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iSpine Discuss Is there a diagnostic term for this? in the Main forums forums; On my discogram, the painful disc showed up on the scan as being mottled, like a cheetahs' spots. Is this ...

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Old 01-19-2007, 04:52 PM
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Default Is there a diagnostic term for this?

On my discogram, the painful disc showed up on the scan as being mottled, like a cheetahs' spots. Is this just degeneration, or is there another term for it? My surgeon only said that it shouldn't look like that, the dye should've stayed in the center like it did on the other levels. This is just my curiosity, as I am no longer the unproud owner of that disc (it's now a ProDisc) but I'm still for some reason looking for the answers of why I had such pain with an MRI that so many people said was 'normal' aside from decreased disc height. Anyone know if there is a term for this mottled look?
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Herniated disc lifting at age 19
Laminectomy at L4-5 in 1998, repeat in 2001 same level
13 docs, 9 PT's, 8 Epidurals, 3 trigger point inj, 1 Facet Block, 1 Acupuncturist, 3 Chiros and 1 child later, had L4-5 ProDisc placed 9-19-06 by Dr. Janssen in Denver, CO. Facet rhizo March, 2007, November 2007, January 2009
Had healthy baby boy #2 in Dec 2008 with use of some meds during pregnancy and nursing.
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Old 01-19-2007, 09:52 PM
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did you have any intradiscal treatment? IDET? intradiscal injections? The more severe the DDD, the more disrupted the nucleus is. You would not believe how different the tissue feels compared to healthy nucleus material.) What did Dr. J say about it after your surgery? Did he note it?

Mark
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1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
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Old 01-20-2007, 03:13 AM
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Dr J said that there was 'nothing left of the disc-no wonder it hurt!' That was it. I never had anything done to the nucleus, only the two lami's. That's why I was wondering if that might have been causing some of my pain, since people have decreased disc height all the time without pain. I was also curious if that was the same thing as an annular tear. Do you know what that looks like on discogram?
__________________
Herniated disc lifting at age 19
Laminectomy at L4-5 in 1998, repeat in 2001 same level
13 docs, 9 PT's, 8 Epidurals, 3 trigger point inj, 1 Facet Block, 1 Acupuncturist, 3 Chiros and 1 child later, had L4-5 ProDisc placed 9-19-06 by Dr. Janssen in Denver, CO. Facet rhizo March, 2007, November 2007, January 2009
Had healthy baby boy #2 in Dec 2008 with use of some meds during pregnancy and nursing.
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Old 01-20-2007, 08:28 PM
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An annular tear is a hole in the disc annulus. It often appears as a high intensity zone (HIZ) or bright spot on an MRI. They often don't show at all on MRI... it depends on where the tear is in relation to the 'slices' that are taken. Annular tear is different than talking about appearance of disc nucleus.

Mark
__________________
1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
Founder: www.iSpine.org
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