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What does this mean?

Pain_is_mePPain_is_me Posts: 69
edited 06/11/2012 - 8:50 AM in Lower Back Pain
At my appointment yesterday my doctor took out my CT scan results and showed them to me. It was a bit confusing first of all because it states that there is no nerve compression... huh? So why do I have the sciatic pain and numbness in my foot and leg? My doctor couldn't explain. The other thing that I thought unusual was the description of my herniated disc. The report says that there is herniation at L5/S1 that extends upwards over L5 (or along L5) not sure the exact wording but I know the mental image that gives me. Not what I thought at all. I assumed a herniated disc was just a bulge...this sounds more like a flap. Anyone heard of this or know what it means?


  • Not sure but if you are still having nerve pain & numbness, there has to be a reason.

    What did your doctor say? Did he explain what your options are? Sometimes there is no nerve compression but the nerve is damaged. Did he speak to you at all about that?

    I'm not that familiar with CAT scans.
    I've had several MRI's and along with my symptoms they were enough to tell the doctor that scar tissue & disc material were impinging the Sciatic nerve.

    That being said, I had 2 Microdiscectomies to resolve it. I still have numbness and pain but the pain is significantly reduced. The numbness takes a LONG time to recover from, if at all. The nerve may have been hit so hard or compressed for so long that it could take lots of time to heal.

    Did he suggest what the possible next steps are?
  • My doctor has basically drawn the line on what she will do for me... she is waiting for the orthopedic surgeon to do the rest. No idea what the next step is but hopefully the ortho orders an MRI and finds out something so he can do something for me.
    Work is wanting me back in the office and I sure can't do it the way I did before. They will have to make some sort of accommodation for me if I can go back at all. I'm thinking I'd like to try a zero gravity chair, maybe they'll buy it for me. But that won't solve my problem.
  • It sounds as if the doctor you are working with is not a specialist but more of a general practitioner.

    Yes, have them refer you to a Fellowship trained orthopedic spine doctor or neurosurgeon. They will take a closer look. Most GPs can only do a limited amount before they have to send you off. So yes, a few mild muscle relaxers, prescription anti-inflammatories (NSAID or mild steroid step pack) is about what a USA GP will prescribe before referring you.

    Definitely pursue the specialist.
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