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What Causes Severe Pain From Spine To Buttocks?
Question: Good day, I have had an MRI in 2007, 2009 and 2014. This is what the prognosis were. Is it normal to be in extreme pain with a so called MRI?
I have radiating and shooting spinal pain and pressure down to my butt, headache on the right side from tension in the neck, numbness, tingling and radiating pains in all limbs, right shoulder pain, I could barely walk for 2 straight days. Here are the results. Do these conditions just disappear, cure or heal? I am confused as to why I have so much pain with these results on my recent MRI. It took about 45 minutes from head to lumbar. Is this abnormal? Or typical?
Sept 7, 2007
Seven cervical vertebrae are demonstrated and are in good alignment. The vertebral bodies are normal in height. The disc spaces are within normal limits. The marrow pattern is also normal.
C2/C3: There is a small left posterior lateral subligamentous herniation of the nucleus pulposus. Mild left foraminal narrowing.
C3/C4: Minimal left foraminal narrowing, no central stenosis.
C4/C5 : Minimal left foraminal stenosis, the central canal diameter is normal
C5/C6 : Mild left foraminal stenosis , the central canal diameter is normal.
C6/C7: Moderate left foraminal stenosis, secondary to a left posterior and subligamentous herniation of the nucleus pulposus. The central canal diameter is normal.
There is moderate left C6/C7 foraminal stenosis secondary to subligamentous herniation of the nucleus pulposus at this level.
2. Please also note the above description and levels of other associated abnormalities.
MRI of the cervical spine dated 4/2/9.
Comparison: 9/7/7. Plain film:11/20/7.
Study was performed without IV contrast in standard sagittal and axial planes.
Findings:
Foramen Magnum: No abnormalities
C1/2, sagittal imaging only: No abnormalities
C2/3: No abnormalities
C3/4: Minimal left foraminal narrowing from uncovertebral spurring
C4/5: Minimal left foraminal narrowing from uncovertebral disease
C5/6: Minimal left foraminal narrowing from uncovertebral disease C6/7: Mild left foraminal narrowing from uncovertebral disease
C7/T1: Minimal narrowing left neural foramen from uncovertebral disease
Impression:
No significant disc protrusion or stenosis. Findings are
stable compared with the last exam with some minimal/mild left neural foramen narrowings from uncovertebral disease.
Primary Diagnostic Code: MINOR ABNORMALITY
MRI of the cervical spine without contrast:
Comparison: X-ray-Cervical spine series 10/20/2014
Technique: Sagittal T1 and T2 weighted and axial T1 and T2 weighted images were obtained of the cervical spine.
Findings: Sagittal images demonstrate normal bony alignment and preservation of vertebral body height and disc height. Cord
signal intensity is normal. Visualized intracranial contents are within normal limits. Paravertebral soft tissues are within
normal limits.
The following levels were interrogated:
C2-C3: No significant disc disease. No significant spinal canal narrowing or neuroforaminal narrowing.
C3-C4: No significant disc disease. No significant spinal canal narrowing or neuroforaminal narrowing.
C4-C5: No significant disc disease. No significant spinal canal
Impression:
Normal MRI of the cervical spine.
I have radiating and shooting spinal pain and pressure down to my butt, headache on the right side from tension in the neck, numbness, tingling and radiating pains in all limbs, right shoulder pain, I could barely walk for 2 straight days. Here are the results. Do these conditions just disappear, cure or heal? I am confused as to why I have so much pain with these results on my recent MRI. It took about 45 minutes from head to lumbar. Is this abnormal? Or typical?
Sept 7, 2007
Seven cervical vertebrae are demonstrated and are in good alignment. The vertebral bodies are normal in height. The disc spaces are within normal limits. The marrow pattern is also normal.
C2/C3: There is a small left posterior lateral subligamentous herniation of the nucleus pulposus. Mild left foraminal narrowing.
C3/C4: Minimal left foraminal narrowing, no central stenosis.
C4/C5 : Minimal left foraminal stenosis, the central canal diameter is normal
C5/C6 : Mild left foraminal stenosis , the central canal diameter is normal.
