OK...First of all....Let me introduce myself..I am David, from Wilmington NC. 38 year old male, in good health (or at least thats what I thought). I have never even spent a day in the hospital, and now for the last 3 months I have been suffering with my back and left hip/leg shin pain. and a slight case of foot drop to go along with this. Though honestly, my back doesnt really hurt compared to my leg/and hip. I have seen a chiropractor off and on over the last couple of years as I have had a tendency to injure my back but has always seemed to heal in a few weeks or less. This time is different. I cant really recall doing anything that brought this on, but has increased in intensity (pain) to the point that im really having a hard time at work. I guess I would just like some opinions and perhaps some folks to share thier experiences with me. I also want to post the result of my CT and see if anyone can really intrepet it for me. I heard the Dr. interpertation. I guess im looking for the laymans version. So here goes!
Exam: Ct of the lumbar spine without contrast
History: Left sided leg pain and foot drop
Technique: Thin section helical scanning of the lumbar spine is performed and sagittal and coronal reformatted data sets are produced.
Findings: The vertebral heights and alingment are maintained. Bone mineralization is withing normal limits.
At T12-L1 the central canal and neural foramina are widely patent.
At L1-2 minimal facet hypertrophy is present. The central canal and neural formina remain patent.
At L2-3 some facet and ligamentous in buckling is present. The neural formina remain patent.
At L3-4 A small disk buldge is present. In addition, there is facet hypertrophy and ligamentous in buckling. No formal stenosis is present.
At L4-5 A large ventral epidural defect is present within the central and left paracentral location. This has mass-effect upon the thecal sac and is consistant with a disk protrusion. On the sagittal imaging, there is AP extension of the disk material up to 9 mm. Along with some facet hypertrophy, this contributes to moderate narrowing of the left neural foramen. The right neural foramen remains patent.
At L5-S1 a disk osteophyte complex is present along with facet hypertrophy. There is osteophytic narrowing of the bilateral neural foramina to a moderate degree.
1. large disk protrusion to the left of the midline at L4-5 probably accounting for the patients unilateral symptoms.
2. Osteophytic narrowing of the bilateral neural foramina at L5-s1
Its my feeling that the L4-5 buldge is the major cause of my leg pain and numbness. Im not sure how big a 9 mm buldge is, but somehow reads like the goodyear blimp is pressing on the nerve that goes to my leg. If you have any impressions or perhaps just a kind word. It would be appreciated more than you will ever know. Thanks I hope to hear from you soon.