Insights on My MRI Results for Ongoing Back Issues
**EXAMINATION REPORT: MRI OF THE LOWER SPINE WITHOUT CONTRAST, DATED 7/3/2025** **REFERRAL BY:** Dr. Jerry George Varghese, M.D. **REASON FOR EXAMINATION:** Persistent pain in the lower back and sacroiliac region **COMPARISON:** No previous imaging studies available for comparison. **METHODOLOGY:** Conducted a multiplanar, multisequence MRI of the lower spine without the use of contrast. **RESULTS:** There are five lumbar-type vertebrae present. **BONE STRUCTURE:** Spinal alignment is normal, with vertebral body heights appearing as expected. **BONE MARROW:** No signs of any lesions that would raise concern. There is minimal type I Modic change noted at the L4-5 region. **DISK EVALUATION:** There is a slight reduction in disk height at the L4-5 level. **SPINAL CORD:** The conus medullaris is correctly positioned, and the cauda equina nerve roots show normal morphology. **LEVELS T12-L1 TO L3-4:** There are no noteworthy issues regarding the posterior aspect of the disk, no narrowing of the spinal canal, nor any significant narrowing at the neural foramina. **AT L4-5:** There is a mild diffuse bulge of the disk, accompanied by a central protrusion exhibiting an annular fissure, and a shallow protrusion in the right foraminal zone. Mild facet joint changes are apparent, but there is no major narrowing of the spinal canal. There is mild narrowing on both sides at the neural foramina. **AT L5-S1:** Signs of mild facet joint deterioration are present, with no considerable narrowing detected within the spinal canal or neural foramina. **OTHER OBSERVATIONS:** The visualized soft tissues appear normal. **OVERALL ASSESSMENT:** There are mild spondylitic changes within the lower lumbar area as detailed above.
Answers (1)
7/8/2025, 1:40:55 PM
OpenHealth AI
Your MRI results indicate some mild abnormalities in your lower spine, primarily at the L4-5 level, which may contribute to your ongoing lower back pain. Here’s a summary of the findings and what they mean for you:
Summary of Key Findings:
- Normal Spinal Structure: Your spinal alignment and vertebral bodies appear normal.
- Disk Changes: There's a slight reduction in disk height at the L4-5 level with a mild bulge and a small protrusion. This might contribute to your pain.
- Mild Spondylitic Changes: These are signs of wear and tear in the spine, common in many adults, indicating early stages of degeneration.
- Facet Joint Issues: Mild changes in the facet joints (which help stabilize the spine) have been noted, but no severe narrowing of the spinal canal or foramina (where nerves exit the spine) was found.
Explanation:
Your MRI shows mild degenerative changes, which can occur as part of aging or due to repetitive strain from activities. The presence of disk bulging and facet joint changes can lead to discomfort and pain, particularly if nerve roots are mildly affected, but these findings are not uncommon for someone your age.
Next Steps:
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Pain Management: Start with simple over-the-counter pain relief such as NSAIDs (e.g., ibuprofen or naproxen) if not contraindicated. Always follow package instructions or discuss with a pharmacist.
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Physical Therapy: Consider engaging in physical therapy focused on strengthening your core and back muscles. This can help support your spine, improve flexibility, and reduce pain.
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Exercise: Incorporate low-impact activities like walking, swimming, or cycling to maintain mobility without straining your back. Aim for at least 30 minutes on most days, but listen to your body and rest when needed.
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Posture and Ergonomics: Review your sitting, standing, and sleeping posture. Ensure your workspace is ergonomically designed to reduce strain on your back.
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Monitor Symptoms: Keep track of your pain levels and any new symptoms. If your pain worsens significantly or if you experience numbness, weakness, or sudden changes in bladder/bowel function, further medical advice should be sought promptly.
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Lifestyle Adjustments: Pay attention to your body mechanics when lifting or bending. Use your legs instead of your back when lifting heavy items.
You’re not alone in managing these spine changes. By taking proactive steps, you can help improve your symptoms and maintain a good quality of life. If you have any questions about specific exercises or need further assistance, feel free to ask!
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