Herniated Disc Questions and Answers Archive 2011 Part 5

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: Following car accident in which I was passenger, my MRI says reversal of cervical lordosis, centered at C5. Is there treatment or surgery for this to restore proper curve? Also, focal STIR hyperintense signal abnormality at T3, not evident on additional sequences. Subcentimer cystic changes are seen w/in the nasopharynx which may be related to Tornwaldt cyst. (Huh?) I'm a 39 year old yoga teacher so I'd really like to improve these issues- thank you for this site! Deirdre

Q: Hi. I have had extensive neck/shoulder pain for over 15 years. When the pain began to affect my work acutely (I had to stop working this past October) I went and had an MRI done and these are the findings: Multilevel degenerative changes severe at C4-5. Broad-based disc herniation is seen resulting in severe canal stenosis with an AP canal diameter of 6 mm. The cord is flattened. Minimal signal seen within the cord compatible some myelomalacia changes. Uncovertebral overgrowth is seen resulting in moderate narrowing the right foramen. My question is, I am 54 years old and I have applied for Social Security disability. I was sent 2 weeks ago for a CE Exam and the doctor took x-rays and said he could see "severe arthritis in my right shoulder" based on the MRI findings above and the doctor's comment about the severity of my pain, do you think I have a good chance of being approved for disability ? The pain is so severe that doing the work I have done for the past 25 years as a secretary is just not possible. Also my doctor is pushing me towards surgery but I am hesitating after hearing "nightmare" stories about neck surgery. I appreciate your help. Anita

Q: Hello,I'm 35 years old,I am a one year suffering from a lower back pain L5-S1,I can't bend at all,the pain sometimes goes and back I did X-RAY the doctor said all my vertebrae are fine and don't have any herniated disc,my blood test is fine,beside the low back pain I also have the sciatica, pain in my back legs. What exactly is this pain? Any chance to get back to my normal activities ? Thanks, Joseph

Q: Hi, this the summary of the MRI report: Large left paracentral protrusion of the lumbosacral disc.Central to paracentral protusion of 4/5 disc. Slight diffuse posterior bulging of 3/4 disc. can you please give your opinion, last couple of year i do few some lower back pain on and off but nothing too serious. Last weekend after sneezing while driving, i felt like i had a strong pain on my lower back. I the try to stretch so i could play a football match but definitely aggravate the situation. I have been is pain for over a week now. Bruno

Q: Help! I'm female, 65, overweight by 80 lbs., and have been suffering aching pains in my lower sacro area (left side), severe pain front of left hip right where you bend when bending forward, pain in outer left knee and sometimes numbness of skin on right thigh just above knee for about half way up. The front hip pain started after I was laid off so perhaps may have caused by less activity and too much sitting at computer? Now exercise is almost unbearable. Also, I fell down some stairs on my left hip 2 years ago but there was no pain in that area at that time. I've had this pain for a year now and have been trying to get help. Knee MRI fine. Hip MRI indicated possible synovitis/bursitis and a contusion or stress reaction. Drs. did nothing. Condition getting worse and I can't walk normally....or sit...or sleep. Now affecting lower back. I've been bounced around from GP to Rheumatologist to Orthopedic Surgeon to Pain Dr. to Phys Therapy back to Orthopedic who is bouncing me back to Pain Dr. I also have fibromyalgia, which has gotten worse, and have been on Oxycodone APAP and Neurotin for a year. Just had MRI of lower back. What does my Lower Back MRI say in layman's terms: L1-2 Early disc desiccation; facet sclerosis. L2-3 Disc degeneration; mild end plate spurring & shallow bulging annulus w/component of right lateral disc herniation; mild narrowing of right-sided neural foramen; facet sclerosis. L3-4 Moderate disc degeneration with endplate spurring & posterior & central broad-based disc herniation w/compression of the thecal sac; facet sclerosis; mild stenosis of the neural foramina. L4-5 Disc desiccation & mild endplate spurring; facet sclerosis; mild encroachment of neural foramina. L5-S1 Moderate disc degeneration w/hypertrophic endplate changes & bulding annulus w/facet arthrosis; mild encroachment of neural foramina. Any suggestions or do I need a new set of drs. or a shrink? Sorry this so long but any help would be appreciated. Karen

Q: I really could use some help understanding my MRI as I have now been referred to a surgeon. At L4-L5, there is a mild annular disc bulge with mild facet and ligamentum flavum hypertrophy. There is no significant central stenosis. The neural foramina are patent. At L5-S1, there is a diffuse annular disc bulge. There is a small central disc protrusion which migrates superiorly to the inferior L5 end-plate. This flattens the ventral thecal sac and abuts the proximal S1 nerve roots. It does not cause a significant central stenosis. The neural foramina are patent. IMPRESSION: Interval worsening spondylosis when compared to March 2007, where there is an L5-S1 diffuse annular disc bulge and central disc protrusion which migrates superiorly to the inferior L5 end-plate. This abuts does not displace the S1 nerve roots. It does not cause a significant central or neural foraminal stenosis. Melissa

Q: Please help - I hurt my back at work and just got the following MRI report back. I don't really understand what it means. I've had severe lower back and hip pain on my right side only. I have no pain on my left side. My physiotherapist said that he thinks my hips and tailbone got rotated up and misaligned during the accident and that is causing the pain. I'm female, 31 years old with no prior history of back problems. Thanks for any advice or information you can give me. MRI report - 1. Small left paramedian L4-5 disc herniation with indentation of the thecal sac and crowding of the left L5 nerve, although I could not document nerve compression. Disc desiccation with mild loss of disc height is also present at the L4-5 level. 2. Minor facet arthopathy at L5-S1. Sarah

