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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Lesion Involving L1 And Large Benign Hemangioma Indicate?

I am 53,5'7.I fell about a year ago when I tripped from a cord. It propelled me forward and I fell on both hands and knees. I re-injured my left knee and had low hip/back pain. A year later still in physical therapy the low back pain is worse and I have a mri and ct which showed large lesion on vertebrae and bone spurs. Can either be from the fall? I have never hurt my back. When I first fell my left knee that I had previous surgery on for meniscus tear. It was so painful that I only felt pain in knee. but within days I realized my back was hurt. They said I bruised the knee cap and had sacral strain. As it got worse and into the right hip to left hip low back I finally got an mri.Findings were no fracture or spondylolisthesis. No evidence of central canal stenosis or nerve rood left pedicle with intact cortex. Lt impingement. lesion involving L1 and large benign hemangioma. Ct of lumbar spine says lesion on L1 vertevral body has trabecular pattern. Small anterior Osteophystes present at L3-L4, L4-5. Schmorls node in superior en dplate of L1. L5-S1 mild annular bulging. I have never had a back injury. Could this be from the fall?
Tue, 23 Dec 2014
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General & Family Physician 's  Response
Welcome to health care magic.

1.The report suggest there is a hemangioma in L1 for which no action required just need to monitor in the followup scans.
2.It is not the reason for the back pain. The cause is degenerative disc disease which is causing the loss of hydration and bulges.
3.The disc is seen causing pressure effect on the nerves exiting and causing the pain.
4.There is indentation of the thecal sac but no central canal stenosis seen as mentioned in report.
5.In this case there is no mass lesion - the treatment is mainly exercises followed by physiotherapy if required.

Good luck.
Hope i have answered your query,
any thing to ask ? do not hesitate to ask.
http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888
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What Does Lesion Involving L1 And Large Benign Hemangioma Indicate?

Welcome to health care magic. 1.The report suggest there is a hemangioma in L1 for which no action required just need to monitor in the followup scans. 2.It is not the reason for the back pain. The cause is degenerative disc disease which is causing the loss of hydration and bulges. 3.The disc is seen causing pressure effect on the nerves exiting and causing the pain. 4.There is indentation of the thecal sac but no central canal stenosis seen as mentioned in report. 5.In this case there is no mass lesion - the treatment is mainly exercises followed by physiotherapy if required. Good luck. Hope i have answered your query, any thing to ask ? do not hesitate to ask. http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888