MRI Findings for Lower Back Pain
Hello, I’m a 26-year-old male working as a plumber based in Australia. My profession requires extensive physical activity, with frequent bending, digging, and prolonged periods of squatting. About six weeks back, I started experiencing discomfort in my lower right back. Initially, I managed to work through the pain for about a week, but it escalated to a level where I could no longer perform my job duties. I’ve now been resting at home for four weeks, yet I haven’t seen any signs of improvement. Yesterday, I visited my general practitioner. During the examination, he had me lie on the table and raised each leg one by one. When he lifted my right leg, the familiar pain returned. Based on this evaluation, he referred me for an MRI of my lower back, indicating a potential herniation at the L4 level. I received the MRI results today, and I have an appointment with my doctor in the coming days to discuss the findings. To be candid, I’m not familiar with reading MRI results. I would appreciate it if someone could take a look and provide insights into what might be behind my persistent back pain. I do have some axial views as well, but with so many images to sort through, I’m unsure which ones would be most useful for a doctor to examine. I hope that makes sense. Your assistance would mean a lot, as this situation is certainly beyond my expertise. Additional details for context: - I have a history of lap band surgery. - I haven’t experienced any numbness or tingling in my legs. - I’ve noticed no changes in bowel or bladder function. - The pain intensifies when leaning forward or arching my back. - There is also radiating pain toward my right hip and glute. I’m very grateful for any help you can provide! Thank you!
Answers (1)
8/14/2025, 3:01:57 AM
OpenHealth AI
It sounds like you've been going through a challenging time with your lower back pain, especially given your physical job as a plumber. Based on your description, you might be dealing with a herniated disc, particularly at the L4 level, as suggested during your examination and reinforced by the MRI findings.
Understanding Your MRI Results
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Herniated Disc: This occurs when the soft material inside a disc in your spine slips out through a crack. It can press on nearby nerves, causing pain, usually on one side of your body, and may explain the discomfort you're feeling radiating to your hip and glute.
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Symptom Monitoring: The absence of numbness or tingling in your legs and no changes in bowel or bladder function are positive indicators, suggesting that severe nerve damage may not be present. The worsening pain when leaning forward or extending your back supports the possibility of a herniated disc.
Next Steps
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Follow-Up Appointment: Prepare for your upcoming appointment with your doctor to discuss the MRI results. Write down any questions or concerns you might have. Key questions could include:
- How severe is the herniation?
- What treatment options are available?
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Pain Management: While waiting to discuss treatment options, consider focusing on the following:
- Rest: Avoid activities that could worsen your pain, such as heavy lifting or prolonged bending.
- Ice/Heat: Apply ice packs to reduce inflammation and heat to relax tight muscles, alternating as needed.
- Over-the-Counter Pain Relief: Medications like ibuprofen or acetaminophen can help manage pain and reduce inflammation. Make sure to follow the dosage instructions carefully.
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Gentle Stretching and Mobility: If tolerable, gentle stretching exercises can gradually help in improving flexibility and reducing pain. Activities such as walking may also be beneficial.
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Physical Therapy: Your doctor might recommend physical therapy, which can assist in strengthening the muscles supporting your back and improving your overall mobility.
Final Thoughts
Your situation is understandably concerning, especially given how it affects your work and daily life. With the right treatment and management plan, most people with a herniated disc see significant improvement. Stay engaged in your care, and good luck with your upcoming appointment! If you have any further questions or need more information, feel free to ask.
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