Question
Hello Dr George, I am 48 years old, my weight is 74 kg and my height is 159 cm. I am a mother of 6 beautiful kids and recently I started having pain in my right thigh ( inner side) and these are results of my MRI done for lumbar spine and right hip. I wonder if you can kindly explain for me what is the problem with my back


=========== TEXT REPORT ===========
INDICATION:
Sever pain in the right hip joint radiate to the right thigh.
TECHNIQUE:
Multi planar, multi sequence images of the hips were performed.
Findings:
" No previous images available for comparison.
" Normal appearance of both hip joints with no evidence of effusion.
" The left iliac bone shows well defined focal fatty change , otherwise rest of the visualized bone marrow appears within normal.
" The visualized soft tissue is unremarkable.

Conclusion:
Normal study.



NB: Pelvic congestion is noted gynecological correlation is advised.


and the second report about lumbar

=========== TEXT REPORT ===========
INDICATION:
Server pain in the right hip joint radiate to the right thigh.
SEQUENCES:
Non-enhanced multi-planar multi-sequences MR of the lumbar spines were obtained.
OBSERVATIONS:

" No earlier films available for comparison of lumbar spine.
" Exaggerated lumbar lordosis suggestive of back muscle spasm.
" Desiccation of L2-3 and L3-4 levels.
" L2-3 level shows mild disc bulge abutting the thecal sac with narrowing of the inferior
aspects both neural foramina.
" L3-4 level shows diffuse disc bulge abutting the thecal sac with narrowing of the inferior
aspects both neural foramina.
" L4-5 level shows diffuse disc bulge abutting the thecal sac with narrowing of both neural
foramina (LT>RT).
" Rest of the lumbar discs shows no significant disc bulge or protrusion.
" The facet joints are normal.
" RVF uterus is noted.
" High signal intensity focus ~ 1 cm is seen in the left iliac bone (T2 axial Im: 23)

IMPRESSION: -
Multi-level degenerative disc changes with neural foraminal stenosis.
can you please explain what this sentence mean ( High signal intensity focus ~ 1 cm is seen in the left iliac bone (T2 axial Im: 23 )

I will be very thankful for your care and advice and I am sorry to take your time

Answer
Dear Om Ali,

This Orthopedic Chicago Podiatrist, Elmhurst Podiatrist & West Loop Podiatrist says.......
For your back pain...You have the beginnings of arthritis. Perhaps from carrying the kids on one side of your hip. Try carrying them on the other hip or just up front. Perhaps seek physical therapy for the possible low back spasm.
Treatment-
See a podiatrist who will look for a limb length difference. Orthotics may help that.
Do gentle warm-ups by moving the back in different directions. Try to stretch as much as possible-after the warm-up. Do not force-but gently push to increase movement. Try Tai-Chi, Yoga or similar-which encourages joint movement. Gentle motion helps increase lubrication-while lack of movement decreases lubrication of the joint fluid. Google low back exercises. Do these gentle exercises & stretches daily-if able to. The above advise will slow down the arthritis.
Good Luck!
The podiatrists of AnkleNFootCenters.com are specialists in foot & ankle orthopedics & sports injuries.

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661
AnkleNFoot.com
Runnersdoc.com
BabyFootDoc.com

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