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Opinion on disc bulge L5/S1

malagasy1980mmalagasy1980 Posts: 2

well, i know there are millions of post about people being in pain on this forum but i'd like to have your opinion in regards to my situation. I got a disc bulge in July 2010 and been draging this since then.

Here are the report from CT scans:

#CT scan 1 (August 2010)
"L2/L3 L3/L4 L4/L5 all show normal appearances to the canal although there is the beginning of a little vertebral endplate irregularity at L4/L5 but no evidence of any disc protusions and canal is of an adequate volume and exit foramina appear normal.
L5/S1 shows a quite prominent central disc protusion which abuts down onto the thecal sac and abuts onto the emrging nerve roots bilaterally. The appearances are consistent with degenerative quite marked bulging centrally of the disc which is almost certainly causing some symptoms but it may also be causing minor irritation to the emerging nerve roots. Exit foramina appear clear and canal is of an adequate volume"

This was the first report. All went good until July 2011 when symptoms of leg pain appeared in my left leg. I sorta lived with the pain/disconfort thinking it would go away but it's still here so I got a new CT scan done to check on this. Here is the second report

#CT scan 2 (December 2011)
"L2/L3, L3/L4 and L4/L5 discs appear normal. Certainly, central and lateral canals are clear at these levels.
There is a broad-based posterior disc bulge at L5/S1 level, slightly more prominent to the left of midline. It is displacing both descending S1 nerve roots posteriorly, especially to the left. The exiting L5 nerve roots, however, have left the central spinal canal above this problem and are free in the L5/S1 lateral canals. There are no pars defects and no other significant feature could be detected in the bony window series."

Anyway, I'd like to have your opinion. Is the scan "better" or "worst" ? I don't really get the sentence "The exiting L5 nerve roots, however, have left the central spinal canal above this problem and are free in the L5/S1 lateral canals." not sure if it's positive or not.

What treatment would you recommend ? What should I do to get better ? That leg pain is a big disconfort and block me from a lot of activities.

Hope you guys can help.



  • Hi and welcome. Having someone here try to explain your MRI would be an injustice to you and to the professionals.

    Do you have an aapt with your doctor? Is your dr. A general practitioner or spine specialist?

    Anyhow, most of the time the MRI only tells part of e story. The spdr will typically do an evaluation both physical and questions.

    As for treatment, I would listen to the doctor but don't expect a quick fix. Most will start with physical therapy and/or prescription NSAID's which are anti inflammatory.

    Surgery on the spine, especially lower spine is a slippery slope so most doctors use that as last resort.

    Good luck.

    Once you visit your doctor, many of us can understand more and maybe guide you to some good info.
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