Thoughts on MRI Findings
I am a 54-year-old woman living with fibromyalgia and seronegative rheumatoid arthritis. For the past ten months, I have been experiencing intense pain in my left hip, buttocks, and leg. Additionally, I have had tingling and numbness in both legs for the past eight months. My doctor referred me to an orthopedic specialist due to concerns about possible hip impingement. The MRI results indicated a labral tear; however, the orthopedic surgeon mentioned that this finding did not correlate with the severity of my pain. Consequently, she ordered an MRI of my lower back. Although I received the imaging results yesterday, my doctor has yet to review them and I am uncertain when she will do so. After enduring ten months of discomfort and restricted mobility, I seek insights regarding these findings. Due to the report's extensive details, I will share only the conclusion: Key Findings: 1. There is a midline disc protrusion observed at the L5-S1 level, with mild stenosis in the subarticular recess, more pronounced on the right side compared to the left. 2. At the L4-5 level, as well as at L3-4, there is severe stenosis affecting both the central spinal canal and the subarticular recesses, with the L2-3 level showing lesser involvement due to annular bulging and facet joint arthropathy. I greatly appreciate any feedback on this matter. Thank you!
Answers (1)
8/16/2025, 3:21:00 PM
OpenHealth AI
I understand that you are facing significant discomfort and uncertainty regarding your recent MRI findings, especially after enduring persistent pain for such an extended period. Your concerns about the correlation between the MRI results and your symptoms are valid, and I appreciate the opportunity to provide some clarity on this matter.
Key Points:
- Disc Protrusions and Stenosis: The MRI findings indicate disc protrusions at L5-S1 and severe stenosis at L4-5 and L3-4. These conditions can contribute to pain, tingling, and numbness in the legs.
- Connection to Symptoms: While the labral tear in your hip may not account for the severity of your leg symptoms, the back findings (especially with stenosis) may explain the leg pain and discomfort you are experiencing.
Explanation:
- Disc Protrusion: This occurs when the soft material inside the disc bulges out, potentially pressing on nearby nerves. At L5-S1, this may be causing some level of nerve root impingement, leading to pain and neurological symptoms (like tingling and numbness).
- Stenosis: This refers to the narrowing of the spaces within the spine, which can put pressure on the spinal cord and nerves. Severe stenosis at L4-5 and L3-4 may contribute significantly to your symptoms, especially as it affects areas where the nerves that travel down your legs exit the spine.
Next Steps:
- Symptom Monitoring: Keep track of your symptoms, noting when they worsen or improve, which could provide valuable context for your healthcare team.
- Pain Management: While waiting for further discussions with your doctor, consider using over-the-counter pain relievers like acetaminophen or NSAIDs (if appropriate for you) to manage pain and inflammation. Additionally, gentle physical activity and stretching may help alleviate some discomfort, but avoid any movements that exacerbate your pain.
- Follow-Up with your Doctor: Reach out to your healthcare provider’s office to express your concerns about the MRI results and ask when they will be reviewed. This can help expedite your understanding and planning for next steps.
- Consider Physical Therapy: If you haven't already, inquire about physical therapy options tailored to address both your back and leg symptoms. A physical therapist can guide you through specific exercises and techniques to improve strength, flexibility, and comfort.
Your journey with chronic pain is challenging, and I encourage you to remain proactive in seeking answers and management strategies that fit your needs. Don't hesitate to ask your healthcare provider more questions during your follow-up appointment. Your health and well-being matter, and finding the right interventions will be crucial moving forward.
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