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Dr. Mark
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience:  U.S. Physician/Surgeon in Neurosurgery
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Chronic low back and bilateral hip and buttocks pain. MRI

Customer Question

Chronic low back and bilateral hip and buttocks pain. MRI shows: "small central disk protrusion and desiccation at L5-S1. Mild to moderate left and right facet ligamentum flavum hypertrophy at L4-L5. Small disk bulge osteophyte complex at L1-L2 with no significant central canal, lateral recess or neural foraminal narrowing. Concavity of T11 with Schmorl's node given there is similae appearance at the inferior endplate of T12 compatible wih a Schmorl's node.
Submitted: 9 years ago.
Category: Health
Expert:  Dr. Mark replied 9 years ago.
Basically, the MRI report is not overwhelming.

It says you have a small central disc herniation at the L5-S1 level, which, if it were bigger, could be irritating the S1 nerve roots, which could cause buttock pain ("sciatica") that radiated down the back of the leg.

The L4-5 facet and ligmatentum hypertrophy means that there probably is some early arthritis changes at that joint, which might be a contributor to your back pain.

The Schmorl's node could represent some weakness in the disc at T11-T12, but it's contribution to symptoms is touch to determine.

However, the best person to show is a neurosurgeon, who can actually view your MRI, do a physical exam, and assess the situation. Just from the MRI description, it does not sound a surgical therapy would be helpful at this time.