Neurology Expert Forum
Disk Protrusion
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Disk Protrusion


  An MRI shows a shallow central disk protrusion at L5-S1 with no evidence of secondary S1 nerve root compression and an annular disk bulge at L4-5with no evidence of spinal stenosis or nerve root compression.
  Question: I have pain extending from my lower back down my left leg to my foot. What could be causing this pain?
  Question: What is a shallow central disk protrusion?

  I have had XRays, CT Scan, Bone Scan, MRI, and EMG.  I am currently in physical therapy, which causes more leg pain.  This has been going on for three months.  I would appreciate any help to get rid of this lower back pain and pain down the left leg. The Dr. says physical therapy and time will take care of the problem, but then he said he has never experienced this problem.
  
  Hurting in TN
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Dear D. McMurray:
Sounds like your radicular pain down the foot is related to you disc herniation at L5/S1. This is the symptom that is typical with this lesion.
The initial manegement of such herniations is physical therapy and anti-inflammatory medicines. If this does not give you relief then I would recommend you seek the opinion of a neurosurgeon.
A shallow central disc protrusion is a bulging in the disc in the middle of the vertebra and may cause indentation of the spinal sac but does not result in nerve root compression.
Good Luck




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