Herniated Disc Questions and Answers Archive 2011 Part 4

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: I have a question about a new MRI I had done on the 28th of Feb. I have multiple sclerosis and it seems like my doctors want to blame every problem I have on the M.S. which is funny because I had surgery on c3 to c5 and wasn't able to find help for what turned out to be M.S. anyway I can't get information for my pain.here is a copy of my MRI. do I need to seek out another doctor?REASON FOR EXAM: MULTIPLE SCLEROSIS RADICULITIS CERVICAL NOS EXAMINATION: MRI CERVICAL W/WO - (RMR/0011) HISTORY: Multiple sclerosis. Prior surgery. Neck and left arm pain. COMPARISON: Plain radiographs from 05/14/2010. TECHNIQUE: The patient was given information about the procedure and the risks associated with IV contrast. Consent was obtained. Intravenous access was obtained for administration of contrast at 0.2mL/kg (0.1mmol/kg). Sagittal T2, sagittal T1, axial MERGE (or GRE), axial T1, axial T1 with contrast, sagittal T1 with contrast. FINDINGS: There is metallic artifact consistent with previous anterior C3-C5 fusion. No vertebral subluxation is seen. No intrinsic spinal cord signal abnormality or enhancing lesion. There is some reversal of the usual cervical lordosis. No tonsillar herniation. At C2-C3, no disc protrusion, canal stenosis, or foraminal stenosis is seen. At C3-C4, no canal stenosis is seen. Neural foramina appear adequate. At C4-C5, no definite cord compression is seen. Neural foramina appear adequate. At C5-C6, there is broad-based disc bulging and spondylosis, mildly eccentric toward the left. There is effacement of the anterior subarachnoid space, and perhaps mild effacement of the anterior aspect of the cord. There may be mild narrowing of the left neural foramen. At C6-C7, there is disc bulging and spondylosis and likely superimposed left paracentral disc protrusion. There is effacement of the anterior subarachnoid space and mild effacement of the left anterior aspect of the cord. There is likely some narrowing of the proximal left neural foramen. At C7-T1, there is suggestion of a left paracentral disc protrusion, effacing the left lateral recess and perhaps contacting the left anterior aspect of the cord. There may be some narrowing of the left neural foramen. IMPRESSION: Previous anterior fusion at C3-C5. No significant cord compression is seen at these levels. Disc bulge/spondylosis eccentric toward the left at C5-C6 and C6-C7, with mild effacement of the anterior aspect of the cord at both of these levels. Possible left paracentral disc protrusion at C7-T1, as described. Teri

Q: I have had lower back problems for 20 plus years.every doc i've seen in the past said nothing wrong.(sore muscle)go home rest. so that's what i have done.7 months ago i felt a burning sting pain in my neck that would shoot like electricity up and down thru my back and neck and shoulders. so with that being like what i have felt in my back and hips and legs before.figured it was the same as what the doctors said before overworked muscles.so i slowed my work pace which help a little.then over the weekend my left arm went numb with little pain.went to work the next day still feeling it figure just need to work the muscle out and it would feel better.it didn't,still numb more pain could not use at all.my job was sorting and down stacking and stacking pallets with weights of 16 to 40 plus pounds each.to be stacked 30 to 45 high without an hilo.i have had 4 mri's,c.t scans,emg,eeg and x-ray's.lumbar mri reads-schmorl's nodes seen at each level,no loss in height,within normal limits no sublu,mild disc desic at l2-l3 and l3-l4,no height loss,the conus terminates behind the l1 vertebral body.l1-l2 and l2-l3 no buldge or sten,l3-l4 minor bulge no sten.l4-l5 minor annular bulge no sten,l5-s1 left lateral disc bulge slightly effacing the l5 nerve root. x-ray-hips,first one say's left hip no problems.but the one of my right say's-mild degen changes of bilateral hip joint slightly more on left.??? c.t head for dizziness and pain- aeration of the paranasal sinuses and mastoid air cells. mri cervical first one- straightening of neck . #2 cervical mri-straightening of neck no loss of height,c6 c7 minimal disc space narrowing and annular bulge,no sten, cord size normal. the electric type pain i can only describe as like if you exposed the nerve on your tooth and squeezed it with pliers.numbing,tingles,pain,involuntary neck movements with shooting pain and without.cant do anything without being alot of pain after. i need help,doctor cant figure out why i am in this much pain. tylenol 3 is what im on now.it take some of the edge off but does nothing for the shooting pain when i have it which is 70%of the time. John


