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What Does My X-ray Test Report Indicate?
Question: I have spinal xrays which I would like an opinion on
This is for my mother - I would like to know if there is any compression fracture or slippage of the vertebrae and anything else important
This is for my mother - I would like to know if there is any compression fracture or slippage of the vertebrae and anything else important
Brief Answer:
X-rays doesn't indicate any compression fracture,slipped vertebra etc.
Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,
Spinal X-rays shows scoliotic changes(lateral deviation of spine from mid line).There are also gross osteopenia(decreased density of bone)in visualized bones.
There are also advance degenerative changes in the form of osteophytes in vertebra.
However,X-rays doesn't indicate any compression fracture,slipped vertebra etc.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
X-rays doesn't indicate any compression fracture,slipped vertebra etc.
Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,
Spinal X-rays shows scoliotic changes(lateral deviation of spine from mid line).There are also gross osteopenia(decreased density of bone)in visualized bones.
There are also advance degenerative changes in the form of osteophytes in vertebra.
However,X-rays doesn't indicate any compression fracture,slipped vertebra etc.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I have been advised there is Spondylolisthesis grade 1 at the lumbar 5 area?
Is this not correct?
As far as any compression fractures - how certain are you.
My mother has been experiencing extreme pain in the right lumber/hip junction.
Its alleviated by sitting but standing walking is extremely painful.
The physiotherapist stated its a facet joint nerve irritation.
She had spinal traction a few years ago and gave her relief.
Is she still a candidate for spinal decompression.
She has a bit of relief from voltaren and a tens device but she is now becoming immobile. She always had to sit down after 15 minutes but now that isnt available either anymore. Facet injections only provided temporary relief and burning the nerve didnt help either. Is the osteoporosis signficcant
Hello
You must be in a different time zone.
As mentioned my mother before this incident could not stand up more than 15 minutes before sitting down. In the last week - everything is much worse.
The original acute pain was centred in lower lumbar spine. However over the last few days, its centred below the hip bone but in the upper right buttocks area.
It feels like a stabbing sensation that she winces with pain and has difficulty putting weight on the leg. I only sent you 3 xrays of which they labelled the series
dorsal/lumbar. Would those cover the area into the buttocks?
I just cant imagine all this acute pain is just arthritis. She has about a couple of minutes now where if she walks before the strong pain sets in
She wont be eligible for an MIR.
She is almost 90 and shouldn't have to suffer like this.
Is this not correct?
As far as any compression fractures - how certain are you.
My mother has been experiencing extreme pain in the right lumber/hip junction.
Its alleviated by sitting but standing walking is extremely painful.
The physiotherapist stated its a facet joint nerve irritation.
She had spinal traction a few years ago and gave her relief.
Is she still a candidate for spinal decompression.
She has a bit of relief from voltaren and a tens device but she is now becoming immobile. She always had to sit down after 15 minutes but now that isnt available either anymore. Facet injections only provided temporary relief and burning the nerve didnt help either. Is the osteoporosis signficcant
Hello
You must be in a different time zone.
As mentioned my mother before this incident could not stand up more than 15 minutes before sitting down. In the last week - everything is much worse.
The original acute pain was centred in lower lumbar spine. However over the last few days, its centred below the hip bone but in the upper right buttocks area.
It feels like a stabbing sensation that she winces with pain and has difficulty putting weight on the leg. I only sent you 3 xrays of which they labelled the series
dorsal/lumbar. Would those cover the area into the buttocks?
I just cant imagine all this acute pain is just arthritis. She has about a couple of minutes now where if she walks before the strong pain sets in
She wont be eligible for an MIR.
She is almost 90 and shouldn't have to suffer like this.
Brief Answer:
Pain may be due to many causes.She may need MRI of L/S spine.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Sorry for replying late,
Lateral X-ray of L/S spine is not uploaded,so it is difficult to comment upon spondylolisthesis. Spondylolisthesis is also a part of degenerative changes.
Bowel preparation is not good.There are gas shadows in X-rays.However it appears that there are no compression fracture.Assessment is difficult due to gas shadows.
Pain may be due to many causes.She may need MRI of L/S spine.It is important to assess inter vertebral disc prolapse,nerve root compression etc.
She may also need X-ray of pelvis with both hips(AP)for including buttock area.
These X-rays doesn't include buttock area.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Pain may be due to many causes.She may need MRI of L/S spine.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Sorry for replying late,
Lateral X-ray of L/S spine is not uploaded,so it is difficult to comment upon spondylolisthesis. Spondylolisthesis is also a part of degenerative changes.
Bowel preparation is not good.There are gas shadows in X-rays.However it appears that there are no compression fracture.Assessment is difficult due to gas shadows.
Pain may be due to many causes.She may need MRI of L/S spine.It is important to assess inter vertebral disc prolapse,nerve root compression etc.
She may also need X-ray of pelvis with both hips(AP)for including buttock area.
These X-rays doesn't include buttock area.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Can you tell me the difference between osteoporis vs the osteopenia?
Is the latter condition significant in her xrays prompting injections or high dose supplements like vitamin d?
She takes 2000IU daily.
Also you XXXXXXX commented on the spinal decompression as traction helped her a few years ago?
Is the latter condition significant in her xrays prompting injections or high dose supplements like vitamin d?
She takes 2000IU daily.
Also you XXXXXXX commented on the spinal decompression as traction helped her a few years ago?
Brief Answer:
Osteopenia(decreased bone density) is a broad term.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Osteopenia(decreased bone density) is a broad term and it may be due to osteoporosis,osteomalacia etc.
In old age it is generally due to osteoporosis. Osteoporosis is decrease in bone weight and it causes loss of both collagen and minerals.
In advance stage,in addition to vitamin D,patient may require medicines that decreases bone resorption like bisphosphonates.
Use of traction may be advised after orthopedic evaluation.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Osteopenia(decreased bone density) is a broad term.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Osteopenia(decreased bone density) is a broad term and it may be due to osteoporosis,osteomalacia etc.
In old age it is generally due to osteoporosis. Osteoporosis is decrease in bone weight and it causes loss of both collagen and minerals.
In advance stage,in addition to vitamin D,patient may require medicines that decreases bone resorption like bisphosphonates.
Use of traction may be advised after orthopedic evaluation.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Naveen Kumar
So on a scale of 1 to 10 - what is her bone density/quality?
Also what exactly is involved with a lumbar/hip MIR - is it cumbersome to complete
with a woman that already has arthritis
Also what exactly is involved with a lumbar/hip MIR - is it cumbersome to complete
with a woman that already has arthritis
Brief Answer:
Radio graphically we can say that she has gross osteopenia.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Radio graphically we can say that she has gross osteopenia.
She may need counselling for MRI to lie down calm during investigation.Anesthetic help may be sought if needed.
MRI is possible in arthritis patient.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Radio graphically we can say that she has gross osteopenia.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Radio graphically we can say that she has gross osteopenia.
She may need counselling for MRI to lie down calm during investigation.Anesthetic help may be sought if needed.
MRI is possible in arthritis patient.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
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