Mri Results

[vet201060]

Lumbar spine MRI: Multiplanar and multisequence imaging through

the lumbar spine was performed.

Findings: The vertebral bodies maintain normal signal

characteristics and morphology. Conus ends normally at the

thoracolumbar junction. At L4-L5 there is a annular tear at the 6

to 7:00 position associated with a small paracentral disc

extrusion. There is also minimal facet arthrosis. There is slight

deviation of the right L5 nerve roots in the lateral recess.

There is no significant foraminal narrowing. At L5-S1 there is

broad-based disc bulge without focal protrusion. There is also

mild bilateral facet arthrosis resulting in mild bilateral neural

foraminal stenosis. There is incomplete effacement of the

intraforaminal perineural fat. The other imaged levels are

unremarkable.

Impression:

L4-L5 and L5-S1 discogenic disease. This is greatest at L4-L5

with a small right paracentral disc extrusion with possible

deviation of the right L5 nerve root in the lateral recess.

Anyone know what this means?

[jbasser]

Lumbar Vertabrate location l4 l5 and l5 s1 the disk is diseased causing pressure on a nerve root. Neuraforaminal narrowing means the neuroforamin is being compressed by arthritis. (Neuroforaminal narrowing refers to a reduction of the size of the opening in the spinal column through which the spinal nerve exits)

The Fascest are also arthritic.

Basically your back is screwed up. I dont see spondlyosis so it will be a IVDS issue and not traumatic arthritis.

Jbasser

[vet201060]

So does that mean the pain isnt just in my head? The docs at the VA are saying I dont have any back issues that it is all in my head due to the pain meds. The pain meds make you think you are in more pain than you are. Is surgery an option? Switching docs so I havent had a new opinion on what to do about this. I have been on pain meds since 2010 and they are accusing me of misusing them because I told the psychiatrist that I have taken 8 in a day when I was prescribed 4 a day. I was told that unofficially not to take more than 8 because the tylenol is bad for you. I never exceeded 8 because of that. The pain was bad enough that I just took 8 to help. I guess I should have called the doc after hours some how to get permission. Now my doc has put in the notes that he is afraid to prescribe me because I might take them all in 4 days. That is so untrue! I love the way they turn you into a bad guy. They exaggerate and make you sound like a drug addict. I never have abused drugs other than taking more than I should have a few times due to pain.

[Vync]

They look at it from a different perspective. Taking twice as many pills as directed is a red flag.

[vet201060]

Well a few hours ago I found out they reordered my pain meds and they are sending my MRI to Neurosurgery for consult and advice. I feel alot better now that I know they are atleast trying to help me. They want me to call them if I need to take more meds than prescribe. So now we are in agreement that I will contact them first. I dont wanna be on anything to strong because I am still trying to work. I hope some type of surgery can fix my pain issues and I can get off the meds all together.

[jbasser]

Do not........ I repeat 'do not' put off any surguries. You have nerve root compression. The Nerve is like a nightcrawler. Have you ever pinched a night crawler to put on a hook and the insides separate, That is called the Meylin separating due to pressure and the damage if not fixed for a long period of time becomes unrepairable.

J