BCalvertParticipantJune 30, 2020 at 11:34 amPost count: 4
Hi Dr. Corenman. I wanted first to thank you for your forums. They have been a great help. As you can see from the title I am post OP microdiscectomy 18 weeks. For the most part I am doing great. I had immediate relief from my ruptured herniated disc and was glad I did the surgery. Pre surgery I was unable to sleep, move or able to stand without my right hip pushed out. It was terrible. After surgery, I was GREAT for about 8-9 weeks. Then I started to get some nerve and general pain and discomfort. Your forums helped me to relax and just keep plugging away. Doing home PT and stopping if I get a flare up and getting back at it when I feel good. My pain level really never has gone above 3-4. Usually around a 1-3, if pain at all. I would say I am still very cautious taking it best I can. The general pain I get often is not related to my nerve pain but my hips and tightness of my Piriformis and hamstrings etc. Probably 65% general pain in back and other and 35% nerve pain flare ups. But that is getting better each week
This all got me to thinking I should request and read my x-ray, CT and MRI reports pre surgery. My question with all of this based on what I read and will post below in the MRI report, do you think my pain I feel now could be related to the other issues I still have in my back and hips. On L3-L4 or L5-S1. And how should I be treating exercise and such with what it says also. Sorry if that is confusing I am having trouble articulating what I am thinking. See below:
5 views of lumbar spine demonstrate no acute fracture or dislocation. Mild spurring in the
intervertebral disc space of L3-4 disc consistent mild degenerative disc disease. There is
anatomic alignment of lumbar vertebral bodies.
Mild degenerative disc disease mainly at L3-4
Study: HIP RIGHT 2-3 VIEWS W/O PELVIS
Clinical history: Right hip pain
Frontal and oblique images of the hip demonstrate no acute fracture, dislocation or
destructive bony lesion. Very mild osteophytic spurring is identified indicating mild
Mild osteoarthritis right hip
MRI Report Pre OP:
L3-4: There is a diffuse disc bulge of the annulus fibrosis measuring approximately 2 mm AP dimension which encroaches upon the anterior surface of the thecal sac. Central Annular tear is noted. Minimal facet joint degenerate changes are noted with thickening of the ligamentum flavum. Together with posterior epidural lipomatosis a minimal degree of central canal stenosis is noted. No significant foraminal stenosis is evident.
L4-L5: There is a central/right paracentral disc herniation of the protrusion type measuring approximately 5mm AP dimension significantly encroaches upon the right anterior aspect of the thecal sac. Disc material courses inferiorly with the central canal. Associated annular tear is noted. Together with mild facet joint degenerate changes and ligamentum flavum hypertrophy there is a moderate to severe degree of central canal stenosis. Not significant foraminal stenosis is evident.
L5-S1: There is a diffuse disc bulge of the annulus fibrosis measuring approximately 2 mm AP dimension which minimally encroaches upon the anterior surface of the thecal sac. No significant foraminal stenosis is evident. Minimal bilateral facet joint degenerate changes are evident.
CONCLUSION: 1. Straightening of the normal lumbar lordosis is noted consistent with muscle spasm. Subtle dextroscoliosis of the lumbar spine is noted. 2. Multilevel intervertebral disc pathology is present at L3-L4, L4-L5, and L5-S1 most prominently at L4-L5.
Can you decipher this in relation to future possible problems and pain now that the 5mm protrusion was removed successfully?
Thank you in advance for your help.
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