Q: I am curious, since you had a bad experience. Didn't your doctor adjust the settings so that they weren't unpleasant. Most tens treatments today don't require you to sit up, inf act i go to therapy 3 times a week an they lie me face down, and adjust the intensity to my liking, also the mode can make a difference in how it feels. It sounds like the doc didn't do a very good job of tailoring the treatment to you. Keith

Q: Can you please tell me what this means, from my MRI? Impression: Right lateral foraminal/extraforaminal disk herniation and annular tear at L1-L2 which is more conspicuous on the present examination and resulting in posterior displacement of the right lateral L1 nerve. Disk bulging and broad-based right lateral disk herniation at L4-L5 with associated annular tearing again seen. Findings suggestive of osteonecrosis of the right femoral head. Correlation with plain radiographs is recommended. Thank you, Tom

Q: Hello Sensei, I read your post on TMSHELP forum and they have been always so helpful .Also this site is great. I have a big tms history and always i resolved it very good. BUT,these past year i got some back pain,that is annoying.It is not severe but its always here when i bend to wash my teeth,etc. But when i go snowboarding and i jump, fall, i don't have pain at all. Last week i had mri and they sad l4 l5 dorsomedialis herniation.What is that?What is dorsomedialis? I am afraid of that cauda equina thing.Since my herniation is central,or at least i think so since from the name dorsomedialis. Today i go to see neuro just to check if is maybe cauda equina.If he says its not, i will go tms rooute. You think its the right way? And one more thing.After mri and reading about symptoms of l4 l5 herniation i got pain in legs that changes places all the time.I have pain in my thighs,in front in back then on sides,then it change to other leg.Then it go to my but,then go back to thighs, then sometimes it goes in my groin, and sometimes it only in back. FUNNY. Best regards, Petar

Q: Hi there, I ruptured my L4 and L5 discs and it took me a year after going from doc to doc to get surgery (it was through workcover as i did it at work). After my surgery things were going fine until 6 weeks ago when i woke up in absolute agony. After seeing my surgeon (he told me this is normal) he told me i had a flared disc in my L3 and it was prob caused by my rehab. I have been told that bed rest is important and after 3 weeks it would have settled down. It is 6 weeks now and i am getting worse. My back Spasms everyday and it drops me to my knees, and sometimes i cant get out of bed, and i have to get the wife to try and help but she cant do anything as every move is a complete nightmare. I am on the strongest pf strongest painkillers but still i feel it (although not as severe) but it still paralyzes me. What book did you read, i would love to know and what did u do in forms of exercise or rest or stretches did you do because even lying in bed now stiffens me up after a while where bed rest was like heaven lying down. I cant get comfortable and i'm on a cane but as of the last 2 days im using 2 canes. My surgeon has told me to rest and eventually it will get better but i know my body and it is not geting better. Can u send me the name of book you read and exercises you did to relieve the pain. I would do anything right now to get rid of the pain and discomfort, as i'm a basketball coach and even getting in the car brings on spasms. I cant drive, and after 1 game of Basketball i am in agony, but then i have 4 more games after on a saturday to try and get through. Please help me, Simon

Q: Hello, I don't know how severe this is but I need to know if i should just do exercises or surgery. Report; Mild to moderate L4-L5 and mild L5-S1 degenerative intervertebral disc disease, resulting into mild moderate posterior disc bulge and focal right paracentral L4-L5 superimposed disc herniation migrating inferiorly along the right paracentral posterior surface of the L5 vertebral body, resulting into mild to moderate asymmetric narrowing of the right L4-L5 lateral recess, focally impinging the exiting right-sided L5 nerve root at its sac origin with the canal without focal spinal canal stenosis however there is a mild generalized narrowing of the AP diameter of the spinal canal particularly noted at the level of L3-L4, L4-L5 and L5-S1 with mild left-sided L4-L5, moderate left and mild right-sided L5-S1 neural foraminal narrowing. William

Q: Thanks for caring about people. I am 62 years of age and have had all kinds of lumbar shots in the past 3 years.Lumbar,facet,sacroiliac,epidurals. In 2008 they took it all away. In 2009 and 2010 nothing helped. I have a small herniated disc @ l4-5 and an eng test shows nerve problems @ l5-s1. My new pain doctor believes that most of my pain is in the joints,due to the fact that I am 210lbs and should be about 170-180 for my height of 5'10. He would like to give me a series of joint injections. What is your opinion and do you feel that weight does cause back problems? thanks for your kind interest and response. Ralph

Q: Hi I have a lateral disk herniation at L5 - S1. I have some muscle atrophy in my left quadriceps. My 3 doctors have separate positions. One stating a case study that said there is time to repair the herniation which would allow the muscle to recover from atrophy, and avoiding knee replacement, or hip replacement surgery in the future. ( it has been 10 weeks already) one saying that there is a week at most for the above listed surgery, and the third likes the idea of leaving it alone, and dealing with the numbness which is only present from left knee down to ankle. Question how much time do I have before the muscle is no longer recoverable. Are you aware of the study that doctor 1 refers to about the time I have, and is the statement he refers to true that I could be looking at future operations to knee, or hip if I don't have the surgery done. Joseph

