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MRI of Lumbar Spine
9/26 10:26:18

Question
hi  i'm roy currently i'm serving my army and i lately felt there's a shape pain on my back lower left....
when i run my leg feel numb and there's abit pain and my left back start to pop out a lumb and feels very painful and i hardly carryon running ... i scare will get seriously and i totelly dont get what happen ..
even sometimes i walk too long or sit too long my back lump pop up and it's very painfull...
may i know what happen to me...

i scanned MRI scan and it said that

MRI Lumber Spine

Original report LBP with tigh numbness and sciatica

Report
Sequences employed: sagittal axiat t1 and t2 TSE. Axial images were acquired from T12 to L2, L2 to L4 and L4 to S1. some of the images are degraded by movement artefacts.

The vertebrae are numbered from C2. the spinal cord ends normally at T12 /L1. level.

Correlation is made with plain films of 2/4/2007. there are no previous studies of comparison

The Sagittal bony alignment is maintained and the vertebrae show normal signal intensity.
There is no definite evidence of sphondylolysis or paravertebral mass.

Mild dessication of T11/12 intervertebral disc is seen and there is a small intraosseous dic herniation into the superior end plate T12.

There is minr dic bulge seen at L2/3 and L3/4 levels with mild facet joint hypertrophy.
There is no Significant narrowing of spinal canal.

At L4/5 level, minor dics bulge is noted with kigamentum flavum  and face joint hypertrophy without significant canal stenosis. no exit foraminal stenosis demonstrated.

CONCLUSION
A small intraosseous disc herniation
is seen at T11/12 level.
Minor dsc bulge is noted at L2/3, L3/4 and L4/5 levels without canal stenosis.

There is no compression of the thecal sac or cauda equina.

*** Final Report ***

Answer
Hi Roy,

I just typed out a lengthy answer and it was deleted when the pop-up blocker activated. I am not very happy.

Simply put, you don't have a big problem and it's easily treated with flexion/distraction.

Flexion-Distraction Therapy - What is it?


Flexion-Distraction, (F/D) is a gentle, chiropractic treatment procedure utilized for back and neck pain. Flexion-Distraction is a safe alternative to back surgery for those 95% of patients whose conditions do not demand surgical intervention. The doctor is in control of the treatment movements at all times.

Flexion-Distraction is utilized for many conditions such as:

Failed Back surgical Syndromes
Disc Herniation/Ruptured Disc / Bulging Disc / Herniated Disc
Sciatica / Leg pain
"Whiplash" injuries
Stenosis
Arm Pain
Neck Pain
Failed course of Steroid Injections
Chemical Radiculitis
Spondylolisthesis
Headache
Transitional segment
Many more conditions?
How does Flexion-Distraction Work?

For Disc related conditions:

Increases the intervertebral disc height to remove annular tension on the annular fibers and nerve by making more room and improving circulation.
Allows the nucleus pulposus, the center of the disc, to assume its central position within the annular fibers and relieves irritation of the spinal nerve.
Restores vertebral joints to their physiological relationships of motion.
Improves posture and locomotion while relieving pain, improving body functions, and creating a state of well-being.
For Non-Disc related conditions:

Patients with other conditions causing back pain (facet syndrome, spondylolisthesis, sprain/strain, scoliosis, transitional vertebra, sacroiliac restrictions and misalignment, certain types of spinal stenosis), Flexion/Distraction provides all of the above benefits plus the ability to place the spinal joints into normal, painless movements so as to restore spinal motion without pain:

The posterior disc space increases in height.
F/D decreases disc protrusion and reduces stenosis.
Flexion stretches the ligamentum flavum to reduce stenosis.
Flexion opens the vertebral canal by 2 mm (16%) or 3.5 to 6mm more than extension.
Flexion increases metabolite transport into the disc.
Flexion opens the apophyseal joints and reduces posterior disc stress
The nucleus pulposus does not move on flexion. Intradiscal pressure drops under distraction to below 100mm Hg. On extension the nucleus or annulus is seen to protrude posterior into the vertebral canal.
Intervertebral foraminal openings enlarge giving patency to the nerve.


Reference: Cox JM, Feller JA, Cox-Cid JA: Topics in clinical Chiropractic 1996; 3(3):45-59

Use lots of ice at least two-three times a day and reduce the inflammation. Get started on the treatment ASAP, it will take about 6/wks and 50% of your pain should be gone in less than a couple weeks.

Good Luck,
Dr.Timothy Durnin
drs.chiroweb.com

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