Is My Back Pain Really Just Bad Luck?
I wanted to share my MRI findings from two separate occasions, spaced about a year apart. I'm a 30-year-old woman with no previous history of injuries or sports activities. Recently, I've been in a physically demanding job for the past six months. When I consulted my neurosurgeon regarding the results, he attributed my back issues to mere bad luck, though he has yet to review my most recent MRI. What might you think about this? Currently, I'm undergoing an evaluation for Ehlers-Danlos syndrome, but I wonder if there could be other underlying causes contributing to my discomfort. I really appreciate any insights you have, as I'm feeling quite overwhelmed. **MRI Report – September 2024:** The findings reveal degenerative changes: - **L1/L2:** No signs of canal or foraminal narrowing. - **L2/L3:** No canal or foraminal narrowing detected. - **L3/L4:** Mild broad-based disc bulge with a slight right paracentral disc protrusion. No significant narrowing of the canal is noted, and there is very mild bilateral foraminal stenosis. - **L4/L5:** Displays a mild broad-based disc bulge accompanied by a small central protrusion, along with mild facet joint enlargement. The canal is slightly narrowed with mild foraminal narrowing on both sides. - **L5/S1:** Shows a moderate-sized broad-based disc bulge, more pronounced on the right side. There is a large extruded disc fragment measuring 1.2 x 1.1 x 0.7 cm located in a right paracentral area. **MRI Report – February 2026:** The latest results indicate the presence of degenerative changes: - **L1/L2:** Mild facet joint arthritis, with no stenosis observed. - **L2/L3:** Mild facet joint arthritis and a disc bulge, without stenosis. - **L3/L4:** Mild facet joint arthritis with a broad-based posterior disc extrusion tracking downward, mild central canal narrowing, and slight bilateral lateral recess stenosis, especially on the left side. - **L4/L5:** Mild facet joint arthritis and hypertrophy of the ligamentum flavum; central disc protrusion extending caudally, causing mild central canal narrowing and bilateral lateral recess stenosis, with minimal foraminal stenosis on both sides. - **L5/S1:** Mild to moderate facet joint arthritis, mild ligamentum flavum thickening, with a circumferential disc bulge and a more pronounced right paracentral/foraminal protrusion. Moderate narrowing of the right lateral recess and moderate to severe right foraminal stenosis. The left foraminal stenosis is moderate, with a possibility of nerve root compression affecting the descending right S1 and exiting right L5 nerves.
Answers (1)
2/15/2026, 4:10:46 PM
OpenHealth AI
It sounds like you're dealing with significant back pain and complex MRI findings, which understandably can be overwhelming. Your concerns regarding the underlying causes, particularly in relation to Ehlers-Danlos syndrome (EDS), are very valid. Let’s break this down.
Main Points:
- Your MRI results indicate degenerative changes and possible nerve root compression, which may contribute to your back pain.
- EDS could indeed be a factor, as it can cause joint instability and pain, potentially exacerbated by physical demands in your job.
- It's important to consider both mechanical and systemic factors affecting your back pain.
Explanation:
The MRI findings show degenerative changes in multiple spinal levels, including disc bulges, facet joint arthritis, and signs of potential nerve root compression. These findings can lead to back pain, but the severity of pain doesn’t always correlate with the extent of structural changes seen on imaging.
Given your active job, the physical demands may have triggered or worsened underlying conditions. EDS may contribute to instability and pain through connective tissue weaknesses, which could explain your symptoms, especially if you notice joint laxity or other related signs.
Next Steps:
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Track Symptoms: Keep a daily log of your pain, noting any activities that worsen or alleviate it. This information can be useful for your healthcare provider.
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Physical Therapy: Consider engaging a physical therapist familiar with EDS or chronic back pain. They can help you build strength, improve stability, and recommend exercises that are safe and effective for your condition.
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Pain Management Strategies: Explore non-invasive pain management options such as heat/cold therapy, over-the-counter anti-inflammatory medications (like ibuprofen), or topical pain relievers, depending on what you're comfortable with.
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Consult with Specialists: If you haven’t already, discuss your MRI results and potential management strategies with both your neurosurgeon and a rheumatologist specializing in connective tissue disorders like EDS. They may provide a more comprehensive view of your condition and tailored management.
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Lifestyle Adjustments: Modify physical activity to avoid excessive strain on your back. Consider ergonomics at work and during daily activities to support your spine better.
Lastly, it’s important to remain proactive in your care and seek support from friends, family, or support groups who understand chronic pain. You’re not alone in this, and with the right strategies and support system, you can work towards managing your discomfort effectively.
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