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Prolapsed Disc
Hi,
I had lower back pain)Chronic one) for last 2 month, recently this pain has gone after taking medicine (Voltrain 500 mg), now there is no pain , i can carry on with my nomal routine without any difficulties, only i am having very minor numbness on my left toe, 2 days back i had gone for my MRI test despite of no pain. The on the basis of MRI report Docter suggested me to go for surgery if the pain,numbness / weekness gets increase. I have been diagnose with prolapsed Disc L5-S1, Please fidn the below report and give some suggestion to avoid any surgery, i am 42 year old.
Diagnosis: Low back pain (Left leg), intervertebral disc disorder
MRI –LS SPINE
MRI SCAN OF LUMBO SACRAL SPINE
MRI of the lumbosacral spine was performed using T1 and T2 weighted sequences in sagittal and axial planes.
Loss of normal lumber lordosis suggestive of spasm of paraspinal muscles.
A focal hyperintense areas seen in L3 AND L5 on T1 and T2 suggestive of heamangioma.
Loss of normal signal intensity seen in L5-S1 intervertebral disc space.
left para central disc herniation seen in L5-S1 level with evidence of hyperintense lesion in spinal canal anterior to the theca at level of L5 vertebra suggestive of fragment of disc material / nucleus pulposis with superior migration with evidence of compression in adjacent nerve root and compression of the theca antero laterally with narrowing of left intervertebral foramen.
Rest of the intervertebral discs appear normal.
The spinal canal dimensions are within normal limits.
The vertebral bodies reveal normal signal intensity with normal outline.
The fecet joints and the ligamentum flavum are normal
The lower end of spinal cord, cauda equine and filum terminate do not reveal any abnormality.
Prevertebral soft tissues and vascular structures appear normal.
IMPRESSION: MRI evidence of the left paracentral disc herniation at L5-S1 with superior migration of free fragment of disc material with evidence of cpmpression in left exit nerve root and the theca left antero laterally.
I had lower back pain)Chronic one) for last 2 month, recently this pain has gone after taking medicine (Voltrain 500 mg), now there is no pain , i can carry on with my nomal routine without any difficulties, only i am having very minor numbness on my left toe, 2 days back i had gone for my MRI test despite of no pain. The on the basis of MRI report Docter suggested me to go for surgery if the pain,numbness / weekness gets increase. I have been diagnose with prolapsed Disc L5-S1, Please fidn the below report and give some suggestion to avoid any surgery, i am 42 year old.
Diagnosis: Low back pain (Left leg), intervertebral disc disorder
MRI –LS SPINE
MRI SCAN OF LUMBO SACRAL SPINE
MRI of the lumbosacral spine was performed using T1 and T2 weighted sequences in sagittal and axial planes.
Loss of normal lumber lordosis suggestive of spasm of paraspinal muscles.
A focal hyperintense areas seen in L3 AND L5 on T1 and T2 suggestive of heamangioma.
Loss of normal signal intensity seen in L5-S1 intervertebral disc space.
left para central disc herniation seen in L5-S1 level with evidence of hyperintense lesion in spinal canal anterior to the theca at level of L5 vertebra suggestive of fragment of disc material / nucleus pulposis with superior migration with evidence of compression in adjacent nerve root and compression of the theca antero laterally with narrowing of left intervertebral foramen.
Rest of the intervertebral discs appear normal.
The spinal canal dimensions are within normal limits.
The vertebral bodies reveal normal signal intensity with normal outline.
The fecet joints and the ligamentum flavum are normal
The lower end of spinal cord, cauda equine and filum terminate do not reveal any abnormality.
Prevertebral soft tissues and vascular structures appear normal.
IMPRESSION: MRI evidence of the left paracentral disc herniation at L5-S1 with superior migration of free fragment of disc material with evidence of cpmpression in left exit nerve root and the theca left antero laterally.
Best Answer
That was just me looking stuff up on the internet and from my own disc and piriformis problems, nothing to do with my Dr. To be honest , It's a juggling act knowing how to procede for the best through the day. I would say now that your pain has subsided,only take pain killers when actually needed so that you don't do too much.Pain killers can give you a false pain reading so you could make things worse rather than better. Then try some simple exercises, swimming, pilates and then yoga and just try and build the programme up week by week. This will all help with your posture and strengthen the all important muscles,which always help protect from further problems. Just remember to not over do it especially at 1st.
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The loss of normal lumbar lordosis refers to your posture, it seems a muscle spasm has affected that so again that is another reason why strengtheneing exercises will help you.
Hyperintense areas mean tissue that has a slightly different characteristic and yours are suggestive of a hemangioma so that will be the same as the following. . . . A vertebral hemangioma is a very slow growing BENIGN tumor within the bony vertebra (NOT the spinal cord)made up of blood vessels. They are found in 10-12% of all autopsies and are the most common benign spinal tumor. Most patients are asymptomatic and it's just an "incidental finding" on MRI, which means there is absolutely no clinical significance to them. In simpler terms, most of the people who have them don't know it and go through their whole lives without any problems from the hemangioma.
The main problem on your scan is the L5-S1 showing compression of the nerve root but as your pain has subsided you are definitely heading in the right direction. If you need further clarification I would ask the Dr. Take care.