What can you tell me about my mri picture

It could be both. Something to remember is that the Orthopedic (spinal) doctor sticks to his realm. I had 4 opinions by the time I was finished. but like I said you should also have the read to show us. Don't expect a straight answer. Expect the truth of what the doctor can offer. Mine was super honest "I might not be able to heal all of your pain because the nerves have been crushed for so long" But he gave me my life back. You should go to a pain mgt doctor who works WITH your orthopedist. So you can hold them accountable. You can go to an EMT (nerve) specialist and they will do tests and tell you if the nerves exiting your back are the cause. That can give you the insight you are lacking. Doing diagnostic procedures like epidurals and corticosteroid injections in your spine/facet joints will also verify where the pain is coming from.

Please help with mri results. Also can this cause extreme pain in foot.

S1 segment is partially lumbarized with 5 additional nonrib-bearing lumbar type vertebral segments. Last rib-bearing segment labeled as T12. Conus medullaris terminates at L1 with no abnormal intramedullary signal alteration. Moderate endplate degenerative marrow space findings at L5-S1. No discitis osteomyelitis lumbar spine. Common bile duct measures approximately 0.7 cm. This desiccation at L3-L4 through L5-S1.
At T12-L1, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L1-L2, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L2-L3, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L3-L4, no neural foraminal stenosis or spinal canal stenosis. Posterior disc bulge (2 mm AP).
At L4-L5, mild disc height loss. No neural foraminal stenosis. No spinal canal stenosis. Posterior disc bulge (3 mm AP). Mild bilateral facet arthropathy.
At L5-S1, moderate disc height loss. Mild left neural foraminal stenosis. Moderate right neural foraminal stenosis. No significant spinal canal stenosis. Mild/moderate bilateral facet arthropathy. Broad-based posterior disc osteophyte complex (4 mm AP) with finding extending into the bilateral neural foramen.

@justbec2004
Here is what I see in your MRI:

You have a congenital deformity of your S1 vertebrae. Normally, it is solid/stable in your sacrum but yours is more like a lumbar vertebrae that moves. That can be behind a lot of your pain. It presses on and irritates nerves.

At L5-S1, moderate disc height loss, your vertebrae may not be well supported which creates less space for your L5 nerves, especially on the right side. You also have bone overgrowth/arthritis and degeneration in your facet joints which may contribute to pain when your bones rub together and get irritated/inflamed. The loss of disc height and broad-based posterior disc osteophyte complex (4 mm AP) is a bony overgrowth due to excess movement of L5 and S1. This overgrowth extends into both sides of the vertebrae where nerve roots exit and can be irritating these nerves. See picture I attached that shows L5 nerves can cause pain into feet and these are the one to focus on.

Did you say you had spine surgery before? If so, what levels and what was done. If not, it seems like there should be options explored on fusion of L5-S1-S2, removal of the bony overgrowth/osteophyte complex between L5-S1, possible removal of facet joints (facetectomy), stabilization of spine, etc. spinal injections may only give temporary pain relief if injected in the right place. Physical therapy/stretching/strengthening, weight loss, improving posture, not lifting heavy things or doing high impact activities, etc. may help.

S1 segment is partially lumbarized with 5 additional nonrib-bearing lumbar type vertebral segments. Last rib-bearing segment labeled as T12. Conus medullaris terminates at L1 with no abnormal intramedullary signal alteration. Moderate endplate degenerative marrow space findings at L5-S1. No discitis osteomyelitis lumbar spine. Common bile duct measures approximately 0.7 cm. This desiccation at L3-L4 through L5-S1.
At T12-L1, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L1-L2, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L2-L3, no disc bulge, spinal canal stenosis, or neural foraminal stenosis.
At L3-L4, no neural foraminal stenosis or spinal canal stenosis. Posterior disc bulge (2 mm AP).
At L4-L5, mild disc height loss. No neural foraminal stenosis. No spinal canal stenosis. Posterior disc bulge (3 mm AP). Mild bilateral facet arthropathy.
At L5-S1, moderate disc height loss. Mild left neural foraminal stenosis. Moderate right neural foraminal stenosis. No significant spinal canal stenosis. Mild/moderate bilateral facet arthropathy. Broad-based posterior disc osteophyte complex (4 mm AP) with finding extending into the bilateral neural foramen.

What is the read?