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Bad news

June 20, 2009

spineGot the results from my MRI. If there was any doubt about my getting surgery, I think it’s gone now.  Here are the results (for the conclusion, which is closer to English, skip to the bottom):
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MRI Exam: MRI Lumbar without contrast

History: 27-Year-Old with Low Back Pain

Findings: Comparison is made to prior MRI dated 2/26/2008.  The L1-L2 and L2-L3 disc levels are unremarkable.

At the L3-L4 level, again seen is a moderate central disc protrusion indenting the thecal sac and contributing to moderate spinal stenosis along with developmental shorterning of the pedicles.  Disc space narrowing and disc desiccation are noted.

L4-L5: Moderate diffuse disc extrusion is similar to prior study and is causing diffuse indentation of thecal sac and contributing to moderate central canal and lateral recess stenosis along with developmental shortening of the pedicles.  Disc space narrowing and disc desiccation are noted.

L5-S1: There is a moderate central and left-sided disc extrusion causing moderate indentation and displacement of the left-side of thecal sac and compression of left S1 nerve root.  This disc herniation is larger than compared witht the prior study.

Bone marrow signal intensity and vertebral body alignment are within normal limits.  Conus medullaris terminates at T12 and appears unremarkable.

Conclusion: Slight increase in size of moderate central and left-sided disc extrusion at L5-S1 with indentation of left-side of thecal sac and compression of left S1 nerve root.

Moderate disc extrusion at L4-L5 contributing to spinal stenosis with diffuse impingment on thecal sac slightly worse on the right.

No significant change central disc protrusion at L3-L4 indenting thecal sac.

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Basically, last year I really only had 2 herniations.  According to this, I’ve now got 3 (L5-S1 is the new one).  Ugg.  The pain has not been as intense overall, but the fatigue this time around definitely has been.  I see the surgeon on Tuesday; I’m hoping to get this thing scheduled mid-late August.  I have a free month between Summer classes and Fall classes that would work perfectly for this.  I do admit that the prospect of surgery on my spine has me a bit afraid.  Prayers for strength and courage are appreciated.

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5 Comments leave one →
  1. Jeana permalink
    June 20, 2009 10:04 am

    Ugh, that is disappointing news for sure! I’m so sorry. We will be praying for you, for courage, strength, peace, and for lots of friends to come alongside and help during the recovery process.

  2. Fogey permalink
    June 20, 2009 10:33 pm

    The Lord has a plan for your girls, your wife, your training, and you.
    His will be done.

  3. June 21, 2009 10:33 am

    Hey man! Sorry to hear about that, but at least they are finally going to do something about it! We miss you guys.

  4. Gulam Hussain permalink
    December 19, 2009 4:04 am

    i have taken MRI the conclusion of the report is that diffuse disk bulge at L4-L5 level causing mild acquired canal stenosis and impingement of bilateral L4 exiting nerves more on left side.Please suggest me what i have to do

  5. December 30, 2009 7:20 pm

    Gulam, I started with physical therapy and it helped immensely. But it wasn’t consistent. I would sleep wrong one night and my back would go out again. It was a terrible cycle. The shot of cortizone then worked for 1 month, but that was all.

    I would start with physical therapy and if that doesn’t work, then do the surgery. 4 months after the fact, I am so glad I got it done.

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