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Can someone please help decipher my MRI

Started by 1581763412@facebook on 03/31/2014 7:29pm

I am a 43 y/o mom of three girls. I have been dealing with lower back pain for years. I also have Peripheral Neuropathy, Fibromyalgia and Osteoarthritis. In June 2013 I was in a car accident. I was the front passenger and we were t-boned on the driver side. I suffered a concussion and started having neck pain and my pain flared from my other health issues. I recently had a LOT of my cervical and lumbar spine and received the report today. The results were not discussed so I'm not completely sure what they mean. Can someone please explain them in laymen's terms.

At C5-6 there is a right paracentral herniation with cord impingement
At 6-7 there is a right paracentral herniation with thecal sac indentation. The rotary scoliosis becomes clockwise from this level causally
At C7-T1 there is a left foraminal herniation with impingement upon the exiting C8 root
At L2-3 there is a bulging disc without stenosis. There is a right foraminal herniation without nerve root compromise
At L3-4 there is a bulging disc without stenosis
At L4-5 there is a there is a right paracentral herniation with thecal sac indentation and impingement upon the originating L5 root
At L5-S1 there is a left foraminal generation with impingement upon the exiting L5 root

Thank you in advance for explaining these findings for me.

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1 Response


"C" means these are your Cervical (neck) vertabrae

"L" means Lumbar, which is your lower back (it goes Cervical, Thoracic, Lumbar, Sacrum (your butt-top area) and Coccyx (your tailbone)

The numbers are the vertabrae in these sections. There are discs (the squishy things) between these. They ideally, in a perfect world, are compressed in an equal way. When the tissue bulges slightly to the left side from the center of the foramen (the space at the back of your spine) , we speak about a “left paracentral herniation”. So then, a bulge that points slightly to the right side of the central spinal canal is labelled a “right paracentral herniation”.

Both lateral and paracentral bulges may pinch or touch the spinal nerve roots. Typically, left paracentral herniations are predominantly felt more in the left side of the body, while right paracentral ones affect more the right side.

Those symptoms generally involve radiant pain, numbling, tingling, or muscle weakness. For example a lower back or lumbar herniation can be felt in the buttocks, legs and feet, while a herniated disc in the neck normally affects the shoulders, arms, and hands. I'm sure you know the drill

"Foraminal Herniation" - The neuroforamen is that space, on either side of the vertebrae through which nerve roots pass out of the central canal at every level and then go to where they go to the rest of your body. Kind of like little doorways. A foraminal disc bulge or herniation means is one of the doorways is blocked or made smaller and sometimes this can compress or pinch a nerve as it leaves, causing significant symptoms including pain, tingling, weakness or numbness in the area of the anatomy served by nearves in that doorway.

Hokay --- The Thecal Sac is a protective membrane surrounding the spinal cord and nerves. So the MRI finds more of the same - that the bulging/herniated discs are indenting/pressing on this layer, too.

There are all kinds of options for this - transforaminal infiltration, physical therapy, laser surgery - but it all takes time and you need decent, and I mean legit pain management docotr. They know exactly how to deal with this and how to treat it. . Also - don't be shy! If they do MRIs, ask them what the results are. If you get the report, if you have a doctor that is doing this, ask, ask, ask, ask. You can ask them at the hospital the instant you're done with the MRI to please put it on a CD for you, even if they didn't do the report for you yet. You're paying them. They are not gods. They owe it to you to explain.

The stenosis has been there, that comes with age and time. The accident would make the Fibro worse or course, the stress would.

I actually made an account here to answer you because my brother had this exact thing happen to him, and I wanted to tell you that I hope you are going to SUE the guy that hit you. I know that comment has nothing to do with a spine forum but as I was reading your post I was yelling at the monitor, saying "please don't go through what my bro did" It's been 5 years and well, he didn't want to sue because it's not "nice" and he found out he could have got close to 6 figures He waited a year to think it hurt enough that it might have had something to do with the accident and by then they said well maybe it did but so did whatever you did all year, too. . I mean law suits of this type are an endless "prove it "cycle of grief but man...I'd be going after this guy like a Vampire Hunter.
There's usually a statue of limitations, so hop to it. Not a TV lawyer, an actual laywer. RUN. :)

Hope this helps, and all the smarter-than-me-folks here can chime in, too. Feel better Best! Rene