I recently had an MRI of my knee and lower back.. However I don't know what the diagnosis means. If any one can answer it would be greatly appreciated.. My knee diagnosis is"there is a deep fissuring in the central patellar cartilage that is full thickness.. There is underlying reactive change in the patella..." My back diagnosis is "at L5 S1 there is a mild diffuse disc buldge without central or forminal stenosis.. Thanks in advance
Simply, the lower back result means you have a bulging disc where your spine meets your pelvis that may be pressing on your spinal space (thecal sac). The disc does intrude on the thecal sac, nor does it push on the nerve roots, both of which is good news. However, any disc bulge can be painful because of micro-cracks in the annulus of the disc. Only a discogram can determine if this is the source of your pain, however, treatment (called IDET) is hard to find, and still considered experimental.
Surgery should never be used to control pain in the lower back, as it usually exacerbates the problem due to scar tissue.
The knee shows a tear in an important cartilage (meniscus) that separates the two large bones of the leg. If the meniscus is shredding, an orthopaedic surgeon can fix the problem, however, your options may be limited with a simple tear -- I don't know. I'm not an orthopaedist.
NSAIDs generally work well for the pain of meniscal tears. Physical therapy may also be a first line of treatment.
All that I've said about your condition is speculative. Ask your doctor for information on diagnoses and treatment options.
Really, I have no idea which medical issue is more severe. MRI reports are a useful tool in diagnosis, but a proper diagnosis includes a full medical history, physical exam, and perhaps other diagnostic tests.
Good luck to you. Keep asking questions of your providers and when they give a diagnosis, look it up. The more you know about your condition and possible treatment options, the better you'll be treated.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.