My back hurts
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novota34 posted:
Here is what I have going on with my back in the past few years can you please tell me what I need to do for treatment. and how bad is my back



Exam: XR SPINE CERVICAL MIN 4 VIEWS' At 1647 Hours Acc#: 6934110
Exam Date: 20121228 Physician: ACOB ARDEN C


CLINICAL INDICATION- NECK PAIN

TECHNIQUE- X-rays of the cervical spine with 5 views in AP, lateral,
both posterior obliques, odontoid open mouth.

COMPARISON- NONE

FINDINGS- The alignment is within normal limits. There is no
prevertebral nor other soft tissue abnormality. The vertebral bodies are
normal in height. There is no fracture, focal lesion or loss of volume.
There is no significant disc space narrowing. The neural foramina
appear patent.

IMPRESSION- Unremarkable evaluation of the the cervical spine

Exam: XR SPINE LUMBAR COMPLETE At 1642 Hours Acc#: 6934112
Exam Date: 20121228 Physician: ACOB ARDEN C


Technique-5 views of lumbar spine.

CLINICAL INDICATION- Back pain.

COMPARISON- None.

FINDINGS- Vertebral body height and alignment are maintained. There
is mild multilevel degenerative change. No compression deformity.

IMPRESSION- No radiographic evidence of acute compression fracture of
the lumbar spine.

Exam: XR SPINE THORACIC 3 VIEWS At 1641 Hours Acc#: 6934113
Exam Date: 20121228 Physician: ACOB ARDEN C


Technique-3 views of thoracic spine.

CLINICAL INDICATION- Back pain.

COMPARISON- None.

FINDINGS- Vertebral body height and alignment are maintained. Mild
leftward scoliotic curvature. No compression deformity.

IMPRESSION- Mild left concave scoliotic curvature

Exam: CT TRAUMA CHEST At 1706 Hours Acc#: 6907489
Exam Date: 20121213 Physician: HALE BENJAMIN K


EXAM- CT TRAUMA CHEST

REASON FOR EXAM- THIS IS A 40-YEAR-OLD FEMALE WITH TRAUMA TO THE CHEST.

PROCEDURE- Thin cut axial images were obtained through the chest
during the rapid infusion of IV contrast.

Additional 3D reformatted images obtained via post-processing with
independent work station (Terarecon) for aided diagnostic accuracy and
procedural planning.

FINDINGS- Today's study shows opacification of the mediastinal
vessels. I do not see any evidence of aortic dissection.

There is no mediastinal hematoma.

The lung window setting images show no evidence of pneumothorax.

Bone window setting images show no definitive evidence of acute
fracture. I do not see pulmonary contusion or effusion.

IMPRESSION- No posttraumatic change is identified in the chest on
today's exam.

Exam: MR LUMBAR SPINE WO CONTRAST At 1538 Hours Acc#: 5521594
Exam Date: 20100924 Physician: ACOB ARDEN C


EXAM- MRI EXAMINATION OF THE LUMBAR SPINE

REASON FOR EXAM- THE PATIENT COMPLAINS OF LOW BACK PAIN

TECHNICAL- In the sagittal and axial imaging planes T1 and T2-weighted
sequences were acquired through the lumbar spine. Axial scans were
obtained through the 2-3, 3-4, 4-5 and L5-S1 lumbar disc spaces.

MRI FINDINGS- In the sagittal plane the distal portion of the spinal
cord was normal in size, shape and signal intensity. The lumbar
vertebral bodies were normal in height and alignment and showed normal
marrow signal. The upper lumbar discs were well maintained in height and
showed bright signal intensity. There was slight loss of disc height and
disc desiccation at L4-L5 and at L5-S1. In the axial plane there were no
disc herniations or changes of spinal stenosis.

