Have indent in the thecal sac, hypertrophic facet sac. Is that the reason for pain in the lumbar area?
Patient: hi there if l have Indent Thecal Sac L2/3 4/5 5/si should thi s cause much pain...l also have Hypertrophic Facet Sac throughout ....Modic type 2 endplate at 2/5   L2/3 dehydrated and reduced.....l dont underatand my MRI could you please expalin .....there are no signs of Spinal Canal Stenosis or Discal Neural Compression....Thank youI have sever pain in the lower lumbar area and l am on Butrans 20mg and Zapain 4000mg per day Doctor: Hi, Your MRI spine describes the various features of degeneration of spine and vertebral body. Thecal sac is the space where roots from spinal cord comes out which is mildly indented.Hypertrophy facet is thickening and enlargement of joints between veretebra called facets.Modic type2 endplated indicated degeneration of spine.  Your back pain is mainly due to facet hypertrophy and ,thecal sac indentastion.You need to use lumbosacral belt. Consult  neurologist or a neurosurgeon for neuralgic drugs.If syptoms still persisting then go for thecal steroid injection