I have had DDD for awhile, but recently I developed a herniated disc.
I will be seeing a surgeon that specializes in disectomies.
However, one of things I need to sort out is pain from herniated disc vs. discogenic pain. I know that a disectomy can't do much for discogenic pain.
The decision the perform surgery would need to be made based on pain from the herniation and I'm trying to figure out whether the herniation is bothering me or if it is discogenic pain.
My MRI shows herniated disc 3mm into the left lateral recess. The herniation is 1 cm wide.
Symptoms: I have pain that switches from side to side. The sciatica is mostly in my thighs. It does not shoot down my leg into my feet.
I do have weakness in my leg, but I don't notice the weakness until I exercise. (By exercise, I mean lumbar stabilization. For instance, if I try to strengthen the calf I can't tolerate as many reps as I should. Same with my feet. Exercise that requires balance is also very challenging)
I do have diffuse symptoms in my feet, such as weak toes, my outer toes dangle outward.
Also, for the past 18 months I have had burning red feet. (This is my worst symptom and the doctors will need to determine if this is from radiculopathy)
What aggravates my symptoms: Sitting. It kills me. Also, standing and reaching. I also get muscle spasms easily while exercising.
My EMG's are abnormal. But, they have been abnormal when I only had bulging discs.
My detailed history is below.
Can anyone give me pointers on discogenic pain vs. herniated disc pain?
Thank You Very Much.