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Sever Pain in lumbar and left leg

Melissa1992MMelissa1992 Posts: 1
edited 01/11/2015 - 11:58 PM in Lower Back Pain
Hello I am a 22years old female. I have been experiencing an acute pain in my lower back in the past week and the pain in radiating into my lower back.
A GP advised me I may need a surgery based on the radiologist report: "findings: lumbar vertebral bodies appear preserved. no disc pathology in L1/2 - L4/5.
***L5/S1 level: Loss of disc height and degenerative annular bulging complicated by a posterior midline disc protrusion displacing the ventral theca. Extruded nucleus pulpous extends inferiorly left side displacing the left S1 nerve root ganglion. small degenerative end plate osteophytes encroach into the right neural foramen. the L5 nerve roots exit the neural foramina without compromise.
Conclusion: Posterior midline disc protrusion L5/S1 with inferior extension of nucleus pulpous left side displacing the left S1 nerve root origin.

I haven't seen a specialist yet but I am wondering if a surgery is really the only option or there are other alternative treatments.

Any comment would be greatly appreciated.
Thank you so much.


  • LizLiz Posts: 7,832
    There is nobody on the forum medically qualified or permitted to advice on an MRI finding, you need to discuss this with a doctor.

    Welcome Message

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • GPs although often experienced don't really have the expertise to make that call. If I were you I'd make an appointment to see a board certified spine surgeon. I'm not saying you need surgery. They're the very best at diagnosing you & creating an appropriate action plan. There's so much more to making that decision than just the MRI report. They might want to try some conservative treatments before they even consider surgery.
    Do you have a copy of the MRI on disc? In my experience surgeons want to see the actual pictures not just the summary report. You can just request it from the imagining center. I've always got one & never been charged.
    I also create a note book listing all of my concerns & questions. It's easy to forget things when you're sitting with a specialist. It's worth noting what makes your pain better & worse, activities, positions etc.
    I also take notes while they talk to me so I remember & can do my own research later.
    Before surgery, if it comes to that, I always recommend at least 1 second opinion. It's a HUGE decision to make. I like to be completely sure that I'd get the same advise from different surgeons. They might require more diagnostics to be absolutely sure they've correctly identified your pain generators.
    I know it can all be very frightening particularly at the start when you see all the things listed on your MRI. Try to remember that they have to list everything they find. It doesn't mean it's all causing pain & needs drastic treatment. Adults don't have perfect spines but most don't have problems. A good specialist should take you through the findings & explain what it all means.
    Best of luck ;-)
    Osteoarthritis & DDD.
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