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Back and leg pain

Spine Health | Last Active: Aug 20 6:38am | Replies (28)

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@heisenberg34

I have had numerous MRIs over the past eight years. Looking to pinpoint the reason for the continuing pain im buttocks and lower back(caused by a hard ski fall on my lower back and buttocks) . Each time the interpretation says "nothing remarkable' normal degenerative changes. Has anyone out there in Commenters Land had a second, even third interpretation of their MRI? And had something discovered thet was missed.
Thank you in advance.

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Replies to "I have had numerous MRIs over the past eight years. Looking to pinpoint the reason for..."

@heisenberg34
Did you have MRIs of both lumbar and hips/pelvis recently and do you review the report details and not just the summary? Have you had functional MRI to see if you get symptoms/changes in joints with different movements? Have you had X-rays where you are not just standing facing/sideways but also bending forward and leaning backwards?

Have you had EMGs/nerve conduction studies done by a neurologist to check lower limb nerve health? Have you ever had a myelogram done to test nerve health in your spine/pelvis?

It sounds like the fall may have injured nerves/blood vessels/blood flow that may/may not show on the MRIs or the radiologists were mainly focused on spine/joints.

I had doctors miss things noted in my MRIs (like my neurologist and a separate spine/pain center doctor missed my 2019 cervical MRI showing spinal cord flattening…neither of them said a thing about the fact my spinal cord was being injured and required urgent surgery to prevent further damage). I question if some doctors actually look at the MRIs/reports/images.

Reading the details of the reports and comparing changes over the years might be helpful. Did you have MRIs all done at the same place? I had them done at different places over the years.

Have you been working with an orthopedic spine specialist? I saw a neurosurgeon who was not really helpful.

Yes! This just happened to me this week. I saw a new doctor, a neurologist who specializes in pain. He took a detailed and magnified look at my MRI and found “modic changes” at L5-S1. This was interpreted by the radiologist as “degenerative changes”.
But, unlike degenerative changes, there is actually a treatment plan to help with the pain caused by modic changes, called basivertebral ablation.
I’m not saying this is, or even could be your problem. I’m saying that another set of eyes on that MRI can’t hurt.