please help me understand this

[STILLINPAINATHOME]

"GRANULATION TISSUE IS CAUSING SOME LATERAL RECESS AND INFERIOR ASPECT OF NUERAL FORAMEN

IMPRESSION SURGICAL CHANGES AT L5-S1 WITH GRANULATION TISSUE ADJACENT TO AND JUST INGERIOR TO THE DISK PACE ON THE LEFT, WHICH IS CAUSING SOME NARROWING OF THE LATERAL RECESS AND INFERIOR ASPECT OF THE NEURAL FORAMEN

NOTE FOR PURPOSES OF THIS DICTATION THE MOST INFERIOR DISK SPACE ON THE MRI WAS CONSIDERED RUDIMENTARY DISK SPACE AT S1-S2 "
i am having pain in my left leg and hip and i have to continue taking pain meds, nerve meds, please someone tell me what the mri is saying, my surgery was on l5-s1 herniation
p.s. it seems i am having the same pain or worse pain, than i had before the surgery

[Prem Pillay, MD]

The report suggests that you have scar tissue pressing into the opening through which a nerve root comes out off. This can cause back pain and leg pain.
You may benefit from a nerve root block and physio.
If all else fails repeat microsurgery with either fusion or dynamic implants may be required. There are anti-scar gels that can be placed during the next surgery to reduce the chance of recurrent scar.
You may wish to consult with a neurosurgeon.

[STILLINPAINATHOME]

Thank you for your interpretation, i will keep that in mind as a decide what my next step will be. My ortho showed me on the cd/film that my disc is herniated and he showed me that my nerve is swolen, it had been compressed for a several months before i had the discectomy. he now recommends a spinal fusion, he didn't say much about the scar tissue around the neuro foramen, and i know that is an issue that adds to my pain as well as the herniation that may be compressing the nerve. In addition to these problems i am having active sarcoidosis. it is noted in the file with the ortho, but i think he has been looking over it, or frankly he conveniently has forgotten.whatever the case may be, it is to be taken into consideration before a spinal fusion is to be done. Once again thanks for your interepretation!