Dr. Akshay Kumar Saxena
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have my MRI pictures for back-pain. Could you comment by looking at the pictures?
Hello,
Welcome to icliniq.com.
I have gone through your MRI pictures (attachment removed to protect patient identity) and to me, it looks quite pristine.
Can you kindly tell me your age and a brief description of your symptoms? The intensity of back pain on a scale of 1-10? Is there any associated leg pain, numbness, weakness in your lower limbs, paresthesias (burning or electrical shock like sensations in limbs), etc?
If you have already consulted a doctor who might have prescribed you this scan, please send me his prescription paper so that I can see your exact neurology and other clinical findings.
I need all this information because normally we have to correlate the MRI (magnetic resonance imaging) scans with patient's clinical findings so that a diagnosis can be arrived at. So if you can send me all these details, I should be able to see them and advise you accordingly.
If you just want information on how these scans look like, they appear fine to me with good disc heights and no obvious foramen compression of any nerve roots.
Patient's Query
Hi doctor,
I am 36 years old. I have back pain at exactly L5-S1 region. The pain scale varies from time to time but it is 5-6 over 10. The pain is local at L5 S1 and for the time being no radiation to other places. The pain increases when I sit down. Sometimes, I feel a kind of burning in my feet but this is not often. Additionally, I have burning and frequent urination and I do not know if the two problems are related. I have been to a urologist (did CT scan, cystoscopy, etc) and he said I have non-bacterial prostatitis. I have not yet received any report for MRI and that is why I wanted to ask you. Thanks.
Hi,
Welcome back to icliniq.com.
The only thing which I can point out now by correlating your clinical findings with MRI images is that there is some early degeneration at L4, L5 level. You could be having a discogenic back pain which is quite common and can be usually managed conservatively with medications and physical therapy.
You can also take medications for neuropathic symptoms for a few days as per your physician's advice. Also, these symptoms could also be a manifestation of systemic pathology, vitamin deficiency, etc., which will require an evaluation and appropriate management.
Also as per your urologist, you have prostatitis that could be responsible for your urinary symptoms, it is not related to lower back because there is no such compression of nerves there.
Do not hesitate to get back to me with your MRI report but as of now, it does not appear to be related to your lower back.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Orthopedician and Traumatology
Related Questions
Is operation of disc necessary or can it be done by exercise?
There is no improvement in my back pain. Does it indicate disc problem?
Experiencing severe back pain following cervical polypectomy. Is it normal?
Can my back pain be due to the tethered spinal cord?
I am diagnosed with cervical radiculopathy and have tingling sensation in my fingers. Why is it so?
I have back pain due to sitting in front of computer for long hours. Kindly advise.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
