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  • dmac
    Participant
    Post count: 3

    Doc, I just got my MRI back and I have no clue of what this means, all I know is that my back hurts from between my shoulder blades all the way down to my buttocks (yes pain in the buttocks!) Could you please explain this to me?

    Report:
    MRI lumbar and thoracic spine 8/26/2019

    There is no evidence of aneurysm.

    There has been lower cervical ACDF from C5 through C7.

    There is no evidence of abnormal bone or cord signal.

    T8-T9 images demonstrate left paracentral focal disc protrusion
    with mild canal narrowing and slight cord flattening but no
    abnormal cord signal. There is no significant foraminal
    narrowing.

    T9-T10 images demonstrate right paracentral disc bulge with mild
    canal narrowing but no cord flattening.

    T10-T11 images demonstrate left paracentral and foraminal disc
    bulge with mild canal narrowing towards the left with slight cord
    flattening but no abnormal cord signal. In addition there is mild
    left foraminal narrowing.

    The cord terminates at the L1 level. The conus appears
    unremarkable.

    There is a transitional lumbosacral vertebra with partial
    lumbarization of the S1 segment.

    T12-L1 images demonstrate no significant canal or foraminal
    narrowing

    L1-L2 images demonstrate no significant canal or foraminal
    narrowing

    L2-L3 images demonstrate no significant canal or foraminal
    narrowing

    L3-L4 images demonstrate no significant canal or foraminal
    narrowing

    L4-L5 images demonstrate broad-based disc bulge with facet
    arthropathy causing mild bilateral foraminal narrowing.

    L5-S1 images demonstrate broad-based disc osteophyte greatest
    towards the right with facet arthropathy. There is mild bilateral
    foraminal narrowing.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    You have CBS (crappy back syndrome). You have multiple disc degeneration changes with some small herniations in the thoracic and lumbar spines and degenerative facet disease in the lower back.

    See: https://neckandback.com/conditions/causes-of-lower-back-pain/
    https://neckandback.com/conditions/lumbar-degenerative-facet-disease/
    https://neckandback.com/conditions/herniated-disc-thoracic-spine/.

    Also see: https://neckandback.com/treatments/conservative-treatment-mechanical-lower-back-disorders/

    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.
    dmac
    Participant
    Post count: 3

    WOW!

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Don’t worry. Many individuals including me have CBS. You can learn to adapt and live with this.

    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.
    dmac
    Participant
    Post count: 3

    Another question doc, I injured my left foot and the x-ray noted a fracture, do you think surgery is necessary?

    RADIOLOGY REPORT:

    Report:
    FINDINGS: 3 views of the “Left” foot are provided. Comparison
    with the left foot x-rays of 7/18/2017.

    Foot findings: An oblique displaced fracture with 170 degrees
    angulation is seen involving the 2nd distal metatarsal shaft. A
    1 cm stable navicular bone lucency is noted. Mild pes cavus.

    Impression:

    1. Foot findings: A displaced fracture with 170 degrees
    angulation is seen involving the 2nd distal metatarsal shaft.

    Primary Diagnostic Code: SIGNIFICANT ABNORMALITY, ATTN NEEDED

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    I cannot comment on your need for surgery due to a foot fracture.

    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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