What can you tell me about my mri picture

Posted by justbec2004 @justbec2004, Sep 11 6:01pm

I have been dealing with excruciating back, leg and foot pain since April. One dr said therapy which didn’t work, one dr said epidurals which didn’t work. Now they said fusion at l5-s1 but the other dr says the pain is not coming from my back. I just want to be able to walk without feeling like walking on nails in foot all day long. I am so confused as to what is wrong and so tired of all the run around I am getting.

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@justbec2004
Do you have a copy of the MRI report that shows the summary of impressions by the radiologist? Maybe share that, too, and make sure to not include personal details.

What I can see in your side lumbar image is a disc bulge/herniation at L3-L4 and L5-S1. What the MRI report can show is what is going on centrally in your spinal canal, foramen, etc. and if your spinal cord and nerve roots are compressed/flattened and if you have osteophytes/bone spurs.

What have you been told your diagnosis is? Do you have spinal stenosis, degenerative disc disease, neurogenic claudication, etc.? Have you ever been tested by a neurologist for small fiber neuropathy (via skin punch biopsy) and EMG/nerve conduction study of lower limbs to test neuromuscular function and health?

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@justbec2004
You may also want a MRI of your pelvis/hips to see if you have any compressions or soft tissue injury (gluteal/hamstring tears/tendinopathy).

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Where is the READ? That is what we need to see.

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funny, I look at your xray after saying you need the READ. But you do! But since I've been looking at my own xrays for 2 decades I'd suggest you got problems at L5/S1. you should see an ORTHOPEDIC SPINE SURGEON - a reputable one an they will tell you. I think it looks like you have a surgery in your future.

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Profile picture for loriesco @loriesco

funny, I look at your xray after saying you need the READ. But you do! But since I've been looking at my own xrays for 2 decades I'd suggest you got problems at L5/S1. you should see an ORTHOPEDIC SPINE SURGEON - a reputable one an they will tell you. I think it looks like you have a surgery in your future.

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One orthopedic surgeon said fusion and one said the pain in leg and foot is not coming from back. I just want a straight answer

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Profile picture for dlydailyhope @dlydailyhope

@justbec2004
Do you have a copy of the MRI report that shows the summary of impressions by the radiologist? Maybe share that, too, and make sure to not include personal details.

What I can see in your side lumbar image is a disc bulge/herniation at L3-L4 and L5-S1. What the MRI report can show is what is going on centrally in your spinal canal, foramen, etc. and if your spinal cord and nerve roots are compressed/flattened and if you have osteophytes/bone spurs.

What have you been told your diagnosis is? Do you have spinal stenosis, degenerative disc disease, neurogenic claudication, etc.? Have you ever been tested by a neurologist for small fiber neuropathy (via skin punch biopsy) and EMG/nerve conduction study of lower limbs to test neuromuscular function and health?

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I have had mri and emg test. One ortho surgeon did fusion and thr other daidbmy pain is not coming from back. I don't know where else it would be coming from. I have added the mri report.

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Profile picture for dlydailyhope @dlydailyhope

@justbec2004
Do you have a copy of the MRI report that shows the summary of impressions by the radiologist? Maybe share that, too, and make sure to not include personal details.

What I can see in your side lumbar image is a disc bulge/herniation at L3-L4 and L5-S1. What the MRI report can show is what is going on centrally in your spinal canal, foramen, etc. and if your spinal cord and nerve roots are compressed/flattened and if you have osteophytes/bone spurs.

What have you been told your diagnosis is? Do you have spinal stenosis, degenerative disc disease, neurogenic claudication, etc.? Have you ever been tested by a neurologist for small fiber neuropathy (via skin punch biopsy) and EMG/nerve conduction study of lower limbs to test neuromuscular function and health?

Jump to this post

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.

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Profile picture for justbec2004 @justbec2004

One orthopedic surgeon said fusion and one said the pain in leg and foot is not coming from back. I just want a straight answer

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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.

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Profile picture for justbec2004 @justbec2004

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.

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oh - you didn't reply to me with this. Yes, there I see it: 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 findings extending into the bilateral neural foramen.

The Osteophyte complex might be the reason! That doesn't mean you need a fusion but the loss of height could mean your vertebrae are compressed OR your disc bulge is pressing on the nerves and causing pain. You need to try some non-invasive procedures, like I said. Also, see if the osteophyte complex might be your problem. You need to learn more about your condition to get more from your doctors and then figure out what a "straight" answer would mean! Your should see a pain mgt doc. and see if he can help before you run to surgery.

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Profile picture for loriesco @loriesco

Where is the READ? That is what we need to see.

Jump to this post

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.

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