Q: I need help with my MRI, I have waited almost 3 weeks to find out why i'm in pain now I must wait another week for the doctor to tell me I just need to know my pain is real.heres my results: there are degenerative changes in L4-5 and L5-S1 endplates, there is a broad-based levoscoliosis. at L3-4 broadbased annular disc bulging up to 4mm eccentric to the left fpramem. associated facet arthrosis contributes to mild bilateral foraminal narrowing,left side greater then right. L5-S1 there is a broad nased 5mm disc osteophyte complex with associated facet arthrosis contributing to moderate bilateral foraminal narrowing, Tina

Q: hi!sensei please help me understand this: MRI REPORT.-At L4L5 there is a broad based central disc herniation. the posterior longitudinal ligament is elevated. The foramen are normal.At L5S1 there is a 9mm.left central disc herniation. No foramen compromise or thecal sac stenosis. The posterior longitudinal ligament is elevated and there is a impression on the dural sac. The upper sacral segments are normal. No evidence of sacral cyst, Tarlov cyst or any other pathology. this are my symptoms: Radicular discomfort, mild pain on the back of my thigh, back of my calf and tingling sensation on my foot. Is this bad sensei? do i have any good chance? Thanks for your time and opinion. Carlos

Q: hi i'm wondering if u can explain to me my mri report as my doctors are not good with translating it so i can understand it as i only want to know what to do. regards, Jason

Q: hi my mother is having pain in the hip region and the MRI Report says that L4 L5 this shows postro central protrusion narrowing spinal canal left lateral recess and touching left exiting nerve root L5 S1 this shows mild reduction in height small postro central protrusion. Ranveer

Q: My first two spinal bones are almost as one. I have constant pain, and am filing for benefits. The chiropractor I just saw won't touch me says there is nothing to do and he'll most likely worsen my condition. He says from 1 to 10 my lower back is an 8. I have all kinds of calcium spurs and partial numbness and tingling in my mid rt. back. There has got to be a solution if so let me know. I will NEVER do surgery!!! Dennis

Q: Hi: I can not understand the below comments from my MRI results. I'm in the Army and getting an answer from a human is difficult. Can you please give me the breakdown in easy to understand terms. Thanks. FINDINGS: Comparison is made with the prior lumbar spine series dated 09/28/2010. Again note is made of transitional anatomy at the lumbosacral junction. There is disc between the S1 and S2 vertebral bodies. Irregularity and increased signal is seen at the sacroiliac joints superiorly. The vertebral bodies demonstrate normal height and bone marrow signal. Disc desiccation is seen at multiple levels. Disc height loss is seen at the T12-L1, L1-L2, and L5-S1 levels. The spinal cord is normal in course and caliber with the conus medullaris terminating at the L1 level. Endplate irregularities are seen at the S1-2 level. A small annular tear is seen at the L5-S1 level to the right of midline. The following levels were evaluated in the axial plane: L4-5: Central posterior disc protrusion without significant neural foraminal narrowing or central canal stenosis. L5-S1: Shallow central posterior disc protrusion and annular tear without significant central canal stenosis. There may be a fair lateral component on the left that may contact the exiting left L5 nerve root. There may be mild left neural foraminal narrowing. Some facet degenerative changes are seen on the left. S1-2: Endplate degenerative changes and disc desiccation without significant central canal stenosis. IMPRESSION: 1). Multilevel lumbar spondylolysis as above. 2). Transitional anatomy at the lumbosacral junction. 3). Irregularity and increased signal involving the sacroiliac joints. Clinical correlation is recommended to evaluate for sacroiliitis. - Steve

Q: I have had two surgeries, an anterior cervical spinal fusion, with anterior plate and transvertebral body screws at L4-5 and L5-S1 causing susceptibility artifact.And bilateral laminectomies with posterior spinal fusion. It has resulted in in mild bilatral neural foraminal stenosis at L5-S1 and mild granulation tissue along the dorsal thecal sac with no granulation tissue surrounding any of the existing nerve roots, and small post operative seroma in the operative bed. Had one operation in October and second in December 2010. This information is from my latest MRI results taken March 1 2011. I was wondering what would be the cause of these problems, and my options for treatment. Thank You David

