Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This MRI Report Indicate?
Question: I have recently received my MRI report showing Left foraminal disc protusion with neural foraminal narrowing and bilateral facet arthropathy at L3-L4, left paracentral and left foraminal disc protrusion creating mild left lateral recess and mild left neural foraminal narrowing contcting the left L5 nerve root within the left lateral recess without displacing or deforming it. bilateral facet arthropathy L4-L5. then lastly for L5-S1 we have Enlargement of stress response along the anterior-inferior endplate of L5 and mild stress response along the anterior superior endplate of S1 which shows no associated compression fracture deformity or bone lesion. there is a moderate to severedis desiccation signal change of the disc with a broad-based posterior disc protrusion measuring 3mm in AP extent. Minimal central canal narrowing. right paracentral focal component of disc protrusion creating mild/moderate right lateral recess displacing it slightly posteriorly. this is new compared to prior study. mild bilateral facet arthropathy. With all of this said, I might add that I have been experiencing right side radiculopathy. I have felt like I have stepped on nails, sat on pins and needles with the occasional shooing pains that come as a XXXXXXX depending on the direction of my movement. My doctor has referred me to a surgeon, yet, I have not received much direction as to what I should be doing or not doing in the meantime. I'm a little concerned about the sclerosis of the endplates and possible risk factors, if any, and any possible further damage I may cause between now and the time I'm able to see my surgeon. I had a ACDF done on C3-C7 exactly one year ago and have been experiencing some nerve issues there however very happy with the success from that surgery. Another concern of mine is the extreme cramping and twitching I have been experiencing mainly on my right side but bilateral in both feet. my body feels as if it's in a constant state of contraction with the occasional contortion and twitiching. Your thoughts would be greatly appreciated.
Brief Answer:
May need decompression
Detailed Answer:
Hi,
Thank you for posting the question.
I have gone through your medical history in detail.
From the history,you have significant disc protrusion with a nerve root compression.
The symptoms are less likely to improve with conservative means like physiotherapy,exercises,lumbar traction etc.
The best option will be a endoscopic spine decompression surgery which will give the best results.
Generalised contortions and twitching all over the body may be a result of Carnitine or electrolyte deficiency.
Vitamin D and calcium deficiency also can cause these symptoms.
You can get the blood levels of these checked and start on appropriate supplements.
End plate sclerosis is a very slowly progressing disease and won't affect much if you are planning to meet your doctor recently.
I hope the answer was useful.
Feel free to ask me any follow up queries that you may have.
Thank you.
Kind regards.
May need decompression
Detailed Answer:
Hi,
Thank you for posting the question.
I have gone through your medical history in detail.
From the history,you have significant disc protrusion with a nerve root compression.
The symptoms are less likely to improve with conservative means like physiotherapy,exercises,lumbar traction etc.
The best option will be a endoscopic spine decompression surgery which will give the best results.
Generalised contortions and twitching all over the body may be a result of Carnitine or electrolyte deficiency.
Vitamin D and calcium deficiency also can cause these symptoms.
You can get the blood levels of these checked and start on appropriate supplements.
End plate sclerosis is a very slowly progressing disease and won't affect much if you are planning to meet your doctor recently.
I hope the answer was useful.
Feel free to ask me any follow up queries that you may have.
Thank you.
Kind regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
