36 Y/O female, bilateral sciatic pain and tingling/numbness down both legs. Intermittently have deep calf pain since birth of fourth child 8 months ago. Two weeks ago I picked up a dresser that had toppled over and have experienced horrible sciatica since.
Findings of MRI: transitional lumbrosacral junctional anatomy present with a rudimentary disc space at S1-S2. Lumbrosacral angle is designated L5-S1. Prior to operative intervention plain film correlation is necessary to confirm spinal numbering. Abnormal marrow signal is present with degenerative changes including fatty endplate change around the Schmorl's node at the inferior endplate of L4. Marrow signal is otherwise normal. The conus is unremarkale. There is no cauda equina compression and at the time of this examination there is no evidence of urinary bladder distention.
L1-L2, L2-L3 are unremarkable.
L3-4: small focal central disc herniation with midline protrusion but no evidence of neural compromise. No significant stenosis.
L4-5: Diffuse disc bulge with central disc herniation causing impression on thecal sac and minimal inferior foraminal narrowing bilaterally. Minimal central canal stenosis.
L5-S1: Diffuse disc bulge with small central disc herniation and midline protrusion. This is slightly smaller than seen at L4-L5. Wall there is ventral impression on the thecal sac no central canal stenosis is present. The exiting nerve roots are unremarkale. there is mild inferior foraminal narrowing on the left. ********************************************
No on one the Spine-Health patient forums is medically qualified to provide any advice or
or recommendations on any diagnostic test. However, the following key words can always be applied.
MILD Treated with conservative measures such as Physical Therapy and mild medications. Many times these situations can be cleared up and the condition can be resolved.
MODERATE Some more treatments may be needed, ie Spinal Injections, Ultra sound and stronger medications. Always a possibility of more aggressive treatment if the conservative measures don't help
SEVERE Need for stronger medications. The requirement for surgery may be necessary
Liz Spine-health moderator