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Calling all doctors

ni4ni

Golden Member
Nov 26, 2004
1,511
0
76
I had a MRI performed to try to locate source of lower left sided back and leg pain along with severe leg numbness.

The results are in...

1) At L5-S1 prominent left paracentral disc protrusion versus extrusion
2) This is associated with relatively severe left neuroforaminal narrowing and moderate spinal canal stenosis measuring 0.8cm


I have appointment with a neurosurgeon on Feb 25 and I am going to be off work until then with just 60% of salary coming in. I am only 25 so I am hoping no surgery!

What do those results mean?

EDIT:
Now my doctor is telling me maybe I should be on bed rest until I see the neurosurgeon on Feb 25. This freaking sucks!

EDIT:My family physician, who normally doesn't have a problem recommending chiropractors, is telling me to see the neurosurgeon first. He is concerned about the nerve. He says the neurosurgeon is very honest and refers people to "conservative" therapy a lot.
 

Farang

Lifer
Jul 7, 2003
10,913
3
0
At L5-S1, a prominent left paracentral disc protrusion versus extrusion means a herniation but not with signficant extrusion of the vascular structures sorrounding the soft tissue of the paracentral disc. Prominent posterior annular tearing is also present meaning typically at least six to nine months of vertebrae support is needed in the form of a back brace or similar device which takes pressure off of the paracentral disc.
 

Newbian

Lifer
Aug 24, 2008
24,779
882
126
I think it means you need to cut your leg off asap before the worm works it's way to your heart.
 

lokiju

Lifer
May 29, 2003
18,526
5
0
Originally posted by: ni4ni
I had a MRI performed to try to locate source of lower left sided back and leg pain along with severe leg numbness.

The results are in...

1) At L5-S1 prominent left paracentral disc protrusion versus extrusion
2) This is associated with relatively severe left neuroforaminal narrowing and moderate spinal canal stenosis measuring 0.8cm


I have appointment with a neurosurgeon on Feb 25 and I am going to be off work until then with just 60% of salary coming in. I am only 25 so I am hoping no surgery!

What do those results mean?

1) The space between your vertebrae has a spongy like disc. This is the shock absorber for your spine. For you, at the level where your lumbar spine meets your sacrum (lowest part of back) your disc is bulging. They are not sure if it is just protruding a bit or if it is out and can't go back on its own. It is at the left side of center.
2) The neuroforaminal narrowing means that on the left side, where your nerves exit your spinal cord and start down your leg is narrowing. That means the nerve is pinched and will cause pain (sometimes excruciating). Stenosis means narrowing. That just means that again, the nerve coming out of that area is being pinched by the bones.

Not sure that you will automatically need surgery. This is lokiju's wife and I'm an x-ray tech. Since you are only 25, they will try to do the least invasive thing to start with. Hopefully just therapy and massage therapy to start. They can also do injections for pain. Talk to your doc about other options than surgery.
 

Muse

Lifer
Jul 11, 2001
40,887
10,224
136
My sister went to high school with a guy who became a physician and has pioneered a minimally invasive technique that I think might work for you. Well, it seems possible to me. There was a story on TV about it in 2006:

ABC7News story

There was also an article about it in the Sunday edition of the S.F. Chronicle a couple of years ago or so.
 

spidey07

No Lifer
Aug 4, 2000
65,469
5
76
Originally posted by: ni4ni
I had a MRI performed to try to locate source of lower left sided back and leg pain along with severe leg numbness.

The results are in...

1) At L5-S1 prominent left paracentral disc protrusion versus extrusion
2) This is associated with relatively severe left neuroforaminal narrowing and moderate spinal canal stenosis measuring 0.8cm


I have appointment with a neurosurgeon on Feb 25 and I am going to be off work until then with just 60% of salary coming in. I am only 25 so I am hoping no surgery!

What do those results mean?

It means you have an extruded/blown disc. I wish you luck.

May I ask your height and weight?
 

