Can you recommend a specialist to discuss surgical/non-surgi Posted: 03-26-06 14:08pm
I am 32 years old, always been athletic,
but have had back pain for almost 10
years. It started with squash and I tried
physiotherapy several times and returned
to the game - and eventually quit 2 years
ago when I would be reduced to crawling
for 2 or 3 days after playing and couldn't
tie my shoes.
I was always told I had a hypermobility at
S1-L5 L4-L5. Recently I had a relapse for
no apparent reason and have also had leg
pain and numbness which does not always
accompany the pain.
I recently got an MRI and it read the
following:
At L4-5: There is a moderate sized broad
based central and left paracentral disc
protrusion. There is some associated mild
osteoarthritis in the posterior facets
resulting in moderate central canal
stenosis. There is potentially some mass
effect against the intrathecal portion of
the left L5 nerve root. No significant
neural foraminal stenosis is noted.
At L3-4: There is some mild degenerative
disc bulging associated with the trace of
osteoarthritis in the posterior facets.
No significant central or neural foraminal
stenosis. No disc protrusion. There is a
small central annular tear.
At L5-S1: There is some mild
osteoarthritis in the posterior facets but
no disc protrusion or central/neural
foraminal stenosis.
Impression:
1. Moderate central canal stenosis at L4-5
caused by a broad based central and left
paracentral disc protrusion. There is
potentially some mass effect against the
intrathecal left L5 nerve root and clinial
correlation is recommended to confirm or
refute the significance of this finding.
2. Incidental mild degenerative changes in
the posterior facets at L3-4 and L5-S1.
Do you have any comments regarding my
condition, and can you recommend a
specialist to discuss
surgical/non-surgical options? I have
been in physio off and on for 8 years and
becoming frustrated with my condition.
|
DoctorAnswer
Doctor Answer
Joined: 19 Dec 2005 Posts: 16777211
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Back Pain Answer A716 Posted: 04-10-06 09:46am
According to the MRI-report, protrusion of
L4-5 disc seems to be causing your
problems. Removal of that disc should
solve your problems. You can ask for
expert opinion and help from a
neurosurgeon.
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