RJ,
The MRI report notes reactive changes in the endplate,
possibly suggesting a more acute inflammatory process. IMHO, you need to work very hard to rule out infection, which is surprisingly common in back pain patients. Pls see this article and read a few times:
http://www.ajnr.org/content/29/5/838
Also see this relevant topic:
https://www.adrsupport.org/forums/sh...ower+back+pain
PS: I emailed you yesterday too.