multiple lumbosacral hemangiomata

[jack800]

I am 67 years of age, i have experienced many years of back pains, had several operations, that resolved some pains but additional ones popped up and now i have tickle and burning pains in both legs. I just an a MRI and it reports:
Findings: large hemangioma is present in the L1 vertebral body.
OPinion:
1. moderate canal stenosis die to disc bulge and small central HNP with facet hypertrophy at L4-5.
2. Posterior fusion at L4-5
3. Multiple lumbosacral hemangiomata

I have no idea what hemangiomatia is in an old man. Is this the cause of shoting pain in legs.

thanks,
jack

[jack800]

Thank you for this information, i have an doctor appointment next week. I now have some information to understand what he saying, thanks again.
jack

[kittyluv1]

Hemangiomas are  abnormal collections of blood vessels and can occur in any vascularized (supplied by blood) tissue.  In your case, they are present in  the bones and surrounding soft tissue of your lumbosacral spine.  They are considered benign and are probably unrelated to your current symptoms.   If it is large enough and involves the entire vertebra, it could cause pain. Other neurological symptoms could be caused if the hemangioma is causing the bone to degenerate and puts pressure on the spinal nerves or spinal cord.  No significant spinal cord involvement has been noted on your MRI report.
Although you did have a prior surgery at L4-L5, it appears it was a posterior laminectomy  (PLIF).  The changes reported on the MRI indicate spinal canal narrowing secondary to a disc bulge and herniation in addition to facet hypertrophy (bone spurs) at this same level.  These conditions are probably the cause of your current escalation of  symptoms.
What treatment recommendations has your doctor offered?  At your age (and mine!) the progression of degenerative disc disease is an added risk for problems.  Unfortunately, our spines do undergo these changes secondary to the wear and tear produced as we become older.  It is possible that the canal stenosis is severe enough to cause your symptoms and the bone spurs from the facet changes may be causing pressure on the spinal nerve roots at this level.
It is possible that treatment to reduce inflammation (steroid injections) may help reduce your symptoms, but if the stenosis is severe enough, more aggressive treatment could be indicated.  Absent surgical intervention, pain management may be an appropriate referral.
Please post an update and any additional questions/concerns you may have.
Best wishes ----