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I need help I need the honest truth. Is my mri serious. I can't have surgery because I have factor 5 and fybromyalgia and rsd. The MRI reports state this. I had a lumbar and a cervical, cervical is crippling me and doctors keep sending me to doctor after doctor after doctor. Here are what the mri states, first the Lumar then the cervical. LUMBAR MRI - The history is question canal stenosis. With my history of bilateral lower extermity pain and numbness both feet.
L1-L2 Mild posterior and more focal left posterolateral anular disc buldge. L2-L3 Mild posterior left posterolateral annular bulge. L3-L4 Minimal posterior posterolateral annular buldge. L4-L5 Mild posterior central disc buldge combines with facet hypertrophy to result in borderline mild central canal stenosis. However, no evidence of focal disc herniation at this postoperative level with post surgical changes of right laminectomy evidence at this level. L5-S1 Mild posterior anular buldge end plate osteophyte minimall effaces adjacent epidural fat but does not result in canal stenosis. Mild lumbal hypertrophy. Lateral spondylotic changes combined with facet hypertrophy to result in minimal left L1-L2, minimal right L2_L3, mild left L2-L3, mild right L3-L4, mild-moderate left L3-L4, mild bilateral L4-L5 neural foraminal stenosis. Impression: Post surgical changes of right laminectomy are evident at L4-L5. There is mild posterior central disc buldge at L4-L5 which combines with facet hypertrophy to result in borderline mild central canal stenosis. Minimal spondylotic changes at other lumbar intevertebral disc space levels with mild lumbar facet hypertrophy contributing to some neural foraminal stenosis outlined above. Discogegenic changes suggested at L4_L5 disc space.
CERVICAL MRI -- history, cord compression stenosis, neck pain bilateral upper extremity pain. C2-3 Minimal postero-centrak annular bulge. C3-4 Mild postero-central /left parmedian disc buldge combines with endplate osteophyte and facet hypertrophy to result in mild central canal stenosis. C4-5 Mild postero-central annular annular/disc bulge combines with facet hypertrophy to result in borderline-mild central canal stenosis. C5-6 Mild posterior disc bulge combines with facet hypertrophy to result in borderline-mild central canal stenosis. C6-7 Moderate postero-central disc bulge/protrusion combines with endplate osteophyte and facet hypertrophy to result in mild central canal stenosis. C7-T1 Minimal posterior/left posterlateral annular bulge. Minimal cervical facet hypertrophy. Lateral spondylotic changes combine with facet hypertrophy to result in minimal /mild left C3-4 neural foraminal stenosis. Minimal early discognenic degenerative changes are suggested within mid lower cervical vertebral column. Impression: Mild cervical spondylosis. Spondylotic changes combined with facet/ligamentous hypertrophy to result in mild central canal stenosis greater to left of midline at C3-4 and C6-7 and borderline mild central canal stenosis at C4-5 and C5-6. Minimal cervical facet hypertrophy. Minimal early discogenic degenerative changes are suggested within cervical vertebral column.
This pain is crippling. I have been diagnosed with rsd and recently fybromyalgia. The 8th nuero, pain doc, is sending me to a nuerologist. I am exhausted with pain. According to the nuero surgeons I have seen, they can't do surgery. High risk pt and it would make my pain worse. Plese can anyone help!!!!! Thank you!!!!!!!!
L1-L2 Mild posterior and more focal left posterolateral anular disc buldge. L2-L3 Mild posterior left posterolateral annular bulge. L3-L4 Minimal posterior posterolateral annular buldge. L4-L5 Mild posterior central disc buldge combines with facet hypertrophy to result in borderline mild central canal stenosis. However, no evidence of focal disc herniation at this postoperative level with post surgical changes of right laminectomy evidence at this level. L5-S1 Mild posterior anular buldge end plate osteophyte minimall effaces adjacent epidural fat but does not result in canal stenosis. Mild lumbal hypertrophy. Lateral spondylotic changes combined with facet hypertrophy to result in minimal left L1-L2, minimal right L2_L3, mild left L2-L3, mild right L3-L4, mild-moderate left L3-L4, mild bilateral L4-L5 neural foraminal stenosis. Impression: Post surgical changes of right laminectomy are evident at L4-L5. There is mild posterior central disc buldge at L4-L5 which combines with facet hypertrophy to result in borderline mild central canal stenosis. Minimal spondylotic changes at other lumbar intevertebral disc space levels with mild lumbar facet hypertrophy contributing to some neural foraminal stenosis outlined above. Discogegenic changes suggested at L4_L5 disc space.