Q: Back in 2008 I was injured on the job when my former boss hit me on the side of the head with an open hand to demonstrate how to discipline a child , he hit me with such force that I had a whiplash injury to my cervical area . I started therapy and believe it or not two months later the jerk close's our company's van hatch door on my head knocking me to the ground and crushing my vertabrae in my neck this time , I thought he broke my neck at first . I had CT scan and x-rays in the hospital which showed a lot of bone spurs and arthritis . Just last week I had an MRI which shows a herniated disc C4-5 and a subarticular cyst.My question is while I know that I had arthritis in my neck like anyone in my age group , I didn't have any problems with my neck until the idiot hit me and closed the van door on my head . Can the herniated disc and other problems I'm having with my neck all be attributed to those injuries ? Thank you very much Burton

Q: I've had surgery from C3-7. My latest x-rays show anterolisthesis, C2 on C3 of 4mm, flexion view only. I'm a woman with a congenitally narrow spinal canal. I'm wondering what grade of anterolisthesis that is, as I can't find anything online anywhere, that would give me that information. Do you have any idea or even vague idea, like Grade I or II? Many thanks for your help. Lisa

Q: Thank you very much for taking the time to read this email. I have my MRI report and I do not understand it. Can you please in laymen terms tell me what it means. I had a MRI of cervical spine w/o contrast and MRI of thoracic spine w/o contrast. I will only put the problems found to make it easier.MRI of the Cervial Spine W/O Contrast. IMPRESSION: 1. At C5-6, there is central and left paracentral disc herniation impressing the anterior margin of the thecal sac. 2. At C6-7, there is central disc herniation impressing the anterior margin of the thecal sac.MRI of the Thoracic Spine W/O Contrast IMPRESSION:At T 11-12, there is right paracentral disc herniation. This impresses the anterior margin of the thecal sac and contacts the thoracic cord. There is no abnormal cord signal. There is no central canal stenosis. At T12-L1, there is disc degeneration but no significant bulging or herniation is evident. There is no central or foraminal stenosis. 1. At T8-9, there is disc degeneration with disc narrowing. 2. At T11-12, there is right paracentral disc herniation impressing the anterior margin of the thecal sac and contacting the thoracic cord. There is no central canal or foraminal stenosis. 3. At T12-L1, there is disc degeneration. Thank you very much, Annette

Comment: T-9- T-10 A large right sided Disc Extrusion which is stable or slightly increased in size. Extruded disc material mildly flattens the right ventral spinal cord.thanks, Sandra

Q: Just had an mri, but even though the doctor explained i would like to hear it again in more english terms and not doctor terms. Thanks. Mri states Sagittal and axial images of the lumbosacral spine are submitted. Normal lumbar lordosis is seen. The spinal cord terminates at the L1 level. Multiple end plate schmorl's nodes are seen throughout the lower thoracic and lumbosacral spine. There is degenerative disk space narrowing with dessication changes st L1-2, L2-3, L3-4 level. L4-5 and L5-S1 disks are intact. There is no evidence for discrete disk extrusion. Minor bulging is seen at L1-2, L2-3, and L3-4. There is no evidence for severe stenosis. Impression: degenerative changes of the upper lumber spine as described above with multiple schmorl's nodes. No discrete disk extrusion seen. also, I would really like to know if this is normal (The spinal cord terminates at the L1 level)and what does this mean (There is no evidence for severe stenosis)Also what is this ( There is no evidence for discrete disk extrusion) Is all this common when u hear about back pain and will i eventually need injections or surgery at the rate i'm going. Nicole

Q: I am an Orthopedic Massage therapist and have treated many patients with spinal abnormalities that heal with conservative treatment. Now I myself am experiencing persisting px in my right scapula/neck/arm/hand continuing after 8 weeks of conservative tx. I am at a loss as to what direction to take next. I have used ice (one hour intervals) and 800 mg Advil to manage px. I have refused steroid injections and the spinal fusion surgery recommended by my Orthopedic Surgeon in favor of PT using the MedX machines (2 x /week) which seem OK. I felt relief in week 1 of PT and now in week 5 of PT I feel slight increase in px with weakness and sharp pain increasing in posterior shoulder and across scapula down into right arm and hand. Slight loss of sensation first in thumb and third finger initially and now all finger tips. Manual therapy, chiro adjustment and electric stim. seem to make px worse and I don't get a sense for any real progress after 5 weeks of PT. According to MRI report I have a "herniation with dorsal annular bulging" which I believe should not be that concerning in itself. But the fact that I have persisting pain in my R scapula and increasing weakness in my R arm after this many weeks is concerning me. MRI report indicates" marked narrowing of the caudal entry zone of a moderate to severely stenotic neural foramen and impinges on the right C7 nerve root. Moderately severe foraminal stenosis is seen on the left with uncinate spurring, facet joints normal." Also at C5-6, a 2mm right posterolateral disc protrusion and moderate dorsal bulging is seen with narrowing of the central canal to 7 mm in AP diameter in the midline and moderate right greater than left ventral cord impingement. Moderately severe foraminal stenosis is seen bilaterally with bilateral uncinate spurring." Do you recommend traction or decompression at this point? Should I consider surgical intervention? If so, what type is safest? I would like to get back to my job (massage) which is very physical.... Should I continue PT with MedX? Please advise! Katrina

