HomeAnswersSpine healthdegenerative joint diseaseI have back pain and blood clotting. Please review my reports.

What could cause facet joint degeneration?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 14, 2023
Reviewed AtOctober 17, 2023

Patient's Query

Hello doctor,

I currently take Gabapentin for my back pain, Tylenol and Tizanidine, Warfarin for blood clots, and Simvastatin for a CVA that I had six years back. My report is as follows.

Degenerative intervertebral disc and facet changes are noted at the lower lumbar levels. Findings are most prominent at L5-S1, where a bulging disc with a superimposed left subarticular disc protrusion and mild facet arthropathy results in mild central spinal canal stenosis, significant effacement of left lateral recesses with mass effect upon the transiting left S1 nerve root, and mild bilateral neural foraminal narrowing.

Clinical information: 48-year-old patient with back pain that radiates to the left lower extremity.

Technique: Noncontrast MRI lumbar spine was performed.

Findings: Sagittal images included from T11 through S3.

Height and AP alignment of visualized vertebral bodies are preserved.

Bone marrow signal intensity is normal.

Normal imaging appearance of perivertebral soft tissues.

The CONUS is seen at the L1-L2 level. The size and signal intensity of visualized distal spinal cord is normal.

Normal imaging appearance of cauda equina nerve roots.

At L5-S1, a bulging disc with a left subarticular disc protrusion and mild facet arthropathy results in mild central spinal canal stenosis, significant effacement of left lateral recesses with mass effect upon the left S1 nerve root (better seen on image 7 of series 301 as well as image 60 of series 501) and mild bilateral neural foraminal narrowing.

At L4-L5 eccentric left bulging disc and mild bilateral facet

arthropathy with mildly prominent ligamentum flavum results in mild effacement of the ventral aspect of the thecal sac and mild bilateral neural foraminal narrowing.

Kindly help me to understand this report.

Hello,

Welcome to icliniq.com.

Thank you for your query.

I understand your concern. You have degenerative arthritic facet joints. These are joints that connect the vertebrae. The discs are shock absorbers that connect the two vertebral bodies. At the level of L5-S1, it is bulging behind and compressing your spinal cord and the left side nerves, which exit from there and supply your legs, causing you radiating pain in the legs. The same compression is also at the L4-5 level causing left nerve compression; Hence clinically, you should have left-sided leg pain and back pain. Also, due to facet joint arthropathy bending the back backward will cause you pain.

I hope this has helped you. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Spine health

*guaranteed answer within 4 hours

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