Wildflr
08-08-2007, 01:23 PM
Hi All, I just got the results of a new MRI, and my PCP now wants me to see yet another Surgeon. I was so upset that I forgot to ask which level he is concerned about. I am going to post the two levels that I think might be the concern but would Like help from the board members. The first area is the L3-4 Diffuse disc bulge and associated spurring with associated underlying ligamentum flavum and facet hypertrophy. as well as epidural lipomatosis all culminating in severe central stenosis and moderate right and mild left neural foraminal encroachment.
L5-S1 Diffuse disc buldge and associated spurring indenting the thecal sac resulting in mild central stenosis. Moderate right and moderate to severe left neural foraminal encroachment present. There is possible compression of the exiting nerve root on the left side.
IMPRESSION
1. Advanced multilevel degenerative disc disease with associated multifocal central canal stenosis noted to be most prominent at the L3-4 level, as well as neural foraminal encroachment most prominent at the L5-S1 level where there is concern for associated impingement of the exiting nerve root secondary to right paracentral disc protrusion at the L4-5 level.
After reading the report he said I am not one to send patients to surgery for pain control but this could cause paralization. I have been to many neurosurgeons and ortho surgeons and all have said I am not a candidate for surgery because of so many levels of problems. But I sure don't want to end up paralized. What are your thoughts on this. Appreciate any replys.
Wildflr
L5-S1 Diffuse disc buldge and associated spurring indenting the thecal sac resulting in mild central stenosis. Moderate right and moderate to severe left neural foraminal encroachment present. There is possible compression of the exiting nerve root on the left side.
IMPRESSION
1. Advanced multilevel degenerative disc disease with associated multifocal central canal stenosis noted to be most prominent at the L3-4 level, as well as neural foraminal encroachment most prominent at the L5-S1 level where there is concern for associated impingement of the exiting nerve root secondary to right paracentral disc protrusion at the L4-5 level.
After reading the report he said I am not one to send patients to surgery for pain control but this could cause paralization. I have been to many neurosurgeons and ortho surgeons and all have said I am not a candidate for surgery because of so many levels of problems. But I sure don't want to end up paralized. What are your thoughts on this. Appreciate any replys.
Wildflr