Q: Car accident about 9 months ago; back pain ever since. Been to PT for past 8 months & have gotten 3 epidural injections. While the epidural and PT have helped, I'm still in pain. Should I consider surgery. I've some shooting pains both legs and in my anus (very embarrassing), along with back, both legs & knees pain. Attempting to walk normally or faster causes my right heel or ankle to hurt. The results of the lower back MRI are as follows. MRI Report: There is disc desiccation at L5-S1 along with some decreased disc height at this level. There is a central posterior disc herniation at L5-Sl which mildly indents the ventral aspect of the the thecal sac at this level.The remaining disc levels appear unremarkable. There is no central spinal canal stenosis or neural foraminal narrowing in the lumbar spine. The facet joints are preserved. Vertebral body height and signal intensity are maintained. The conus is normal in position and configuration. Dipti

Q: Could you please give me feedback for my son's recent MRI. He has sciatica on the left side. He is 18yrs old.L5-S1 level, there is moderate size central disc herniation slightly greater to the right. It is causing minimal mass effect on the central aspect of the right S1 nerve root. Mild facet joint arthrosis bilaterally. No other abnormalityAt the L4-L5 level, there is a large broadbased left-sided disc herniation. There is a small sequestered fragment extending just inferiorly measuring approximately 8mm. It is causing significant mass effect on the thecal sac to the left as well as left central and exiting nerve roots. It is sin the background of mild degenerative disc disease and facet joint arthrosis bilaterally. At the L3-L4 level, mild degenreative disc disease and facet joint arthrosis. No disc herniation or spinal stenosis.Our family doctor is suggesting a consult with a neurosurgeon. Thanks, Jennifer

Q: In 2006 I had a cervical fusion done at C5-C6. I have been having neck pain with left arm and hand numbness progressively getting worse over the last year. I recently had an MRI and it said at C4-C5 there is posterolateral disc bulge asymetric to the left producing a convex imprint on the anterior thecal sac with partial disc encroachment on the left neural foramen. At C6-C7 there is partial degenerative disc narrowing with concentric disc bulge producing a smll convex imprint on the anterior thecal sac. There are small posterolateral disc osteophyte complexes minimally encroaching on the neural foramina. Could you break this down in english for me and is it common to have more disc problems after having a fusion? Kim

Q: Hi, I had a terrible back episode at age 26, couldn't walk for 2 weeks. Since then, have had numerous shots, physical therapy, massage, chiro, so much ibuprofen and muscle relaxers I can't take them anymore. I am now 42. Back pain radiating to legs and feet but managed to get by with above therapies. Nov 2010 had terrible episode again, back pain with awful hip, leg, foot pain. This time also have muscle weakness and some loss of bodily function control. Had 2 shots which have not helped - MRI dated 3-18-11: Asymmetric disk dessication at T11-12, L4-5, less pronounced at L5-S1. At T11-12 there is a large central disk protrusion present with inferior displacement disk fragment effacing the anterior thecal sac causing a component of moderate relative spinal stenosis. No neural foraminal compromise noted at this level. This elevates the posterior longitudinal ligament posteriorly. At L4-5, broad based central disk annular bulge present with disk/osteophyte complex which causes a mild relative spinal stenosis with posterior facet hypertrophy and ligamentum flavum hypertrophy. No neural foraminal compromise. At L5-S1, trace central and right paracentral/foraminal annular bulging without disk protrusion, significant spinal stenosis and with only minimal asymmetric effacement of the inferior right neural foramen. Superior SI joints are patent and symmetric.Thank you for taking the time to read this. Debbie

Comment: I recently got injured at work.I am in severe lower back pain right leg and foot numbness. My Mri says the following There is a small central disc protrusion which is deforming the ventral aspect of the thecal sac but not causing foraminal encroachment or lateral recess narrowing this is at L5-S1There is a left lateral disc protrusion which is extending into the foramen with possible encroachment upon the exiting nerve root.L4-L5 there is a small broad based disc protrusion extending more to the left with some deformity of the left ventral CSF space and ver mild narrowing of the left lateral recess but not causing and displacement or distortion of the L5 nerve root.L2-L3 shows a bilobed disc protrusion centrally and in a left paracentral location causing mild deformity of the ventral aspect of the thecal sac but no encroachment upon the nerve root.My workmans com dr is telling me nothing is pinced but the MRI also states At the L5/S1 level there is a herniated nucleus pulposus which protrudes at the central aspect of the thecal sac causing a mild compression of the thecal sac.Evaluation of the neural foramina shows significant compromise of the exiting nerve by lateral asymmetric bulge at the disc,which in turns causes neural foraminal stenosis on the left side.I wish i had a better understanding of all these big words so i could better argue with my dr. Brenda

Q: I am a 38year old self employed structual Landscaper with severe back pain which has got to the point were i cannot work anymore.Had MRI it concludes 1/multilevel degenerative disc change most severe at L4/L5 where there is a large central disc extrusion which causes subarticular recess/lateral recess stenosis with impingement of traversing left greater than right L5 nerve roots.The disc extusion also appears to contact and cause thickening of the exiting right L4 nerve root within the right neural exit foramen. 2/Further centrl/left paracentral disc extrusion at L5S1 which contacts and indents the secal sac and traversing left S1 nerve root.3/Left distal foraminal/far lateral disc protrusion at L3/L4 level whisch contacts and displaces the left L3 nerve Root.Surgery is booked in. What are my chances of returning to my job after surgery. Is this a good idea or would I be better going for a non labour intensive job. Cameron

