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Left Leg Pain

ZicoZZico Posts: 4
Hi guys,

Googled upon your forum and wondered whether anyone could help me decipher the Mongolian text that is my CT scan summary.

Pain began almost a year ago and is sharp nerve pain through my left glute down into my left ankle.

After receiving these results I have been prescribed some simple hamstring stretches and very, very basic core exercises, and I'm not convinced any of it is really what I need, because I've been in constant pain for a year now and don't think it's a matter of a simple stretch or two to now magically cure me.

Results where,

"Bilateral L5 pars defects without associated spondylolisthesis. Moderately advanced degenerative disease involves the facet joints bilaterally at the L4/5 and L5/S1 level. Broad based central posterior and left paracentral disc protrustion at the L4/5 level without canal stenosis. A thickened calcified ligamentum flavum hypertrophy on the left side at the L4/5 level is resulting in left lateral recess stenosis potentially impinging upon the traversing left L5 nerve root. "

Any help appreciated.




  • LizLiz Posts: 7,832
    edited 07/31/2013 - 1:47 AM
    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and continues to grow.
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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Thanks Liz, but I bet you say that to all the newcomers.
  • jellyhalljjellyhall Posts: 4,373
    edited 07/31/2013 - 12:39 PM
    Please click on the link at the end of your first post and you will see why we can't advise you on your CT scan results.

    I had bilateral L4 pars defects which had caused a grade 2 isthmic spondylolisthesis which had started to fall over the vertebra below causing severe compression of my central canal and nerve roots. The discs above and below were degenerated and bulging and there were hypertrophic facet joints.

    I tried very hard to avoid a fusion and worked very hard at daily walking and exercises. I was very determined that I didn't want a spinal fusion. I was told that I had gone too far for epidural injections. In the end I did have to have a laminectomy with fusion.

    After spinal surgery, the spine is never the same again and will never be perfect. For some people, conservative treatments such as exercising do help. I think that spinall surgeons have to work their way through these conservative treatments before they can even consider surgical proceedures. You may have to show that you have tried this before anything else will be offered.

    For me, I wanted to try everything else, but I can understand your impatience to find something that will relieve your pain. I hope that you will find some uninvasive treatment that helps you.
    Do let us know how you get on. :-)

  • ZicoZZico Posts: 4
    edited 07/31/2013 - 8:43 PM
    Thanks jelly.

    I'm not necessarily looking for advice, just trying to decipher what any of this actually means.

    My physio told me that L5 has stress fractures ("that's what pars defect basically means").

    Really, I just want to challenge any opinion I'm paying for to make sure I do things right, because hearing something like potentially having fractures in my spine scares me.

    Post Edited for Inappropriate Language by The Spine-Health Moderator Team

  • Zico, here is an article that gives quite a bit of information about the Pars defect and what can happen if there is a stress fracture. Your report states that you don't have a spondylolisthesis, so you don't have the slipped vertebra. I thought you might find it intersting and help you to understand your condition.


  • Thanks once again.

    Slowly starting to digest what most of this means.

    I should have a word with the osteopath who was hyperextending my back when he treated me ...
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