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CT MYELOGRAM
Hey I had at CT MYELOGRAM performed 2 days ago and was given my results today. Can someone help me understand a little better. Meaning will I need surgery.
Findings: Reformatted images demonstrate normal alignment of lumbosacral vertebra. Conus terminates normally at the L1-2 disk level. No compression deformity or focal vertebral lesion evident.
Axial images through the T12-L1, L1-2, L2-3 and L3-4 levels reveal no significant compromise of central or foramina.
At the L4-5 level, there is a question of a small broad based protrusion of disc material paracentrally and posterolaterally on the right which does not appear to produce significant encroachment upon exiting L4 nerve. There is a mild approximation of the traversing right L5 nerve at its lateral recess, but no significant nerve root displacement.
At L5-S1, there is a mild annular bulge without significant deformity of the ventral thecal contour or canal compromise. There is uncovertebal hypertrophy and mild foraminal encroachment.
Impression:
1.Post myelography lumbosacral CT demonstrate a small broad based protrusion of disc material paracentrally and posterolaterally on the right L4-5 as outlined above. Mild approximation of the traversing right L5 nerve at its lateral recess, but no significant nerve root displacement.
2. There is also evidence for an annular bulge and mild foraminal encroachment at L5-S1.
What pain is associated with these results.
Findings: Reformatted images demonstrate normal alignment of lumbosacral vertebra. Conus terminates normally at the L1-2 disk level. No compression deformity or focal vertebral lesion evident.
Axial images through the T12-L1, L1-2, L2-3 and L3-4 levels reveal no significant compromise of central or foramina.
At the L4-5 level, there is a question of a small broad based protrusion of disc material paracentrally and posterolaterally on the right which does not appear to produce significant encroachment upon exiting L4 nerve. There is a mild approximation of the traversing right L5 nerve at its lateral recess, but no significant nerve root displacement.
At L5-S1, there is a mild annular bulge without significant deformity of the ventral thecal contour or canal compromise. There is uncovertebal hypertrophy and mild foraminal encroachment.
Impression:
1.Post myelography lumbosacral CT demonstrate a small broad based protrusion of disc material paracentrally and posterolaterally on the right L4-5 as outlined above. Mild approximation of the traversing right L5 nerve at its lateral recess, but no significant nerve root displacement.
2. There is also evidence for an annular bulge and mild foraminal encroachment at L5-S1.
What pain is associated with these results.
Hey thanks for the information. But my injury occurred at work about a year ago. Pain has gotten worse. Ive done physical therapy. Esi... and nothing is working. Im in pain everyday. U dont see reason for surgery with those results?
Well, your back disorder seems to be at an early enough stage that physiotherapy just might be able move and dissolve the scar tissue placing pressure on your nerve roots and cord so that the pain improves.
NSAID medications, ice packs, and walking as your condition allows are all old-fashioned but tried and true treatments for this early stage of back disease,
Remember, surgery should always be the last card to be played, unless you're experiencing a life-threatenting for instance, occlusion of the cord causing paraplegia or loss of bladder/bowel control.
However, from your report of symptoms, you are far from having to face these kinds of problems.
In the mean time, use Google and Wikepaedia to research disc disease, degenerative disc disease, lumbar spondylosis, as well as the anatomy of the lumbar spine, and possible treatment options. The field of interventional pain medicine may offer you a sizeable percentage of pain reduction, as well as common activities like exercise.
There are a thousand ways to divert your attention from pain. Learn what works for you,.
Best wishes.
NSAID medications, ice packs, and walking as your condition allows are all old-fashioned but tried and true treatments for this early stage of back disease,
Remember, surgery should always be the last card to be played, unless you're experiencing a life-threatenting for instance, occlusion of the cord causing paraplegia or loss of bladder/bowel control.
However, from your report of symptoms, you are far from having to face these kinds of problems.
In the mean time, use Google and Wikepaedia to research disc disease, degenerative disc disease, lumbar spondylosis, as well as the anatomy of the lumbar spine, and possible treatment options. The field of interventional pain medicine may offer you a sizeable percentage of pain reduction, as well as common activities like exercise.
There are a thousand ways to divert your attention from pain. Learn what works for you,.
Best wishes.
There's not a lot here that would indicate pain. There are small signs of mild disc disease, but these findings could be a natural part of aging.
Your doctor is the best source for helping you understand these results, as he/she will combine information from your medical history and the results of a physical examination with the findings in this report to come up with an accurate diagnosis.
Your doctor is the best source for helping you understand these results, as he/she will combine information from your medical history and the results of a physical examination with the findings in this report to come up with an accurate diagnosis.
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