In this video Dr. Jeffrey P. Johnson shows a lumbar disc herniation of the spine as seen on an MRI scan. Click on our channel for more videos about spine MRI's and spine surgery.
Having been in the medical field for over 40 years, I can state that this is an EXCELLENT review of what a herniated disc looks like on MRI. I learned a lot. He explains it well. Thanks you Sir!
For the S1 nerve compression you mentioned in the video and if there were resulting slight muscle weakness and slight numbness in the toes, what in your experience would be an expected period of time for the numbness to resolve. thanks, great explanatory video.
Looking at my example, I have a herniation that does not look so bad on MRI, but I have pain that I would not classify as pain, but more as teaser shocks. The nerve roots are slightly moving in the spinal canal/neural sac and can be positioned differently from person to person, I would guess. Therefore, my herniation is not giving me pain but shocks because I think it hits the nerves that are positioned more on the front of the spinal canal. Alternatively, the MRI doesn't show my herniation properly because I had the MRI when everything returned to normal. I experience these shocks every 1-2 months, and my last MRI was done just after I fully recovered from the last episode. When I have these shocks, I’m on strong medications, lying in bed for a week, and then I have a massive body shift three weeks later. All the muscles around my waist (on the left side of my body) are very stiff. After a week, I start a series of exercises and hang on the bar, and the condition goes away after another 3-5 weeks. When I was fully recovered, I had the MRI, so I guess it doesn't show the compressed neural sac. If the MRI was done during the episode when I have those shocks, it would probably show the compression and bigger herniation. Is that correct?
When I was 16 and diagnosed with a curved Spine and Wedged vertebrae, which was revealed later to be called Scheurmanns Disease. If they had braced that as a teen instead of ignoring it, it may not have deteriorated to this point which added in my mid 20's with Osteophytes; early 30's, Disc Bulging. All that ignored and add Cervical Bilateral Neural Foraminal Stenosis at multi levels in later 30's. Issue still ignored, and add Lumbar Spinal Stenosis, a compression fracture, and many other Disc Bulges, 40 years old. The 2 Neuro Surgeons and 2 Orthopedic rejects I seen just passed it off as nothing, due to being complete reject Surgeons , so it was passed off again. Tried loads of Pain management injections - the next one will be Radio Frequency Ablation, which is taking forever as Canada loves to breach the Canadian Health Act with us all and I'm suing my pathetic government for this. If the RFA works, so well and good for 10 months, but I can't see a surgery being delayed forever, even if no one is willing to touch it here in this reject Province of Newfoundland, Canada. Canada is way behind the times when it comes to technology and my province (Newfoundland) is the province that time forgot. Stone Age Province. Anyone have any thoughts and in a similar boat while being failed by surgeons to help, and a failing government and no idea where to go to get actual options?
You missed the L3-L4 schmorls node, the reduced disc height is synonymous with a compression injury and resulting broad based bulge. Assessing a picture without load in the spine, without an in person clinical diagnosis would definitely make you think it isn’t a cause of pain. Maybe it’s a scar and not a wound, but your reasoning did not indicate a clinical test for this. Broad based bulges are tricky, but looking for nerve drag is definitely a repeatable offence.
From karnataka. Sir my problem is Lumber spondylosis Diffuse posterior disc bulge with small fissural tear at L4/L5 causing indentation of traversing nerve roots and Broad based posterocentral and bilateral paramedian disc herniation at L5/S1 causing moderate compression of traversing nerve roots more left side. Pls help me sir doctor told surgery but i don't like sir pls give me sugestions
when i was MRI of my spine .the impression are:finding are suggestive of degenerative disc diseas L4/L5 and L5/S1 with median disc protrusion at former level and median and right paramedian disc extrusion with inferior migration at the latter level..plz help sir ...my back pain had been since 2 year..what is the perfect solution for this problem?
Dr jeffery is it possible for you to look at my mri they are all located on my RU-vid channel im just looking for opinions of things you might see not an internet diagnosis im in a desperate situation bed ridden for 8 months in sever pain and im just trying to gather opinions so I can ask my treating physician's to look closer at things they may have over looked my symptoms are extensive and life altering im considering suicide if I cant get help there isn't much point in sticking around here I think anyone would agree
