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Query about lumbar spinal stenosis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Cn11 canadian magnetic imaging
Date of Scan: December 4, 2010
MRI Scan: Lumbar Spine
History: Low back pain, ongoing neuropathy.
Technique: Sag T2, Sag T1, Sag and Ax T2 weighted images. (1.5 Tesla scan)
Findings: There are five lumbar-type vertebral bodies with mild narrowing and
desiccation of the L2-L3 and L5-S1 discs.
At L2-L3, there is moderate facet arthropathy and ligamentum flavum
redundancy with shallow posterior disc bulging resulting in mild central canal
At L3-L4, there is severe facet arthropathy superimposed on a congenitally small
canal with very shallow posterior disc bulging and ligamentum flavum
redundancy. There is at least moderate spinal stenosis that results primarily on
the basis of the facet disease posteriorly.
At L4-L5, more generalized posterior disc bulging is noted superimposed upon
severe facet arthropathy and ligamentum flavum redundancy. Disc material
contacts and compresses the traversing L5 nerve roots and there is moderate
spinal stenosis as well.
At L5-S1, there are bilateral pars interarticularis defects without significant
anterolisthesis of L5 on S1.
There is significant facet arthropathy with what appears to be a complex right
facet joint synovial cyst. This contacts the right S1 nerve root.
There is also evidence of a disc protrusion at T11-T12 resulting in moderate
spinal stenosis.
Hycroft Centre, 18-3195 GranvilleStreet, Vancouver,BC V6H 3K2
tel 604.733.5563 toll free 1.877.268.8530 fax 604.733.4424 WWW.WWWW.WW
Clnl canadian magnetic imaging
The conus medullaris terminates at L1.
Impression: Lumbar spondylosis as described above with advanced facet
arthropathy at multiple levels resulting in varying
User :   degrees of spinal and foraminal
Is there anything you can tell me bout this? Am I in serious trouble?
Doctor :   HELLO
User :   hi there
Doctor :   let me read your query
User :   could you tell me what I may expect from these mri results
Doctor :   it may take few minutes
User :   kk, not looking for an exact finding, just a example of what may happen in future and how serious my problems are?
Doctor :   ok the report states that there is compression on the L5 nerve roots and moderate spinal stenosis due to age and stress related degenerative changes in the vertebral column
User :   is the stenoses anything to be concerned about, will I likely require surgery?
User :   I am 39
Doctor :   there are some sites where the pulp b/w the back bone is weakened and may be compressing on the spinal roots
User :   just is crazy to me that I ahve these problems
User :   is it serious problems?
Doctor :   the stenosis, will progress over time and you may have varying degrees of backache as well as sciatica like issues
User :   Might it be possible I require surgery?
Doctor :   but the progression is slow over years
User :   yes, I do have evry bad back pain and sciatica pain
Doctor :   there is not going to be surgey for at least 5-10 yrs unless there is rapid deterioration due to other causes
User :   kk, good but, am I going to have to live in pain for this time?
Doctor :   but the condition can be stabilised with physiotherapy, and spinal injections,
User :   whatabout the mentioned Cyst? is that anything to be concerned about?
Doctor :   the pain reduces with lifestyle and postural changes
Doctor :   thats a degeeratiion changes as well
Doctor :   its nothing like a cancer or tumor as such
User :   why I am concerned is I am a caregiver, I am used to lifting and moving patients around. I in so much pain I can not do this. Will I be able to go back to work doing this?
Doctor :   but it can enlarge and put pressure symptoms over the years OR it can stay the same without any issses
User :   I can only stand now for about 5 mins and then exteeme pain
Doctor :   You should avoid doing such things
Doctor :   you should even switch to a other job where there is not much lifting as well
Doctor :   in case you do lift, you need to use proper technique and posture to do that
User :   okay, I will be seeing a specialist, just wanted to knwo now if I had much to worry about. Sounded very bad to me but, I do not know enough about the back. Just wondering how serious things are and what I can expect in future.
Doctor :   its nothing to be worried about in the near future
User :   was actually very worried to go to specialist, thank you for helping me
Doctor :   but i have given the overview of the condition and the steps needed to be taken
User :   thanks so much
Doctor :   u r welcome
User :   Take care and I not take any more your time. Thanks again. :)
Doctor :   thank you and bye for now
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