Q: My MRI impression reading: There is a left sided disc protrusion seen at L2-3 level seen along the lower left lateral recess and appears to impinge upon the exiting left L2 nerve root and also the left L3 nerve root in the lateral recess.My symptoms for the past 3 months have been intense pain in my left hip, groin, thigh, knee and at times in my shin. I have intense pins and needles in my entire left leg. My left leg reflexes are only mildly less than that of my right leg. Sitting produces the worst pain, so I am either standing or lying most of the time. Four days ago I received my second caudal epidural injection and still have no relief. My physician told me that he thinks I will need surgery to remove the disc material from the nerve roots. I am so trying to avoid surgery but I have had these symptoms for 3 months. Can you suggest any other form of therapy of procedure that I may try before considering surgery? Thank you. Diane\

Q: what is lateral intraforaminal herniation left at L3-L4 which dorsally displaces the left L3 root with mild diffuse disc bulging at L4-L5 with minimal abutment of the left-sided L4 root. Had a laminectomy with fusion at L3-S1 in my lumbar area. A CT scan of my neck that says mild central disc spur complex causes effacement of the thecal sac at C3-C4, C4-C5 and C5-C6, C6-C7 disc spur complex causes minimal impression on the thecal sac. Jacqueline

Q: hello sir, came across your site and would like to know the details of knowledge therapy, and if it could help me out of my chronic disc herniation(of 3 discs) for the last 7 and half yrs.eagerly awaiting your reply. thank u. gayathri

Q: I have had sharp pain on my foot for 6 months . where the pain is on the foot it self , on the outside of foot under the ankle ball. (not sure what it's called) so bad i couldn't walk for a while without sharp pain, 4 months later same leg my knee seemed to have swelled even tho by site you couldn't tell but i couldn't bend or lift the leg on it's on. Dr said arthritis, I did not believe and asked for mri, this is what the result was: small l1-l2 small focal midlne disk herniation causes moderate deformity of the thocal sac. l2-l3 bulging annulus causes mild deformity of the thecal sac.l-3 thru l4 same as l2-l3, l4-l5 small focal midline disk herniation causes moderate deformity of the thecal sac. l5-s1 normal. my question, is this what is giving my knee such discomfort and trying to slip out. it pops and pops back in, I have almost fallen and sharp pains come and go, I have to stop when the pain comes, and never know when the knee is going to slip out. My doctor wasn't sure this is caused by the disc herniation, he is only a family doctor and is going to send me to physical therapy next week. What else can I do. thanks Maria

Q: i have a herniated disc at left side of L2 & L3,I have pain in my lower back, and my right leg, dr. said i should have pain in my left leg. Can the above herniation produce pain in either leg. Steve

Q: hello,I have been severe pain for a couple of weeks now. had an MRI done on my lower spine.Impression:Scoliotic Lumbar Curvature with straighting of normal lordosis. Diffuse schmorl's invaginations from T10/11 through L5/S1.Diminished Disc Space Height L5/S1. Lumbar Spine Demostrates Anterior Disc Extension and Anterior Spurring.Disc Hydration Loss from L2/3 through L5/S1. L1/2Posterior disc Herniation impresses the ventral thecal sac.L2/3 Posterior Disc Bulge flattening the ventral thecal sac. L3/4posterior disc bulge flattening the ventral thecal sac with eccentric increased bulge to the left narrowing the left Foramina Anteroinferiorly. L4/5 posterior diffuse disc bulge extending to narrow the right and left foramina anteroinferiorly. L5/S1 posterior cisc herniation extensively increasing into the left recess with a-p dimension of up to 12 mm with impression on the ventral thecal sac as well as impression and posterolateral displacement of the proximal left S1 root. L5/S1 disc adjacent osseous vertebral reactive edema.I do not know this stuff, all I do know is I can not function normal with the pain and discomfort even with meds and therapy. How do I go back to work as Union Carpenter to provide for my family? please help? what to do Surgery or pain management and therapy? Thanks Dave

