MRI results in... Cycling season over indefinitely
I saw my doctor today and the results are in.. I DEFINITELY have a bulged disc and pinched sciatic nerve.
From the MRI report
A. There is grade 1 anterolisthesis of L4 and L5.
(Layman's terms sort of ) In anterolisthesis, the upper vertebral body is positioned abnormally compared to the vertebral body below it. More specifically, the upper vertebral body slips forward on the one below.
The amount of slippage is graded on a scale from 1 to 4. Grade 1 is mild (20% slippage), while grade 4 is severe (100% slippage).
B. There is mild anterior height loss of vertebral bodies T11 and T12 with minimal degenerative change at this level. No associated bone marrow edema or bony fragments.
(I'm guessing this is likely one of my original compression fractures from my accident in 1988)
C. There is disc desiccation at L4 - L5 and L5 - S1 with mild space narrowing at these levels.
Basically I've been told L1 through L3 - L4 basically look normal with no disc compromise.
L4 - L5 show degenerative disc disease with a mild stenosis (pinching) of the nerve root
L5 - S1 is a diffuse bulged disc, lateralizing to the right (why I have the pain in my right leg) This is where the real damage is.
Our next step is a new course of another prednisone type and a referral to a neurosurgeon to see what he feels is the next step we need to do be it surgery or what.
It's been a LONG day and I'm probably going to be laying down soon to rest and will likely try to be online a bit more tomorrow.
My doctor says that I will likely be able to get back on the bike eventually, but being a cyclist , he did say that whatever bike I get on that we make sure the fit is right to keep pressure off the lower back etc. I told him that right now I'm on a comfort bike so I'm for the most part in an upright position and that when the time comes I'm comfident that Jimmy at The Bike Line will make sure we've got the bike adjusted correctly if there needs to be any changes made.
Thanks again for all the good thoughts, prayers etc. I have gone back to the original dose of antidepressant that I'd been prescribed some time back and that I'd cut in half (with the Ok of the doctor) since my cycling had improved my mood etc. I'm hoping that it's going to help elevate my mood from the deeper depression I had started to fall into.
I don't know how soon I'll be able to see the neurosurgeon but I'm hoping it's sooner than later. My DH has some health issues we're checking into as well so the stress from it has NOT helped my stress from my injury or other things that the POOP faery has dropped on our family for the holidays. Here's hoping the POOP FAERY is FLUSHED away and NEVER bothers anyone else!:mad:
Take care and I will check in again tomorrow when I'm a bit more rested.
Mary
Bcipam - re the fun stuff narcotics do to your system... the doctor prescribed colace (a stool softener) that can actually be purchased over the counter. Doctor also told me to keep an eye on any OTHER changes in bowel or bladder function as that can be signs of other (increased severity) changes in the nerve being pinched. Good luck.. I have a feeling surgery is in my future as well unfortunately as I have to get better asap so I can get back to watching my grandchildren.