Thank you very much Dr. for your response.
I apologise it appears I omitted the first page of the findings and just listed the summary. The first page of the MRI for the Lumbar is as follows:
For purpose of our discussion we will assume the presence of normal anatomy. The conus medullaris terminates at the T12/L1 level. (Not sure what that means?)
At L1/L2 the disc is narrowed. There is a loss of signal indicating signs of desiccation and dehydration, signs of degeneration. There is a focal protrusion of the disc slightly off-centered to the left that does efface the epidural fat pad pressing slightly on the anterior aspect of the thecal sac. Ligamentum flavum not thickened. Facet joints have mild degenerative change, but the foramina are patent bilaterally.
At L2/L3 the is normal signal to the disc. No focal bulge or signs of protrusion. No herniation. The epidural fat pad sharp. Ligamentum flavum not thickened and facet joints appear intact. The foramina are patent bilaterally.
At L3/L4, there is normal signal to the disc. No focal bulge or signs of herniation, protrusion or extrusion of the disc. Ligamentum flavum are slightly thickened. Facet joints have mild facet degenerative change, but the foramina are patent bilaterally.
L4/L5, there is normal signal to the disc, however, there is a diffuse annular bulging of the disc. Ligamentum flavum are thickened. Facet joints appear intact. The neural foramina are patent bilaterally.
L5/S1, normal signal to the disc. There is diffuse annular bulging of the disc. Ligamentum flavum are thickened. Facet joints are intact. Foramina are patent bilaterally.
Sir, could you explain if these findings would produce sciatica pain and lower back pain? I cannot understand why it is so difficult to move and why there is so much pain.
Thank you so much for your response. It is greatly appreciated. It is a great service you have offered to the public. Thank you.
