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What Is A Benign Vertebral Haemangloma?

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Posted on Wed, 4 Jun 2014
Question: Hi I have just had a MRI on my spine results show
T6/7 small disc bulge - no cord contact
C7/T1 right paracentral disc bulge that contacts thecal sack but no nerves or cord
T8/9 diffuse posterior disc bulge - no nerve or cord contact
T10/11 small central disc bulge no nerve contact
T12 benign vertebral haemangloma within posterior aspect
L5/S1 disc bulge
1st question am I headed for surgery and what is a benign vertebral haemangloma?
2nd question - I am having a lot of pain in between shoulder blades feels like someone is standing on it and struggle to take big breaths at times and i have pain in under left shoulder blade and ribs that hurts with touch or laying on. Which part of the spine is this pain connected to?
Would appreciated a little bit of info please
doctor
Answered by Dr. Karl Logan (17 minutes later)
Brief Answer:
Surgery not indicated

Detailed Answer:
Hi thanks for your quesiton.

Firstly none of the findings on your MRI scan would indicate the need for surgery. Then main and most common indication for surgery would be compression of a nerve root or the spinal cord by a disc prolapse.

Most adult patients on an MRI scan would have some evidence of degenerative disc disease. This can be considered part of the normal aging process.

A benign haemangioma is a small collection of extra blood vessels in one of the vertebral bodies in your back. It is nothing to worry about and a completely incidental finding. We see this sort of thing all the time of scans and just ignore it.

The pain that you are experiencing may or may not be related to the changes in your spine. Musculoskeletal back pain is extremely common, 50% of the adult population experiencing it at some time.

If the pain you are experiencing is musculoskeletal pain of you spine and chest wall then you would expect to see some improvement with antiinflammatory mediaction, physiotherapy for core strenghtening, pilates can be useful and massage.

The type of symptoms you describe may not always be related to the spine or chest wall and so I would ensure that you are see you family doctor with this complaint and he is directing you care.

I hope this answers your question.

Best wishes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Karl Logan

Orthopaedic Surgeon

Practicing since :1999

Answered : 705 Questions

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What Is A Benign Vertebral Haemangloma?

Brief Answer: Surgery not indicated Detailed Answer: Hi thanks for your quesiton. Firstly none of the findings on your MRI scan would indicate the need for surgery. Then main and most common indication for surgery would be compression of a nerve root or the spinal cord by a disc prolapse. Most adult patients on an MRI scan would have some evidence of degenerative disc disease. This can be considered part of the normal aging process. A benign haemangioma is a small collection of extra blood vessels in one of the vertebral bodies in your back. It is nothing to worry about and a completely incidental finding. We see this sort of thing all the time of scans and just ignore it. The pain that you are experiencing may or may not be related to the changes in your spine. Musculoskeletal back pain is extremely common, 50% of the adult population experiencing it at some time. If the pain you are experiencing is musculoskeletal pain of you spine and chest wall then you would expect to see some improvement with antiinflammatory mediaction, physiotherapy for core strenghtening, pilates can be useful and massage. The type of symptoms you describe may not always be related to the spine or chest wall and so I would ensure that you are see you family doctor with this complaint and he is directing you care. I hope this answers your question. Best wishes