Understanding MRI

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rhontim

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I am a 43 year old women who is haveing severe left back and leg pain. Had an MRI and the findings are as follows:

At L5-S1 there is desiccation of the disk. There is broad central disk herniation slighly more prominent left of midline displacing the left S1 root dorsally. There is also some facet and ligamentous overgrowth at this level

Please help me understand what this jargin means?
 
rhontim,

Welcome to the board but sorry to have to meet you under these circumstances.

"At L5-S1 there is desiccation of the disk. There is broad central disk herniation slighly more prominent left of midline displacing the left S1 root dorsally. There is also some facet and ligamentous overgrowth at this level"

L5-S1 disc is the bottom disc in your spine that connects your lurabar area to your sacrum.

Dessication is drying out of center of the disc - the disc normally has a very tough, almost grissly outer shell with an acidic, gel-like inside. As we age the interiors of our disc typically will dry out and there is evidence of this in this disc on you.

broad central disc herniation - broad means large area, central means centrally located toward your back, herniation is a clear area that is protruding out form the disc. This basically means you have a large disc herniation located slightly more to the left which is probably causing you a lot of pain in your lower back and down the back of your left thigh, to the bottom of your heal and outside side of your left foot. I have the same pain - feels great, doesn't it?

displacing the left S1 root dorsally - means your left S1 nerve root is being majorly pinched - ouch.

some facet and ligamentous overgrowth at this level - some abnormality and overgrowth of some of the surrounding bone and ligaments. Not nearly as big of a deal as the major herniation mentioned above.

You will likely need surgery to correct this problem that is likely driving you out of your mind at this point. I would suggest you get to a fellowship-trained neurosurgeon or orthopedic spine surgeon ASAP for evaluation and treatment.

Good luck and let us know how you are doing! Ask any other questions you may have.
 
Thank you very much for this answer and yes it is driving me nuts. Had one nuero surgeon tell me this was not causing me pain. How about that!!!!
 
Don't you just wish you could give your pain to those kind of doctors for just one day? It's really sad that there are such major differences between doctors.

I am currently on long-term disability through my employer, and the LTD insurance company recently got my medical recorRAB from 4 of my doctors for a periodic review. I got a call from my case worker, and she said they were really confused because none of the 4 doctors agreed on anything, so she asked what in the world was going on. I said, "Welcome to my world!"
 
I feel for you. I think I am going to get a second opinion. I did go to pain managment and he stated it was a problem. I had steriod injection on Thursday still not much relief.
 
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