IMPRESSION- Mild or early degenerative disc change in the lower two
lumbar disc spaces. No other source of the patient's low back pain was
demonstrated

Exam: MR LUMBAR SPINE WO CONTRAST At 1409 Hours Acc#: 6967249
Exam Date: 20130117 Physician: ACOB ARDEN C


EXAM-MRI EXAMINATION OF THE LUMBAR SPINE

REASON FOR EXAM- BACK PAIN

TECHNICAL- In the sagittal and axial plane, T1 and T2-weighted scans
were acquired through the lumbar spine. The axial scans were obtained
through the 2-3, 3-4, 4-5 and L5-S1 lumbar disc spaces.

MRI FINDINGS- In the sagittal plane, the distal portion of the spinal
cord was normal in size, shape and signal intensity. The lumbar
vertebral bodies were normal in height and alignment and showed normal
marrow signal. The disc spaces in the lumbar spine were remarkable for
mild disc desiccation and loss of disc height at L4-L5 and L5-S1. Though
the disc shows bright signal, there is some disc bulging at 3-4 as well.
In the axial plane, the spinal canal was maintained in contour. No disc
herniations or changes of spinal stenosis were identified.

IMPRESSION- Mild degenerative disc changes at 3-4, 4-5 and 5-1. No
other source of the patient's back pain was demonstrated.
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An_250887 responded:
Dear MY BACK HURTS,

I am sure you have had a post MRI follow up appointment with your physician. What was his/her recommendation for course of treatment?

About 95% of the back pain suffers on this site wish this MRI belonged to them. This is not me trying to be unsympathetic, because back pain is not something to joke about, and nobody at this site feels it is the least bit funny. One of the experts may be able to give an opinion, but the rest of us can only try to point you to some areas of assistance.

I would follow up with the physician who wrote the order for the MRI. If this was done in the ER, then you should have a consult to see a physician. If this was ER initiated at a teaching hospital, then the consult would be done via rotation. Thus, you are not sent to the BEST physician, simply the doc who is consult for the month. Part of the way to throw business to the hospital afiliated physicians. Pick your own physician for a follow up, if you investigate the physician and do not like what you find in your search or from recommendations online or with family/friends.

I always open my big mouth and tell people to follow conservative, non-surgical forms of treatment thoroughly prior to any surgical intervention. This is only my opinion which has been clouded by my personal poor outcome to back surgery.

You must remember that an MRI, is not necessarily a gold card standard despite the IV contrast administered at the time.

If you provided more info other than your MRI report, many of us may have suggestions. I don't have a clue if you are able to work, how much you have been impacted in your daily life and how severe the pain really is for you. You can try P.T., accupuncture, water exercise, stretching exercises, medications for the inflamation and muscle relaxants. I am not giving advice, just pointing out the usual approach in your case, which many of us have gone through as a first step.

Good luck. When others chime, in you will probably get some better advice.
 
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bj1208 responded:
Hi Novota34 - welcome to the support group -

what type of physician are you seeing? if you are seeing just your primary care doc then you need to see either a Orthopedic Spine Specialist or Neurosurgeon Spine Specialist. They are the only ones that can read film reports accurately. A Radiologist may not see everything there is to see. Once the spine specialist has examined you and the film reports he/she can let you know exactly what is going on with your spine and let you know what the best treatment options.

Please note there are numerous people that walk around with damaged discs and don't know they have something wrong while there are others that could have a slight disc(s) bulge and be in such excruciating pains.

when you see the spine specialist be sure to let them know what has happened to your back i.e, especially if you may have injured your spine when you were little as some injuries may appear later in life. Also family history as sometimes Degenerative Disc Disease can be hereditary. Example: I hurt my back when I was little being bucked off horses too many times and also bad backs run on my mom's side of family so my brother and I both have bad backs. These are questions that are very important and detail should be given to them if appropriate.

I hope this helps - keep us posted what you find out~~
~~ Click on my name or picture and read my story ~~

Take care ~~ God Bless ~~

~~ Joy ~~
 
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trs1960 replied to bj1208's response:
To add to what Joy says. The MRI results help and they justify insurance payments, but the real expert is you. Pain can be caused by things that won't show up on an MRI. If it hurts you need to insist on getting treated.

Best of luck

Tim