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Surgery causing back pain?
by lener, Jul 19, 2008 09:22PM
Hi, I have had back problems since I turned 65 years old almost 8 years ago. Not nearly as bad as the one I have now. In May 2008 I had abdominal surgery, a colonostomy. I have had very bad back pains since my feet touched the floor for the first time after the surgery. My surgeon said "the pain down your leg is caused by your back." So, I am going to a Neuro Surgeon who did a MRI with the following report.
Findings: Scans of the lumbar spine demonsrate prominent degenerative disk changes, T12-L1, L1-L2, and L2-L3. There is also marked narrowing of T11-T12. There is patchy marrow signal in the lower thoracic and upper lumbar spine probavbly relating to patchy osteopenia. There are no destructive lesions by recent CT scan. there is a small amount of endplate edema in association with L2-l3 and L2-L3 and L1-L2. No other significant edema identified.
At L2-L3, there is diffuse disk bulging with a more focal component eccentric and lateral to the right narrowing the right-sided foramen and indenting the posterior right side of the thecal sac, narrowing the right lateral recess at this level. There is facet hypertrophic change and this combines with the disk bulge to cause a moderate degree of stenosis of the central canal.
At L1-L2,, there is prominent diffuse disk bulge, with a more proninent component of bulge or protusion lateral to the let, narrowint the left sided foramen at this level. There is only mild canal narrowing, particularly in the ventrral left side of the thecal sac.
There are prominent hypertrophic facet changes, which combine with mild disk bulge to cause mild to moderate narrowing, L4-L5. Prominent facet hypertrophic changes are also present, L5-S1. There appears to be a small probable synovial cyst just posterior to the right L5-S1 facet. There is also degenerative disk change with posterior disk bulging seen, T11-T12.
IMPRESSION
1. Advanced degenerative disk change in the visualized lower thoracic and upper lumbar spine as above. Posterior disk bulge and facet hypertrophic change cause a moderate degree of stenosis, L2-L3. A component of protrusion or hernation laterally narrows the right-sided foramen at theis level.
2. Diffuse bulge with a more prominent component of protusion or herniation laterally to the left at L1-L2 as above.
3. Moderate narrowing, L4-L5 from disk bulge and hypertrophic facet changes.
4. Very patchy marrow signal in the visualized lower throacic and upper lumbar spine probably relating to patchy osteopenia and degenerative endplate changes.
I will go in for an spinal injection on August 28th.
I am sorry this is so long but hope that it will give you a better look and help in your opinion of how to help me with this awful pain.
Thank You.
Lener
Findings: Scans of the lumbar spine demonsrate prominent degenerative disk changes, T12-L1, L1-L2, and L2-L3. There is also marked narrowing of T11-T12. There is patchy marrow signal in the lower thoracic and upper lumbar spine probavbly relating to patchy osteopenia. There are no destructive lesions by recent CT scan. there is a small amount of endplate edema in association with L2-l3 and L2-L3 and L1-L2. No other significant edema identified.
At L2-L3, there is diffuse disk bulging with a more focal component eccentric and lateral to the right narrowing the right-sided foramen and indenting the posterior right side of the thecal sac, narrowing the right lateral recess at this level. There is facet hypertrophic change and this combines with the disk bulge to cause a moderate degree of stenosis of the central canal.
At L1-L2,, there is prominent diffuse disk bulge, with a more proninent component of bulge or protusion lateral to the let, narrowint the left sided foramen at this level. There is only mild canal narrowing, particularly in the ventrral left side of the thecal sac.
There are prominent hypertrophic facet changes, which combine with mild disk bulge to cause mild to moderate narrowing, L4-L5. Prominent facet hypertrophic changes are also present, L5-S1. There appears to be a small probable synovial cyst just posterior to the right L5-S1 facet. There is also degenerative disk change with posterior disk bulging seen, T11-T12.
IMPRESSION
1. Advanced degenerative disk change in the visualized lower thoracic and upper lumbar spine as above. Posterior disk bulge and facet hypertrophic change cause a moderate degree of stenosis, L2-L3. A component of protrusion or hernation laterally narrows the right-sided foramen at theis level.
2. Diffuse bulge with a more prominent component of protusion or herniation laterally to the left at L1-L2 as above.
3. Moderate narrowing, L4-L5 from disk bulge and hypertrophic facet changes.
4. Very patchy marrow signal in the visualized lower throacic and upper lumbar spine probably relating to patchy osteopenia and degenerative endplate changes.
I will go in for an spinal injection on August 28th.
I am sorry this is so long but hope that it will give you a better look and help in your opinion of how to help me with this awful pain.
Thank You.
Lener
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