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MRI/EMG - Lumbar spinal stenosis/chronic radiculopathy - ADVICE PS?

AnonymousUserAAnonymousUser Posts: 49,321
edited 06/11/2012 - 8:30 AM in Spinal Stenosis

I have been having low back/hip/leg pain and numbness for about a year, and urinary urgency. I saw my NS as thought it may be linked to ACDF I had last year but no

MRI/EMG show the following

chronic neurogenic changes in left peroneus longus and lesser degree changes in left tibialis anterior consistent with chronic L5 radiculopathy

T1/T2 show low signal in mid thoracic disc representing calcification

Moderate spondylotic changes in L4/5 disc and endplates. Small diffuse bulge and posterior HIZ mildly indenting anterior theca. Mild right L4 foraminal stenosis

My NS says none of this is operable, even although I am in constant pain and can't walk/sit/get out of a chair. He has now referred me to a neurologist to see what he says. He also thinks the nerve damage is permanent - I cannot feel my toes/feet and cannot raise my left foot/big toe

What does all of this mean? I am only 49 and have a small child who is disabled to look after, so any advice would be appreciated - should I get a second opinion. I am not rushing to have more surgery, but can't see an end to this and it is really getting me down


  • I would suggest you get another opinion from a fellowship-trained orthopedic spinal specialist. Sometimes they have a difference in opinion regarding the lumbar spine from the neurosurgeons.

    If you cannot find answers there, I would suggest you consult with a spinal clinic associated with a university hospital. They are more willing to take on the more difficult cases that others aren't interested in pursuing.

    Hope you can get some answers soon.
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