TracyParticipantNovember 6, 2019 at 5:50 amPost count: 11
Hello Dr. Corenman,
I had my MRI like you suggested. Can you clarify finding for me please. Thank you for your help.
Diffuse degenerative disc disease and rightward scoliotic deformity within the lumbar spine is identified.
L1-L2 No focal disc herniation or neurocompressive changes are seen.
L2-3: Annular disc bulging is identified
L3-4: Anual disc bulging again identified with encroachment of bilateral neural foramina and facet hypertrophy. Component of shallow high foraminal
disc herniation is again felt present there is mild central spinal stenosis.
L4-L5 Annular disc bulging with facet hypertrophy result in mild central and bilateral formaninal stenosis.
L5-S1 Patient status post spinal surgery in February 2019. There is a left paracentral disc herniation identified with deformity upon thecal sac likely reflecting recurrent disc herniation. This is small than on prior examination.
Vertabrae: The vertebral bodies demonstrate normal height and marrow spinal characteristics.
Conus: The conus medullaris is at the L-1 and displays normal signal and morphology.
Postsurgicgal changes at L5-S1. There is evidence of likely recurrent left-sided disc herniation at this l5-S1 level 1 level with deformity upon thecal sac. This is decreased since prior examination however.
Annual Disc bulging at L2-L3 and L3-L4 with redemonstration of shallow right foramina disc herniation L3-L4.
Encroachment of Bilateral neural foramina mild central spinal stenosis at this L3-L4 level is noted
Annual Disc bulging L4-5 with Facet Hypertrophy with resultant mild central and bilateral foramina stenosis.
The surgeon requested a epidural for pain and to calm down nerves. Thank you for explaining this to me.
PleaseDonald Corenman, MD, DCModeratorNovember 8, 2019 at 9:02 pmPost count: 8455
Please don’t separate your posts as this breaks with the continuity of your thread making it difficult to give advice.
What are your symptoms currently that led to the post-operative MRI?
Dr. CorenmanTracyParticipantNovember 8, 2019 at 9:25 pmPost count: 11
Hello Dr. Corenman
I had symptoms of pain both in back and bad neuropathy. The mri findings are above. My surgeon had indicated a small reherniation where my surgery was done. My surgeon has recommended an epidural and no heavy lifting. I am sorry about the post. I had typed the findings. I assume my surgeon is ordering the epidural. I still have numbness in my foot. I know you said I might have a patch. I currently take 1 and a half pills of Percocet spread throughout the day and gabapentin . Thank you for any recommendations and suggestions.
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