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What are the MRI interpretations of back pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have my MRI pictures for back-pain. Could you comment by looking at the pictures?

Hello,

Welcome to icliniq.com.

I have gone through your MRI pictures (attachment removed to protect patient identity) and to me, it looks quite pristine.

Can you kindly tell me your age and a brief description of your symptoms? The intensity of back pain on a scale of 1-10? Is there any associated leg pain, numbness, weakness in your lower limbs, paresthesias (burning or electrical shock like sensations in limbs), etc?

If you have already consulted a doctor who might have prescribed you this scan, please send me his prescription paper so that I can see your exact neurology and other clinical findings.

I need all this information because normally we have to correlate the MRI (magnetic resonance imaging) scans with patient's clinical findings so that a diagnosis can be arrived at. So if you can send me all these details, I should be able to see them and advise you accordingly.

If you just want information on how these scans look like, they appear fine to me with good disc heights and no obvious foramen compression of any nerve roots.

Patient's Query

Hi doctor,

I am 36 years old. I have back pain at exactly L5-S1 region. The pain scale varies from time to time but it is 5-6 over 10. The pain is local at L5 S1 and for the time being no radiation to other places. The pain increases when I sit down. Sometimes, I feel a kind of burning in my feet but this is not often. Additionally, I have burning and frequent urination and I do not know if the two problems are related. I have been to a urologist (did CT scan, cystoscopy, etc) and he said I have non-bacterial prostatitis. I have not yet received any report for MRI and that is why I wanted to ask you. Thanks.

Hi,

Welcome back to icliniq.com.

The only thing which I can point out now by correlating your clinical findings with MRI images is that there is some early degeneration at L4, L5 level. You could be having a discogenic back pain which is quite common and can be usually managed conservatively with medications and physical therapy.

You can also take medications for neuropathic symptoms for a few days as per your physician's advice. Also, these symptoms could also be a manifestation of systemic pathology, vitamin deficiency, etc., which will require an evaluation and appropriate management.

Also as per your urologist, you have prostatitis that could be responsible for your urinary symptoms, it is not related to lower back because there is no such compression of nerves there.

Do not hesitate to get back to me with your MRI report but as of now, it does not appear to be related to your lower back.

Medically reviewed byDr. Vinodhini J.
Published At January 20, 2020
Reviewed AtApril 29, 2024

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Back pain and MRI?

Five quick questions help you understand your back pain symptoms in relation to MRI findings, guiding you on when to consult a doctor.

For guidance only, not a diagnosis. Always consult a healthcare professional for personalized advice.

Dr. Akshay Kumar Saxena
Dr. Akshay Kumar Saxena

Orthopedician and Traumatology

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