Hi everyone x
I am finding it hard to except my condition and would MOST GRATEFULLY appreciate it if anybody be able to explain the following MRI results through to the operation explanation in a non-medical way. I know that most of us on here are in a similar position so hopefully the answers could help others too....
FINDINGS on the 28-August-2005 -
L4/L5 demonstrates disc desiccation, posterior annular disruption and a small central disc extension below the level of the intervertebral disc consistent with a small disc extrusion. There is nominal indentation of anterior midline thecal sac and no neural compression suggested.
L5/S1 demonstrates disc desiccation, mild disc height loss and a broad based central and right paracentral disc protrusion with superimposed right paracentral extending into intervertebral foramen and lateral recess disc extrusion. Hence, this disc extrusion is lobulated and extends superiorly from the parent disc. It obliterates the right L5 lateral recess. Compromise of the right L5 nerve root in the lateral recess and extending into the medial aspect of the intervertebral foramen with disc inferior to the nerve root at this location is suggested
Degenerative intervertebral disc disease L4/5 and L5/S1. In particular, there is broad based shallow L5/S1 disc protrusion with superimposed lobulated extrusion in the paracentral region involving the lateral recess and right intervertebral foramen adjacent aspect due to extension of disc material superiorly from the parent disc. Associated neural compromise right L5 nerve root.
OPERATION PERFORMED on the 30-August-2005
(P1)RIGHT L5/S1 MICRODISCECTOMY
Large paracentral and foraminal and cephlad disc fragment retrieved. QUITE STUCK UNDER THE PLL
3cm incision at L5/S1 which was later confirmed with XR. Right hemilaminectomy of S1 and L5 flavectomy. Thecal sac and descending S1 nerve root visualised.
Discectomy performed by incising the space retrieving disc with ronguers and currettes. Right angle passed cephlad and lateral to the foramen freely, although the exiting L5 nerve root was not visualised.
1. does this description give notion to me having 'cauda equina'??? I couldn't pee, had total loss of feeling in right leg which started in the top of my foot and by the day before the op, TOTAL feeling lost all over from buttoch to big toe.
2. What does Quite stuck under the PLL mean???
3. Are there any points here that would lead me to today, over 3 years on, to still be experiencing numbness and horrid pain in my outer right ankle, outer calf, numb and sometimes feeling of disconnected big toe and of course, pain in my buttoch and lower back???
It has been revealed from an MRI performed in September 2008 that I have a large amount of scar tissue under the nerve and this is said as the reason for my pain. Although in saying that, Since before and straight after the op and now I haven't since regained full feeling in my toe and outer ankle area.
I THOROUGHLY APPRECIATE ANY COMMENTS THAT COULD AID ME IN FUTURE PAIN RELIEF.
My neurologists are in the public sector and shit as it is, I am just another number.
I will be having another steroid injection on tuesday which should help like it did last time. Hopefully longer than 5 weeks though.