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I have had back pain for the last 8 years.
Had one L5-S1 microdiscectomy about 6 and half years back which was successful. Since my first surgery, I was more or less doing good with occasional episodes of back pain which went away with exercises, pain killer and muscle relaxant.
I had a L5-S1 disk reherniation about a month back.
L5-51 interval new right far lateral disc extrusion descending from disc level measuring 1.5 x 1.1 x 0.7 cm with obliteration of the right lateral recess in the area of descending right S1 newe root with mildly engorged swollen appearing right S1 nerve root.
2 weeks back, I developed plantar flexor foot drop where I am unable to do a right-leg only toe raise i.e. I can't lift my body using just my right foot. I can walk on both heels though. Right ankle reflex is gone.
Also, my right upper glutes don't become tight all the way like they used to until a few days back. I feel my upper glutes are weaker in the last couple of days.
Numbness along the buttock, back of the thigh, calf and the small toes. The pain moves a lot from buttock, back of the thigh, calf muscla and foot and sometimes lower back though most of the time it stays at buttock and back of the thigh.
My SLR is about 45 degrees and when I raise my leg, it trembles around 45 degrees. Probably a weak hamstrings.
My balance on my right foot isn't good. Sometimes, I lose my balance but haven't had a fall yet.
I got an ESI (epidural steroid injection) about 3 days back. Doesn't seem to have helped much. Gabapentin 300mg 2-3 times a day helps me a lot.
Do I need surgery? Will the muscle weakness/numbness get cured without surgery?
Thanks for reading.