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AnonymousUserAAnonymousUser Posts: 49,670
edited 06/11/2012 - 8:33 AM in New Member Introductions
HELLO THERE. Highly appreciate the site as it provides some vcery good insight to my ongoing back problems.


The lumbar veterbra are normally aligned. No Fracture or dislocation. No Compression deformities are seen. The conus Medullaris is normal. There are Schmorl's nodes at the superior endplates of the l4 and l3 veterbral bodies and at the inferior endplate of the l3 veterbral body.

At the l4-5. there is a large central disc herniation with an extruded 17mm (seems large) subligamentous disc fragment extending superiorly, dorsal to the l4 veterbral body. There is distorion of the left ventrolateral aspect of the dural sac with impinging on the left l4 nerve root.

At l5-s1, there is a small central disc herniation w/out significant stenosis or foraminal narrowing.

L4-5 large central disc herniation with an extruded fragment with extending superiorly, dorsal to the l4 distorting the dural sac on the left and impinging of the left l4 nerve.

My pain leve is about 1 (out of 10).
-My major concern is how long my (front) calf will be numb. It's been approx. 5-6weeks. Also my hip/left leg is weaker as I walk up hills/steps. Somtimes it buckles. Sometimes i still get a slight burning sensation is my lower left back.

My concern is whether my feeling will ever come back to my calf. And/or whether i've experienced/experiencing/undergoing nerve damage with is evidence from the continued left front calf numbness.

Hope someone can provide add'l feedback/insight/advise. Ultimately, will i need surgery?





  • Hello Ken, welcome to SH! Sorry, I can't answer your questions about your MRI, but we are here to offer support, so when in doubt, ask!

    When do you see your doctor about the results? I suggest you make a list of questions as you think of them, and ask your doctor when you see him. If he can't answer, then it's time to find a doctor that can :p

    Good luck, and keep us posted!

  • the main problem is the almost 1 inch wide protrusion of disk at L4 that pressing on both the spinal canal and the nerves that feed to the side. only a spine specialist can tell you if you are in danger of perminant nerve damage. my guess is that because of the size of the herniation some quick attention is needed. i know one thing. don't push it. no lifting anything heavy. dont sit too long or it will put more strain on disk. find comfortable positions. lying on stomach sometimes eases disk discomfort.
    keep us posted...
  • As everyone else has said, it will be important for you to see a spinal specialist, preferrably a fellowship-trained orthopedical spinal surgeon or a neurosurgeon, to get a proper diagnosis and treatment plan.

    With the extruded disk, it is probable that you will continue to have the calf pain, etc. as long as the nerve is being compressed. I am really surprised your pain level is only at a one. From the size of this extrusion, I would think you would be in more pain.

    No one can accurately predict when nerve damage becomes permanent. Most likely, yours will not be, but you do not want to wait too long. Generally if something like a ruptured disc has not resolved within six months, surgery is usually suggested.

    If your PCP ordered the MRI, do not rely on his opinion alone. It is important that you see a specialist who does nothing but deal with issues of the spine and back. Chances are fairly good that an extrusion as large as this will need surgical intervention...but you need to see a specialist to find out.
  • hi and welcome to the forum! :H we are glad you stopped by.. =D> please make yourself at home.. good luck as you search for pain relief! :D Jenny :)
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