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Concerned about possible cauda equina syndrome

skydreamersskydreamer Posts: 1
Hello everyone. I'm new to this forum and this is my first post. I've read different articles on this website for a while but only recently discovered the forums.

I am really concerned about the progression of my symptoms and wanted to get some feedback.

I have a left S1 nerve root compression from a bulging central to left-central L5-S1 disc with a partial annular tear. I've had radicular pain for over a year, mainly in my foot and it never bothered me too badly. In May, it started progressing and quickly involved my whole left leg, as well as some involvement of the right leg, and I began having some symptoms of CES like saddle parasthesia, lower back and sacrum pain. It freaked me out. I went to the ER. They didn't find anything acute and by the time I had a lumbar MRI with contrast. few days later my symptoms were improving. I never lost bowel or bladder control though my sexual function did seem to be decreased.

The MRI did not show any compression of the cauda equina.

Fast forward to now, where I recently got in with a spine specialist and am starting PT for cervical and lumbar spine problems. I had my first cervical injection (selective nerve block, left C6) 3 days ago and in a couple of weeks I'm due for my first lumbar injection.

Two days ago my symptoms began to increase again in my lower back. I normally don't have any back pain, but I'm having pain in my lower back radiating into my sacrum. I'm having transient paresthesia on my scrotum. The pain down my left leg has become severe, and some pain is going down the right leg too. I don't normally have right leg pain.

I'm concerned that I could have some early or transient CES (this is the third time these symptoms have happened in the past year) and that the MRI might not have shown the complete picture. Some of my symptoms are definitely from the L5 dermatome but the MRI didn't show any pathology at L4-L5 level. So I wonder if I should be concerned about having CES symptoms or if it is likely something else.

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