Need some deciphering help (L5/S1)
Hi everyone. I'm relatively new to the site so I have not gone through many of the posts. Well I guess I will start with what's going on: I am a 31 year and have been active all my life. I was in a low impact rear end car accident about 6 months ago which doesn't seem like a big deal. However it was the second one in 8 months and 3rd in 3 years. I was referred to a pain management specialist by my chiropractor when the manual manipulations were not relieving the pain. Since then I have had some PT, continued chiropractic care, pain injections, and a procedure to deaden the nerves at L5/S1. None of this, combined with narcotics, NSAIDS, rest, TENS treatment, and ice seems to have helped. I now have tingling and pain in/around my left buttocks radiating through my hip, down my hamstring, quad, and calf and into my foot. It hurts to stand but even more to sit. Laying on my sides are the most comfortable although not pain/tingle free. I have already had one consulatation with the surgeon and I am scheduled for a discography/discogram on Tuesday, Sept. 11 and then a follow up with the surgeon a week later.
My MRI results are troubling at least to me from what I have researched. Here's what is says:
L1-2, L2-3, L3-4: everything is normal
L4-5: The height and signal intensity of the disc spaces is preserved. There is minimal annular bulging. The mid-sagittal dimension of the thecal sac measures 16mm at this level. Moderate facet hypertrophy is present. Annular bulging and facet hypertrophy cause mild to moderate foraminal narrowing bilaterally. The perinueral fat planes are preserved.
L5-S1: Pars defects are present bilaterally with 3mm of anterolisthesis of L5 on S1. The height and signal intensity of the disc space are significantly decreased with dorsal endplate hypertrophy anbd annular bulging. Sagittal dimension of the thecal sac measures 13mm at this level. Facet hypertrophy and annular bulging contribute in moderat foraminal stenosis bilaterally.
1. Pars defects at L5 with grade 1 anterolisthesis of L5 on S1. No significant spinal canal narrowing is seen. Moderate foraminal narrowing is present bilaterally.
2. Significant facet athropathy/hypertrophy at the L4-5 level with mild to moderate foraminal narrowing.
From what I have researched, it sounds like some type of surgery is in my near future. Some of my results I have been able to decipher and some I have not. I was wondering if anyone has experienced something similar and what your experience was. I'm am trying to research and get all the information I can before I go back to see the surgeon.