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Ask Dr.Saleem Your Own Question
Dr.Saleem
Dr.Saleem, Doctor
Category: Neurology
Satisfied Customers: 1744
Experience:  MBBS
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Can you read this mri for me?

Customer Question

Can you read this mri for me?
Submitted: 13 days ago.
Category: Neurology
Customer: replied 13 days ago.
Can you read this mri for me please?
Expert:  Dr. David replied 13 days ago.

This is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 13 days ago.

an MRI scan has usually dozens of images. that is one saginal image of your lumbar spine with T2 weighted sequence which shows your CSF fluid as white.

the image of your lower back is normal in that slice.

how old are you?

why did you get this MRI scan?

Customer: replied 13 days ago.
Can you see bulging discs in any of these images?
Customer: replied 13 days ago.
Or these?
Expert:  Dr. David replied 13 days ago.

no, I don't see disk buldges in any of those images

it sounds like you are having lower back pain?

Customer: replied 13 days ago.
I hurt my back in February playing sport. I was running and bent down and felt like bones hit off each other. I was told I locked a joint and have had trouble since. For the last couple of years I have had discomfort around my left hip/ buttock and down towards my leg but havent had any sharp nerve pain. Last week I had an mri and the radioographers report said i had slight bulges in the L4-L5 and L5-S1 positions. But i feel like it is the locked joint that is giving me the problems. I was an osteopath last week who said it was still locked, I dont think they show up in a mri. Can you see anything in the L4-L5-S1 positions?
Expert:  Dr. David replied 13 days ago.

your symptoms are not showing up on the MRI scan images you are showing me.

how old are you?

sometimes it can take months and years of repeative stretching and flexing to help break up scar tissue from prior injuries and increase mobility

I would start to do some yoga. yoga is very good at helping with increasing range of motion and improving flexiblity and strength and can help break up scar tissue that you can't even seen on MRI scan

Customer: replied 13 days ago.
I am 31. So it is possible that the radiographer is wrong?
Customer: replied 13 days ago.
Thanks for your opinion. Can I have another experts opinion so I can be sure?
Expert:  Dr. David replied 13 days ago.

no, the radiologist would not be wrong in the reading of the MRI scan.

are you willing to try yoga?

Customer: replied 13 days ago.
How do you not see the bulges?
Customer: replied 13 days ago.
Can I have another experts opinion? Thank you for your time and help.
Expert:  Dr. David replied 13 days ago.

I'm not sure what bulges you are talking about

Customer: replied 13 days ago.
Have I disc bulges?
Customer: replied 13 days ago.
In the L4-L5-S1 positions?
Expert:  Dr. David replied 13 days ago.

you have not included images which show that.

Customer: replied 13 days ago.
They were all the images that were take. Can I please have another expert?
Expert:  Dr. David replied 13 days ago.

sure.

Expert:  Dr.Saleem replied 13 days ago.

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

Expert:  Dr.Saleem replied 13 days ago.

Well there are no apparent disc bulges in any of the images you shared. Its however possible that a small fragment / fragments that broke off from one of the vertebra is compressing one of the nerve roots in the region . This can cause pain . There is no other gross abnormality there. You will feel better with medications that decrease nerve pain sensitivity e.g pregabalin or gabapentin in addition to simple analgesics like ibuprofen.

As mentioned by the previous expert back exercises / yoga would definitely help improve your symptoms. You can see the following links for that;

1- http://www.webmd.com/back-pain/ss/slideshow-exercises

2- https://www.spine-health.com/wellness/exercise/easy-exercise-program-low-back-pain-relief

hope it answered your query.

Feel free to ask any more queries.

Please reward a 5 stars rating if you are satisfied.

You can always opt-out if you need a second opinion.

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Expert:  Dr.Saleem replied 13 days ago.

Please let me know if you have any further queries on this.

Customer: replied 13 days ago.
you cant see any problems in the L4-L5-S1 positions?
Expert:  Dr.Saleem replied 13 days ago.

No sir nothing there in these films

Expert:  Dr.Saleem replied 13 days ago.

There might be something very minor picked by your radiologist on some particular view but thats bot evident in any of the images you shared here

Customer: replied 12 days ago.
Thank you. May I have another experts opinion?
Expert:  Dr.Saleem replied 12 days ago.

You are welcome. I will appreciate if you leave a positive rating to reward credit for my consult.

Best regards.

Dr Saleem.

Customer: replied 12 days ago.
May I have another experts opinion. Thank you.

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