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請醫生朋友幫忙看看我的

(2009-01-11 17:38:20) 下一個
本人在家坦潛水多年,因為很喜歡這裏的氣氛,不過一直沒有什麽貢獻。今天冒泡,卻是請求幫助,很不好意思。

我的腰不太好,去年年初有一次急性下腰痛。當時看了脊椎指壓醫生(chiropractor),照了X光,說是有兩個脊椎骨距離比較近。做了近十次治療,急性痛很快緩解了,可時不時還是有隱痛。醫生教了一套體操,讓天天堅持做。因為懶,我隻是三天打魚兩天曬網。結果去年九月有一天作了體操之後,發現在左大腿根在大腿左右轉動的時候很痛(正常行走不痛)。我想可能是拉傷了,休息一下就沒事了。結果停止任何運動之後到現在已經四個月了還是沒有好轉。而且兩個月前還開始時不時感到臀部和大腿後側隱痛。前幾天去看了一個orthopaedics醫生,讓我去照MRI。現在檢查結果已經出來,可是我要等月底才能約到他。我上網查了查,不是很明白,好像有點嚴重的樣子。所以想請懂行的醫生朋友能不能給我解釋一下。

做了兩個MRI:一個是hip joint,包括股骨頭在內一切正常;另一個是lower back, 情況好象不妙。下麵是報告的部分內容(有問題的部分):

MRI lumber spine: Sagittal T1-weighted and T2-weighted images of the lumber spine were obtained along with axial proton density images parallel to the L2-L3 through L5-S1 disc spaces. Axial T2-wieghted images were obtained from L3-L4 through the sacrum.

The L2-L3 and L3-L4 levels are unremarkable. Mild desiccation of disc material is present at L4-l5. This level is otherwise unremarkable.

At L5-S1, endplate spurring is present along with a concentric disc bulge. Desiccation of disc material is present.A mild broad-based central disc protrusion may be present as well,but there is no significant compression of the thecal sac or the nerve roots. Prominent type II fatty degenerative signal changes are present in the endplates. There is no spinal stenosis. The neural foramina are patent.

A relatively large Tarlov cyst is seen posterior to the second sacral segment, noted noted to the right of midline.

IMPRESSION: Degenerative changes are present at L5-S1. A superimposed mild broad-based central disc protrusion may be present at this leel as well, but there is no evidence fo compression of the thecal sac ro nerve roots.

Incidental note is made of a relatively large right-sided Tarlov cyst posterior to the the second sacral segment.

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