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Need exlpanation on Lumbar spine MRI and X-ray
Hello I have strange pain in my perineal area (for about 2 years now, feels like a spasm, urological problems have already been excluded) already and lately also mild lower back pain when walking for more than 1 hour. I am 23 years old and I trained basketball for about 13 years.

I will post my Lumbar spine X-Ray and MRI results if somebody can tell me whether there is something that could cause my symptoms. I am sorry if something is badly translated, was a little difficult to translate all those terms from Slovenian language. Thanks all.

Here is my X-ray:
- sacrum acutum
- initial stage of spondylosis
- suspecting discopathy L5 - S1
- "straightened" physiologically lordosis

And an MRI:
- congenital pedicle shortening
- Spondylarthrosis from L3 and downwards with smaller efusion in facet joints, ligamentum flavum hypertrophy and indicating fatty infiltration of pedicles (modic type 2 degeneration)
--> considerably bilateral neural foraminal stenosis from L3 downwards
- spinal channel is normally wide at all levels
- conus medularis has a normal signal
- shown skeleton and discs have normal signal
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1711789 tn?1361311607
Hi there!

The MRI described mild-moderate degenerative changes along the lower spine with associated inflammation and muscle spasm resulting in the ‘straightening’ and narrowing of the spaces that carry the spinal nerves. While the degenerative changes could be responsible for the back ache, there is a possibility of compression of the spinal nerves which could causes referred pain to other regions. I would suggest discussing the situation and the suggested management plan in detail with your treating neurologist.
Hope this is helpful.

Take care!
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Thank you very much for your answer. I forgot to mention that those results are also from sacral spine not just lumbar as i wrote first. Then I suppose that "considerable bilateral neural foraminal stenosis from L3 downwards" also applies to all S1-S5 (which could cause a pain in perineal area according to dermatome scheme), and not just L3-L5.

Anyways I have an appointment with my neurologist this week and I will post what he says.

Thanks again for your kindness.
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