lumbar spinal mri w/ contrast...results.can you translate?!? LONG!?
Hello!
A little background:
20 yo female spent the past 3 yrs within the army doing the army thing.
Fell off a 15ft wall in july 06 during training.
Had mri within may/june 07 showed 2 herniated discs (l4-l5 and l5-s1). Had another mri spetember 07...showed the same... Had discectomy for l5-s1 nov 27 2007. Pain/problems got better for a while after i healed and consequently started returning a couple months ago with the pain/nerve and leg problems, etc. Well now im getting medboarded (medically discharged) from the army for ptsd related to an assault, and for chronic back stomach-ache. As part of the evaluation process i had yet another MRI 3 june 09...
The quiz is i was wondering if anyone could decipher these results?
I understand most of it since i work contained by a hospital, but just need help putting it adjectives together. Thanks in advance!
""" FINDINGS: There is a losts of T2 disc signal and height L4-L5 and L5-S1. There is a lobulate fissure along the posterior outside edge L5-S1. Circumferential discs are present L4-L5 L5-S1. Degenerative vertebral endplate changes are seen L4-L5/L5-S1. Additionally there is presence of extradural solid along dorsal margin L4 and L5 that effaces the ventral thecal sac. Cord tapers and terminate into normal appearing conus at the L1 level. No evidence for granulation tissue involvement of the exiting right L5 nerve root.
Remaining disc and marrow signals are unremarkable.
L1-L2, L2-L3, L3-L4 are short canal or neural foraminal narrowing.
L4-L5 demonstrates a circumferential disc buldge with right paracentral protrusion component. This distorts the ventral thecal sac and slightly posteriorly displaces the right transiting L5 nerve root. Additionally, exiting right L4 courage root is effaced along the undersurface secondary to the circumferential disc buldge. Left neural foramina is patent.
L5-S1 demonstrates right sided post hemilaminotomy change with enhancing granulation tissue along the right lateral thecal sac and ventral margin of the thecal sac. No evidence for involvement of the exiting right L5 nerve root. However, enhancing granulation tissue surrounds the right transiting S1 impertinence root. Slight circumferential disc buldge slightly posteriorly displaces the bilateral trainsiting S1 nerve roots. SLight thickening and fluid signal is seen subsidiary to the circumferential disc buldge and granulation tissue. There is mild left sided degenerative related neural foraminal narrowing. The right neural foramina is patent.
Impression: (1) Proliferation of the ventral extradural fat L4-L5 efface the ventral thecal sac. (2) circumferential disc bulges with degenerative vertebral endplate changes L4-L5/L5-S1. Lobulated annular fissure L5-S1 disc. (3) L4-L5 with circumferential disc bulge and right paracentral protrusion component. Slight posterior displacement of the right transiting L5 boldness root. Effacement of the undersurface exiting right L4 nerve root. (4) L5-S1 with prior right sided hemilamintomy changes and enhancing granulation tissue as detailed above next to circumferential disc bulge slightly posteriorly displacing the bilateral transiting S1 nerve roots. Granulation tissue surrounds a slightly edematous and thickened right transiting S1 nerve root. """
Best Answer: What you own is the aftermath of the trauma and post surgical trauma. The nerves are being pushed upon or entrapped creating a situation where you are going to feel the symptoms or possibly more symptoms than from the imaginative onset of symptoms. You might have nerves that are entrapped in blemish tissue that is clamping down on them creating as much or more pain that before. Unfortunately beside scarring there is nothing that can be done to reduce the complaints. Steroids are not going to do much and contained by the long run could actually hurt rather than help the situation. I would strongly fan seeing a physical therapist that does back work. Talk to that person roughly what findings you have and the mri report. They should be able to work with you on this. There are also a series of special exercises that can be done to support stretch out the fascia of the back. This is important to you for the fascia encompasses adjectives of the muscles and if stretched out to normal tension will take pressure stale the structures and nerves thus giving you relief. These movements would take a little bit more space than can be done here. Hopefully you will be capable of find a therapist that is familiar beside these techniques. Good luck!
physical therapist
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Best Answer: What you own is the aftermath of the trauma and post surgical trauma. The nerves are being pushed upon or entrapped creating a situation where you are going to feel the symptoms or possibly more symptoms than from the imaginative onset of symptoms. You might have nerves that are entrapped in blemish tissue that is clamping down on them creating as much or more pain that before. Unfortunately beside scarring there is nothing that can be done to reduce the complaints. Steroids are not going to do much and contained by the long run could actually hurt rather than help the situation. I would strongly fan seeing a physical therapist that does back work. Talk to that person roughly what findings you have and the mri report. They should be able to work with you on this. There are also a series of special exercises that can be done to support stretch out the fascia of the back. This is important to you for the fascia encompasses adjectives of the muscles and if stretched out to normal tension will take pressure stale the structures and nerves thus giving you relief. These movements would take a little bit more space than can be done here. Hopefully you will be capable of find a therapist that is familiar beside these techniques. Good luck!
physical therapist
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