Hello Ka friends!!
Ladybuggie here...its been a long time! I've been busy with my Krav and Arthur and I are grandparents of a beautiful baby boy named Ezra..he is now 2 months old!
I finally got around to finding a new rheumatologist. A great one. He is the one that dx Gianna with her JRA years ago. He is closer to me than my former rheumy. I was free to get my MRI tests done this week just in time for my follow up! Doc had put me on diflonec and vitamin d.
I come to my KA friends for input please?
IS stenosis and hypertrophy, something that is seen in AS?
I just had MRI's done about 2 years ago and it only showed fused l5/si and osteophytes in thoracic area. This time my neck was fine and si joints. But he was very concerned with the other stuff atop of osteoporosis as well...
L1-L3 seem okay.
L3-L4 show diffuse disc bulging and mild posterior element hypertrophy resulting in mild canal stenosis without significatn neural foraminal narrowing.
l4-L5 where I already had surgery for a blown disc shows mild faet hypertrophy without canal stenosis. The endplates are obscured with susceptibility artifact... no clue what this means!?
l5-si show diffuse disc bulging and small osteophyte complex and a mildly enhancing 3 mm central focus of soft tissue attenuation most consistent with granulation tissue and posterior element hypertrophy resulting in moderate bilateral neural foranimal narrowing with mild to moderate canal stenosis.
5 non rib bearing lumbar type vertabrae are presumed along with a probably transitions first sacral segment...?
Doc told me I had three bulging discs, and one ruptured disc and stenosis and nerve pinching. He said I needed to be very careful with the ruptured disc in my thoracic area. He said my only choices for now are surgery, epidural steroid shots with a 30-35% success rate, physical therapy which he feels will not fix things, or live with it and tweak meds. He gave me a nice steroid pack for now and I can think about the shots if its something I want to do.
He is a great doc and I am very candid with him about pain meds and how I need to function and cant be zonked out of my mind with 3 kiddos and one new grandbaby boy! i told him about Krav..he said exercise is excellent...too much sleeping and bed makes us much more stiff..which I know. I sleep on minimal so thats nothing new.
Of course once he gave me copies of my reports I was confused what this means. I did leave a message with the nurse to ask if its connected to the AS. Also osteoarthritis as well...nothing new..blah! lol
I havent been hurt, or fallen or accident so I know thats not what is happening. Any and all input is greatly appreciated!!
Good evening fb peeps!! your ol' pal buggy...