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What Does This MRI Report Indicate?
Question: Hi Doctor,
In XXXXXXX 2016 i got severe back pain and during diagnosis doctor said that my L5-S1 joint is out from his place due to which when its touching the nerves i am getting pain. I took the treatment which consisted of few medicines and Physiotherapy.Later doctor told to stop the medicine and continue the physiotherapy which i continued for approx. 6-7 months but till that time i am feeling little pain, i can not bend forward and can not carry weight. Later i stop doing physiotherapy exercise and fell more relaxed, may be i was doing physiotherapy exercise wrong.
Since 2 days back again i started feeling pain in left side and its like something hurting from inside. I am feeling pain if i try to bend forward even little bit, while sleeping or sitting. I am feeling something hard in that area.
Please suggest what i need to do.
Please see the MRI report below-
MRI LUMBO-SACRAL SPINE
Protocol: Sagittal and Axial T1 and T2 Wt sequences. Coronal T2 IRFSE sequence
Screening mid sagittal T2 Wt sequence through whole spine
OBSERVATIONS:
Lumbar spine shows loss of normal lordosis.
Rest of the vertebral bodies show normal marrow signal intensities.
No evidence of osteolysis / osteosclerosis. No evidence of spondylolysis / listhesis.
No facetal and ligamentum flavum hypertrophy noted.
Conus is normal in size & signal intensity. No evidence of extradural/intradural/ intramedullary mass lesion.
No pre or para vertebral soft tissue mass lesion seen.
AP spinal canal dimension at the Pedicular levels are as follows:
L1 level : 1.41 cms
L2 level : 1.41 cms
L3 level : 1.41 cms
L4 level : 1.49 cms
L5 level : 1.39 cms
Intervertebral levels:
Disc dehydration is noted at L5-S1 level.
L5-S1: Diffuse disc bulge with central and left paracentral protrusion indenting on the thecal sac obliterating the lateral recesses with impingement over both traversing nerve roots (L > R).
Other lumbar discs: No significant herniations.
Both S.I. joints are normal.
Cont...2
Customer Name MR XXXXXXX XXXXXXX Customer ID IND345719
Age & Gender 30Y/MALE Visit Date 04/02/2016
Ref Doctor DR. XXXXXXX CHAVAN
:: 2 ::
Screening of cervico-dorsal spine:
Cervico-dorsal spine shows normal alignment & morphology.
CV junction is normal.
No disc dehydration is noted in the cervical and upper dorsal regions. No significant disc bulges/ herniations.
Spinal cord: Shows normal signal intensity. No focal lesions.
IMPRESSION:
Diffuse disc bulge at L5-S1 with central and left paracentral protrusion indenting on the thecal sac obliterating the lateral recesses with impingement over both traversing nerve roots (L > R).
CONSULTANT RADIOLOGISTS:
DR. RADHESH. S DR. L.S. XXXXXXX DR. H.K. XXXXXXX DR. H.T. XXXXXXX XXXXXXX
DR. XXXXXXX XXXXXXX DR. XXXXXXX XXXXXXX ADT
Kk/rp
In XXXXXXX 2016 i got severe back pain and during diagnosis doctor said that my L5-S1 joint is out from his place due to which when its touching the nerves i am getting pain. I took the treatment which consisted of few medicines and Physiotherapy.Later doctor told to stop the medicine and continue the physiotherapy which i continued for approx. 6-7 months but till that time i am feeling little pain, i can not bend forward and can not carry weight. Later i stop doing physiotherapy exercise and fell more relaxed, may be i was doing physiotherapy exercise wrong.
Since 2 days back again i started feeling pain in left side and its like something hurting from inside. I am feeling pain if i try to bend forward even little bit, while sleeping or sitting. I am feeling something hard in that area.
Please suggest what i need to do.
Please see the MRI report below-
MRI LUMBO-SACRAL SPINE
Protocol: Sagittal and Axial T1 and T2 Wt sequences. Coronal T2 IRFSE sequence
Screening mid sagittal T2 Wt sequence through whole spine
OBSERVATIONS:
Lumbar spine shows loss of normal lordosis.
