Don't Read Too Much Into Your MRI Report

Поділитися
Вставка
  • Опубліковано 13 гру 2024

КОМЕНТАРІ • 77

  • @stacywrogersdesigns
    @stacywrogersdesigns 3 місяці тому +4

    Thank you so much for sharing these videos about degenerative disc disease. Respectfully, it does not seem like there is a universal format for interpreting MRI images. I’ve had many MRI’s over the past 20 years at several different facilities with several different doctors. All of the MRI’s have been done using the closed machines but every report comes back different. The first MRI report said I had lumbar scoliosis. The next didn’t indicate this but instead said I had cervical lesions. I was treated for MS for 7 years only to learn that it was a misdiagnosis. The next one said I had a cervical syrinx. Another said I had moderate to severe degenerative disc disease, mild to moderate facet hypertrophy. The most recent report said there are no spinal cord abnormalities, no indication of scoliosis, but there are indications of mild degenerative disc disease & mild facet arthrosis. Everything I’ve read or have been told says that degenerative disc disease & facet hypertrophy is progressive & incurable. How does one go from moderate/severe to mild? Why have the interpretations been so varied?

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  3 місяці тому +1

      Yes interpretations can be very variable

    • @Hibernia2324
      @Hibernia2324 2 місяці тому +1

      I've had the same experience, plus doctors who disagree with the radiologist's findings.

    • @mariajaramillo1135
      @mariajaramillo1135 Місяць тому +1

      Exactly right 💯 same here. Have toons of issues within my back shoulders and now hips.
      Many MRI ct scan x ray from different doctors acording to what they need .
      Only to find out that each MRI is totally different. One doctor find one thing and other something different and at the end the real reason why I had it done is not even mention! 🤦🏻‍♀️

    • @mariajaramillo1135
      @mariajaramillo1135 Місяць тому +1

      ​@@DrBrianSuTheSpineGuy and also misdiagnosed!
      😢

  • @JohnnyLoots
    @JohnnyLoots 4 місяці тому +2

    This video will definitely alleviate a lot of stress if you're having an MRI and aren't sure what to expect when you get the reported results. Great video Dr. Su!

  • @DisabilityExams
    @DisabilityExams 4 місяці тому +5

    The normal MRI report is the rarest of rare phenomena in medicine.

  • @anniekerr7236
    @anniekerr7236 3 місяці тому +2

    Awesome spine guy! 💕

  • @desgoulding7154
    @desgoulding7154 4 місяці тому +2

    You are an excellent specialist explaining everything. Should be more Drs like you 😮😊

  • @Sklipchan
    @Sklipchan 3 місяці тому +2

    Thank you for your explanation. It alleviates a lot of stress. I really like your philosophy of treating the patient, not the MRI. Great video, Dr. Su.

  • @AtoDaZn
    @AtoDaZn 3 місяці тому +2

    Thanks for making these videos Doctor! I have an orthopedic spin surgeon appointment coming up and your videos are helping me understand what I may expect. Keep it up!

  • @azinkadkhodayan6262
    @azinkadkhodayan6262 3 місяці тому +1

    Dr. Su your videos and information make real difference. I’m sure your day to day work makes a lot more difference in people’s lives! Thank you for all you do!

  • @YTPAJ12
    @YTPAJ12 4 місяці тому +3

    Another fantastic video to wake up to this morning in Bangkok. I had an MRI scan (open MRI) and this video has now demonstrated not to be stressed over the report findings. I am 47, C4/C5 stenosis causing some pain but not as bad as two weeks ago. Seems to have settled down a bit. What I did notice is a possible infection on the bone that my doctor did not notice after I looked at my MRI images, but I am not a doctor to rule this out. I think some of the doctors here are okay but some just want to do an operation to get the money. :(

    • @sylvie5894
      @sylvie5894 3 місяці тому

      Wait...... you have C4,5 central canal stenosis or foreaminal cervical stenosis... and is it moderate or severe?

