Hi, since you mentioned you have scar tissue, was your last MRI with contrast? I know I have some problems with scar tissue that showed up on my MRI w/ contrast. I also have DDD, spondylosis, and stenosis (though I had laminectomies done for my stenosis, so im not sure if I'd really still be considered to have stenosis) The spinal arthritis can never be fixed by surgery, so one will unfortunately always have that. My surgeon even told me he cant fix that problem. He even said that down the line I may have more problems due to that, plus ddd, corabined w/ multi-level laminectomies. Especially since now that makes my spine a little less stable with bone missing from L3 through L5....it puts more stress on surrounding areas, which can cause more bone spurs & such down the line. Since my surgery, I had an MRI about 6 monhts later and that one already showed facet joint hypertrophy on both sides from L2 through S1...plus bilateral foraminal encroachment in all the same levels. (though recently I am not sure if that means my discs were bulging into the foraminal areas or if the bones around those areas are getting bigger )
Plus like others have mentioned, MRI's dont always show everything. And again, when laying down (like you do for an MRI), it takes alot of pressure off the spine. So if you hurt more while standing or sitting, maybe youre problem doesnt look as bad on the lay down MRI. I know Sage is having a stand up MRI soon, so hopefully that will show a cause for her pain. But it makes logical sense that a stand up one should show more.