Analog

Lifer
Jan 7, 2002
12,755
3
0
Originally posted by: Farang
At L5-S1, a prominent left paracentral disc protrusion versus extrusion means a herniation but not with signficant extrusion of the vascular structures sorrounding the soft tissue of the paracentral disc. Prominent posterior annular tearing is also present meaning typically at least six to nine months of vertebrae support is needed in the form of a back brace or similar device which takes pressure off of the paracentral disc.

How did you lose your avatar?
 

Strk

Lifer
Nov 23, 2003
10,197
4
76
Originally posted by: Farang
At L5-S1, a prominent left paracentral disc protrusion versus extrusion means a herniation but not with signficant extrusion of the vascular structures sorrounding the soft tissue of the paracentral disc. Prominent posterior annular tearing is also present meaning typically at least six to nine months of vertebrae support is needed in the form of a back brace or similar device which takes pressure off of the paracentral disc.

I thought that was common sense?
 

Newbian

Lifer
Aug 24, 2008
24,779
882
126
Originally posted by: Analog
Originally posted by: Farang
At L5-S1, a prominent left paracentral disc protrusion versus extrusion means a herniation but not with signficant extrusion of the vascular structures sorrounding the soft tissue of the paracentral disc. Prominent posterior annular tearing is also present meaning typically at least six to nine months of vertebrae support is needed in the form of a back brace or similar device which takes pressure off of the paracentral disc.

How did you lose your avatar?

http://forums.anandtech.com/me...=2271096&enterthread=y
 

ni4ni

Golden Member
Nov 26, 2004
1,511
0
76
Originally posted by: lokiju
Originally posted by: ni4ni
I had a MRI performed to try to locate source of lower left sided back and leg pain along with severe leg numbness.

The results are in...

1) At L5-S1 prominent left paracentral disc protrusion versus extrusion
2) This is associated with relatively severe left neuroforaminal narrowing and moderate spinal canal stenosis measuring 0.8cm


I have appointment with a neurosurgeon on Feb 25 and I am going to be off work until then with just 60% of salary coming in. I am only 25 so I am hoping no surgery!

What do those results mean?

1) The space between your vertebrae has a spongy like disc. This is the shock absorber for your spine. For you, at the level where your lumbar spine meets your sacrum (lowest part of back) your disc is bulging. They are not sure if it is just protruding a bit or if it is out and can't go back on its own. It is at the left side of center.
2) The neuroforaminal narrowing means that on the left side, where your nerves exit your spinal cord and start down your leg is narrowing. That means the nerve is pinched and will cause pain (sometimes excruciating). Stenosis means narrowing. That just means that again, the nerve coming out of that area is being pinched by the bones.

Not sure that you will automatically need surgery. This is lokiju's wife and I'm an x-ray tech. Since you are only 25, they will try to do the least invasive thing to start with. Hopefully just therapy and massage therapy to start. They can also do injections for pain. Talk to your doc about other options than surgery.

Thank you for your help. I have tried massage therapy and minor PT with no luck. (I work for a hospital so I was able to sneak around and get free services.)
 

ni4ni

Golden Member
Nov 26, 2004
1,511
0
76
Originally posted by: spidey07
Originally posted by: ni4ni
I had a MRI performed to try to locate source of lower left sided back and leg pain along with severe leg numbness.

The results are in...

1) At L5-S1 prominent left paracentral disc protrusion versus extrusion
2) This is associated with relatively severe left neuroforaminal narrowing and moderate spinal canal stenosis measuring 0.8cm


I have appointment with a neurosurgeon on Feb 25 and I am going to be off work until then with just 60% of salary coming in. I am only 25 so I am hoping no surgery!

What do those results mean?

It means you have an extruded/blown disc. I wish you luck.

May I ask your height and weight?

I know these are probably responsible.....I am 6'3" AND 300 lbs.
 

ni4ni

Golden Member
Nov 26, 2004
1,511
0
76
Originally posted by: Muse
My sister went to high school with a guy who became a physician and has pioneered a minimally invasive technique that I think might work for you. Well, it seems possible to me. There was a story on TV about it in 2006:

ABC7News story

There was also an article about it in the Sunday edition of the S.F. Chronicle a couple of years ago or so.

