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L5-S1 herniated disk

Posted on 9/29/17 at 2:51 pm
Posted by birdieman
New Orleans
Member since Dec 2012
1647 posts
Posted on 9/29/17 at 2:51 pm
Just got MRI back on a problem I have had since March. Previous diagnoses was piriformis syndrome then si joint dysfunction so it's been a long road to get to here....

Of course my doctor is out til Monday so calling on those with experience with this.

Zero back pain, glute is in a constant spasm basically since March. Had sciatica down leg but had piriformis injection and started gabapentin and have had only minor sciatica that sometimes goes about halfway down hamstring, mostly tingling. The spasms are brutal though...

MRI reads, in short, disk herniation, protrusion type. Effacement of subarticular recess. Severe left sided central canal narrowing. Severe narrowing left subarticular recess. Mild left neural foraminal narrowing. Surgical evaluation suggested.

Anyone that can tell me what I am looking at in laymens terms?

This post was edited on 9/29/17 at 3:16 pm
Posted by Hammertime
Will trade dowsing rod for titties
Member since Jan 2012
43030 posts
Posted on 9/29/17 at 2:52 pm to
Walk it off
Posted by Festus
With Skillet
Member since Nov 2009
85011 posts
Posted on 9/29/17 at 2:53 pm to
quote:

disk hernia hernia toon

I'm assuming that's herniation auto corrected? All the narrowing is basically age related.

What does the MRI say about impingement on the nerve?
Posted by bunky
Portland, Ore.
Member since Jul 2011
4639 posts
Posted on 9/29/17 at 2:53 pm to
Rub some dirt on it
Posted by ThatMakesSense
Fort Lauderdale
Member since Aug 2015
14792 posts
Posted on 9/29/17 at 2:53 pm to
You golf game will be negatively impacted, birdieman.
Posted by Tyga Woods
South Central Jupiter Island, FL
Member since Sep 2016
30060 posts
Posted on 9/29/17 at 2:54 pm to
Disc is probably sitting on a nerve. Anti-inflammatory will probably help some. The only true cure is surgery. Dealing with the same issue but L3. I believe the L5-S1 is exactly what Tiger Woods has been dealing with. He finally had to have fusion surgery to get relief
Posted by LucasP
Member since Apr 2012
21618 posts
Posted on 9/29/17 at 2:55 pm to
No clue, but when it comes to back stuff always get a second opinion MINIMUM. Ideally get three, but back docs are the worst about misdiagnosing and running with it.
Posted by Slippy
Across the rivah
Member since Aug 2005
6580 posts
Posted on 9/29/17 at 2:55 pm to
You are headed for a fusion. You sort of have the classic diagnostic criteria for that -- radiating symptoms into the hip and leg, identifiable lesion impinging on nerve roots.

A fusion is nothing to be scared of if you are otherwise healthy. They rip all that bad shite out of there, fuse the vertebrae and you end up with a solid, stable spine.

Hell, my 75 year old mother had a 3-level fusion last year and it literally changed her life for the better.
Posted by biggsc
32.4767389, 35.5697717
Member since Mar 2009
34209 posts
Posted on 9/29/17 at 2:56 pm to
Pray over it
Posted by ACM
florida
Member since Oct 2016
334 posts
Posted on 9/29/17 at 2:57 pm to
I have had 2 disk surgeries. First one was the same disks as you. The tingling sensation will eventually turn into a pain like none you have ever experienced. You will think about suicide. But, minor surgery will fix it. Hope that helps.
Posted by Clyde Tipton
Planet Earth
Member since Dec 2007
38734 posts
Posted on 9/29/17 at 3:00 pm to
quote:

Anyone that can tell me what I am looking at in laymens terms?


Posted by birdieman
New Orleans
Member since Dec 2012
1647 posts
Posted on 9/29/17 at 3:00 pm to
My golf game has been dormant since March lol.
Posted by old man tiger
Member since Feb 2009
2383 posts
Posted on 9/29/17 at 3:01 pm to
spinal stenosis. Go to laser spine institute in tampa. They will get bone off the nerves and relieve pain. I did the surgery last march. Try to stay off the pain meds. Take ibuprofen 800mg 3 times a day for a few days.
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120262 posts
Posted on 9/29/17 at 3:03 pm to
i really wish patients couldnt read their own radiology reports

They see "disk herniation" and "stenosis" and fixate on it and once you think something is wrong with you mentally it makes symptoms seem worse

Your doctor needs to do a good physical and neuro exam and figure out if the imaging finding match your symptoms

Almost everybody over the age of 40-50 prob has a disc herniation at some level

This post was edited on 9/29/17 at 3:04 pm
Posted by Y.A. Tittle
Member since Sep 2003
101390 posts
Posted on 9/29/17 at 3:03 pm to
Who's your doctor?

Who's your lawyer? (actually, if I know this I can probably answer the first question)
Posted by ChewyDante
Member since Jan 2007
16918 posts
Posted on 9/29/17 at 3:04 pm to
quote:

Anyone that can tell me what I am looking at in laymens terms?



Now I'm no doctor, but that sounds like classic symptoms of "the AIDS."
Posted by birdieman
New Orleans
Member since Dec 2012
1647 posts
Posted on 9/29/17 at 3:05 pm to
I live in the Lehigh valley, Pa.
Posted by Festus
With Skillet
Member since Nov 2009
85011 posts
Posted on 9/29/17 at 3:06 pm to
That's why I asked him about the nerve root impingement. He won't answer, I'm assuming there is none noted on the MRI. Many people with herniated disks are not surgical. It's all about the impingement on the nerves.
Posted by birdieman
New Orleans
Member since Dec 2012
1647 posts
Posted on 9/29/17 at 3:06 pm to
I just quoted what it said. Didn't mention worsening symptoms. Same symptoms since March.
This post was edited on 9/29/17 at 3:12 pm
Posted by birdieman
New Orleans
Member since Dec 2012
1647 posts
Posted on 9/29/17 at 3:08 pm to
I don't know anything about nerves on the report. I don't see mention. Is "occluding the left subarticlur recess l5s1" nerve related?
This post was edited on 9/29/17 at 3:10 pm
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