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Far lateral disc herniation

Hi All-

I've posted a couple questions with little feedback, but figured if anything it's getting it off my chest. Has anyone had experience with a far lateral disc herniation? Mine is at l3-l4 accompanied by a broad based central protrusion compressing the thecal sac. I'm having horrible thigh pain and serious fasciculation/leg twitching/cramps and wondering what others have experienced. My leg also gives out on my when I try to walk any distance.

Has anyone had surgery for this? I've read a traditional micro-d isn't as effective due to it's position in the foramina. I have an appointment with my spine surgeon Wed. to discuss surgical options. The broad based central protrusion is impressive on the MRI, but the extraforaminal extrusion obliterating my exiting nerve root is what is most likely causing all my issues. The extrusion is new since my MRI last August I guess since the doc only mentioned the broad based central protrusion then. I've already had 3 ESIs and have been treating it (my pain) with various pain meds, but nothing crazy. I also had a micro-d on the disc directly below (l4-l5) a few years ago. It appears my back is not liking my life style (white water canoeing, backcountry flyfishing, backpacking).

Any experiences with this injury? Surgery? Success?

Any information will be appreciated as I lay here on the couch while my kids entertain Mom on Mother's day. Beautiful day, beautiful family, but a gimp dad:).



  • Ask if they can fish it out transforaminally with flexible grasps.

    It's good that you recognize your lifestyle as the culprit for the repeat herniations. Now ya just gotta adapt it so they stop happening.
    On the sunny and mild Central Coast of California

    L4-L5 endoscopic transforaminal microdiscectomy June, 2007
    L5-S1 endoscopic transforaminal microdiscectomy May, 2008
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