    • @Lord_Don
      @Lord_Don 12 днів тому

      ​@@sylvie5894i have moderate neural foraminal stenosis..and i have it after a ACDF fusion.
      Is moderate something to worry about?
      Shouldn't ACDF have addressed this?

    • @sylvie5894
      @sylvie5894 12 днів тому

      @@Lord_Don God, no! Everybody has moderate foremaninal.... I have SEVERE foreaminal... and would never get a fusion!!!! Why would you have a ACDF fusion for modereate, makes no sense unless you have a VERY TOXIC DIET inflamming your nerves, in which case its a dietary issue, not a spinal one.... moderate foreaminal is NOTHING!! Why didnt you just do PT and change your diet?? Thats what i did and barely feel any pain if at all. ( Pardon the alarm, i just cant believe you got a fusion for THAT! Sounds like the surgeon took advantage of you to earn a few bucks, esp if you are carrying extra weight... thats who they target.)

  • @lyudmilalogvin3331
    @lyudmilalogvin3331 2 місяці тому

    Thank you so much for this Video. I love direct, clear, accurate, informative information without wasting time on irrelevant or immaterial issues.

  • @Anthony-ns5st
    @Anthony-ns5st 3 місяці тому +2

    Can you do a few videos concerning the thoracic region.
    For example. My most recent MRI. Explanation in plain English would be helpful.
    There is a very large central disc protrusion/herniation at the T7/8 level. Herniated disc
    material extends approximately 5 mm posterior to the cortical margin, as well as above and
    below the disc level, as described above. The spinal canal itself is stenotic at 7 mm. The spinal
    cord is contacted and compressed. The dorsal CSF space is thinned. The spinal cord itself
    displays normal signal.
    2. There is spinal canal stenosis at the T2/3 level. There is severe compromise of the left lateral
    recess and the left neural foramen. This is due to a 7 mm far left-lateral disc
    protrusion/herniation, which will likely result in left-sided radicular-type symptoms as a
    result. The spinal canal itself is stenotic at 9 mm. There is also moderate compromise of the
    right neural foramen due to disc material, which could possibly result in some right-sided
    radicular-type symptoms.
    3. There is spinal canal stenosis at the T4/5 level, as well as at the T6/7 level. The spinal canal is 9
    mm, as described above. This is due to central disc protrusions/herniations, as described
    above. There is partial compromise of the left and right lateral recesses.
    4. There is borderline spinal canal stenosis at the T8/9 level. The spinal canal is 1 cm. This is due
    to herniated disc material with some mild ligamentous thickening. There is moderate
    compromise of the left lateral recess and the left neural foramen.
    5. The anterior CSF space is partially effaced centrally and to the right of midline at the T5/6
    level from 2 mm of herniated disc material.
    Just reads terrible lol

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  3 місяці тому +2

      Yes I will eventually do something on the thoracic spine

    • @bestiefswlady5251
      @bestiefswlady5251 3 місяці тому +2

      Speaking generally, it seems like the majority of the uploads about spinal issues tend to be either cervical or lumbar, and not nearly as much on thoracic. I recently found out that, despite my thoracic pain tripling in the past year, the MRI of that area itself isn’t really showing anything very remarkable. I guess it can be just caused by all the ways. I’m holding my body due to all the cervical issues that I’m having. I hope you get some answers because I know how frustrating this can be!

  • @kabookie-
    @kabookie- 4 місяці тому +1

    Wow! My follow-up is tomorrow and I have done exactly that for a month with my written report. I'm glad I happened to find this video today.

  • @SPotThought
    @SPotThought 4 місяці тому +3

    Excellent explanation.. doc 👏👏👏💯 You are really helping a lot of people with your exceptional videos👌. More like this.. please 👍

  • @kalachai
    @kalachai Місяць тому

    Thanks Dr Su. Just as you said in the video, I was freaking out after looking at my latest MRI report where it was a page and a half long and comparing it to the last MRI report from over 4 years ago, it was only half a page long. I was literally going through line by line in the body of the report instead of looking at the impression section! Now I understand why my spine surgeon doctor didn’t touch or talked about the report in details and focus on just the one area where I thought was the least of my concern! Lol!!

