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Accute Right Leg Numbness and pain.
Hoping someone can shed some light on my MRI results as I do not go back to the nero until the 19th. I have had a long history of lumbar pain and conservative treatments last was epidural 2nd one in a round of two started in may went in AUG for a second one and worked for a week. My back "went out" on that Friday and after that I have been presenting with acute right leg pain and numbness. The Nuro ordered a new MRI below is the findings!
Thank You for any and all help. Is surgery a good choice I'm at my end and do not want to take anymore pain medication!!!! UGH!
MRI: Way to much to type so this is just the impression:
I will type the L4-5 findings as I think this is the cause of my leg pain and numbness.
L4-5: There has been development of a large right paracentral disk extrusion which extends cephalad. The extruded disk measures 11mm in transverse dimension, 7mm in AP dimension and 2.3 cm in cranial caudal dimension. The extruded disk extends along the prosterior aspect of the L4 vertebral body with significant narrowing of the lateral recess. The disk is in closeproximity to and likely contacts the exiting right L4 nerve root as well as the passing right L5 nerve root. No defined foraminal stenosis is identified. There is effacement of the rightward aspect of the thecal sac with moderate canal stenosis (AP diameter 6mm) There is mild narrowing of the leftward aspect of the thecal sac (AP diameter 9.5mm). There is mild degenerative change of the left facet joint.
Impression:
1. Development of a 2.3-CM right para-central disk extrusion at L4-5 which extends into the right lateral recess and along the posterior aspect of the L4 vertebral body. There is moderate narrowing of the rightward aspect of the thecal sac at this level. The disk likely contacts the exiting right L4 nerve root and passing right L5 nerve root.
2. Stable degenerative disk disease at L1-2 through L3-4 and at the level of L5-S1. There is no evidence of lumbar canal stenosis at these levels. There is mild narrowing of the the left neural foramen at L2-3.
3. Stable mild dextroscoliosis centered at L2-3.
4. Stable grade 1 retrolisthesis of L5 in relation to S1.
Thank You for any and all help. Is surgery a good choice I'm at my end and do not want to take anymore pain medication!!!! UGH!
MRI: Way to much to type so this is just the impression:
I will type the L4-5 findings as I think this is the cause of my leg pain and numbness.
L4-5: There has been development of a large right paracentral disk extrusion which extends cephalad. The extruded disk measures 11mm in transverse dimension, 7mm in AP dimension and 2.3 cm in cranial caudal dimension. The extruded disk extends along the prosterior aspect of the L4 vertebral body with significant narrowing of the lateral recess. The disk is in closeproximity to and likely contacts the exiting right L4 nerve root as well as the passing right L5 nerve root. No defined foraminal stenosis is identified. There is effacement of the rightward aspect of the thecal sac with moderate canal stenosis (AP diameter 6mm) There is mild narrowing of the leftward aspect of the thecal sac (AP diameter 9.5mm). There is mild degenerative change of the left facet joint.
Impression:
1. Development of a 2.3-CM right para-central disk extrusion at L4-5 which extends into the right lateral recess and along the posterior aspect of the L4 vertebral body. There is moderate narrowing of the rightward aspect of the thecal sac at this level. The disk likely contacts the exiting right L4 nerve root and passing right L5 nerve root.
2. Stable degenerative disk disease at L1-2 through L3-4 and at the level of L5-S1. There is no evidence of lumbar canal stenosis at these levels. There is mild narrowing of the the left neural foramen at L2-3.
3. Stable mild dextroscoliosis centered at L2-3.
4. Stable grade 1 retrolisthesis of L5 in relation to S1.
Best Answer
Thank you for your response. I have however been dealing with this type of pain for years since 2000. Somethings have helped but this is not worse than before and it seems my disc has now ruptured more almost an inch that just my last mri 4 month prior. At what point do I get relief without pain meds every 4 hours and all the other stuff. Now that my leg is numb and has not gotten any better seems to be getting worse. I am just so tiered of the chronic pain after 13 years it wears on a person. Any way I would pray for some sort of solution with the technologies in place today and the spinal specialists I pray for a viable solution. Again I thank you for your time and advice.
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Well, yes, you typed in the right information. The new thing is a disc protrusion or herniation. Apart from pain medications you need alternative therapies like manual traction, physiotherapy and back stretching and strengthening exercises to relieve the pain. With these treatments the disc will go back into place and stop irritating the L5 spinal nerve. Please discuss with your doctor. Until you can see the specialist, wear a lumbar corset which can help restrict the spine movement and hence the pain. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.