ok. so. My MRI report. From December. Which my consultant was hugely reluctant to tell me what was in it. Would not say there was not a disc bulge/protrusion, only that the original one was not there, and that there were 'changes' and not what they were, and in our appt, avoided all my questions to pin him down on this. Also, before I say what the report says, he has 'hidden' the results of the x-ray, not requested a report, which my GP is annoyed about saying 'he is keeping stuff close to his chest isn't he?, being possessive about this information'. Anyway. Recent report is not back yet, so this is the old one, before things deteriorated further.
L5/S1 is dehydrated. Modic type 1 end plate change is noted. broad based disc bulge and facet joint degeneration noted
L4/L5. broad based disc bulge and facet joint degeneration
L3/L4. no disc bulge. mild facet joint degeneration noted
No signs of spinal stenosis or nerve compression.
So. These are the results from 6 months ago. And things have got worse since then. GP has said he expects the disc to have prolapsed further, and that if it hasn't it will have been protruding outwards and in again at the very least. AT TWO LEVELS. One thing the consultant said before my last surgery was that all my discs were fine apart from the damaged one, so this is new, this second bulge.
I've done a quick research in t'internet, and Modic type 1 end plate changes can result intoxic chemicals leaking into the disc space and outwards, causing inflammation of the area, and can also result in nerves growing into the end plate area, causing nerve inflammation and pain.
Facet joint degeneration and end plate changes = Degenerative Disk Disease which has been mentioned by various hcp then dismissed by others.
Broad based = more than 180 degrees protrusion, or over half. From what I can gather anyway, but only on a quick google.
So, it seems, to me that the surgeon lied or withheld information that I should have been told, disregarded telling me anything that would help me understand what's going on, avoided answering questions even though he had the answer, and IMO was highly deceitful in both his letter and his appointment conversation.
I feel like crying as this does not seem very good to me. I have been in so much pain and he has dismissed me like I have been moaning and in pain for no real reason other than vertebrae shifting about, but that is clearly not true.