  • @KenBagby1
    @KenBagby1 4 місяці тому +1

    Excellent perspective! I needed this! Thanks!🙏

  • @Just_MHO_thomasina
    @Just_MHO_thomasina 3 місяці тому

    Soooo helpful. Everyone needs to see this... had no idea 😮
    Thank you again Dr. Su!!!

  • @EmmieElle
    @EmmieElle 2 місяці тому

    I would love a video explaining an intradural synovial cyst at C2.

  • @jeffjohanson3830
    @jeffjohanson3830 4 місяці тому +1

    Labor Day weekend 2023 my L2L3 disk herniated in bed overnight. Woke up in excruciating pain. 3 weeks later I’m in the hospital from pain for 2 days/nights and I was losing motor function of my lower right leg. Until then I was a very active and fit 66YO hiking, trail running and racing, mountain biking, downhill and XC skiing.
    When I saw the MRI report yes I indeed freaked out. All sorts of things wrong including Grade 1 spondylolisthesis and some slight scoliosis. WTH 😳 obviously, there was the disc herniation along with foraminal stenosis, degenerative disc disease, and arthritis the full gamut of things to freak out about until after TONS of reading and watching videos like this I realized most of those things are normal for a 66YO person. Ultimately in 8 to 10 weeks all my pain subsided, the numbness the shooting pains all of it, but I was left with a leg that has atrophied, buckles and continues to do so, although it has improved substantially. Multiple rounds of physical therapy have helped but I still can’t run or mountain bike or downhill ski and hiking requires extreme care with the use of poles now versus things I just used to fly over without the need for any poles. My significant other calls me the mountain goat…..not anymore.
    I’ve seen 4 surgeons with suggestions from waiting 18-24 months, Microdiscectomy, to a multi stage fusion to correct The scoliosis and spondylolisthesis…. despite the fact, I’m asymptomatic to any kind of pain and continue to work 10 hours a day mostly on my feet.
    Somewhere in my back, there is a nerve or nerves that are clearly under compression that are causing a motor function problem, but they don’t seem to be able to figure it out exactly and I’ve had an EMG done as well.
    I’m contacting an endoscopic specialist in NY (I’m in MA) to send my MRI to and get his opinion. It’s all he does, endoscopic, the most minimally invasive type of back surgery you can get. Perhaps he’ll see something others have not but there is no way in hell I’m getting a fusion done with the way I can move around without pain. I just can’t do the things I love to do because of the leg buckling problem.
    Oh yeah, don’t freak out over your MRI especially if your over 60YO.

  • @victorial6684
    @victorial6684 3 місяці тому

    This is amazing!!!

  • @richardhamilton3163
    @richardhamilton3163 3 місяці тому

    great video

  • @enacastillo6490
    @enacastillo6490 4 місяці тому

    Grasias por tan excelente información !!saludos !!!

  • @briankim75
    @briankim75 Місяць тому

    What do you think about lumbar disc replacement? Do you perform the surgery yourself?

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  Місяць тому +1

      That is a long conversation it is typically for disc degeneration. My personal bias is at the long-term outcomes have not necessarily been shown to be better than fusion and I'm worried about the need for revision. You should consult your doctor.

  • @sm_au
    @sm_au 4 місяці тому

    Thanks Dr Su, that was an amazing presentation. It's interesting the follow up seven year study didn't correlate back pain with the previous (age related) findings. Very reassuring to see/hear. My family physician couldn't understand why I had so much pain with so little disc herniation (my specialist disagreed with the family physician's opinion of the impact of my spine on my pain) so this is very validating, thank you.

  • @Fishflorida59
    @Fishflorida59 3 місяці тому

    Great video, is it possible that you could do a video on OPLL with myelopathy and surgical options in the future? Thank you

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  3 місяці тому +1

      Yes I can. It is very similar to the spinal cord compression videos with a few nuances

    • @Fishflorida59
      @Fishflorida59 3 місяці тому

      @@DrBrianSuTheSpineGuy I look forward to it, thank you!

