MRI RESULTS if i neeed surgury

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l4l5 there is disc deciccation. There is reasonable preservation of intervertebral disc height.there is a posterior disc buldge . There is a superimposed posterior disc protrusion. There is bilateral facet joint arthropathy. at this level there mild to moderatre central canal stenosis .There is left subarticular recess stenosis.There may be some impingment upon the intrathecal segment of the left L5 nerve root at this site.There is multifactorial mild to moderate left foraminal stenosis , where there may be a degree of of L4 nerve root impingement.
there is a very subtle region of the intermediate signal intensity on t1 weighted imaging with in the epidural space anteriorly on the right within the riht L4L5 subarticular recess and right lateral reces. This is apparently  contguous with the l4/5 intervertabral disc.It measures 8x3x4mm appearences are suspicoius for a small right posterolater disc extrusion with the inferior extension the differrerntial diagnosis would include an epidural venous structure there is potenail for impingment of the right l5 nerve root  by thhis focuss

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thank you heaps im 29 ive had the steriod injections i have a epidural injection this has been going on for about i year i get real bad pain in hip leg and foot  but i dont want to take anymore medication as i take lyrica duluxatine naproxen somedays got no feeling in leg and it will turn redand swell then hurt

[Dr. Kokil Mathur]

Hi!
You have L4-L5 disc desiccation or drying up of the disc, which is a degenerative change that cannot be halted. Its progression can be slowed with adequate management. Disc protrusion at the same place can be conservatively managed and with treatment can slip back into original space. Medical management of central canal (through which spinal cord passes) narrowing (stenosis) and narrowing of the hole or foramen trough which the L5 and S1 spinal nerve passes can help reduce the pain caused by spinal nerve compression.

In short there is degenerative disc disease with disc bulge in L4-L5 region and this has the potential to put pressure on spinal nerve roots.

Central and para-central disc protrusions that irritate a spinal nerve or have the potential to do so can be treated conservatively. This conservative treatment involves pain killers, anti-inflammatory medications, epidural injections, steroid injections, corsets and braces and physiotherapy. If all such treatments fail, then surgery may be required. Do discuss with your doctor. 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.