DRAGONMemberAugust 19, 2012 at 12:29 amPost count: 14
Dear Dr Corenman
You kindly advised me in respect of a cervical spine concern of mine and you mentioned that some of my symptoms could potentially arise from my lumbar spine.
I had MRI a year ago on my lumbar spin e and I will email you a link to the images. I’m particularly interested in the very bright spots /flashes on some of the images contained within the screenshot I have numbered 22.
Also your general impression of the other pictures would be appreciated in so far as is possible given the inherent limitations of looking at them in this way
As regards my back I have no back pain as such but many years stiffness and in the last year / 189 months or so a sense that my legs haven’t got quite the same power, a definite loss of glute muscle but legs themselves seem the same muscle wise
BTW in your book is there any sections on the cervical spine ??
Thank youDonald Corenman, MD, DCModeratorAugust 19, 2012 at 4:41 amPost count: 8459
Stiffness in the lower back is quite common. As we age, the muscles, tendons, discs and ligaments do stiffen and become thixotrophic. This means that the muscles “gel” when stationary and loosen when used.
If I can view your images, I will give you a report.
My lumbar books have no cervical spine notations. I am currently writing a cervical book.
Dr. CorenmanDRAGONMemberAugust 19, 2012 at 10:47 pmPost count: 14
thank you Dr Corenman I will email you a better link to my images where they can be seen larger and easierDonald Corenman, MD, DCModeratorAugust 21, 2012 at 9:07 amPost count: 8459
There is nothing on the MRI that I can find concerning. You do have some bright circumscribed areas which look to be hemangiomas but without a complete series, I cannot be sure. These are not infiltrative which is very good.
Dr. CorenmanDRAGONMemberAugust 21, 2012 at 2:50 pmPost count: 14
Many thanks for that. When the scan was reported last year by the radiology doctor was pretty brief, I recall nothing was mentioned about any Hemangioma and it might be that harmless appearing one’s are so common they wouldn’t be mentioned
What I experience is stiffness (over about the last 10 years) sometimes back pain, but certainly some leg weakness that to me feels to be ‘from the back’ as though the weakness is above the legs
For as long as anyone can remember my right leg has been a little bigger than the left, and 15 years ago a back X ray was n arranged that was because the dr queried the potential presence of ‘spina bifida occulta’ The only thing that X ray showed was a little scoliosis
The link I sent by email to my flickr page I supplemented later by a further link to the complete MRI set btw
Many thanks :)Donald Corenman, MD, DCModeratorAugust 21, 2012 at 6:58 pmPost count: 8459
Many radiologists feel that hemangiomas are so common that they are not worth reporting. Weakness in the legs does not have to originate from the back. There are many other sources. Stiffness in the back can come from aging and may not show up on an MRI as I noted earlier.
If you want to gain more information, a neurological or rheumatological consult would be your next step.
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