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hello, i have to wait to see my specialist but

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Posted on Fri, 8 Feb 2019
Question: hello,
i have to wait to see my specialist but would love an opinion and explanation in regards to MRI scan and radiologist report and have it explained to me in as much detail as possible. im in alot of pain and have been for years. thanks so much.
doctor
Answered by Dr. Erion Spaho (37 minutes later)
Brief Answer:
Degeneration of L5-S1 disc consistent with low back pain.

Detailed Answer:
Hello and welcome to "Ask a Doctor " service.

I have read your query and here is my advice.

The MRI report compiled by the Radiologist and the MRI slice (only one is not sufficient ), show that there is degenerative disc disease at the L5-S1 level.

According to the report, there is no nerves or spinal cord compression, so, those findings may justify low back pain but not sciatica.

I think surgery seems not necessary in your case, conservative treatment with NSAID, physical therapy, spinal injections, etc. should be effective.

It is important also to consider infection as the cause of this disc degeneration ( discitis for example ).

Blood tests for infection are necessary besides MRI in such a scenario.

Hope you found the answer helpful.

Let me know if I can assist you further.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Erion Spaho (32 minutes later)
here is a few more scan pics, does this give more info. ?
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Follow up: Dr. Erion Spaho (9 hours later)
hello?
doctor
Answered by Dr. Erion Spaho (1 hour later)
Brief Answer:
The additional MRI slices confirm the degeneration.

Detailed Answer:
Welcome back.

I examined the additional MRI slices that you uploaded.

My opinion, basically remains the same, there is degeneration of the L5-S1 disc, a small protrusion of this disc.

Again, I think, an infection of the disc should be considered.

Hope this helps.

Feel free to discuss with me if you have further questions.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4231 Questions

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hello, i have to wait to see my specialist but

Brief Answer: Degeneration of L5-S1 disc consistent with low back pain. Detailed Answer: Hello and welcome to "Ask a Doctor " service. I have read your query and here is my advice. The MRI report compiled by the Radiologist and the MRI slice (only one is not sufficient ), show that there is degenerative disc disease at the L5-S1 level. According to the report, there is no nerves or spinal cord compression, so, those findings may justify low back pain but not sciatica. I think surgery seems not necessary in your case, conservative treatment with NSAID, physical therapy, spinal injections, etc. should be effective. It is important also to consider infection as the cause of this disc degeneration ( discitis for example ). Blood tests for infection are necessary besides MRI in such a scenario. Hope you found the answer helpful. Let me know if I can assist you further.