Hi all.. I am a 40 y/o male, that has been experiencing chronic pain in my right leg. Almost to the point I can't walk for more than a short period of time until it starts to throb. Most of the time the pain is on my outer thigh, but to lift my leg into pants, into the car, and even into the shower, the pain is more throughout my inner thigh. I have seen a NS, in February (this pain has been going on since October of last year) and he sent me to pain management. I had 3 rounds of epidorals (3 shots each) in the L4/L5 L5/S1 areas, that has not worked. I have had chriropractic, and hasnt worked. The NS sent me for a 2nd MRI, and here are the items in the conclusion.. this has been my 2nd MRI. I was wondering what treatment would be for this? What does it all mean?
L4-L5 disc desiccation with a left paracentral and foraminal disc extrusion impinging the descending left L5 nerve root. This is not appreciately changed. There is encroachment upon the exiting L4 nerve roots.
L5-S1 mild bulge without canal stenosis or foraminal narrowing.
Also up in the findings it says (and I assume this is a comparison to the one I had 7 months ago):
Small Schmorl's nodes are seen in the opposing endplates at the T11-T12. There is endplate change seen at the anterior superior T12 endplate. There is slight loss of height at L4-5 with endplate change seen posteriorly. This is grossly unchanged.
L4-L5: There is a central and left paracentral disc extrusion with impingement upon the decending left L5 nerve root. There is biforaminal narrowing with encroachment upon the exiting L4 nerve roots due to biforaminal bulges and facet anthropathy.
L5-S1: Thre is a mild bulge without canal stenosis.
What would my next steps be? I excersize when I can, I have done injections, chiro, massage, and it just hasn't gotten any better.. and sometimes feels worse..