CERVICAL MRI -- history, cord compression stenosis, neck pain bilateral upper extremity pain. C2-3 Minimal postero-centrak annular bulge. C3-4 Mild postero-central /left parmedian disc buldge combines with endplate osteophyte and facet hypertrophy to result in mild central canal stenosis. C4-5 Mild postero-central annular annular/disc bulge combines with facet hypertrophy to result in borderline-mild central canal stenosis. C5-6 Mild posterior disc bulge combines with facet hypertrophy to result in borderline-mild central canal stenosis. C6-7 Moderate postero-central disc bulge/protrusion combines with endplate osteophyte and facet hypertrophy to result in mild central canal stenosis. C7-T1 Minimal posterior/left posterlateral annular bulge. Minimal cervical facet hypertrophy. Lateral spondylotic changes combine with facet hypertrophy to result in minimal /mild left C3-4 neural foraminal stenosis. Minimal early discognenic degenerative changes are suggested within mid lower cervical vertebral column. Impression: Mild cervical spondylosis. Spondylotic changes combined with facet/ligamentous hypertrophy to result in mild central canal stenosis greater to left of midline at C3-4 and C6-7 and borderline mild central canal stenosis at C4-5 and C5-6. Minimal cervical facet hypertrophy. Minimal early discogenic degenerative changes are suggested within cervical vertebral column.
This pain is crippling. I have been diagnosed with rsd and recently fybromyalgia. The 8th nuero, pain doc, is sending me to a nuerologist. I am exhausted with pain. According to the nuero surgeons I have seen, they can't do surgery. High risk pt and it would make my pain worse. Plese can anyone help!!!!! Thank you!!!!!!!!
The diagnosis of multiple sclerosis is clinical and is based on a history and physical examination -- NOT an MRI. An MRI supports the clinical diagnosis, it does not make it.
Headaches are not a classic feature of multiple sclerosis.
With the widespread use of MRIs for just about anything neurologic, we are discovering that a lot of people have 'spots' which don't really mean anything -- they are just there.
This does not mean that you dont have MS, but based solely on the story that you wrote, I would doubt it. Still, if you are really concerned, go to a local neurologist.
Headaches are not a classic feature of multiple sclerosis.
With the widespread use of MRIs for just about anything neurologic, we are discovering that a lot of people have 'spots' which don't really mean anything -- they are just there.
This does not mean that you dont have MS, but based solely on the story that you wrote, I would doubt it. Still, if you are really concerned, go to a local neurologist.
I cannot make a diagnosis based on the MRI without seeing the actual MRI
Radiologists have to call anything they see on a scan (in case they miss anything), that increases the possibility of a false positive (saying something is abnormal when it is not, or is within normal limits). You have to keep this in mind. That is why it says, 'clinical correlation reccomended' - in which case the best person to decide if it is significant or not is your neurologist
It does not sound like yo have MS, but your neurologist should be the best person to tell you and followup with. Muscle twitching is a non-specific symptom that can occur in normal people.
Good luck
Radiologists have to call anything they see on a scan (in case they miss anything), that increases the possibility of a false positive (saying something is abnormal when it is not, or is within normal limits). You have to keep this in mind. That is why it says, 'clinical correlation reccomended' - in which case the best person to decide if it is significant or not is your neurologist
It does not sound like yo have MS, but your neurologist should be the best person to tell you and followup with. Muscle twitching is a non-specific symptom that can occur in normal people.
Good luck
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