Q: i have numbness and tingling on my left-side i had an mri done my results were from my C2-C6 and C6-C7 and t1 with herniated discs and bulging discs and my cervical canal narrowing. should i be concerned? Sean

Q: can you tell me what you see please: c4-5 there is a broad based disc bulge with a right central component that partially effaces the ventral csf space with minimal spinal canal narrowing and minimal left neural foraminal narrowing. c5-6 there is a broad based disc bulge with a central protrusion that indents the ventral aspect of the cord with mild spinal cord narrowing. Mild left uncovertebral and facet hypertrophy is seen with mild-moderate left neural foraminimal narrowing. c6-7 There is a broad based disc bulge with a right central and foraminal protrusion with mild superior extrusion that effaces the ventral csf space with mild spinal canal narrowing. Bilaterial uncovertebral hypertrophy is seen with severe right and moderate left nueral foraminal narrowing. c7-T1 There is mild dorsal disc bulge with no spinal canal narrowing but mild bilateral neural foraminal narrowing. My husband has left hand weakness and atrophy. his little finger can not go back and forth and does not stay close to the hand without help. hes got loss of muscle in between thumb and first finger as well as the side of the hand by the pinky. he can still use it, but has lost 50% of strength in that hand. he has some muscle loss in his left arm, but minimal, and no loss of strength anywhere else. both emg and ncs came back abnormal. Donna

Q: Respected Sir. My mother is having Neck pain. We showed it to the doctor they told to take MRI scan. we done that too in the report it states "disc osteophyte complex noted with central component causing thecal sac compression". I'm worried about my mother. I would like to know the causes and medications for the problem. Praveen

Comment: second MRI with contrast.....The vertebal body heights are well maintained. Minimal discogenic marrow changes are seen in the inferior endplate of T12 and superiorendplate of L1. Otherwise no significant signal abnormality is seen within the visualized marrow cavities. The visualized portion of spinal cord is normal in caliber, position, and sifnal intensity.T11 - T12 and T12 - L1: There is disc bulging with effacement of the anterior aspect of the thecal sac but no impingement. There is no significant foraminal stenosis or or spinal canal stenosis. There is not significant facet arthropathy.L1 - L2 There is broad-based disc bulging. There is mild facet hypertrophy. There is no significant spinal canal stenosis, foraminal narrowing, or facet arthropathy.L3 - L4: There is broad-based disc protrusion flattening the anterior aspect of the thecal sac. There is mild facet hypertrophy. there is no significant spinal canal or forminal stenosis. Final. L4-L5: Again there is a left paramedian disc herniation with an extruded fragment. This extruded fragment and the surrounding edema and inflammation appears less severe. There is however persistent impingement upon the left S1 nerve root and spinal canel and there is extensive of disc material into the foramen impinging upon the left L5 nerve root in the canal and L4 nerve root in the foramen. L5-S1: There is no disc protusion. There is no significant spinal canal stenosis, foraminal narrowing, or facet arthropathy. There are no areas of abnormal contrast enhancement. Impression 1. Persistent but improved left herniation and extruded fragment at L4-L5 with impingement upon the left L4 and L5 nerve roots.2. Disc bulging at multiple other levels as described above without impingement or significant stenosis. Beverly

Q: 43 year old female that was in a car accident in August and then suffered a fall in January where I hit the side of my head & neck on concrete and then dropped 2 1/2 feet onto train tracks at Metro station. I have Multiple Sclerosis and Atypical Trigeminal Neuralgia whereas I experience quite a bit of chronic pain and fatigue from these conditions, so I was not noticing the additionally symptoms from the fall. My recent MRI noted the following Findings: Comparison with 7-10-09 at C405, there is some mild spur formation with mild left neural foraminal narrowing. At C5-6 there i significant loss of disc height with disc bulge and osteophyte formation and there is some minimal retrolisthesis. There is bilateral neural foraminal narrowing. AP diameter of the thecal sac in the midline is reduced to about 6 1/2 mm. There is flattening of the cord at this level. At C6-7 there is endplate irregularity and minimal disc bulge. There is minimal neural foraminal narrowing. At C7-T1, I do not see evidence of significant central canal or neural foraminal narrowing. Impression: There are degenerative changes at the C5-g which is more prounouced than on the earlier study and with central canal narrowing. I do not see any clear evidence of abdnormal T2 signal within the cord to suggest MS. There also appers to be some degenerative change at T1-@ with loss of disc space height and disc bulge. There is also osteophyte formation. MRI Lumbar Findings: At L4-5 there are facet degenerative changes. There is mild disc bulge with an annular fissure with mild mass effect. However, I do not see evidence of significant central canal or neural foraminal narrowing. At L5-S1, ther are face degenerative changes. There is loss of T2 signal within the interverterbral discs with minimal disc bulge. there is also focal area of T2 signal seen posteriorly and eccentric to the right consistent with annular fissure. I do not see evidence of significant central canal or neural foraminal narrowing. Impression: There are degenerative changes particularly at L4-5 and L5-S1. I have felt like a medical encyclopedia, this is pushing me over the top. Neurologist is recommending surgery, so I am starting the referral process right now. Sheri

