My MRI report came back recently. Went to the chronic pain doctor and told
me I have Fibromyalgia
(http://www.britannica.com/ebc/article?tocId=9390471&query=fibromyalgia&ct=).
Again he says to take the medication he prescribed for low serotonin levels,
which is what gave me acid indigestion in the first place.
Anyway, he told me from the MRI report that I have mostly muscle problems as
I don't have any bone problem or slipped disc or anything like that.
However I don't believe him. If there's really no problem then I wouldn't
still be in pain over a year after my back injury, with my right side
feeling different from my left side. He then gave me the following report
to give to my doctor. What I don't understand is those L3 L4 things and why
it says "degenerative change" when the doctor says it's nothing. Is he
lying to me?
My MRI report
http://img22.exs.cx/img22/9724/mri_report.jpg
beachhouse - 03 Nov 2004 00:09 GMT
your doctor is not lying to you.
your report says you have MINIMAL evidence of osteoarthritis at your 5th
lumbar vertebra and first sacral vertebrae. This can be a very common
finding -- again MINIMAL evidence of osteoarthritis -- and your doctor is
telling you that this does not explain your pain. Your "disks" (the soft,
fleshy areas between your vertebrae) are not herniated. There is no
narrowing of the bony canal that surrounds your spinal cord. You basically
have a normal MRI.
> My MRI report came back recently. Went to the chronic pain doctor and told
> me I have Fibromyalgia
(http://www.britannica.com/ebc/article?tocId=9390471&query=fibromyalgia&ct=)
.
> Again he says to take the medication he prescribed for low serotonin levels,
> which is what gave me acid indigestion in the first place.
[quoted text clipped - 10 lines]
> My MRI report
> http://img22.exs.cx/img22/9724/mri_report.jpg
Howard McCollister - 03 Nov 2004 00:34 GMT
> My MRI report came back recently. Went to the chronic pain doctor and
> told me I have Fibromyalgia
[quoted text clipped - 13 lines]
> My MRI report
> http://img22.exs.cx/img22/9724/mri_report.jpg
Degenerative changes in the spine are completely normal, and yours are only
mild - a consequence simply of walking upright for 30+ years. Most
importantly, there is no sign of disk herniation or bulging. It's a
completely normal MRI for someone over age 30 and the report says that your
symptoms are not a consequent of disk disease.
Since your spine is normal, your symptoms are most likely due to muscle
problems, and these are not diagnosable by MRI, only by physical exam.
Fibromyalgia is a sort of wastebasket diagnosis that results when all other
causes of chronic pain are ruled out. IOW, you have pain in the
musculoskelatel system, and the skeletal portion appears to be normal,
meaning therefore that your pain is muscular.
If you have doubts, get a second opinion by having your MRI read by a
different radiologist.
HMc
Jojo - 03 Nov 2004 08:10 GMT
But I'm only 27!!! Not even 30+ years old yet ... :-( I'm dying ....
:-(((
> Degenerative changes in the spine are completely normal, and yours are
> only mild - a consequence simply of walking upright for 30+ years. Most
[quoted text clipped - 13 lines]
>
> HMc
REP - 03 Nov 2004 09:26 GMT
> But I'm only 27!!! Not even 30+ years old yet ... :-( I'm dying ....
> :-(((
Somatization disorder.

Signature
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather
Howard McCollister - 03 Nov 2004 13:47 GMT
> Somatization disorder.
Same thing as fibromyalgia.
HMc
Jojo - 03 Nov 2004 08:11 GMT
But I'm only 27!!! Not even 30+ years old yet ... :-( I'm dying ....
:-(((
> Degenerative changes in the spine are completely normal, and yours are
> only mild - a consequence simply of walking upright for 30+ years. Most
[quoted text clipped - 13 lines]
>
> HMc
Howard McCollister - 03 Nov 2004 13:48 GMT
> But I'm only 27!!! Not even 30+ years old yet ... :-( I'm dying ....
> :-(((
Just out of curiosity, how much do you weigh? Better yet, what is your BMI?
