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re: Sciatica is kicking my arse
Posted on 1/30/24 at 12:08 pm to GEAUXT
Posted on 1/30/24 at 12:08 pm to GEAUXT
I have an ongoing issue that i can't seem to find any relief. Higher mileage runner for 6+ years (2500 miles/yr avg). over the past year i've lost "feeling" in my foot. its not pins and needles asleep, its not numb as I can still feel stuff its just rather muted and in general feels like I don't have control of my foot. normal turnover motion while running is off, seems very unstable and each step feels difference. my feet feel completely different in my shoes like the "bad" foot feels sideways or shoe is on crooked. its difficult to describe and is beyond mentally frustrating. i occasionally have "burning" sensation in outer thigh area. I've had xray, mri and emg but DR doesn't see anything definitive. not sure what else to do. mri reading
11-T12: Evaluated on sagittal imaging only, there is a posterior disc bulge/herniation which results in mild spinal canal narrowing.
T12-L1: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L1-L2: Mild degenerative disc height narrowing. Small disc bulge with superimposed shallow right central disc protrusion. Mild spinal canal narrowing. No significant neural foraminal stenosis.
L2-L3: No focal posterior disc herniation, spinal canal stenosis, or neural foraminal stenosis.
L3-L4: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L4-L5: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L5-S1: Minimal disc bulge and superimposed shallow central disc protrusion. No significant spinal canal stenosis or neural foraminal stenosis.
IMPRESSION:
1. Mild degenerative changes of lumbar spine:
- Mild retrolisthesis and mild spinal canal narrowing at L1-L2.
- No significant lumbar neural foraminal stenosis.
2. Mild spinal canal narrowing at T11-T12.
11-T12: Evaluated on sagittal imaging only, there is a posterior disc bulge/herniation which results in mild spinal canal narrowing.
T12-L1: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L1-L2: Mild degenerative disc height narrowing. Small disc bulge with superimposed shallow right central disc protrusion. Mild spinal canal narrowing. No significant neural foraminal stenosis.
L2-L3: No focal posterior disc herniation, spinal canal stenosis, or neural foraminal stenosis.
L3-L4: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L4-L5: Minimal disc bulge. No significant spinal canal stenosis or neural foraminal stenosis.
L5-S1: Minimal disc bulge and superimposed shallow central disc protrusion. No significant spinal canal stenosis or neural foraminal stenosis.
IMPRESSION:
1. Mild degenerative changes of lumbar spine:
- Mild retrolisthesis and mild spinal canal narrowing at L1-L2.
- No significant lumbar neural foraminal stenosis.
2. Mild spinal canal narrowing at T11-T12.
Posted on 1/30/24 at 12:15 pm to ks_nola
L4/L5/S1 are the levels that go to the foot. Based purely on the Mri findings I would say that it doesn't look terrible, but also your symptoms are classic neuritic (nerve) symptoms.
Nerve issues in the leg/ankle could also be a possibility. Tarsal tunnel could potentially lead to your symptoms, other than the burning thigh.
I have quite a lot of patients that have "normal" EMGs that 10/10 doctors would diagnose with neuropathy based on physical exam
Nerve issues in the leg/ankle could also be a possibility. Tarsal tunnel could potentially lead to your symptoms, other than the burning thigh.
I have quite a lot of patients that have "normal" EMGs that 10/10 doctors would diagnose with neuropathy based on physical exam
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