What is the reason for L4-L5 Radiculopathy ?

[adel964]

Using surface electrode and sensory nerve conduction study of the both common personeal, posterior, tibial, sural,edical and lateral plantar nerves showed:

Average motor distal latency of both posterior tibial nerves nerves with average conduction velocity and amplitude of cMAP.
Average motor distal latency of both common personeal nerves with average conduction velocity and amplitude of cMAP.
Average F-wave latency of both posterior tibial nerves but deformed.
Average tibial H-relflex bilateral
Average sensory distal latency of both sural nerves with amplitude of SNAP and conduction velocity
High average sensory distal latency of lateral plantar nerves with low amplitude of SNAP and average conduction velocity
Delayed sensory distal latency of both medial plantar nerves with average amplitude of SNAP and slow conduction velocity


I got the following INTERPRETATION:

Motor and Sensory nerve conduction study of the above tested nerves showed findings suggestive of bilateral tarsal tunnel sydrome with possible L4-L5 Radiculopathy.

What is the reason for L4-L5 Radiculopathy ?
and what is the best medicine for such disease?
Is surgery necessary?

[adel964]

shall be any benefits from physical therapy in treatments ?

I am taking now the following medicine for 2 weeks and I will see my doctor after 10 days :

Neurontin, Daflon 500,  Voltic.D 50, Rabezole, Tabiflex Cool

Is this medicine ok?

[adel964]

Thanks for your reply

[S. Kaul, MD]

Hi there!

-Radiculopathy is likely to have resulted from spinal causes. The cause(s) is best discussed with your treating doctor after a detailed evaluation.
-The report described possible pressure on or damage to the nerves. While medications may help to reduce pain and inflammation, these are unlikely to be beneficial in treating the primary cause.
-Surgery may be suggested in case of a treatable cause such as pressure on the nerves etc. I would suggest discussing the situation and the suggested management plan in detail with your treating orthopedician.
Hope this is helpful.

Take care!