Friday, April 23, 2010

Back pain NYC-Low back pain NYC treatment-Sciatica NYC -Herniated disc NYC

Back pain NYC-Low back pain NYC treatment-Sciatica NYC -Herniated disc NYC
Non-surgical solutions for Chronic Low Back suffers in Manhattan, NYC

Over the years we have treated some of the most difficult to treat Back pain patients in NYC in our Manhattan,NYC practice.

I gathered a few MRI report findings from some of our more difficult to treat patients and posted them below without the patient name of course.

Reading some of the findings you would expect for these patients to undergo spine surgeries to correct their problems, in fact most of these patients where told they needed a surgery to get them out of pain.
These patients came to our Manhattan Back pain clinic instead and received a combination of
Cox flexion distraction technique, Spinal decompression with the DRX 9000, Cold laser therapy with the Erchonia laser, Rehabilitation on the SpineForce, Custom fabricated corrective orthotics, Physcical therapy and massage.

Clinical History: Low Back Pain

Findings: There is a slight scoliosis of the lumbar spine, convexity to the right.

There is no significant bony abnormality noted. There is disc space

narrowing at L3-4 and L4-5. There is probably disc space narrowing

also at L5-S1.

There is slight retrolisthesis of L4 on L5. There is minimal

retrolisthesis of L3 on L4

Findings: At L2/L3, there is a small left foraminal disc herniation and mild

canal and bilateral foraminal stenosis.

At L1/L2, there is mild diffuse bulging of the annulus fibrosis with a

small left paracentral annular tear.

Central disc herniations are noted at T11/T12 and T12/L1, effacing

the ventral thecal sac but without compression of the distal spinal

Impression: Degeneration of the lumbar discs and facet joints in superimposed
on congenital lumbar stenosis, with the largest disc herniation and
most severe canal stenosis at L4/L5.

Impression: Degenerative changes L3-4 disc space level.

Disc bulge in the midline L3-4 and right paracentral disc herniation

also present at this level.

Congenital central stenosis

Foraminal stenosis L3-4 disc space level.

Impression: Multilevel discongenic degenerative changes, most

pronounced at the L4/5 and L5/S1 levels.

Impression: Multilevel discongenic degenerative disease, most

severe at the L2/L3, L4/L5, and L5/S1 levels.

Moderate central canal stenosis from L2/L3 to L3/L4.

Multilevel moderate to severe neuroforaminal stenosis

without nerve root contact.

Stable postoperative changes from L4/L5 through L5/S1 with stable

soft tissue extending into the far left lateral/ ventral soft tissues at

the level of L4 consistent with postoperative changes.

Findings: At L5-S1, there is a rudimentary disc space and the canal and

neural foramina appear free of compromise at this level. Mild

hypertrophic degenerative changes of the facet joints are seen

at the L2-3 through L4-5 levels.

Intradurally, the conus tip and cauda equina appear intrinsically

within normal limits and there are no intradural abnormalities noted.

There are no fractures and destructive osseous lesions

demonstrated. There are no paravertebral soft tissue masses


Impression: A transitional vertebral segment at the lumbosacral junction is

referred as a sacralized L5 segment. Given this numbering

assumption, at both the L3-4 and L4-5 levels, there are

degenerative changes of the discs and facet joints, associated with

small, broad based, posterior disc protrusions/herniations, mildly

compromising the lateral recesses at both levels.

indings: There is normal alignment. The alignment remains normal in flexion

and extension. In the neutral position there is straightening of the

normal lumbar lordosis

There is a transitional vertebra demonstrated on this study, the

lowest level on axial images being labeled L5-S1.

There is disk desiccation noted at L3-4 and L4-5.

Impression: Muscle spasm.

L3-4 and L4-5 central disk herniations, those two-level herniations,
encroaching on the anterior thecal sac best demonstrated in neutral
and extension views. There is tension spinal stenosis.

Impression: Muscle Spasm

Small focal left-sided disk protrusion at L5-S1 with slight disk
placement of the left S1 nerve root posteriorly.

Impression: Large left posterolateral disk extrusion at L3-4 with superior
migration of the extruded disk almost to the level of the L2-3
interspace. It compresses on the left L3 nerve root within the left
lateral recess.

Status post left L5 hemilaminectomy. Enhancing tissue in the left
lateral epidural space and surrounding the left S1 nerve root is
consistent with epidural granulation tissue. Soft tissue in the left
ventral epidural space representing either granulation tissue or
small left posterolateral disk protrusion without impingement on the
emerging S1 nerve root

Degenerated mildly bulging intervertebral disk with superimposed
small right foraminal disk protrusion at L4-5 possible impinging the
exiting right L4 nerve root.

Some of these patients had previous back surgeries and most all these patients suffered with back pain and have tried physical therapies, epidurals and pain management without success.
If you are suffering with Back pain,Sciatica,Low Back pain,Neck pain,sciatica, slipped,bulged and herniated disc pain in Manhattan NYC call us for an immediate no-charge consulation at (212) 627-8149

1 comment:

Spinal Decompression NYC said...

Good point - more often then not MRI results don't correlate directly with clinical symptoms. In fact, 64% of of positive MR's are from asymptomatic patients.