Q: recently I had an Mri done on my thoracic spine The results are: Background mild and lower Scheuermann's-typed endplate irregularity and mild to moderate disc degeneration at T2-3 through T9-10 with these specific findings: 2mm Ap right paracentral herniation at T5-6, deforming the right ventral cord Central fissure at T6-7, with no stenosis or impingement. Chronic superior endplate invaginations/irregularities at T3 may be traumatic or developmental. Moderate disc degeneration C5-6 with protrusion narrowing the central canal/impinging upon the cord on sagittal T2-weighted images. This would be better assessed on cervical MRI, If warranted. No acute fracture, oseous neoplasm or infection and no intrinsic cord abnormality. Rib/costal cartilage regions are not optimally assessed on this exam, with no obvious abnormality of the proximal ribs or costovertebral articulations. most of these problems are genetics some are from a car accidents years ago my issues is a recent car accident are causing a lot of discomfort in my rib area back and chest. nerve endings hurt to touch, constant gas problems. and or weakness and numbing. My job title is a full time driver this causes alot of discomfort and i can not quit my job. I have been being treated at Chiropratic but not much more for them to do. What is your suggestion how to rid of the pain to live an actual life. Thank you. Kathy

Q: My wife (age 30) is getting an epidural shot today (advised from neurologist). She has been dealing with back pain for a few years. She has been going to the chiro once a week but no improvement. She has a certain level of pain all of the time. Any information would be appreciated. Here is the MRI results: Results CLINICAL HISTORY: The patient is a 29-year-old female with severe low back pain and difficultywalking. The pain is described as radiating down both legs.FINDINGS: T12 through S3 vertebral bodies are identified. There is disc desiccation at the L4-5level. The marrow signal intensity is unremarkable. The conus is identified and appears of normalshape and position.At the L3-4 level, there is a 1-2 mm broad-based disc bulge, minimally effacing the thecal sac.At the L4-5 level, there is a 5-6 mm subligamentous broad-based slightly left paracentral discprotrusion, which is touching both L5 nerve roots and possibly slightly effacing the left L5 nerve root.No other area of disc disease is identified. The intervertebral foramina and spinal canal areadequately patent.Of concern there appears to be a small amount of fluid in the pelvis. There is also a prominent rightovarian cyst, measuring 3-4 cm. A pelvic ultrasound would be of assistance.The remainder of the surrounding soft tissues are unremarkable.IMPRESSION:1. 3-4 cm right probable ovarian cyst, with fluid in the pelvis. This is suggestive of a possibleruptured ovarian cyst. A pelvic ultrasound would be of assistance.2. L4-5: 5-6 mm subligamentous disc protrusion, which appears to touch the L5 nerve roots andpossibly slightly efface the left L5 nerve root.3. L3-4: 1-2 mm disc bulge. James

Q: I recently had an MRI and wanted to understand it. The part I have a question about is this: L1 - L2 is severely narrowed with endplate marrow edema. Slight retrolisthesis is redemonstrated, with broad base disc-ostephyte comples greater to the left distorting verntral thecal sac and projecting to the inferior foramina. The foramina are moderately narrowed. There is L2 posterior laminectomy. I am fused from L2 to S1. I am having a great deal of back pain. I have not talked to my doctor about this yet. Any answer would be appreciated. Ron

Q: What is lateral intraforminal disc herniation at L3-4? Thanks Jackie

Q: To Sensei Adam Rostocki, I have got a herniated disc which was only causing chronic pain, but is now causing severe/moderate pain. My bum has gone numb and my legs and I don't know whether to go to hospital or my own doctor. Which one do I go to? Please help me decide. Clare

Q: Hi, I have been having back pain since the past 2 years and i have not been able to concentrate on my medical treatment. i have got my MRI done. the report is as follows :MR imaging of lumbo-saclar spine reveals early spondylodisko degenerative changes with a diffuse disk bulge at L4/5 level mildly indenting upon the thecal sac and bilateral exiting nerve roots, with no obvious canal stenosis. Can you please let me know what this means? Sakshi

Q: Hi. I am 27 years male, i had low back pain for 3 years which terribly increased this year after my cricket tournament. Its now 1 month and this pain not ended this time. It increased to pain in legs thighs buttocks. My left foot is slightly senseless in some area, front part of left foot is not able to take weight due to which it is difficult to walk. Right hip is senseless and some area around right side testicles is senseless. Back pain is now not much but i feel pains in thighs and legs sometimes and i cant walk much. Here are points in my MRI report which are abnormal i think. 1. Posterior disc extrusion at L5-S1 level with inferior migration causing compression over ventral aspect of lumbar dural theca and exiting nerve roots. 2. The vertebral bodies show spondylotic changes. Kindly guide me , i never want a surgery. Please guide me for non surgical treatments. Thanks in advance. Praveen

Q: I have 3 herniated disc in my neck. What can I do naturally to stop my pain I'm having everyday all day. Katrina

Q: I had a car accident where a drunk driver ran into the back of my car while at a red light, i had 2 mri's done and is unclear what it means can you please assist. 1. central herniated disc at L5-S1 level, causing pressure effect on the thecal sac. 2.straightening of the lumbar spine associated with the reversal of the lordotic curvature is noted compatible with muscular spasm. 3.focal bulge at c6-7, creating impingement on the neural canal. Candice

Q: My 52 yr old husband has herniated disc at c5-6 and c6-7,stenosis and bone spurs. He has no pain only sight stiffness in his neck and numbness and tingling predominantly in left arm and less prominant in right arm. The surgeon recommended cervical fusion surgery. The surgeon also said the he presently has a 50 percent loss spinal nerve function that would likely not be recovered with surgery. The surgery would prevent further loss of use. He is very concerned that the surgery may result in long term pain when he has no pain now. Are there possiblities for him other than surgery? Please note the surgeon recommends not delaying this procedure....thank you Wynne

