From my mri report: at L4-5 level there is diffuse bulge with a superimposed left foraminal disc herniation. There is no demonstrable compression of t he left L4 root in the foramen. I have pain in hip and numbness on skin surface from knee to halfway down left side of shin. Has anyone had similar problems. What are my options? My orthopedist reccomended epidural cortisone shot, but I am looking for more non-invasive procedures. Thank you.
Is your orthopedist a spine surgeon who specializes in spines only?
If not you should seek out the opinion of a spine specialist, either an orthopedic surgeon who specializes in spines or a neurosurgeon who specializes in spines only.
If your orthopedist is a spine specialist and you are not satisfied with his recommendation, then you should seek out another opinion.
ESI is a common approach for what your MRI says, along with a course of Physical therapy to strengthen your core muscles.
There may be no nerve compression in the foramen itself, but you could have nerve compression in the lateral recess area of the vertebrae.
That is something that is commonly missed or ignored by many spine surgeons.