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Does anyone know medical jargon and spines and can decipher my MRI?

36 replies

AintNobodyHereButUsChickens · 01/11/2023 18:55

BACKGROUND- I had this MRI done way back in 2022 because of mystery back pain that felt like I had a screwdriver rammed into the base of my spine. At first my GP brushed it off as 'mechanical back pain' But I didn't feel like that was right, so I kept pushing and eventually they sent me for a pelvic Xray because I mentioned I sometimes got pain in my hips. I found out I have arthritis in my hips but still no answer about my back so I pushed again and they huffed and puffed and agreed to refer me for an MRI. I had this back in March 2022 and I still don't really know exactly what is wrong with me because a nurse phoned me with the results, she told me everything it said and then went "Well I don't really know what any of that means" She sent my report to the neuro team but they responded and basically said they weren't interested unless my legs went numb. So I've just been left to deal with it by myself 🤷🏼‍♀️ I see I have Degenerative Disc disease but I don't know what the rest means! Any help is so gratefully received.
MRI report copied and pasted below

MRI Spine Lumbar/Sacral 19-03-2022:
Clinical Information: History of back pain which is non radiating with no improvement since started. Pelvic x-ray showed osteoarthritis of the hips with normal appearing lumbar spine. No preceding trauma, bowel or urinary incontinence or saddle. anaesthesia.

REPORT: Standard ULHT lumbar spine protocol carried out.
The curvature and alignment of the lumbar spine is normal.
The conus terminates at L1 and is normal.
The visualised spinal cord is normal.
All vertebral bodies are of normal height and shape with no focal bone marrow lesion identified.
There is very mild Modic type 2 fatty endplate changes L5/S1.
Pre and para vertebral soft tissues appear unremarkable.
Axial imaging has been carried out from L3-S1 with no disc bulges or neural compromise above this level.
L3/L4 - the disc is grossly normal with no neural compromise.
L4/L5 - there is a very small posterior central annular fissure with no disc bulge or neural compromise. There is mild bilateral facet joint arthropathy.
L5/S1 - the disc is dehydrated with a central protrusion which is stenosing the left lateral recess and impinging the left descending S1 nerve root, the right descending nerve root is contacted.
The central canal is narrowed. The exiting nerve roots are normal. There
is mild facet joint arthropathy.

Summary Degenerative disc disease L5/S1 with a central protrusion which is stenosing the left lateral recess and impinging the left descending S1 nerve root.
Multilevel mild facet joint arthropathy.
Neuro/spinal team advice recommended.

OP posts:
mrspresents · 14/12/2024 16:16

Deedoo · 14/12/2024 15:21

@mrspresents what is the cure

I wish there was one. Once your back goes I don't think even with surgery it's ever right again.

Blueuggboots · 14/12/2024 16:22

L5/S1 - the disc is dehydrated with a central protrusion which is stenosing the left lateral recess and impinging the left descending S1 nerve root, the right descending nerve root is contacted.

THIS is likely the cause of your pain. Ask to be referred. If you can afford it, go privately initially.

Deedoo · 14/12/2024 19:58

@mrspresents omg this is hell

Interested in this thread?

Then you might like threads about this subject:

Deedoo · 14/12/2024 19:59

@Blueuggboots refered to physio

Deedoo · 14/12/2024 19:59

@Blueuggboots how did this happen I was fine in October

Blueuggboots · 14/12/2024 20:15

I don't know? What do you do for a job? Doesn't have to have been a sudden injury, could be long term wear and tear.

Deedoo · 14/12/2024 20:18

@mrspresents What does that mean one disc went in

Deedoo · 14/12/2024 20:25

@Blueuggboots wfh desk job but I'm also a mum house widget cook and cleaner I must have lifted something heavy

Greybeardy · 14/12/2024 20:49

Deedoo · 14/12/2024 19:59

@Blueuggboots how did this happen I was fine in October

@Blueuggboots has referred to the OP's report not yours. As usual, any scan report needs to be correlated with the medical history and examination findings to interpret it properly - best person for the job is the person that ordered it.

Deedoo · 15/12/2024 06:14

@Greybeardy oh I thought it was mine

Pat888 · 15/12/2024 06:37

L5 is your lowest Lumber vertebra and S1 is the first sacral vertebra but the sacral vertebrae are fused and part of the pelvis- that is why they now say it is your pelvis not your lumber vertebrae but it is the joint between your lowest LV and the pelvis. It is bulging and pressing on the nerve but I'm sure exercises will help if not fix it.
But being flexible and having strong back muscles from doing pilates or whatever will support your spine and hopefully reduce the problem.

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