Thanks for that. Printed and researching!
 

Blieb

Diamond Member
Apr 17, 2000
3,475
0
76
Not sure what the "results" said ... but my wife had 2 discectomies within about 8 months.

1st) Orthopedic surgeon. Said everything went great. She felt better for almost a month, then things started feeling the same as before. He made her wait 5 months and after an MRI, said we needed a "RE-DO".

We didn't like the idea of a "RE-DO", so went for a 2nd opinion and really liked the surgeon.

2nd) Neurosurgeon. Said everythin went great. She felt better for 3 days then all hell broke loose. His nurse said sometimes people just don't get better. So I went batshit crazy.

She came back 5 minutes later and said maybe the post-surgery steroids that they administer to prevent swelling while the nerve acclimates weren't enough. Gave her another power pak (5 days or so) and she hasn't had a problem since!

----------------------

Now ... the neurosurgeon said that when they are in there removing disc material, that they do it as a judgement call. If they remove too much, you have no cushion, if they remove too little, you get no relief. He said after the 1st surgery, it sounds like some material got out to put pressure on the nerve before any scar tissue had really formed (or something like this).

-----------------------

Just make sure to get as much information as possible. As long as they are not fusing discs, it really isn't THAT invasive. It's outpatient unless there's a problem.

I am not a doctor.
 

ni4ni

Golden Member
Nov 26, 2004
1,511
0
76
Originally posted by: Blieb
Not sure what the "results" said ... but my wife had 2 discectomies within about 8 months.

1st) Orthopedic surgeon. Said everything went great. She felt better for almost a month, then things started feeling the same as before. He made her wait 5 months and after an MRI, said we needed a "RE-DO".

We didn't like the idea of a "RE-DO", so went for a 2nd opinion and really liked the surgeon.

2nd) Neurosurgeon. Said everythin went great. She felt better for 3 days then all hell broke loose. His nurse said sometimes people just don't get better. So I went batshit crazy.

She came back 5 minutes later and said maybe the post-surgery steroids that they administer to prevent swelling while the nerve acclimates weren't enough. Gave her another power pak (5 days or so) and she hasn't had a problem since!

----------------------

Now ... the neurosurgeon said that when they are in there removing disc material, that they do it as a judgement call. If they remove too much, you have no cushion, if they remove too little, you get no relief. He said after the 1st surgery, it sounds like some material got out to put pressure on the nerve before any scar tissue had really formed (or something like this).

-----------------------

Just make sure to get as much information as possible. As long as they are not fusing discs, it really isn't THAT invasive. It's outpatient unless there's a problem.

I am not a doctor.

Thanks for that...I hope your wife continues to do well with no problems!
 

silverpig

Lifer
Jul 29, 2001
27,703
12
81
Centrifuge will fix ya. Strap your feet in, whip you around and around until your back stretches back out.
 

Aquaman

Lifer
Dec 17, 1999
25,054
13
0
Originally posted by: silverpig
Centrifuge will fix ya. Strap your feet in, whip you around and around until your back stretches back out.

Nah.......... mustache ride will fix ya even better ;)

Cheers,
Aquaman
 

ni4ni

Golden Member
Nov 26, 2004
1,511
0
76
Now my doctor is telling me maybe I should be on bed rest until I see the neurosurgeon on Feb 25. This freaking sucks!
 

dquan97

Lifer
Jul 9, 2002
12,010
3
0
Since I stayed at a Holiday Inn last night, I can confidently recommend putting a Band-aid on the affected area. Not a regular band aid, but a Spongebob one
 

Fritzo

Lifer
Jan 3, 2001
41,920
2,161
126
You have a popped disc in your lower back. My wife had several after an injury and had to have her lower spine fused- leading to other health issues :(

If it's just one, they may just give you physical therapy. Several requires surgery, but I understand they have synthetic discs they can use now.