Q: Lumbar MRI Findings: 5 years ago on 10-25-05 Non-contrast Technique: Sagittal T1, T2, Stir, Coronal T2 and axial T1 and T2. Findings: Unremarkable MRI findings at T12-L1, L1-2, L2-3 and L2-4. At L4-L5 there is mild degeneration disk space desiccation and narrowing posteriorly. The central canal and foramina are widely patent. There is mild facet arthropathy. At L5-S1 thre is severe degenerative disk disease and greade 2-3 anterolisthesis. This is most likely secondary to bilateral deformity of the posterior elements at this level. The central canal is patent. There is no disk herniation. The Right neural foramen shows at least moderate stenosis. The left neural foramen shows severe stenosis. Correlate to left L5 radiculopathy. The L5on S1 anterior subluxation is associated with a reciprocal verebral body deformity where these segments articulate with indentation of the inerior endplate of L5 centrally and posteriorly and blunting the anterior superior corner of S1, which articulates with the back of the L5 inferior endplate, these chages appear to be chronic. The thoracic cord terminates normally at L1. Grade 2-3 L5 on S1 Spondylolisthesis, most likely secondary to bilateral L5 Spondylolysis. This is associated with severe L5-S1 degenerative disk disease and left greater than right neural foraminal stenosis at L5-S1, correlate to left L5 Radiculopathy. Mild L4-L5 Degenerative disc and joint disease without focal neural impingement. MRI Findings done on 11- 27-2010 12 mm of anterolisthesis L5 on S1 which is related to chronic bilateral pars defects. Complete loss of the L5-S1 disc space with associated Modic endplate changes. The L4-L5 disc is desiccated with relative preservation of disc height. Oval 3.4 x 1.0 cm lipoma noted posterior to the L2 spinous process. L1-L5 No canal or foraminal narrowing. L5-S1 Anterolisthesis related to chronic bilateral pars defects and sever facet degeneration. Combination of these findings cause severe bilateral foraminal stenosis. Central can is patent. Impression: 12mm of anterolisthesis L5 on S1 related to chronic bilateral pars defects coupled with severe facet degeneration causes severe bilateral foraminal stenosis.

Rad/Cervial Spine, 4 or 5 view Exam/Date: Cervical Spine, 01/14/05 Findings: In the lateral projection there is normal alignment of the verebrae, but in the frontal projection there is a torticollis convex right with a scoliosis convex left in the upper thoracic spine. Disk spacing is perserved. Facets normal and foramina patent Impression: 1. Normal cervical spine with torticollis conves right. MRI March 2010 Cervical w/o Contract Mild reversed lordosis at the vervical spine which may be due to patient positioning or muscle spasm. The visualized poserior fossa structures are unremarkable. Cervical spinal cord appears normal in signal intensity. Vertebral bodies are within normal in sgnal intensity. Vertebral bodies are within normal limits in height. Paravertebral soft tissues are unremarkable. The craniocervical juntion is unremarkable. C2-C3 mild left facet arthropathy. Otherwise, unremarkable. C3-C4, unremarkable C4-C5 minimal disk bulging. otherwise unremarkable. C5-C6 small to moderate-sized posterior central disk extrusion. It flattens the ventral aspect of the thecal sac. Mild to moderate canal narrowing. No cord impingement. No neural foraminal stenosis. C6-C7, small disk bulde. Mild canal narrowing. No neural foraminal stenosis. C7-T1 unremarkable At T3-T4 there is a tiny posterior central disk protrusion otherwise unremarkable Impression: 1. small to moderate sized posterior central disk extrusion at C5-C6. Mild to moderate canal narrowing. No cord impingement. 2. Minimal disk bulging at C4-C5 and small disk bulge at C6-C7. Mild canal narrowing at C6-C7. Please help me understand!!! Thank you so much for being the person you are to help us dummies....LOL Suzette

Q: It is GREAT to know that there are others who, like me, suffer or have suffered from back pain. I recently endured yet another injury to my back, and this one was somehow the scariest of all. I am going to be 50 this year, and I volunteer as an EMT with my local rescue squad. On Feb 10th, while lifting and moving a stretcher, I felt a twing in my lower back. Within 90 minutes, I could not move and the pain was excruciating. I was backboarded and immobilized and taken to the hospital. I was scared out of my wits. I was given morphine (8mg) enroute, then diluad, valium and toridol at the hospital. Diagnosis was Herniated Disc (L3) with a pinched nerve. Had an ESI done 4 days later which helped. Went to rehab 4 days later for 4 days, then back in to the hospital with sciatica for 4 more days. I started driving again last Thursday, came back to my regular job as a night auditor on Monday, but have discomfort but no pain. I may need another ESI according to my orthopedic surgeon in 4-5 months. I do have other herniated discs (L-5/S1), not sure about L4, and one in my neck. Wearing heat patches now which takes away discomfort (Salonpas). Now that you know what I'm going through, any suggestions on what I can do? Appreciate ANY help or advice you can give me! Thank you! Kurt

