I'm a 48 year old male, I've done physical work for over 30 years, (yes before 18).
My PCP says this is all normal for a guy my age. I just want to know if it is.
I have constant and varying severe LBP and foot numbness.
The following is everything 2 MRIs and a bunch of x-rays revealed in 2007.
Diagnosed problems with lumbar spine 2007 ***** dob 11/**/59
L1-2:
> Mild anterior wedge morphology
L2-L3:
> Early bilateral facet hypertrophy
> Minimal disk bulging
> no significant spinal stenosis or neural foraminal stenosis at this level at this time
L3-L4:
> Moderate disk bulging
> Ligamentum flavum hypertrophy
> Bilateral facet hypertrophy
> Moderate spinal stenosis
> Moderate bilateral neural foraminal stenosis
> Neural encroachment
> Disk desication
L4-L5:
> Severe disk bulging
> Ligamentum flavum hypertrophy
> Bilateral facet hypertrophy
> Moderate spinal stenosis
> Severe impingement upon the bilateral lateral recesses.
> Neural encroachment
> Marked degenerative disk disease and facet arthropathy
> Anterior osteophyte formation
> Facet arthropathy more prominent on the right
> Severe degenerative disk space narrowing with associated degenerative end plate changes
> Disk space narrowing is asymetric & more prominent on the left with associated lateral arthritic lipping
> Severe degenerative hypertrophic change of the facet joints & ligamentum flavum
> Borderline central canal stenosis
> Mild left neuroforaminal stenosis
> Noted vacuum sign phenomenon
> Consistent end plate collapse & Abundant facet arthropathy
> Anterior osteophyte formation
Page 2
L5-S1:
> Severe diffuse disk bulging
> Bilateral facet hypertrophy
> Severe right neural foraminal stenosis
> Moderate left neural foraminal stenosis
> Disk bulging
> Neural encroachment
> Marked degenerative disk disease and facet arthropathy
> Significant disk space narrowing
> Facet arthropathy changes more prominent on the right
> Asymetric disk space narrowing that is severe on the right
> Grade one retrolisthesis
> Very small paracentral disc herniation
> Noted vacuum sign phenomenon
> Consistent end plate collapse & abundant facet arthropathy
> Ap view shows dextroscoliosis of the lumbar spine
> Levoscoliosis
> Straightening of the normal lumbar lordosis
> Neurologic:
Patellar: symmetrically absent
Achilles: symmetrically absent
> 3mm anterolisthesis L5 on S1
> Instability
Sources:
01/15/07, , x-rays, lumbar spine, 4 views.
01/18/07, , MRI, lumbar spine non-contrast.
02/27/07, , x-rays, lumbar spine, 7 view series.
04/03/07, , x-rays, flexion and extension views.
08/28/07, Stand up MRI of America, MRI, standing & sitting position MRI.
11/09/07, , x-rays, 3 views and exam.
1/18/08, , lumbar spine x-rays supine flex / ext.
* Edited by MedHelp to remove personal information