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Dr.Saurabh Joshi
Dr.Saurabh Joshi, Doctor
Category: Health
Satisfied Customers: 4665
Experience:  Physician,Neuro and Vascular Interventional Radiologist
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Q: I recently injured my back at work. The MRI results are

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Q: I recently injured my back at work. The MRI results are as follows: There are bilateral facet joint effusions at both
Submitted: 8 years ago.
Category: Health
Expert:  Dr.Saurabh Joshi replied 8 years ago.
Hello,

Please try and type in the whole report, that will allow me to help you better.

Regards,

Dr.Joshi
Customer: replied 8 years ago.

Okay . . . here goes: TECHNIQUE: Sagittal and axial T1 and turbo spin-echo T2-weighted images were acquired through the lumbar spine.

FINDINGS: The conus medullaris extends to the level of T12-L1. No pre or paravertebral soft tissue masses are seen. The heights of the lumbar vertebral bodies are preserved with no evidence of ocmpression fracture or listhesis.

L1-2: There is no evidence of disc herniation, canal stenosis, or neural foraminal encroachment. No facet hypertrophy or ligamentum flavum thickening is identified.

L2-3 There is no evidence of disc herniation, canal stenosis, or neural foraminal encroachment. No facet hypertrophy or ligamentum flavum thickening is identified.

L3-4: There is no evidence of disc herniation, canal stenosis, or neural foraminal encroachment. No facet hypertrophy or ligamentum flavum thickening is identified. Bilateral facet joint effusions are present.

L4-5: There is a broad 1-2 mm disc protrusion which contributes to moderate central canal stenosis with ligamentum flavum thickening and facet hypertrophy. The neural foramina are patent. There are bilateral facet joint effusions.

L5-S1: There is no evidence of disc herniation, canal stenosis, or neural foraminal encroachment. No facet hypertrophy or ligamentum flavum thickening is identified.

IMPRESSION: 1. L1-2, L2-3, L3-4 and L5-S1: no evidence of disc herniation, canal stenosis, or neural foraminal encroachment. 2. There are bilateral facet joint effusions at both L3-4, L4-5 indicative of acute facet joint irritation and lumbar facet syndrome. 3. L4-5 Moderate multifactorial central canal stenosis with a broad 1-2 mm disc protrusion.

Expert:  Dr.Saurabh Joshi replied 8 years ago.
Hello,

The Lumbar Facet Syndrome and also the disc protrusion can be caused by your injury, other cause being a age related degeneration.

As you do not have facet joint effusions on other joints so this is probably more because of the injury than an age related degeneration.

This would be causing you to have low back aches and possibly a tingling numbness that goes down your legs.

A consult with doctors from the Spine Institute would be helpful in discussing treatment options.

Until then, please refrain from heavy lifting and sudden back movements, that can aggravate your condition.

Kind Regards,

Dr.Joshi

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