Q: I had a MRI done and the repot says the T12 vertebral body shows minimal wedging,without signal alteration to suggest a recent fracture. A large Schmorl's node is present in the inferior T12 vertebral body endplate. At T11-12,a moderate right paracentral disc extrusion is observed,and apprears to abut,and possibly compress,the descending right T12 nerve root against the ipsilateral pedicle. The conus medullaris terminates appropriately. Lumbar vertebral body morphology and alignment are within normal limits.Disc desiccation is seen at the imaged lower thoracic levels,and mildly at L5-S1. Hypertropic facet arthopathy and ligamentum flavum enlargement of at least moderate extent are seen at several levels;mild conngenital/devlopmental narrowing of the lower thecal sac is evident;these factors contribute to the stenoses discussed below.L1-2:Grossly unremarkable.L2-3:Mild AP narrowing of the thecal sac.L3-4:Mild AP thecal sac narrowing with minal lateral recess effacement;mild hypertrophic L3 neuroforaminal narrowing bilaterally.L4-5:Mild annular bulging.Moderate spinal stenosis and lateral recess effacement. Mild hypertrophic L4 neuroforaminal narrowing bilaterally.L5-S1: Mild annular bulging; superimposed central and right paracentral annular fissuring and minimal disc herniation;slight lateral recess effacement. Grossly patent neuroforamina.I am disabled from the Army (100%). I have throbbing in both heels of my feet,mostly at night when i am sleeping.Also have teribble pain in both lower and middle part of my back.I am hoping you can give me some answers since all my doctor said to me was that he was sending me to a neurosurgeon!! I would greatly appreciate any help you can give me. Sorry for the long report.. Best regards Richard

Q: Hi, I have had mild pain for 17 years now, been on anti-inflammatories, during my 4 pregnancies had constant knee and hip dislocations, over the last two years have had moderate left hip pain, left knee pain and fluid behind my left knee, my muscle that runs down the inner left leg has all but disappeared, had cortisonne injections in my left hip which worked great but caused pain everywhere else down my left side, but very mild back pain, I had almost forgotten my back hurt compared to the pain in my hip and knee. Recently I had an MRI the results of which are:Presuming that the last unfused vertebra is L5:1. At L4/5, there is a posterior annular tear associated with a diffuse disc bulge.2. Large broadbased central/left paracentral disc protusion at L5/S1 level compressing and displacing the traversing part of the left S1 nerve root.What does this mean? I am really scared that it may mean surgery and do not get to see the specialist for another 2 weeks. Rebecca

Q: I have been diagnosised with a herniated disc after an MRI of my neck from an auto accident. There is pain in my neck shoulder arm and at time my chest similar to a heart attack. The bone of my neck is sore to the touch. Will this pain go away? it been over 5 month the accident happened 11/7/10. Anthony

Q: Hi ihad mri and have been diagnosed with a large prolapsed disc L4 L5 also bulges T10-11-12 & L1-2 i have been to pain clinic had injections, i have had another mri been to see pain Dr again he said not to bend, run, hoover, or push shoping trollies or pain will come back more severe or i could even end up paralised. What would you advise me to do as this is very dificult for me to do as i have young children and cant stand being inactive its not in my nature to be still. Karen

Q: Dear Sir, We found the impression in the MRI is showing that "Broad based protrusion of L5-S1 disk causing indentation on theca and lateral recess" Patient condition is she is getting the pain at back and now the pain is transferred to the leg. please guide us what could be the problem. thanks, Chaitanya.

Q: Hi Sensei. I recently had an MRI due to back pain and got the following report:At L4-5, there is a mild broad-based disc bulge. Mild flaetting of the anterior thecal sac is noted. There is increased T2 signal at the left extraforaminal annulus representing an annular tear or fissure. Mild facet hypertrophic changes are noted with minimal fluid accumulation. There is mild neural foraminal narrowing. At L5-S1, there is mild broad-based disc bulge with small central disc protrusion. Mild flattening of the anterior thecal sac is noted. There is increased T2 signal at the central and right paracentral annulus representing an annular tear or fissure. There are mild hypertrophic changes. Minimal bilateral neural foraminal narrowing is noted.I just turned 40 and have an active lifestyle. I really want to avoid surgery. I have been told of success stories with spinal decompression. I'm would love to get your opinion on using spinal decompression to help me given that I have these annular tears or fissures. Thank you so much for your time. Terry

Q: Hello: I am a long time sufferer of chronic and progressing neck and back pain. I am 26 now and the pain started around the age of 15-16 and gradually has gotten worse. After many tests, my MRIs/Xrays indicate that I have 2 herniated discs in my cervical, a 2 bone spurs in my cervical and multiple degenerative discs throughout my neck and lumbar. I also have a lot of pain my thoracic even though there is no indicated issues in the tests. I have also been tested for auto immune diseases which came up negative. The reason why I am writing is because I am heavily pushing for surgery though no doctor I have seen wants to do surgery on me. They all say if I was 50 they would but because of my age they wont. I have been to multiple chiropractors, PTs, have done decompression therapy, pain meds, herbal supplements, tens, heat/cold, deep tissue massage, yoga, exercise, epidural shots, medium branch blocks and still nothing has helped on a more than temporary basis. It seems that there is nothing left to do but live out the next 24 years in bed until I am "old enough" for surgery. Your opinions, help, expertise, would be appreciated. Thank you, justin

Q: i had mva in 2003.was in physo for 12 weeks.seen a chiropractor for 3 months. had steroid shots and still in a lot of pain. mri shows c4/5 central disk herniation which compresses the thecal sac moderate. cord not compressed.c5/6 mild circumferential osteophtosis is present, small central herniation is present which largely effaces the thecal, narrowing of the intervertebral foraman. c6/7 small right paracentral disc herniation with moderate thecal compression at right anterolareral. at l3/4 minimal annular bugle wiyh mild thickening of the ligamentum flavum, l4/5 the same with mild indentation of thecal sac./5-s1 mild diffuse disk bulge with small osteophytes making a osteophyte complex. vacuum phenomenon gas pocket which extending into left paracentral epidural space posterior to s1 measuring0.3x0.3 cm. what does this mean for me. Joan