Q: would like mri reading in plain english, also best non invasive course of action.again noted straightening of cervical lordosis. tiny annular tear with minimal bulge is seen just the right of midline at c5-6 which does not compromise the spinal canal or neuroforamina. an asymmetric mildly prominent disc herniation and extrusion eccentric to the L is noted at c6-7 which indents the thecal sac near the medial orifice of the L neuroforamen. Mrsmurph

Q: Hi Adam, I have a report from a recent CT scan to determine the cause of my back pain. In part it states "L4?5 There is a narrowing of the disc space, with a diffuse posterior disc bulge present. There is minor contact of the exiting left L4 nerve root. The contact is made by the disc bulge. There are degenerative facet joints. L5/S1 There is narrowing of the disc space, with osteophytes projecting from the vertebral end plate. There is low grade contact of the L5 nerve roots as they pass through the foramen. The contact is made by the posterior disc bulge and the small osteophyte. The S1 nerve roots are not involved. No degenerative facet joints." I am 69 years old, I think I did this last June swinging a wood splitter. No luck so far with various treatment regimens. Hope you can assist. Thank you. Denis

Q: Can you help me understand my MRI report please?"Large posterior Right paracentral disc prolapse at L6-S1 with significant indentation on the thacal sac and right S1 nerve".I am a yoga teacher and petrified of a back operation that will leave me unable to move freely!(I am suffering severe pains in my right leg) Thanks for your help! Arum

Q: Wanting to find out what my MRI findings mean... "Findings most pronounced at the L5 level, where there is essential complete obliteration of the thecal sac due to a large amount of extruded disc material (superimposed 1.8 x 1.0 cm posterior disc extrusion). Disc material is causes pronounced central canal stenosis The left neural foramen is also nearly completely defaces..the right is only mildly narrowed but patent."I have numbness from the knee down to my toes and pretty severe pain from my butt to my ankle...all of this is on the left leg only. Also my left foot feels like it's been in ice water...but has the same external temperature as my other foot. Thank you! Charlene

Q: Hi, there! I was in a very serious car accident two years ago. I was hit head-on at a speed of 60+ mph by a drunk driver. Thankfully, I survived. I had no broken bones and a closed head injury. I suffer from chronic back pain. I have leg pain/numbness/tingling. I have severe pain in my mid back. My latest MRI shows: T9-10 small central disc protrusion and inferior extrusion without canal stenosis or nerve impingement and a right posterolateral L5-S1 annular tear with mild associated disc bulging. I also have a benign nerve root cyst at T11-12. It is said to be benign and asymptomatic. I'm 35 years old, I'm a mother, and refuse to live in pain forever. Surgery has not been recommended and I would do anything to avoid it. Your thoughts? Thanks so much... :) Michelle

Q: was wondering if you could shed a little light, I received a mri and these are the results, mild discogenic/osteogenic with right uncovertebral gypertrophy minimal narrowing. also diffuse discogenic with a bony bar impinging upon the sac mild degree of central spinal stenosis. there is compromise of lateral recesses bilaterally. help my doctor won't he told me to just carry on, any help would be appreciated. Kathleen

Q: I recently had an MRI of my cervical spine to diagnose what started as acute pain in the left side of my neck, now loss of strength in my left arm and tingling in my left thumb and first finger Can you interpret the MRI language of C5-6 disc bulge with left pre-foraminal/foraminal inferior extrusion 0.6CC x 0.3AP x0.4TR cm? I am attending physical therapy and meeting with a orthopedic surgeon in 2 weeks. I am seeking more knowledge about this condition and the options available to regain full strength. Thank you very much. Matt

Q: Hello, Can you tell me what this report means, Low back pain averages around a 7 ranges form 6-8 most days some days are better, right leg pain outer thigh to knee outer side of calf to top of foot.Numbness both feet to middle of shins including soles of both feet. Contary to the radiologist reference to a schmorl's node orthopedic surgeon believes L1-L2 was damaged from jet ski accident and was a compression fracture. Any comments on the lipoma? Tks, Mark

