tentative MRI report

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New Member

Date Joined Nov 2007
Total Posts : 10
   Posted 11/21/2007 12:03 AM (GMT -6)   
Well my PCP called me today with the preliminary results of the MRI I had yesterday.  He used alot of words and here they are:
broad base disc protrusion
central canal stenosis
ruptured disc
involved area is L4, L5, and S1
I won't get the full report until Monday because of the holiday.  I'm not sure how I feel about anything right now.
My doctor is talking surgery and all I am thinking is NO WAY.
I think now he finally belives that I am in pain.

Veteran Member

Date Joined Jan 2005
Total Posts : 763
   Posted 11/21/2007 2:15 PM (GMT -6)   

wondering if you might have Syringomyelia and chiari malformation .


Syringomyelia T4-T10
Chiari Malformation
Decompression Surgery 1999
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Regular Member

Date Joined Jul 2006
Total Posts : 495
   Posted 11/21/2007 2:57 PM (GMT -6)   
Mr.Bad : I have to tell you the longer I'm on this site the more I think the L4-L5-S1 area is just bad news.

To help based on my understanding he disc protrusion is probably where your disc ruptured and hardened outside the disc wall. In my case this is the area where the pain shooting down my legs comes from. At each level I have part of the disc pushing on a nerve. I have no clue what central canal stenosis is.

As far as surgery - thats a choice that you have to make. I waited 3 years for surgery after I hurt my back. I got a year and a half if that of pain relief from it, and the pain is now worse than it was pre-surgery. BUT I would do the surgery again in a heart beat given the choice. Because the relief I got from it was worth it. If he says he's referring you to a surgeon ask him about his relationship with the surgeon prior to going, and do some research about the surgeon. I know the surgeon who did my fusion had a couple arguing with him about his refusal to operate based on the medical tests he preformed. He was basically telling them that based on the tests surgery was not going to fix the problem and they were not happy about it. It made me feel good knowing that he would rather not operate if it wasn't going to help. :)

"When we come to the edge of the light we know, and are about to step off into the darkness of the unknown, of one thing we can be sure; either God will provide something solid to stand on... or we will be taught to fly.'"

"Cause when push comes to shove You taste what you're made of, You might bend, till you break Cause its all you can take; On your knees you look up Decide you've had enough, You get mad you get strong Wipe your hands shake it off, Then you Stand" From "Stand" by Rascal Flatts
Dx.: Polycystic Ovarian Syndrome, Ulcerlative Colitis, Chronic Inflammation of the Colon, Ruptured & Fused L4-L5-S1 w/pinched nerves, Degenerative Disc Disease, Chronic Costochondritis, Back Muscle Spasms, Asthma, Benign Tremmors (hands)

New Member

Date Joined Nov 2007
Total Posts : 10
   Posted 11/21/2007 4:32 PM (GMT -6)   

Thanks for the replies.  Right now surgery just does not sound good.  Maybe I will feel differently down the line.

I got a copy of the MRI report today.  confused Here are the highlights (lowlights?):

Central and left paracentral broad-based disc protrusion with posterior annular tear at L5-S1, without central canal stenosis.  Mild left neural foraminal narrowing.  Bilateral facet joint arthritis.
Central and bilateral paracentral, broad-based disc protrusion with posterior annular tear (at L4-L5), which along with ligamentum flavum hypertrophy is causing mild central canal stenosis.  Mild narrowing of inferior aspect of neural foramina bilaterally without exiting nerve root compression.  Bilateral hypertrophic facet joint arthritis.
Mild bilateral facet joint arthritis at L3-L4
Pretty neat huh?  I am not too sure what all this means, but hopefuly I will find out on Monday.  I'm still hurting bad, but it is nice to know why I am in so much freakin' pain.
Happy Thanksgiving to all, and I hope everyone has a pain free 4-day weekend!
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