Q. I have lower back pain. What does my MRI indicate?

Hello,

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You have mentioned that you have pain in lower back region with radiation of pain to right buttock region. Along with this, you have also mentioned about your MRI reports (attachments removed to protect patient identity) which show degenerative disc disease at multiple levels. Actually, I need your clinical details after which it can be correlated with MRI images and then I can advise you accordingly. Please tell me in detail the intensity of your back pain on a scale of 1-10. What in your opinion was the cause for onset of the lower back pain? Did you lift something heavy? Or was it due to something else which you can remember? Is your pain localized to your back region? Or is there any pain radiating down your legs while walking? Is your leg pain more than your lower back pain? Do you also have any other associated neurological symptoms like numbness, weakness in legs or paresthesias such as electric shock like sensations in legs? How much distance can you walk on a daily basis? What are your analgesic requirements on a daily basis? Did you suffer any other systemic symptoms like fever, weight loss, loss of appetite, etc., during past two to three months or before onset of your pain?

I would like to see your detailed neurological examination if possible that includes assessment of motor power, sensory examination and evaluation of deep tendon reflexes. This can be done either by a qualified physical therapist or an orthopedic or spine surgeon. That will give me an insight on whether there is any compression of nerves, etc. I also want to see your MRI scan and dynamic x-ray anteroposterior and lateral - flexion and extension views of the involved region of spine. This can tell us, whether there is any dynamic instability at the involved region or not. Kindly also enclose any recent blood tests if you have done, your past significant medical history, etc. Once I have this information, I can clinically correlate and let you know the treatment plan.

1. Clinical examination findings.

2. MRI image.

3. Dynamic x-ray.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Akshay Kumar Saxena

Experience: 17 + Yrs

Orthopedician And Traumatology

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