Q: hi i am a nurse assistant, i was turning a patient over with help, he weighs 313 kgs. well after we had turned him on his side something in the middle of my back popped it was on fire and the pain radiated down to my middle back all the way around to the front of my chest and felt like it was locking up until i could not take a breath and any movement for the next 2 days it hurt to even turn my neck. The pain was so bad that when i got home it hurt to straighten my back up and it took my breath it was so bad. i had an xray done and that dr said i may have torn ligaments in the thoracic area. went to another dr he said the xray was ok, but after he examined me he seem to think i may have a ruptured disk and my be sitting on a nerve. i had the MRI done going for results tomorrow what do you think that it may be? Brittney

Q: I have a moderate pain in my left arm, it follows from neck to shoulder to arm. My thumb of right hand is having numbness.My doctor suggest me for MRI. In MRI report, it is noticed that my cervical disk c5-6 extruded and it is indented to cord and causing compression in c5 exit root. Doctor prescribed the lyrica 75 a day or 14 days. My question is how the medicine can cure this problem, what is the meaning of healing the disk. Is that extrusion would stop. I mean what is the mechanism how the medicine would remove the compression? Mueen

Q: What does this mean ? Minor broad based disc bulging at L4 - L5 with no evidence of lateral recess or spinal canal stenosis. Stephanie

Q: What does this mean? L5-S1 mild concentric disc bulging with a small to moderate superimposed posterior central disc protrusion mildly indenting the anterior aspect of the thecal sac but not causing true spinal stenosis. Moderate facet joint hypertrophy causing mild left and mild to moderate right neural foraminal stenosis, in conjunction with the disc bulging. L4-L5: small right posterolateral annular tear. Mild to moderate facer joint hypertrophy causing minor and narrowing of the neural foramina. Lesley

Q: i would like to the effects of minor disk space narrowing and nominal spondylotic spurring T L4-L5. Minor disk space narrowing at L5-S1. is it something serious? its hurting my back...is there any permanent solution for this? Dev

Q: Hi I have had years of neck and back pain and told had DDD, and arthritis. In 2006 I suffered an intussuseption and blockage that after surgery has left me with weird nausea, but makes it hard to take any pain meds. recently my numbness in my arms, legs and body have been waking me and the tingling of my scalp going to sleep is really weird. I've developed a new symptom of vertigo and have fallen a few times, but off balance a lot. My doctor just did some new xrays and wondered if you could explain in common terms and if I should be more concerned and have a MRI to further investigate. The 4+ spine cervical views **History** neck pain, radiculopathy **Findings** Mild C2/3, 3/4 anterolisthesis. Reversal oof normal C spine lordosis. Moderate C4-6 disc space narrowing and osteophytes. Left C3/4 neural foraminal narrowing. **Impression** degenerative disease. My doctor enclosed that my xrays showed arthritis changes, call with any questions/concerns. I also suffer from Fibromyalgia, so with all these things going on how should I address the pain I'm having. He hasn't followed up on my lower back pain yet, but I also have issues there. A lot of these same things all run in my mother's side of the family, they (mom, aunt & cousin) have all had fusions, in neck, aunt had scoliosis, and mom also had tumors in lower back so I suppose I'm in a matter of time. Thanks for deciphering medical terms. Janet

Q: Hi. I am 31 years old and diagnosed with degenerative disc disease and herniated disc L5. After 6 physical therapy sessions (which also included traction), I noted some improvements. However,2 weeks after the therapy I began to experience nerve and muscular pain in back of my legs. This is really painful specially after just minutes of being seated. The pain is prominent on the right leg and sometimes it radiates to my toes. Can this be cured if I go through another set of therapy again which also includes traction? I don't feel pain in my back now, just the legs/thighs. Thanks. Ronah

Q: I am a 23 yr old medical student in Bangladesh. my L5-S1 disk is desiccated as a result of trauma which was confirmed by MRI. my question is- Is it possible that the nucleus pulposus will be rehydrated again so that i can play football again and perform weight lifting? if possible than how much time i have to wait? If you pls answer me i will be grateful. Ismail