Rest of the vertebral bodies show normal marrow signal intensities.
No evidence of osteolysis / osteosclerosis. No evidence of spondylolysis / listhesis.
No facetal and ligamentum flavum hypertrophy noted.
Conus is normal in size & signal intensity. No evidence of extradural/intradural/ intramedullary mass lesion.
No pre or para vertebral soft tissue mass lesion seen.
AP spinal canal dimension at the Pedicular levels are as follows:
L1 level : 1.41 cms
L2 level : 1.41 cms
L3 level : 1.41 cms
L4 level : 1.49 cms
L5 level : 1.39 cms
Intervertebral levels:
Disc dehydration is noted at L5-S1 level.
L5-S1: Diffuse disc bulge with central and left paracentral protrusion indenting on the thecal sac obliterating the lateral recesses with impingement over both traversing nerve roots (L > R).
Other lumbar discs: No significant herniations.
Both S.I. joints are normal.
Cont...2
Customer Name MR XXXXXXX XXXXXXX Customer ID IND345719
Age & Gender 30Y/MALE Visit Date 04/02/2016
Ref Doctor DR. XXXXXXX CHAVAN
:: 2 ::
Screening of cervico-dorsal spine:
Cervico-dorsal spine shows normal alignment & morphology.
CV junction is normal.
No disc dehydration is noted in the cervical and upper dorsal regions. No significant disc bulges/ herniations.
Spinal cord: Shows normal signal intensity. No focal lesions.
IMPRESSION:
Diffuse disc bulge at L5-S1 with central and left paracentral protrusion indenting on the thecal sac obliterating the lateral recesses with impingement over both traversing nerve roots (L > R).
CONSULTANT RADIOLOGISTS:
DR. RADHESH. S DR. L.S. XXXXXXX DR. H.K. XXXXXXX DR. H.T. XXXXXXX XXXXXXX
DR. XXXXXXX XXXXXXX DR. XXXXXXX XXXXXXX ADT
Kk/rp
Brief Answer:
Pain medications for few days and visit your doctor...
Detailed Answer:
Hi,
I went through the detailed description of your problem as well as the MRI report submitted. Indeed, MRI spine revealed disc bulge in the lower spine; the bulge was pressing on nerve root leading to pain and difficulties. I am glad the pain reduced / subsided with right physiotherapy techniques. Yes, wrong physiotechniques / exercise may affect recovery period and sometimes worsen it too.
Now, the recent sudden onset pain may or may not be related to the previous problem. It will be difficult to determine that without physical examination and further MRI scans.
However if the pain is not very severe, you can at the moment try pain medication. I prefer etoshine MR tablets which is a combination of pain medication as well as muscle relaxant. Used twice a day for 2-3 days should treat muscular aches if any. In adding it is important to give adequate rest to the back. Lying down supine (on the back) on a hard flat surface will help.
If problem worsens, I recommend getting back to your doctor for physical examination.
Hope this helps. Let me know if you need clarifications.
Regards
Pain medications for few days and visit your doctor...
Detailed Answer:
Hi,
I went through the detailed description of your problem as well as the MRI report submitted. Indeed, MRI spine revealed disc bulge in the lower spine; the bulge was pressing on nerve root leading to pain and difficulties. I am glad the pain reduced / subsided with right physiotherapy techniques. Yes, wrong physiotechniques / exercise may affect recovery period and sometimes worsen it too.
Now, the recent sudden onset pain may or may not be related to the previous problem. It will be difficult to determine that without physical examination and further MRI scans.
However if the pain is not very severe, you can at the moment try pain medication. I prefer etoshine MR tablets which is a combination of pain medication as well as muscle relaxant. Used twice a day for 2-3 days should treat muscular aches if any. In adding it is important to give adequate rest to the back. Lying down supine (on the back) on a hard flat surface will help.
If problem worsens, I recommend getting back to your doctor for physical examination.
Hope this helps. Let me know if you need clarifications.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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