[Kylie]

#33697

Hi,
I hope you can help me. I recently had an MRI checking for MS. I currently have SLE and Vasculitis plus a few other autoimmune conditions. The neurologist told me I was fine and there was nothing else wrong with me. I’m hoping you can have a look at my report and make an suggestions. I’m tired of living with pain and I refuse pain medications. I do take 3000mg of CellCept daily and 50mg Minax for very recent BP issues. I’m a 45 year old female who is of normal weight.

Mild spondylotic changes demonstrated in the cervical spine including small lower cervical posterior disc osteophyte complex which causes only minimal central canal narrowing. There is some cervical spine foraminal narrowing (no dedicated oblique acquisitions).
Disc bulge at T5-6 indents the ventral cord however there is no cord signal change and there remains CSF dorslly. There is a prominent ligamentum flavum calcification at T6-7 which causes mild to moderate central canal stenosis, the cord appears normal and CSF is still maintained around the cord.
Disc desiccation in the lumbar spine, greater inferiority. Small circumferential disc bulge at L4-5. No significant central canal stenosis or foraminal narrowing in the lumbar spine.

Any help would really be very helpful. I’m so tired of living in pain and not being able to stand for any length of time.

Thank you!

[Kylie]

#33698

Just to add. MRI was performed on a 3T scanner without contrast.

[Donald Corenman, MD, DC]

#33935

“cervical spine including small lower cervical posterior disc osteophyte complex which causes only minimal central canal narrowing” indicates typical cervical degenerative disc disease which almost all of us have to some degree. I see nothing here to be concerned about.

Your thoracic spine has some findings which could cause problems. “Disc bulge at T5-6 indents the ventral cord however there is no cord signal change and there remains CSF dorsally. There is a prominent ligamentum flavum calcification at T6-7 which causes mild to moderate central canal stenosis, the cord appears normal and CSF is still maintained around the cord”. I don’t think T5-6 is too problematic but T6-7 has stenosis which could cause cord dysfunction but with “CSF is still maintained around the cord”, maybe not too bad.

Your lumbar spine “Disc desiccation in the lumbar spine, greater inferiority. Small circumferential disc bulge at L4-5” could cause lower back pain due to degenerative disc disease.

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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