Discussions By Condition: Back conditions

Help understanding MRI results PLZ!

Posted In: Back conditions 3 Replies
  • Posted By: skinnyIam
  • November 20, 2009
  • 02:09 AM

After I sought a second opinion today... I am not making up this sciaticia pain that has me about bawling my midday.

At L5-SI High tensity zone in the posterior annulus 2.6-8 believed an annular tear with small midline disk herniation in the ventral epidural fat.

The medical doctor said my disk was broke /cracked, in lameman terms and the center of the disk part might be leaking out effecting the sciatic nerve. Is his take of it correct?

The L3-4 is mild left ligamentum flavum redundancy. Mimimal bilateral ligementum flavum redudancy L4-5 6.1

This he did not explain.

I get to go to a back specialist after Thanksgiving... just need to know what all this means, how serious is it, and what I should be doing to ease some of the sciatica pain and lower back pain without having to be on potent drugs... so I can work.

Thank you in advance for your help

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3 Replies:

  • Hopefully your doctor explained it better when you went back, if not here is my take (I am a nurse for an orthopedic surgeon for what it's worth) and I read MRIs all day At L5-SI High tensity zone in the posterior annulus 2.6-8 believed an annular tear with small midline disk herniation in the ventral epidural fat. The medical doctor said my disk was broke /cracked, in lameman terms and the center of the disk part might be leaking out effecting the sciatic nerve. Is his take of it correct? Yes he is correct, you should do physical therapy for your lower back/core muscles. Annular tears can take a long time to heal (close to a year). Your disc is like a tough rubber ring with jelly inside, you have a tear in the rubber part and some of the jelly is coming out, once the rubber heals your pain will diminish. The L3-4 is mild left ligamentum flavum redundancy. Mimimal bilateral ligementum flavum redudancy L4-5 6.1This basically means that the ligament that connects the two vertebra together is a little stretched out or strained, this could have happened from an injury, and probably is not causing you any pain. Nothing to worry about.
    SpineGirl 64 Replies
    • December 13, 2009
    • 10:20 PM
    • 0
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  • Hopefully your doctor explained it better when you went back, if not here is my take (I am a nurse for an orthopedic surgeon for what it's worth) and I read MRIs all day Yes he is correct, you should do physical therapy for your lower back/core muscles. Annular tears can take a long time to heal (close to a year). Your disc is like a tough rubber ring with jelly inside, you have a tear in the rubber part and some of the jelly is coming out, once the rubber heals your pain will diminish. This basically means that the ligament that connects the two vertebra together is a little stretched out or strained, this could have happened from an injury, and probably is not causing you any pain. Nothing to worry about. TY TY TY, that is why my back hurts between the pelvis bones (a small herniation there) and a little tender to touch up higher (when the Chiro was testing for pain spots). I start PT on my hip shortly so she most likely will work on back strengthening exercises too. Should I be more careful on lifting things and repetitive bending over work for awhile? I work at a grocery store, stocking shelves, taking groceries out to customer's cars... lean in thing, and then I also have to lean forward to do check out (we do not have a belt driven thingy ma bob). I do know I should not totally not do things with the back or it will get weaker... I just want it to heal and not herniate more.
    skinnyIam 3 Replies
    • December 13, 2009
    • 11:10 PM
    • 0
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  • TY TY TY, that is why my back hurts between the pelvis bones (a small herniation there) and a little tender to touch up higher (when the Chiro was testing for pain spots). I start PT on my hip shortly so she most likely will work on back strengthening exercises too. Should I be more careful on lifting things and repetitive bending over work for awhile? I work at a grocery store, stocking shelves, taking groceries out to customer's cars... lean in thing, and then I also have to lean forward to do check out (we do not have a belt driven thingy ma bob). I do know I should not totally not do things with the back or it will get weaker... I just want it to heal and not herniate more. Tell your PT that you had an MRI, they will probably want to see the report and then can reevaluate and if necessary ask your MD for a new Rx to include your lower back. From the sounds of things you should not be working on exercises for your hips alone. I would suggest buying a lumbar (lower back) brace at a drug store or target, fred meyer, etc to use while you are at work to protect your back. Only use it while you are at work otherwise your muscles will learn to depend on it and will get the opposite effect. Also try and pay attention to how you are lifting, try and not bend and twist at your waist, use your knees to bend and use your feet to turn. Good luck!
    SpineGirl 64 Replies
    • December 14, 2009
    • 01:18 AM
    • 0
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