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Seeking Clarification on MRI Results

6/23/2025, 10:10:13 PMMale25-34

I've been dealing with significant low back pain and have been diagnosed with various conditions, including suspected degenerative disc disease, small fiber neuropathy, and CRPS at the age of 23. Recently, I underwent an MRI on my lumbar spine, which the report indicated was normal. However, upon reviewing the image I have shared, it seems evident that there is a noticeable bulging disc at the lower part. Can someone help me understand this discrepancy?

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

6/23/2025, 10:10:33 PM

OpenHealth AI

It's understandable to feel confused and concerned about the discrepancies between your MRI results and your experience of symptoms. Let's break it down.

Main Points

  1. Normal MRI results can still coincide with significant pain and symptoms.
  2. Bulging discs may not always be clinically significant, meaning they don't necessarily explain your pain.
  3. It's important to consider a holistic approach that includes both imaging and your symptoms.

Explanation

  • Normal MRI Findings: An MRI being reported as normal means that the radiologist did not find any major structural abnormalities that would typically explain your symptoms, such as large disc herniations or obvious fractures.
  • Bulging Discs: A bulging disc can sometimes be present without causing pain. Many people have bulging discs shown on their MRI but experience no symptoms. The relationship between such findings and pain isn't always straightforward and can depend on various factors including nerve involvement and other underlying conditions.
  • Your Conditions: Conditions like degenerative disc disease, small fiber neuropathy, and CRPS can cause pain even when imaging results don't reveal a direct source. These contribute to a complex pain experience that may not always correlate with what’s seen on an MRI.

Next Steps

  1. Track Your Symptoms: Keep detailed notes on your pain—when it occurs, its intensity, and any factors that seem to improve or worsen it. This can help identify patterns or triggers.

  2. Discuss with Your Provider: Bring your concerns and your findings to your healthcare provider. It’s important to have a conversation about your MRI, the implications of a bulging disc, and how it fits into your overall health picture.

  3. Consider a Multidisciplinary Approach: Given the complexity of your conditions, it may be beneficial to involve specialists in pain management, physical therapy, or neurology who can help tailor a treatment plan that addresses both pain relief and functional improvement.

  4. Self-Care Practices: Focus on low-impact physical activities such as swimming or walking, which may help maintain mobility without exacerbating pain. Incorporate gentle stretching or yoga, guided by a professional experienced in managing chronic pain.

By following these steps, you can begin to gain more clarity on your situation and find the most suitable path for managing your symptoms. Let me know if you need any more specific guidance!

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