  • @jeannekinkade7367
    @jeannekinkade7367 4 місяці тому

    Can you tell us about Spect CT and how it compares with an MRI? Also, how it can highlight areas of the spine that might be the cause of long term chronic pain? Thank you for your videos. Really good.

  • @stevenciesiel777
    @stevenciesiel777 2 місяці тому

    I just saw a neurosurgeon this past Mon. Basically he doesn’t believe that my foraminal stenosis or bulging disc is what is causing my symptoms. But being on opioids for many years 🤔I was on Norcos probably for 10 years but am now on suboxone for about 2 years now he believes that the opioids is causing something called OIH rather then my condition itself. Pain management the physician assistant thinks it’s C5 in particular that is causing the symptoms and that there is some nerve irritation at that level. A bilateral epidural steroid shot seemed to help with the pain in back of my neck 🤨 which leads me to believe it’s my condition more so than the opioids or possibly it’s both. Definitely am puzzled 🤔

  • @masoudabumoghli5948
    @masoudabumoghli5948 3 місяці тому

    supper.. great thanks for sharing this video.. informative and uplifting.. as a patient the most important thing is to be seen by a competent doctor, who is not edgy about explaining the case to the patient, and a doctor who dose not assume he or she is a superior being because of medical degree .. the patient needs to be informed.. many patients are of high intellectual capacity either by holding equally important degrees like yourself as a doctor or of high caliber individuals.. in all cases doctors must invest the efforts and respect to all patients.
    Even in this great video, from which I benefited a lot - the doctor is still looking down at other medical staff and professionals, by saying something like“... even we do not talk to them ... our assistance write them a line ...”
    the doctors as a community is full of attitude..

  • @Tonybb-s9s
    @Tonybb-s9s 2 місяці тому

    Hi Dr Su, is it possible to schedule tele medicine visit in your clinic?

  • @Kreacher1974
    @Kreacher1974 4 місяці тому

    I herniated L3-L4 when I was 21 and dealt with it for 25 years with it acting up every now and again. 2 1/2 years ago it finally went really bad and needed a Laminectomy. 5 days later I had to have a fusion. December of last year I had to have L2-S1 fusion with screws in my pelvis fused to my sacrum. Now I have 9 disc herniation in my thoracic spine. I'm 49 and my Dr. said I have the spine of someone in there 70's. I am stuck in bed 23 hours out of the day.

  • @mickw.4912
    @mickw.4912 4 місяці тому

    I wish you would look st my ct scans. Im wayyy to young to have all these issues.

  • @FelicianoLove-m8h
    @FelicianoLove-m8h 2 місяці тому

    may i know if you are an udemy coach?

  • @lindadove8298
    @lindadove8298 2 місяці тому

    Would you happen to know when you're going to do more videos? I was wondering why neurosurgeons give two different types of answers for surgery? Then how is the patient able to decide what to do? Also, both surgeons are excellent and they are just in different groups. What would you do next if getting 2nd and 3rd opinions why does no one give the same answer.

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  2 місяці тому

      Watch the video on how to choose a spine surgeon. That might help.

  • @noeltru1416
    @noeltru1416 Місяць тому

    Just had a mri for lumber spine, and it said L4 L5 disc protrusion with moderate to severe spinal canal stenosis. I'm 38 is this normal for my age range?

  • @timclark2925
    @timclark2925 3 місяці тому

    What if I have all the horrible symptoms of nerve compression (neck pain, numb hand, weak limbs, bicep pain, heart palpitations, hot flashes or red face etc) My mri and xrays show bone spurs; arthritis; and minimal disc bulg at c5-c6 and c6-c7; BUT the experts looking at them say that the pics don't explain my symptoms.....terrifying situation because symptoms getting worse over time.