( http://nhlbisupport.com/bmi/bmicalc.htm )
HMc
bae@cs.toronto.no-uce.edu.yyz - 03 Nov 2004 17:54 GMT
>> But I'm only 27!!! Not even 30+ years old yet ... :-( I'm dying ....
>> :-(((
>
>Just out of curiosity, how much do you weigh? Better yet, what is your BMI?
>( http://nhlbisupport.com/bmi/bmicalc.htm )
Thanks for posting this link. It's part of a large site with some really
excellent material about weight loss and weight maintenance.
The parent site is at
http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/index.htm
The "Patient and Public Education Materials" section
(http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/patmats.htm)
contains some of the most realistic, practical and effectively presented
material on weight control I've seen:
http://www.nhlbi.nih.gov/health/public/heart/obesity/lose_wt/control.htm
The "Portion Distortion" quiz, showing that fast-food portions of today
often contain 2-3 times the calories of the same item 20 years ago, is a
real eye-opener about one of the major causes of the current "obesity
epidemic" in young people in North America. http://hin.nhlbi.nih.gov/portion/
Howard McCollister - 03 Nov 2004 20:02 GMT
> The "Portion Distortion" quiz, showing that fast-food portions of today
> often contain 2-3 times the calories of the same item 20 years ago, is a
> real eye-opener about one of the major causes of the current "obesity
> epidemic" in young people in North America.
> http://hin.nhlbi.nih.gov/portion/
Not only calories, but a shift in food types toward carbohydrates and fats.
Couple that with the decrease in the activities of daily living (decreased
excercise) and lack of excercise programs and the picture comes into clearer
focus.
HMc
J - 03 Nov 2004 12:03 GMT
> Anyway, he told me from the MRI report that I have mostly muscle problems as
> I don't have any bone problem or slipped disc or anything like that.
[quoted text clipped - 4 lines]
> it says "degenerative change" when the doctor says it's nothing. Is he
> lying to me?
L stands for lumbar (lower back)
Anatomy : http://www.eastbaychiropractic.com/which/howtheyconnect.html
http://www.espine.com/normal_anatomy.html
You're kind of young for degenerative disc, however I never had an MRI (so who
knows what it would have shown).
I did have sciatica when I was 19. Now that can be painful !
I also now have degenerative disc higher up. That hurts in certain positions like
leaning in towards a monitor or standing at a table in certain positions. Raise
yourself or what you working on. Lower one, raise the other. If the back hurts,
back up to a wall and stretch your back "backwards" until you feel relief.
Either one is treated conservatively, that's why the doctor can do nothing, it's
you who has to made adjustments.
If you've extra weight, cut back on each meal. The thinner you are, the better
for your back.
Watch your posture.
If you wear shoes that put a strain on your back, buy better ones.
Bend (especially to lift) from the knees, not the waist.
Exercise and physiotherapy to strengthen your back muscles.
If you do have sciatica, treat with heat or cold and mild pain medication.
Don't lay idle for long periods. (other than for sleep).
Check your bed/mattress, there might be a better one for your back.
There's tips here and they vary on each page. Use them well.
http://www.medicinenet.com/degenerative_disc/article.htm
http://www.umm.edu/spinecenter/education/degenerative_disc_disease.html
You won't die from it, many people have to learn to live with chronic pain.
Just do what you have to, to make it better.
They usually prescribe antidepressants for fibromyalgia.
The theory goes, if the person feels better, they'll get moving and do what I
describe above.
Another type is Elavil, which enhances sleep. If you're not having sleep
problems, leave that one alone.
It can cause people to have sugar or carb cravings and put on weight.
Stretch, stretch, yoga or one of those, swimming, keep moving.
If your work is physical, look to the future and start looking into education for
a different career in case this condition worsens. And/or look into ergonmics
(furniture or work equipment).
Take care of your back.
J
Howard McCollister - 03 Nov 2004 13:45 GMT
> You're kind of young for degenerative disc, however I never had an MRI (so
> who
> knows what it would have shown).
She doesn't have a disk problem. Her disks are normal and there's not even
any disk height loss. She had *minimal* degenerative change in the bones of
the spine at L5-S1. Those arthritic changes MIGHT suggest associated muscle
inflammation in that area, but this is a *normal* MRI report.
HMc