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    Questions for doctors
    avatar
    jmorr posted:
    Hi,
    I have tried to keep the community updated on what is going on with me. Started out at a free clinic and now have been referred to an orthepedic doc and did another MRI on the 25th of this month. And this is what was found. I havent recd the written report of the MRI, but the doc says I have arthritis in my back along with lumbar radiculitis/lumbar facet OA/lumbar DDD and lumbar discogenic pain. He is recommending 4-8 sessions of PT, I am scheduled for a cortisone shot in my back next wednesday the 4th of may, and then prescribed tramadol 1-2 3x day and robaxin 1-2 3x day. since I have never taken these medications before, I am waiting until the weekend to see how I react. Then go from there. Im not sure what questions I should have asked, but I am thinking that with what has been prescribed so far, no need for any type of surgery. If a dr does respond to this, click on my pic to see my old MRI. There is still disc bulge, but the dr didnt see anything that came out and grabbed him other than I do have arthritis in the back. Also, with the history of RA with my mother and my RA factor only at a 16, I guess this is the best way to go at this point. My question to the dr here, is should I be worried about any of this going on in my back? I mean if I am at risk for RA later, I was thinking of being as aggressive as possible with some sort of treatment. I mean if I am going to get it anyway, is there anything further I should be doing that can get the RA under control before it becomes full blown like my mothers? She has it so bad that she has already had 1 knee blown out and replaced, shoulder rotater cup replaced with other one being replaced in may and the other knee will need to be done to. But she is always in pain and she developed this around age 60. She is 72 now. Is there anything more I can do to stop its progression? Thanks for any input
    normarae
    Reply
     
    avatar
    bj1208 responded:
    I'm just posting this so it goes to the top so the doctors will see it - been quite a few responses since you posted - take care - Joy
     
    avatar
    jmorr replied to bj1208's response:
    Thanks Joy for doing that.
    Not sure how long it takes for the doctors to respond. But I appreciate you.....
    normarae
     
    avatar
    jmorr responded:
    Before I get a response from the dr here, I finally got a copy of the written MRI report. Here are the findings: The lumbar vertebrae demonstrate normal height and alignment. There is normal disc hydration at L3-L4, L4-L5 and L5-S1. Disc desiccation with mild loss of disc height is noted at the L1-L2 and L2-l3. There is minimal impression to the ventral aspect of the thecal sac at L1-L2 and L2-L3. The L3-L4, L4-L5 and L5-S1 levels appear normal. The cord terminates at the level of L1. The distal cord demonstrates normal signal characteristics. On the Sagittal sequences there is no significant foaminal impingement noted. Axial images were obtained through the lumbar spine beginning at the level of L1-L2 and extending through L5-S1. The axial images demonstrate the following: L1-L2: Mild disc desiccation is identified. there is no evidence of acquired stenosis or focal disc herniation. L2-L3: Minimal concentric annular bulging is identified. There is no significant acquired stenosis. There is no evidence of focal disc protrusion to suggest herniation. L3-L4 unremarkable: L4-L5 The disc appears unremarkable. Mild to moderate facet arthrosis is noted. There is no evidence of focal disc protrusion to suggest herniation. L5-S1 Unremarkable. Impression: Discs desiccation at L1-L2 and L2-L3. No evidence of focal disc herniation or significant acquired stenosis. No evidence of neural impingement
    normarae
     
    avatar
    bj1208 replied to jmorr's response:
    hi jmorr - you have a lot of info here - i'm gonna give u a couple of sites that will help you with some of the terminology -

    http://www.adriaanliebenberg.co.za/tests/terminology-for-ct-scans-and-mri-scans-lumbar-region.html

    http://www.chirogeek.com/

    these are the best terminology for us 'lay' people -

    hopefully this will help - take care - Joy
     
    avatar
    jmorr replied to bj1208's response:
    Hi Joy,
    Thanks for the links. I will look them over. But I would still like a response from the Doctors if possible....Thanks
    normarae
     
    avatar
    bj1208 replied to jmorr's response:
    Hi jmorr - i'm gonna post so this is at the top - that way the doctors will see it and respond - take care - Joy
     
    avatar
    Ari Ben-Yishay, MD responded:
    your MRI report is VERY unimpressive. I dont even see any mention of "arthritis" so not sure where you are getting this diagnosis. RA does not typically affect the lumbar spine nearly as much as the neck (cervical spine). Your Rheumatologist (RA specialist) is the key person to talk to and manage your RA. I would get the therapy for your back and get the RA managed medically by the specialist. Good luck
    Dr. Ben-Yishay


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