Is this disc bulging or herniated?

Patient

Q: Hello I am trying to get a second opinion on an MRI that I had on my lower back. I was in a major rear end car accident January 10th 2014. I hurt my lower back and neck and developed tmj of my jaw. I had mri done and they said they see 4 bulging discs but I think I see a disc herniation. The doctor said bulging discs don't cause pain but my lower back always hurts.

Here is a picture of the mri that I took off my computer with my phone not the best quality but you can see the disc I am talking about at the bottom

http://tinypic.com/r/30rpsfc/8

Symptoms:  Lower back pain
Images: 
Is this disc bulging or her...-1 Is this disc bulging or her...-2
Doctor

A:   Thank you for your question and thank you for submitting the MRI. On the picture provided, it is hard to appreciate any significant disc bulge but a mild bulge or mild herniation or both are certainly possible and in the end it may not matter.

When experiencing a major trauma such as the motor vehicle accident, it is hard to determine the source of the pain ... it may be trauma to the bony spine, the disc or simply nerve damage. Psychological factors and past health status also play a significant role.

Both disc bulges and disc herniation can be the source of pain in traumatic accidents and the focus should be on recovery. If dedicated phsyical therpay for at least a 6 month period does not significantly relieve the pain, surgical opinion should be considered. Surgery is often done if the quality of life is impacted and in addition to pain, there is numbness, muscle weakness and tingling of the affected area.

I hope this was helpful.

Related Q&A

Q: Chronic lower back pain a right shoulder stuffiness

Q: I had an MRI for some back problems but it came back with this: "Small 1.3 cm lesion in the prepontine cistern, ...

Q: Recent MRI was given to me without results. I have to wait until later in the week to get them.

Q: 23 y.o. female had lower right back pain for about 1 year following a burning pain from bending over (I thought it wa...

Q: Hello, I'm Adriana, I just received MRI results of my brain, I'm 40 yrs old, suffer from migraines, tension headaches...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews