[Vspine]

#10876

Long story short. 37yr old female, diagnosed with kyphosis/scoliosis around age 14. Back pain thoughout the years, no back insurance.

New insurance, new dr, new MRI.

MRI results:

There is normal thoracic alignment. There is subtle anterior wedging of the mid to lower thoracic vertebral bodies from the T6-T11 with mild associated increased kyphotic angulation and mild irregularity of the endplates suspicious for Schueuermann’s disease. The thoracic cord is normal in size and signal. The paraspinous soft tissues are unremarkable. Degenerative disc and facet disease throughout the thoracic spine result in multilevel neuroforaminal stenosis with is most pronounced of mild to moderate degree bilaterally at T8-T9. Scattered small disc protrusions are noted without significant central spinal stenosis.

1. Findings suspicious for Schueurmann’s disease with vertebral body wedging, mild kyphosis and irregularity of the endplates.

2. Multilevel degenerative neural foraminal stenosis which is most pronounced of mild to moderate degree bilaterally at T8-T9.

Trying new treatments for pain including Cymbalta. Also had a topical cream specially compounded. Original mix of drugs worked, but aren’t covered by insurance. It was nice having 2 weeks of almost no pain. First time in years…it was good while it lasted.

Anyway, on to the question. A layman’s viewing of the MRI came across these images.

(image removed – spam?)

Is this a bulged disc about about T6-T7? Can this be causing pain?

Thank you,

-Vira

[Vspine]

#10877

visualrealtime.net/Stenosis .jpg

I hade to break the url to the image, the forum kept marking the image as spam?

Just remove the space between the url and .jpg

Thanks!

[Vspine]

#10878

Another view:
visualrealtime.net/Stenosis2 .jpg

[Vspine]

#10958

Sooo…no reply?

[Donald Corenman, MD, DC]

#10968

I cannot download the images, the address does not work. I also must remind you that I generally need to see the complete series of images to understand the disorder. You can read up on Scheuermann’s kyphosis on this website. There is an entire topic I have written.

Bulged discs are part of the disorder. Sometimes these disc bulges can be pain generators by themselves but generally the pain is generated by the abnormal angle of the curve overloading the actual disc surfaces. See IDR in the lumbar spine to read something relatively close to this disorder.

The longer you stand, the greater the intensity of pain will be. When you lie down, the pain should diminish. You can try to work on extension exercises (rowing and such) to reduce the pain of prolonged standing.

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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