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What Do These MRI Findings Indicate?
Question: Hi I had an MRI done due to severe lower back, hip and buttocks pain. Mr doc told me that there was no significant reason for the pain due to the findings in the MRI. I did request a copy of the report. I would like your opinion on the findings as well. The report states that on my L4-L5: mild to moderate facet arthropathy. Slight lateral recess impingement changes left greater than right.
L5-S1 mild/moderate facet arthropathy. Transiting and exiting nerve root are well maintained
Impression:
Facet arthropathy of a mild to moderate degree at both the L4-L5 and L5 S-1 levels. Mild lateral recess impingement changes at the L4-L5 level resulting in mild impingement of the transiting L5 nerve roots left is greater than right.
Can you please explain this to me in layman's terms?
Thank you
L5-S1 mild/moderate facet arthropathy. Transiting and exiting nerve root are well maintained
Impression:
Facet arthropathy of a mild to moderate degree at both the L4-L5 and L5 S-1 levels. Mild lateral recess impingement changes at the L4-L5 level resulting in mild impingement of the transiting L5 nerve roots left is greater than right.
Can you please explain this to me in layman's terms?
Thank you
Brief Answer:
Get evaluated for sacroillitis also
Detailed Answer:
Hello,
I have gone through your question , reports and understand your concerns.
Lower back pain may be muscular or related to spine either disc or bony structures.
In your case disc prolapse is mild and not a cause of pain .
Facet joint at those levels are pathologically affected and might be causing you pain. This requires pain killers and anti inflammatory drugs. Injections may also be used in later stage if the pain is non responsive to medications. In addition, you should continue physiotherapy and pain modulators like pregabalin, amitriptyline, gabapentin. Your treating doctor will know about it.
In this circumstance, I would also suggest X-ray pelvis AP view to check for sacroilitis. Sacroilitis is one known cause of low back buttock pain. You will need to visit a rheumatologist if X-ray happens to be abnormal.
Hope you found the answer helpful.
Do get back with further queries.
Regards
Dr Neeraj Kumar
Neurologist
Get evaluated for sacroillitis also
Detailed Answer:
Hello,
I have gone through your question , reports and understand your concerns.
Lower back pain may be muscular or related to spine either disc or bony structures.
In your case disc prolapse is mild and not a cause of pain .
Facet joint at those levels are pathologically affected and might be causing you pain. This requires pain killers and anti inflammatory drugs. Injections may also be used in later stage if the pain is non responsive to medications. In addition, you should continue physiotherapy and pain modulators like pregabalin, amitriptyline, gabapentin. Your treating doctor will know about it.
In this circumstance, I would also suggest X-ray pelvis AP view to check for sacroilitis. Sacroilitis is one known cause of low back buttock pain. You will need to visit a rheumatologist if X-ray happens to be abnormal.
Hope you found the answer helpful.
Do get back with further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Prasad
Thank you for your answer. I guess what I really wanted to know is what all the medical lingo means. What exactly is the MRI saying? I don't know what those medical terms are. Can you please break it down to me in laymens terms on what the MRI verbiage says?
Thank you
Thank you
Brief Answer:
follow treatment instructions
Detailed Answer:
Hello dear,
Mri report is saying some involvement of joints of spine and non significant compression of nerves supplying lower limbs.
Follow physiotherapy and drugs as advised.
Give some time for treatment response.
Regards
Dr Neeraj Kumar
Neurologist
follow treatment instructions
Detailed Answer:
Hello dear,
Mri report is saying some involvement of joints of spine and non significant compression of nerves supplying lower limbs.
Follow physiotherapy and drugs as advised.
Give some time for treatment response.
Regards
Dr Neeraj Kumar
Neurologist
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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