You should
1) continue with your consultations with the doctor who ordered the MRI
2) learn what these terms mean. Visualize the lower spine, including the cord, and the bony structures that support it. There are plenty of examples on sites like spineuniverse.com and spine-health.com.
3) learn what your options are for treatment, as well as the risks and benefits of each.
The word "serious" in your MRI report implies that action is required immediately. Find those physicians who have much experience in treating lumbar spinal stenosis and consult with them. Get a copy of your MRI, both on film and on disc, to bring to your consult. Also bring a copy of the written report for their records. Keep copies of everything.
write down your questions for your doctors and make sure you have answers that you understand after asking. Self-education is a sure way to ensure you will receive the best possible outcome for treatment.
Best wishes
what should you do if you have severe posterior L3-4 narrowing and osteophytes?
I seem to be experiencing the same pain as shinty, I have tried Chiropractor;s physical therapy and pain management. nothing works not even cordizone shots, 3 weeks ago I started with severe pain in the low back and I have a hard time sitting, standing, sleeping and getting no relief for any of this. I am going to see a surgeon regarding these issues. I work as a Certified Nursing Assistant, please any suggestion would help.
I just noticed this post is very old! Why are these old posts showing up on my watchlist?????
What did the doctor who ordered the MRI tell you? Regardless of what he/she tells you, it's in your best interest to get a second and sometimes even a third opinion. Consider yourself lucky that it took 10 years for your symptoms to get bad enough to get an MRI. I have had 9 lower back surgeries due to symtoms similar to yours. I know it sounds horrible to say "your lucky" to have ANY kind of pain, but look at the bright side-there's always somebody worse off than you! My guess is that you will need some sort of procedure to alleviate your symtoms. Maybe a laminectomy, fusion, caudal injection, scar-tissue removal, etc. The only way to find out is to go to a couple of specialists. Your primary care doctor should be able to steer you in the right direction. I do know you won't diagnose your problems online.
MRI suggested of postero-central protrusion of L4-L5 invertebral disc causing compression over ventral aspect of lumbar dural theca and exitin g nerve roots