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jhenry1986 posted:
I have aT5-T6 2 mm ap broad based posterior disc protrusion mildly effaces ventral thecal sac, without spinal canal stenosis or cord compression. Patent neural foramina

T8-T9 2.5 mm AP right paracentral disc results in mild focal effacement of the ventral aspect of the thecal sac. minimal deformity of the right ventral aspect t of the spinal cord without overt cord compression or underlying cord signal abnormally . Patent neural foramina .

T9-T10 3.5 AP right paracentral disc, containing a large annular fissure is present at this level, resulting in mild contour deformity/effacement of the right ventral aspect of the spinal cord. There is underlying cord signal abnormality. No significant foraminal stenosis at this level.






I am 27 and I have been in some pain for awhile now need help to see what I can take OTC is not working so now I don't know what to do I can not sleep at all been doing this for mths now and the drs I went to really do not care about me nor maybe anyone else in that matter I have a copy of my MRI reports where can I go what can I do help me please
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ctbeth responded:
Hi jhenry,

I can tell that what you've posted is the report, or interpretation, of your MRI.

Ordinarily the actually film or digital images are evaluated by a radiologist. Some doctors, especially neurosurgeons, prefer to evaluate their patients films and pay little heed to the radiologist's report or interpretations.

I'd imagine that if you aren't familiar with the terminology, your report sounds as if there is a lot going on. Actually, it's not bad at all.

It is the responsibility of the MD who ordered the test's responsibility to explain the findings, whether it be the radiologist interpretations, or the ordering MD's interpretation.

The MD who ordered the MRI may not explain the items that are not diseased or injured. Thus where it says that the neural foramina are patent, this means that nothing is wrong. This so just one example on your report.

If it seems that the explanation isn't addressing every statement on the report, this commonly means that the things not mentions are fine. The MD will tend to focus on explaining the items that may be causing problems.

Regarding whether the doctor cares about you, or anyone- you do not know what he or she feels or is thinking.

Please do your best not to go there; it will not do any good for you.

You are seeing this MD for help with pain, not for him or her to care about you.

I hope that it goes well for you.

Beth
 
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Peter Abaci, MD responded:
Jhenry,

I suggest that you consult with a neurosurgeon or neurologist to carefully review your symptoms, exam findings, and review the MRI findings that you have shared here. If you need a referral, talk to your primary care doctor about helping set that up for you.
 
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dfromspencer responded:
Follow Dr. Abaci's plan, and I think you will be ok? If this is explained to you by a neuro surgeon, I think you would be more apt to believe them?


And what Beth said about you not knowing what the doctor is thinking, is spot on, you do not! Sorry, but how can you know what another is thinking/feeling? You cannot.


Go to your doctor, and ask him to please refer you to the Neuro surgean for a further review? If you ask nice, he should comply?!


Good luck to ya!!!


Dennis
LIVE LONG-LOVE WELL!!!
 
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jhenry1986 replied to Peter Abaci, MD's response:
have done that now they have told me I have three protrusion disk and also arthritis. and "degenerative disc disease now what should I do now they have put me on 5/325 hydrocodone but its helping but im still hurting ?
 
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An_256614 replied to jhenry1986's response:
as we all are welcome to the wonderful world of pain management!!
 
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Peter Abaci, MD replied to jhenry1986's response:
JHenry,

My impression from this information is that your consulting neurosurgeon felt you were neurologically stable but needed help with pain management? Does that sound correct?

If so, then I think it is important to think about pain management as something much more than treating MRI findings. A whole person approach is what I think works best. For example, if you have been struggling with back pain in your thoracic region, it is quite possible there have been numerous effects of this including problems with posture and movement, trouble reaching and bending, mood changes, and sleep disturbances, just to name a few. A more integrated and comprehensive team can help you with multiple issues related to your pain, and that could include pain specialists or physiatrists, physical therapists (who understand chronic pain), and psychologists or other types of counselors, as examples.

Better understanding what is going on and how you can get better is important. I offer this book to my patients and they usually find it pretty helpful: http://www.amazon.com/s/ref=nb_sb_noss?url=search-alias%3Daps&field-keywords=peter%20abaci.


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