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#7043

Dear Dr.
I have my MRI results. I have lower back pain with leg weekness and muscel pain, with hip, groin pain. Could my pain be from what my MRI shows. I am seeing a Dr. (2) and have 2 different views. Thank you so much for this forum.

At L5-S1, the disk space demonstrates moderate to severe disk space narrowing. There is a diffuse disk bulge with an endplate osteophytic ridge. There is vacuum phenomenon. The facet joints demonstrate mild degenerative changes. There is mild to moderate bilateral foraminal stenosis. The disk material effaces the thecal sac and S1 nerve roots without central canal stenosis.

At L4-5, the disk is preserved in height. There is disk space desiccation. There is a very mild disk bulge. There is no underlying central or foraminal stenosis.

At L3-4, the disk is preserved in height. There is a small radial tear extending into the left foramen. There is mild left foraminal stenosis. There is no underlying central or right foraminal stenosis.

At L2-3, the disk space demonstrates a right far lateral disk protrusion with associated annular tear. There is mild right foraminal stenosis. No central canal or left foraminal stenosis.

At L1-2, the disk space is normal. No central or foraminal stenosis.

At T12-L1, the disk space demonstrates a small left paracentral disk protrusion. No stenosis.

[Donald Corenman, MD, DC]

#7049

Lower back pain typically originates from degenerative disc or facet disease. Buttocks and posterior thigh pain typically originates from nerve root compression. Hip and groin pain can originate from the hip joint or from compression of higher nerves in the lumbar spine (L1-3).

You have isolated disc resorption at L5-S1 with foraminal stenosis (see website). This can cause generalized lower back pain and/or leg pain with standing and walking. The discs at L4-5 and L3-4 are slightly degenerative. These discs can cause mild-moderate lower back pain. Your L2-3 far lateral disc hernation on the right can compress the L2 nerve which can cause right sided hip and anterior thigh pain. The others above this level are not that important to your symptoms.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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