C6/C7: Moderate left foraminal stenosis, secondary to a left posterior and subligamentous herniation of the nucleus pulposus. The central canal diameter is normal.
There is moderate left C6/C7 foraminal stenosis secondary to subligamentous herniation of the nucleus pulposus at this level.
2. Please also note the above description and levels of other associated abnormalities.
MRI of the cervical spine dated 4/2/9.
Comparison: 9/7/7. Plain film:11/20/7.
Study was performed without IV contrast in standard sagittal and axial planes.
Findings:
Foramen Magnum: No abnormalities
C1/2, sagittal imaging only: No abnormalities
C2/3: No abnormalities
C3/4: Minimal left foraminal narrowing from uncovertebral spurring
C4/5: Minimal left foraminal narrowing from uncovertebral disease
C5/6: Minimal left foraminal narrowing from uncovertebral disease C6/7: Mild left foraminal narrowing from uncovertebral disease
C7/T1: Minimal narrowing left neural foramen from uncovertebral disease
Impression:
No significant disc protrusion or stenosis. Findings are
stable compared with the last exam with some minimal/mild left neural foramen narrowings from uncovertebral disease.
Primary Diagnostic Code: MINOR ABNORMALITY
MRI of the cervical spine without contrast:
Comparison: X-ray-Cervical spine series 10/20/2014
Technique: Sagittal T1 and T2 weighted and axial T1 and T2 weighted images were obtained of the cervical spine.
Findings: Sagittal images demonstrate normal bony alignment and preservation of vertebral body height and disc height. Cord
signal intensity is normal. Visualized intracranial contents are within normal limits. Paravertebral soft tissues are within
normal limits.
The following levels were interrogated:
C2-C3: No significant disc disease. No significant spinal canal narrowing or neuroforaminal narrowing.
C3-C4: No significant disc disease. No significant spinal canal narrowing or neuroforaminal narrowing.
C4-C5: No significant disc disease. No significant spinal canal
Impression:
Normal MRI of the cervical spine.
Brief Answer:
With long time there can be absorption of disc bul
Detailed Answer:
Hello,
I have studied your case and your report.
Your previous MRI showed foraminal narrowing along with disc herniation.
With long time there can be absorption of disc bulge due to dehydration of disc and there can be atrophy of ligament leading to normal foramen.
But the good thing is your latest MRI is normal. Now we can focus what can be cause of pain then.
Pain can be due to intraneural irritation, or facet joint arthritis which they have not mentioned. Facet joint arthritis can be well seen on CT scan. Pain can be functional.
For these symptoms you can continue analgesic and neurotropic medication pregabalin with methylcobalamine as per your doctor.
Amitryptiline can be added in pain resistant cases.
If still pain remains persistent then further investigation like PET scan can be added to know reason for pain.
Till time, avoid lifting weights. You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.
I will advise to check your vit B12 and vit D3 level.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
With long time there can be absorption of disc bul
Detailed Answer:
Hello,
I have studied your case and your report.
Your previous MRI showed foraminal narrowing along with disc herniation.
With long time there can be absorption of disc bulge due to dehydration of disc and there can be atrophy of ligament leading to normal foramen.
But the good thing is your latest MRI is normal. Now we can focus what can be cause of pain then.
Pain can be due to intraneural irritation, or facet joint arthritis which they have not mentioned. Facet joint arthritis can be well seen on CT scan. Pain can be functional.
For these symptoms you can continue analgesic and neurotropic medication pregabalin with methylcobalamine as per your doctor.
Amitryptiline can be added in pain resistant cases.
If still pain remains persistent then further investigation like PET scan can be added to know reason for pain.
Till time, avoid lifting weights. You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.
I will advise to check your vit B12 and vit D3 level.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
So your saying that this condition is healed, cured, completely gone and thats possible?
Brief Answer:
Not completely, but healed
Detailed Answer:
Hi,
Thanks for writing back.
I would consider that the most of the disc disease is healed. We cant assure that it has completely cured which is rare.
Thanks!
Not completely, but healed
Detailed Answer:
Hi,
Thanks for writing back.
I would consider that the most of the disc disease is healed. We cant assure that it has completely cured which is rare.
Thanks!
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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