Q: I need help understanding my MRI I'm in pain and doctor just keep giving me medicine I don't want.I have levosoliosis at level L1. At level L3-4 I have a mild bulging disc right and left of the foramina .There is minimal facet arthropathy. There is posterior lateral stenosis seen Ap dimension of canal is 8 mm. At L4-5 shows broad based right disc herniation with a annular tear the disc and the AP measure 7.44 mm. There is moderate to severe spinal stenosis AP dimension of sac is 6 mm. There is mild stenosis to the right of the foramina by the disc and scoliotic curvature. L5-S1 show facet arthropathy .mild left buldge .there is Also anterior spondylolisthesis at S1 grade 1. Christina

Q: Hi, can you please interpret this for me? The lumbar vertebral bodies show normal alignment in the sagittal plane. There is straightening of the normal lumbar lordosis suggestive of muscle spasm. Moderate spondylotic changes with disc space narrowing, disc desiccation and osteophytic lipping at the L2/3, L3/4 and L4/5 levels. Mild indentation of the superior endplates of the L3 and L4 vertebral bodies suggestive of small Schmorl's node formation. The morphology and bone marrow MR signal of the lumbar vertebral bodies are otherwise normal with no infiltrative or compressive abnormality. Axial images through the intervertebral disc show mild diffuse annular bulge indenting the epidural fat in the anterior spinal canal at the L2/3, L3/4 and L4/ 5 levels.No evidence of focal annular bulge to suggest disc herniation. No evidence of impingement of the nerve roots in the spinal canal or neural foramina. L5/S1: Mild focal posterior disc herniation with an AP diameter of 0.5cm is noted. There is however no evidence of nerve root impingement. Screening sagittal T2 weighted images of the thoracic spine show normal alignment of the thoracic vertebrae with normal thoracic spinal cord and thecal sac. No evidence of thoracic disc herniation. I have daily back pain and recently tingling down both legs down to big toe. What is your prognosis? Should I have surgery? What are my options? Vin

Q: I'm 27 and have had back and leg pain for a couple of months. An MRI showed the following: loss of T2 signal at L5-S1. A focal right paracentral disc protrusion with cranial migration of the disc fragment along the prostierior margin of the L5 vertebra almost to the superior endplate. This is resulting in compromise of L5 nerve root and right S1 nerve root as it exists the theca. I also have grade 1 spondylolisthesis. I am on constant pain medication and can't function in life properly. However, I really don't want surgery. What are my options and long term outcomes? Kimberly

Q: Had a disc prolapse about 3 years ago, have modic 2 in lower back, in 2 places. Have kept active and has been OK for 2 years. Take Stilnoct to sleep due to pain at bedtime and sometimes during daytime if am sick and need to sleep. Now have serious swelling of both feet and lower legs (last few months - and getting progressively worse and worse), accompanied by tingling and some pain + a few times cramps in lower legs. The swelling makes it difficult to wear shoes/boots. General info: My body tilts forward due to avoiding lower back pain, and one side of the body sags more than the other - since the prolapse or before. Doctor doesn`t really know what to do. Hope you can tell me if there could be connection between back problems and the swelling. Could I have had a new prolapse or other new back problems, that then cause this swelling? Thank you again. Tine

Q: Hi, there, At the end of Aug. 2010, I was hurt on the job and had significant headaches, so bad that no medicine helped. I also had numbness down my arm. I got a steroid injection at the end of Sept. and it took 6 weeks before there was any noticeable improvement. My job requires me to lift up to 70 lb and at night, it can be 100 times per night that I'm lifting 70 lb overhead. Anyway,I had chiro care until Dec. and started physical therapy. Then by early Feb., I noticed symptoms going down and was feeling pretty good, with mild twinges here and there. In order to return back to work, it was recommended I start lifting 70 lb again overhead. I reported headaches again, ringing in my ears and fuzziness in thinking as well as neck pain. I only lifted 16-20 times per week and had that. The doctor still recommended returning to work where I was reinjured, to the same position. Wouldn't preventive care mean that I should avoid lifting 70 lb overhead? My chiro says no one should lift more than 20 lb overhead and I touch/lift 500-1000 packages, per night. I'm feeling frustrated about how to get the doctor to understand. I've been told I will always have pain, but in early Feb., it had gone away almost entirely, with minor twinges. Any thoughts? Rob

Q: sir,my father has some back pain i taken mri scan the report says 1.diffuse circumferential disc bulge at L2-L3 and L3-L4 levels. 2.Facet joint at L2-L3,L3-L4,L4-L5, and L5-S1 LEVELS.Anterior spondylotic changes at L4 and L5 VERTEBRAE.AFTER MRI SCAN DOCTOR SAYING TO DO THE OPERATION NOW IT IS MINOR. PLEASE SAY TO ME WEATHER I WILL DO OPERATION OR NOT REPLY TO ME AS QUICK AS POSSIBLE. Susanta

Q: diffuse right disc osteophyte complex, impinging upon the exiting right L3 nerve root. Marked degenerative disc disease at L3-L4. Moderate spinal stenosis at L4-L5. Mild spinal stenosis at L2-L3. Mri results. Suggested treatment? Upper neck disk issues, headaches, neck weakness. Would appreciate any suggestions. Thank you, Susan

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