I have severe lower back pain and leg pain. My left leg is worse which I'm told is strange. I have swelling on my left hip and up. Numbness and pain down my hip and leg to my feet. I'm looking into surgery. I can't sit stand or lay down for more than a half hour without pain. I have decreased sensitivity and nerve damage to my legs and right arm.
I've have lower back problems for 15 Years. The last 5 have been increasingly worse I'm in extreme pain daily only sleep 2-3 hours a night. Cannot perform normal activities. In the last year I've been having neck pain and right arm pain and numbness. Any opinion is appreciated I'm over ready to do surgery.
Date/Time Exam Description PACS Acc #
7/6/2016 11:51 AM MRI LUMBAR SPINE
.EXAMINATION: MRI LUMBAR SPINE
EXAMINATION DATE: 7/6/2016 11:51 AM
COMPARISON/CORRELATION: 96 2015
CLINICAL HISTORY: 39 years old Female with ; LOW BACK PAIN AND/OR
RADICULOPATHY, PATIENT CAN HAVE SURGERY/INTERVENTION
ICD code M 47.816
TECHNIQUE:
Magnetic resonance imaging of the lumbar spine performed.
Sagittal T1, T2, sagittal STIR axial, T1 and T2 weighted images,
coronal T1 localizer.
FINDINGS:
Alignment: No measured listhesis. Left-sided curvature positional or
scoliosis.
Conus medullaris: Intact. Normal normal position at the T12-L1 level.
No bone marrow edema.
No vertebral body fragmentation or destruction.
L5-S1: Intact conus.
Bulging component of the disc with protruding disc effacing the
ventral right paracentral margin of the sac. Size about 9.6 x 6.6 mm
craniocaudad a and AP dimension. Moderate canal stenosis. Mild
foraminal narrowing left more than right
L4-L5:
No herniation.
No tight canal stenosis.
No tight foramen. Some of fluid in the facet joint minimal facet
arthropathy.
L3-L4:
Stable disc bulge.
No herniation.
No tight canal stenosis.
No tight foramen.
L2 L3:
No herniation.
No tight canal stenosis.
No tight foramen.
L1-L2:
No herniation.
No tight canal stenosis.
No tight foramen.
T12-L1:
No herniation.
No tight canal stenosis.
No tight foramen.
\H\
\N\\H\IMPRESSION:
Stable. Herniated disc at the L5-S1. Minimal bulge at the L4-L5.\N\
No site of tight Canal a blockage or tight foramina.
RECOMMENDATION:
Clinical correlation and followup would be recommended based on
clinical
Here is a Mri from last year. September 2015 MRI
T12-L1: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.
L1-L2: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.
L2-L3: There is no focal disk herniation or canal or neural foraminal
stenosis at this level.
L3-L4: Minimal broad-based disc bulge without evidence of central
canal or neural foraminal stenosis.
L4-L5: Minimal broad-based disc bulge without evidence of significant
central canal or neural foraminal stenosis.
L5-S1: Large posterior disc herniation without significant central
canal stenosis. This causes mass effect on the right S1 nerve root.
The neuroforamina appear to be maintained.
Impression:
1. Large posterior disc herniation involving the L5-S1 level with mass
effect on the exiting right S1 nerve root. There is approximately 4 mm
retrolisthesis of L5 on S1.
2. No abnormal signal intensity involving the lumbar spinal cord.
3. Minimal degenerative disc disease at L3-L4 and L4-L5.
I also had a Mri on my neck along with the lower. I'm having problems with my right arm and a lot of pain in the neck and arm.
Here are those results done this week.
C2-C3: .
Desiccation of the disc space.
No herniation.
No tight canal stenosis.
No tight foramina.
C3-C4:
Desiccation of the disc space.
No herniation.
No tight canal stenosis. No tight foramina.
C4-C5:
Desiccation of the disc space.
Posterior disc osteophyte with indentation along the ventral
paracentral margin of the sac. Mild canal stenosis. Some foraminal
narrowing bilaterally.
C5-C6:
Desiccation of the disc space.
Posterior disc osteophyte indentation along the ventral margin of the
sac some foraminal narrowing. Minimal stenosis. No tight blockage
C6-C7:
Posterior disc osteophyte indentation along the ventral paracentral
margin of the sac moderate stenosis. Mild foraminal narrowing.
C7-T1:
No herniation.
No tight canal stenosis.
No tight foramina
IMPRESSION:
Degenerative changes throughout, primarily at the C6-C7 level.
Discussed above. No site of complete spinal blockage. Follow-up