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  3 місяці тому +1

      That can often be the case unfortunately

    • @timclark2925
      @timclark2925 3 місяці тому

      @@DrBrianSuTheSpineGuy thanks for the response....that is honestly very helpful to know

  • @amigatommy7
    @amigatommy7 4 місяці тому

    can you see any blood vessels with one?

  • @docmacwoodwerks
    @docmacwoodwerks 3 місяці тому +1

    I am a pathologist and my cervical spine MRI is a product of aging...yes I'm old so I treat my discs findings as normal findings! Hahahaha

  • @rakishman1313
    @rakishman1313 3 місяці тому

    doubt the radiologists in tristate area is scared of getting calls they repeatedly call my 3 level ADR s as fusions when in fact it s clearly visible that they are ADs (I have low artefact discs ), they don't even see or write what s going on with the other levels .

  • @collarrain9702
    @collarrain9702 3 місяці тому

    How can I sign up to be your patient I have disc and so much pain but no Dr

  • @oso7179
    @oso7179 4 місяці тому

    whats the difference a laying down MRI N a sitting down MRI?

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  4 місяці тому +1

      The upright one is open so not as good quality. But does allow you to see if there is instability

    • @oso7179
      @oso7179 4 місяці тому

      @@DrBrianSuTheSpineGuy Thank you.

  • @mariajaramillo1135
    @mariajaramillo1135 Місяць тому

    I think we have the right to know what's going on in our bodies.

  • @mariajaramillo1135
    @mariajaramillo1135 Місяць тому

    The reason why I read my reports is because the doctors don't want to waste time on explaining to us the patients how serious is each problem the MRI notes has.

  • @richardhamilton3163
    @richardhamilton3163 3 місяці тому

    We have tried contacting you

  • @amigatommy7
    @amigatommy7 4 місяці тому +1

    You cannot see pain so most of mine have been pointless.

    • @mickw.4912
      @mickw.4912 4 місяці тому

      Not true they have a SPECT CT now. Which actually does do the uptake of pain indicators.... Very interesting

    • @sm_au
      @sm_au 4 місяці тому +1

      @@mickw.4912 Really? Would love to hear more about this!

  • @knucklesandwich8786
    @knucklesandwich8786 4 місяці тому

    15-20 minutes with a patient? You must be kidding. I’ve had more than 1 visit with you back guys, 5-6 minutes at best. I would HIGHLY recommend you
    Look at your online reviews from your patients. You will learn a thing or two.

  • @richardhamilton3163
    @richardhamilton3163 3 місяці тому

    Can you please contact us?

  • @joeblow9548
    @joeblow9548 3 місяці тому

    My mri did not reveal that i had severe annular tears leaking out on my nerve roots destroying my life and losing my ability to provide for my family,,after 9 drs that did nothing i went to youtube and found incredible drs showing what mris and other drs are missing long story short after discograph and follow up ct scan i had 2 disk leaking,,wow what a simple fix after endoscopic cleanout of my disk,,,im sorry but this is medical malpractice that all drs are not looking for this and pushing you into injections and pt and meds that were never going to work,,dr i didnt hear you mention yhis,,do you also not know,,,im 100 percent today

    • @Hibernia2324
      @Hibernia2324 2 місяці тому

      Insurance companies are pushing patients to do that.

  • @Lord_Don
    @Lord_Don 12 днів тому

    I'm all alone trying to figure things out. Please let me know something
    Does left arm muscle weakness warrant surgery?
    What would an MRI read when identifying left arm weakness?
    Would this contribute to muscle weakness ""severe left neural foraminal narrowing and impingement of exiting left C6 nerve root.""

    • @DrBrianSuTheSpineGuy
      @DrBrianSuTheSpineGuy  12 днів тому

      Watch the video on cervical radiculopathy

    • @Lord_Don
      @Lord_Don 12 днів тому

      @DrBrianSuTheSpineGuy I watched it and I watch all your videos and I'm a subscriber to your content.
      You're one of the most comprehensive, informed, content creators who engages his audience. You're very well loved on the space.