Q: this is the details of my mother MRI report, can you explain me what does this report mean? thanking in advance,report date:-10/01/2011 technique: contrast enhanced MRI of dorsal spine has been performed on most advanced 1.5 Tesla MRI scanner (TIM) using multi planar sequences, screening of the whole spine by T2 weighted axial. finding: hyperintense signals are seen in dorsal cord with widening of cord in T2 weighted images, that are seen starting from D4 level up to D12 -L1 level, in post contrast study no enhancement can be seen ih this region, this changes appear to be due to underlying changes of cord myelitis. no morrow infiltration seen in dorsal vertebal bodies. screening of whole spine by means of T2 weighted sagittal images show disc protrusion at L1-L2,L3-L4 and L4-L5 levels causing indentation over the thecal sac with changes of disc dessication and dehydration in cervical spine, no cord compressive myelopathy can be seen,screening of brain shows cerebral atrophic changes in brain with prominence of cortical sulci, gyri and CSF spaces, ventricular system appear with in normal limits, no shift of midline structure seen, irregular hyperintense areas are seen in deep white interphase in parietal region on both sides which do not show any enhancement in post contrast study, small cystic lesion in also seen in left anterior parietal region, which do not show any enhancementimpression: hyperintense signals are seen in dorsal cord with widening of cord in T2 weighted images,, they are seen starting from D4 level up to D12-L1 level. in post contrast study, no enhancement can be seen in this region, this changes appear to be due to underlying changes of cord myelitis.compared with previous MRI study of 26-08-10 , there is suggestion of minimal increase in extent of abnormal signal intensity in dorsal cord with minimal increase in expansion of cord. for your knowledge, my mother is paralyze in her both leg,i need your valuable advise. regards, husainali

Q: I had 2 car wrecks, which neither was my fault thank God, but these to wrecks caused me to have a bulging disc, also I have tarlow cyst on both discs, the pain I have is in my lower back all around my waist my lower left and right side but the pain is more severe from the left. My right knee hurt from the out side of knee and the inside. both of my fingers on both hands goes numb, I have sharp pain that runs from the top of my hip down my leg even my tail bone hurt sometimes a burning feeling. I am hurting so bad I don't know what to do next. I saw 2 neurologists, from both requesting spinal block injections had 4 in all no results, I was going for decompression therapy 3 times a week, that was making me worse than I was. the Neurologist sent me to a pain management, all they do is charge you a big fee to write you a prescription of lortabs 10 twice a day and flexrell muscle relaxer 3 times a day. at first I got some relief from the lortabs tabs but only when I take several advil in between, goody powders and everything trying too get relief. this problem has caused me to not have a job. I've told the Dr. that I now see that I am hurting so bad, he claims it's nothing he can do but see me every 28 days and write a prescription for pain medicine, and muscle relaxer, which now neither one is helping me any more. My question is what in Gods name do I need to do, what doctor do I need too seek for help? Please. Cynthia

Q: Dear Sir: thank you for allowing me to write you. My MRI of my left hip lists he impression as: 1. Grade II Gluteal Cuff Tendinosis and Partial Tear; 2. Tronchanteric Bursitis. MRI of the lumbar spine Impression "slight anterolisthesis L4 on L5 due to degenerative Facet Disease resulting in mild to moderate canal stenosis, n herniation. There is also mention within the report "disc desiccation at lower four levels"; and pertaining to L4-5 it says "moderate facet and ligamentou hypertrophy resulting in sigh anterior slippage with disc unroofing. Moderate trefoil central stenosis.the L3-4: mild to moderate facet and ligamentous hypertrophy with minimal disc/osteophyte complex resulting in mild to moderate canal stenosis. no herniation. Mild bilateral inferior degenerative foraminal encroachment. I am soon to be 73 yrs old and was always active, walked two/three miles a day, can't do any of that now. too much pain. An explanation of what all this really means, and what I can expect to happen would be appreciated. Drs. don't explain as they should, perhaps to "not make the patient nervous?" I thank you in advance for your assistance. Sincerely, Margaret

Q: I have a lower back injury from 18-20 years ago. Over time the pain has become bearable. I do believe this injury is whats causing my present dilemma. When i play hockey, or when i sneeze or cough hard, I have leaky bowels and bladder, quite embarrassing. Doctors haven't been able to help. Do you think this is treatable? Jason

Q: Hello, My name is Rainell, I recently contacted you about an MRI that i had recently had. I was recently in a accident, and sense then i experience pain in my neck, shoulder, arms, elbows, clavicle, and lower back. I also experience bad headaches. My questions are what could be possibly going on and what is your meaning of degenerative? I also would like you to please explain to me what are some of the concerns of disc bulging?

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