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Doctor insights on: Bilateral Degenerative Facet Disease

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Dr. Mark Fisher
Board Certified, Neurology
29 years in practice
1M people helped
1

1
MRI RESULTS please interpret Schmorl's nodes T11-T12, T12-L1. mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1 Mild Disc protrusion L5-S1

Dr. Mark Fisher
Board Certified, Neurology
29 years in practice
1M people helped
MRI RESULTS please interpret

Schmorl's nodes
T11-T12, T12-L1.

mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1
Mild Disc protrusion L5-S1

Don't panic: 1) The scan is not the pt; you are. 2) Operative word here is "mild." Those findings may cause no symptoms at all. 3) In medicine and especially in this sort of situation, 1 picture = 1000 words. Your doc ordered the scan for a reason. Look at the images with your doc and have them interpret them for you, or find you someone who can. You have a right to an explanation in terms you understand. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Adam Lewis
Board Certified, Neurosurgery
30 years in practice
2M people helped
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L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

Dr. Adam Lewis
Board Certified, Neurosurgery
30 years in practice
2M people helped
L3-l5 no disk disease, minor degenerative facet change, no impingement. L5-s1 no disk disease, bilateral degenerative facet change no impingement. Mean?

Back pain: You are describing low back arthritis in terms of an MRI of the lumbar spine. Low back pain can be generated from degenerated or torn discs, nerve impingement from herniated discs, and inflammed or degenerated joints (facet) that connect one segment of the spine with an adjacent segment. Reducing or eliminating low back pain involves physical therapy, injections, and possibly surgery. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
Board Certified
45 years in practice
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Dr. Stephen Southard
Board Certified, Internal Medicine
10 years in practice
21M people helped
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3
What is mild bilateral facet disease? In my lower back.

Dr. Stephen Southard
Board Certified, Internal Medicine
10 years in practice
21M people helped
What is mild bilateral facet disease? In my lower back.

It is : Facet joints are the joint structures that connect the vertebrae to one another. It's not uncommon through normal "wear and tear" - so called degenerative arthritis - that these joints break down a bit. It's a very common finding and doesn't mean that you will have any problems from this now or in the future. Though it could be causes some discomfort in you; everyone's body is different. ...Read more

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Dr. Robert Masson
Board Certified, Neurosurgery
28 years in practice
174K people helped
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Difference b/t mild bilateral arthrosis (1/13) and superimposed facet degenerative chngs (7/13)? Grind start b/t 2 scans. What can be done to fix?

Dr. Robert Masson
Board Certified, Neurosurgery
28 years in practice
174K people helped
Difference b/t mild bilateral arthrosis (1/13) and superimposed facet degenerative chngs (7/13)? Grind start b/t 2 scans. What can be done to fix?

Disc failure: It implies that the disc is deteriorated at the intervertebral level putting additional stress on the joints of the spine, the facets. If all conservative measures fail, a well done spinal fusion can solve the progressive problem. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
5

5
What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
What does this mean? L-5 s-1 there is central disc protrusion which contacts the thecal sac and bilateral facet degenerative change thickening flavum

Disc & Facet Issues: Looks like by the verbage you gave, your MRI suggests that you have disc herniation at L5/S1. "Central" just means in the middle of the spinal canal,"bilateral facet degenerative change thickening flavum" suggests arthritis of the facet joint and the ligament that protects the spine is thickened due to that arthritis. Protrusion is just another name for a herniation. ...Read more

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Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
6

6
L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change?

Dr. Qamar Khan
Board Certified, Pain Management
12 years in practice
7M people helped
L3-l4 minor degenerative facet change. No impingement. L4-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change?

Facet Arthropathy: Could be facet arthropathy/arthritis. There are joints in the spine where the bones articulate and can develop bone spurs and cause pain typically with extension. I would consider seeing a pain/spine specialist to see if facet injections or radiofrequency ablation would be helpful for you. While arthritis/arthropathy will not change, the pain can be reduced or eliminated. ...Read more

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Dr. Adolfo Ramirez-zamora
Board Certified, Neurology
8 years in practice
7K people helped
7

7
L3-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change.No impingement. Conclusion no radicular impingment?

Dr. Adolfo Ramirez-zamora
Board Certified, Neurology
8 years in practice
7K people helped
L3-l5 minor degenerative facet change. No impingement.L5-s1 bilateral degenerative facet change.No impingement. Conclusion no radicular impingment?

No: A functional study like electromyography and nerve conduction studies testing the actual function of the nerves is more accurate. ...Read more

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Dr. Ronald Krauser
Board Certified, Rheumatology
47 years in practice
66M people helped
8

8
I don't have any disk disease but is arthritis in the lower back a disease? I've minor (l3-l5)to bilateral (l5-s1) degeneration facet change . Thank u

Dr. Ronald Krauser
Board Certified, Rheumatology
47 years in practice
66M people helped
I don't have any disk disease but is arthritis in the lower back a disease? I've minor (l3-l5)to bilateral (l5-s1) degeneration facet change . Thank u

Yes it is: You have minor osteoarthritic changes in the facet joints. This is not a significant issue. ...Read more

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Dr. Edgar Mendizabal
Board Certified, Internal Medicine
50 years in practice
5M people helped
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Dr. Will Moorehead
Board Certified, Orthopedic Spine Surgery
47 years in practice
703K people helped
10

10
I have chronic back pain, degenerative disc disease, facet arthrosis, nerve compression, spasms, and I have been to pain mang. Tried several treatments including steriods and injections. I am on a certain narcotic for which I know is not helpful, what now

Dr. Will Moorehead
Board Certified, Orthopedic Spine Surgery
47 years in practice
703K people helped
I have chronic back pain, degenerative disc disease, facet arthrosis, nerve compression, spasms, and I have been to pain mang. Tried several treatments including steriods and injections. I am on a certain narcotic for which I know is not helpful, what now

Spinal Surgeon: It appears that you have tried many forms of conservative. I would recommend that you seek the care of a spinal surgeon. If you have nerve root compression secondary to a disc herniation, facet arthrosis, foraminal stenosis or lateral stenosis, surgical decompression may be in your future. See a spinal surgeon! ...Read more

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Dr. Peter Kurzweil
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