Intradural Spaces: The lower spinal cord and conus appear normal with no intradural
masses or abnormalities noted. The conus terminates at L1. Osseous Structures and Bone Marrow: Schmorl's nodes are identified. Loss of normal lumbar lordosis is identified. No compression fractures or focal marrow abnormalities worrisome for infiltration.
lower Thoracic Spine: Schmorl's nodes are identified. No disc extrusions or herniations are
noted in the visualized lower thoracic discs. Intervertebral Discs and Motion Segments:
L1-L2: Disc is unremarkable. No significant facet osteoarthropathy or canal or foraminal stenosis
L2-L3 Dessication (desiccation) of the disc is identified. Mild diffuse bulge of this disc is identified indenting
the thecal sac (Series 106, image 8). No significant facet osteoarthropathy or foraminal stenosis
is noted. The anteroposterior dimension of the spinal canal is 17.65 mm.
L3-4: Disc is unremarkable. No significant facet osteoarthropathy or canal or foraminal stenosis
L4•5: Dessication (desiccation) of the disc is identified. Moderate diffuse annular bulge of this disc is identified indenting the thecal sac and partially obliterating the foraminal fat (Series 106. image 18). No significant facet osteoarthropathy is noted. The anteroposterior dimension of the spinal canal is 14.13 mm.
L5-S1: Dessication (desiccation) of the disc is identified. Mild diffuse bulge with associated large central and
right paracentral extrusion with caudal migration of the nucleus pulposus is noted of this disc
indenting the thecal sac and compressing the right descending 51 nerve root. The extruded disc
fragment measures 12.46 x 8.28 mm. (Series 104, image 9, series 106, image 22). No significant facet osteoarthropathy or foraminal stenosis is noted. The anteroposterior dimension of spinal canal is 8.57 mm. Visualized Sacrum: No abnormalities are identified of lhe sacral canal. Paravertebral Soft Tissues: No signifICant abnormality detected.
How bad is this?
Continue seeing chrioprator till insurance and surgury? At least 4 months away, have to wait for insurance to kick in....
Do I have to have sugury? Dont like the idea, what kind of sugury, best options? alternative options???
Will I ever be able to go surfing again?
does this injury make me elgible for social security, disabaily rating ??
The MRI results do show evidence of mild degenerative disc disease with the most evidence noted at L5-S1. At this level the disc extrusion is causing compression of the S1 nerve root. This could produce symptoms of low back pain and possible leg pain.
There is no evidence of significant facet changes (hinges that hold the vertebrae together) or foraminal stenosis (narrowing of the opening through which the spinal nerve roots travel).
If you are experiencing symptoms which are relieved (even temporarily) continuing with a chiropractor would probably do no harm. Any activities should be addressed to developing a back exercise program to strengthen the muscles and ease the pain associated with compression of that nerve.
Did the chiropractor order the MRI? Has any doctor reviewed the films in greater detail with you?
Treatment options would depend on the severity of your symptoms and can not be definitely determined based on these findings. It is possible to achieve symptom control with conservative treatment such as anti-inflammatory medication and physical therapy or chiro treatment. It is possible that surgery might be indicated for removal of the extruded disc fragment, but such a decision would be based on a review of your films by an orthopedic spine specialist. Surgery is usually not indicated unless there are more significant findings of spinal stenosis and nerve compression.
Unless you are experiencing severe pain and inability to move without restriction, surfing should not be a problem. The avoidance of any further injury to your back would be the determining factor.
It is doubtful that you would be eligible for a social security disability rating as you would need to be permanently disabled and unable to perform any type of work.
Best wishes ---
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