. I go to bed LATE and wake EARLY. I am really getting tired of all these treatments that aren't really working. Should I just go ahead and have them refer me to a neurosurgeon??? Casey

Q: i have upper and side hip difuse pain from 2 months, and tingling that area from 5 months, i feel heaviness and pain at lower right abdomen, my lower lumber report is: focal disk protrusion at L4-L5 intervertebral disk level with mild indentation of the thecal sac with no significant narrowing of neural foramina, si joints normal, can you tell me in detail if i have mild problem, why i feel so pain and stiffness in hip what i do now i am very afraid like panic that my active life is finished. i am afraid that i will face operation and epidural injection and all bad things. please answer me can this heal,please help me, Vividh

Q: I'm a 44-yr-old female who is self-employed as a court reporter, which means sitting all day 5 - 7 days per week. I am suffering moderate to severe mid back pain which I first noticed ONLY when sitting but has progressed to the point where I'm no longer working (1 month) due to the pain when sitting, and I'm now beginning to experience the pain when walking or standing for even 1 hr. I had 2 ESI injections with no relief. I am not overweight at all and am in fairly good shape.

MRI results: thoracic - normal L1-2 - normal L2-3 - broad based right paracentral disc herniation causing ventral flattening of the thecal sac. Disc material extends for about 5 or 8 mm from the vertebral body border and is flattening the thecal sac but no causing significant central or foraminal stenosis.L3-4 - mild disc bulging and facet arthropathy. No central or foraminal stenosis. L4-5 mild disc bulging and facet arthropathy. There may be a small annular tear at the level of the left foramina. There is no central or foraminal stenosis.L5-S1 - mild disc bulging and facet arthropathy. No central or foraminal stenosis. This is particularly scary for me as this is putting my career and only means of supporting myself in jeopardy. Can you give me some idea if this is a surgical condition or where I'm possibly headed down the road? My orthopedist has referred me to a neurosurgeon, but I've been waiting a week now and that is simply to schedule an appointment. The thought of waiting weeks for more information when I'm already hurting is daunting. Any thoughts would be appreciated! Kathy

Q: Hi I just had my mri done and went to the first doctor that wanted to cut me open...said i was a ticking time boom to become a quadriplegic. The second doctor want me in physical therapy but the pain is still there. Pain to neck, shoulder, burning sensation to forearm, tingling to fingers and left side of chest leading to numbness in the left arm. Here the results of the mri give me your best advice...thanks Axial imaging is as follows:c2-c3: No central canal stenosis. No central disk herniation. The neural foramenn are patent bilaterally.c3-c4: Posterior osteophyte ridging. No central canal stenosis. No central disk herniation. The neural foramen are patent bilaterallyc4-c5: No central canal stenosis. No central disk herniation. The neural foramen are patent bilaterally. c5-c6: osteoarthritic changes of the uncovertebral joint. No significant central canal stenosis. No central disk herniation. The neural foramen are patent bilaterally.c6-c7: Central disk herniation with effacement of the ventral aspect of the thecal sac and central canal stenosis which is mild to moderate. There is left sided neural foraminal narrowing with associated uncovertebral joint hypertrophy on the left. c7-t1: No significant canal stenosis or central disk herniation. The neural foramen are patent bilaterally.IMPRESSION: 1. CENTRAL DISK HERNIATION AT C6-7 WITH EFFACEMENT OF THE VENTRAL ASPECT OF THE THECAL SAC AND ASSOCIATED MILD TO MODERATE CENTRAL CANAL STENOSIS. NO SIGNIFICANT CORD COMPRESSION IS SEEN. NO CORD EDEMA.2. NO COMPRESSION FRACTURES OF THE CERVICAL SPINE. Rafael

Q: Dear sir, my father have pain in his left leg. doctor suggested to do the mri lumbar spine . In the mri there is report degenerative changes in the spine and disk bulges from l2-l3 to l4-l5 with indentation over thecal sac and causing narrowing of bilateral lateral recess/foramen , central disk protrusion at l5-s1 with significant indentation over thecal sac. please give me suggestion on the report. thanking you Narendar

Q: I have the results from my MRI and I was wondering if you could interpret them for me. L4-5, posterior annular bulge and disc desiccation, with posterior annular tear. I am just curious to what that really means and what treatments are available. June

Q: I was diagnosed with broad based herniated disc between L3, L4, L5. My doctor said it is a vague assessment and wants me to see a spine specialist, before seeking his recommendation of and epidural. What exactly does "broad based" mean? Mary

Q: Hi, Please can you explain what my MRI scans mean? I have been have back problems for the last 12 years, I am only 44 years of age, thank you.

There is minimal reversal of cervical curvature at C3/4 and 5 level. Disc dehydration and disc space reduction at almost all the cervical levels is noticed.C3/4 Level shows a broad based degenerative predominant left central disc bulge with minimal left exit foraminal stenosis. C4/5 Level shows brad based disc bulge with thecal sac and cervical cord indentation. There is mild right exit foraminal stenosis with mild to moderate on the left. No cord edema or myelomalacie change.C5/6 level - No significant abnormalityC6/7 Level - No pathology is noticed.T5/6 posterocentral disc herniation with cervical and thoracic cord indentation is noticed. It is more a central, right central location.There is normal lumber lordosis with normal vertebral body height. There is loss of disc signal at the L2/3 level and a small right paracentral disc herniation that extrudes inferiorly into the lateral recess on the right and maybe in contact with the L3 nerve root. The L2 nerve root exits freely. More inferiorly the L3 nerve roots in the exit foramina are normal. There is a minor broad bas disc bulge at L4/5 and L5/S1 is intact. The conus is normal and terminates at the T12 Level. Cheryl

Q: i have degenerative disc disease as well as spurs, some narrowing of the spinal cord, id like to know if any of these could cause symptoms such as bladder dysfunction, rectum pain, abdominal pain, gastro muscle spasms, difficulty swallowing as well the usual numbness of arms , legs, hand, and neck and back pain? please help. thanks, brenda

Q: Hi, My brother is suffering from severe back pain and doctor said that there is a 40% disc slip. One of the doctors said that, surgery is necessary in order to overcome this. My question is, Is Surgery necessary? cant it be cured by medicines? doesn't slip adjusts if we take rest, without taking any medications? After surgery, are we sure that pain wont come again in future? if disc slip increases will it lead to paralysis? how much percentage of disc slip requires surgery? Below are the details of MRI report. Mri scan of lumbo sacral spine

Alignment of lumbo-sacral vertebrae is normal. E/o straightening of lumbo sacral spine seen E/o posterior extrusion of L4-L5 disc with caudal migration and causing focal spinal canal narrowing and bilateral nerve root compression seen. Rest of intervertebral discs show normal signal intensity. The vertebral bodies are other wise normal in shape and signal. Facet joints appear normal. Pre¶ spinal soft tissues appear normal. IMPRESSION: MR IMAGE MORPHOLOGY IS IN FAVOUR OF Straightening of lumbo sacral spine. Posterior extrusion of L4-L5 disc with caudal migration and causing focal spinal canal narrowing and bilateral nerve root compressionThanks in advance. Thanks, Veena