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  • besotted
    Post count: 1

    Hello Dr,
    I am hoping you can explain mri results to me? This is an old MRI from 2003. My doctor at the time never did explain it to me properly and I am having chronic/extreme pain again after years of stiffness and a tolerable, faint everlasting pain. (If that makes any sense?)

    BACKROUND: I injured my back When I was 14 in the year 2000, ended up in the ER twice in one night because I was unable to move my lower body.
    The ER could not/did not find anything wrong and did not diagnose me. (They sent me home with muscle relaxers and pain killers.) After about a week I was able to function normally again and did so until another spell would hit and I again would be laid up for up to a week.
    I gave birth in 2002 and started seeing a pcp.
    I explained my constant back problems to him and he sent me for an MRI. Shortly after I went for the MRI I lost my insurance and was not able to continue treatment.
    Lived in MN

    Anyhow, This is the information I have of the MRI:

    Lumbar spine, 3 view
    partial lumbarization of the S1 vertebrae. Arthrosis with suspected pars fracture of the L5-S1 facet level. Minimal anterolisthesis of L5

    Impression: Suspected pars fracture L5 level with minimal anterolisthesis of L5
    MRI of lumbar spine

    History: Chronic back pain times 3-5 years? Pars fracture
    Technique: Routine Lumbar Protocol

    Compairison: None

    A transitional lumbosacral segment is present which most closely approximates S1 with a normally hydrated S1-2 disk

    L1-2, 2-3, 3-4, all normal

    L4-5 * normal disk morphology Mild facet arthrosis

    L5-S1 normal disk height with mild desiccation and mild diffuse disk protrusion which extends dorsally 3mm. No central or lateral recess stenosis. Moderate facet arthrosis

    Miscellaneous: Normal conus medullaris and cauda equina. Normal vertebrae and paraverleoral soft tissues. No pars defect or spondylolisthesis demonstrated.

    1. The transitional lumbosacral is present labeled S1 with a normally hydrated S1-S2 disk
    2. L5-S1 diffuse disk protrusion without stenosis. Moderate facet arthrosis.

    Basically what my PCP told me was that I had broken a vertebra and it healed wrong instead of healing like this (( it healed like this )(

    I have no idea what any of it means!
    All I know is that
    I am in constant pain on a 6-8 pain scale with bouts free of extream but still steady in a manageable way and then sometimes pain so bad I can hardly move from my bed.
    I am worried about trying to see a physician for this (I have insurance again) as I haven’t seen any physician except in an E.R. and the fact that I currently live in Florida and there are so many people faking injuries to receive medications they do not need that I fear I will be treated unfairly or as a drug seeker when all I want is to manage this pain to get back to work.

    Could you possibly tell me what this MRI says and if I should still be suffering pain 13 years later? Could my back have gotten worse or could it have healed entirely and I have something else wrong?
    Should I try finding a primary care physician or someone specialized?

    PLEASE help as I am at my wits end and pain is becoming intolerable even for me!
    Thank you

    Donald Corenman, MD, DC
    Post count: 8583

    Your MRI findings are somewhat confusing. Did you have the old MRI in 2002 and then a new recent MRI? Do you have a slip at L5-S1 where the L5 vertebra has slipped forward on the S1 vertebra?

    There are two reasons for a slip in your case. One is a degenerative spondylolisthesis and the other is an isthmic spondylolisthesis. See website for the differences.

    The isthmic spondylolisthesis diagnosis is supported by the “first” MRI information “Arthrosis with suspected pars fracture of the L5-S1 facet level. Minimal anterolisthesis of L5”

    The “second” MRI information of “L5-S1 normal disk height with mild desiccation and mild diffuse disk protrusion which extends dorsally 3mm. No central or lateral recess stenosis. Moderate facet arthrosis” does not report pars fractures but does report significant degenerative facets which supports the degenerative spondylolisthesis diagnosis.

    You need to find a spine surgeon to give you the accurate information regarding your diagnosis and potential treatment.

    Dr. Corenman

    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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