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birdieman
Alabama Fan
New Orleans
Member since Dec 2012
1647 posts

L5-S1 herniated disk

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 at 3:16 pm


Hammertime
UNO Fan
Will trade dowsing rod for titties
Member since Jan 2012
43030 posts

Walk it off


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494
Festus
LSU Fan
With Skillet
Member since Nov 2009
83868 posts

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?


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50
bunky
LSU Fan
Portland, Ore.
Member since Jul 2011
4634 posts

Rub some dirt on it


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171
ThatMakesSense
LSU Fan
Texas
Member since Aug 2015
14171 posts

You golf game will be negatively impacted, birdieman.


Tyga Woods
Louisiana Tech Fan
South Central Jupiter Island, FL
Member since Sep 2016
17649 posts

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


LucasP
LSU Fan
Member since Apr 2012
21618 posts

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.


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74
Slippy
LSU Fan
Across the rivah
Member since Aug 2005
5781 posts

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.


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184
biggsc
USA Fan
32.4767389, 35.5697717
Member since Mar 2009
32072 posts

Pray over it


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40
ACM
USA Fan
florida
Member since Oct 2016
334 posts

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.


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Clyde Tipton
LSU Fan
Planet Earth
Member since Dec 2007
36793 posts

quote:

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




birdieman
Alabama Fan
New Orleans
Member since Dec 2012
1647 posts

My golf game has been dormant since March lol.


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old man tiger
LSU Fan
Member since Feb 2009
2383 posts

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.


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47
Cosmo
Houston Astros Fan
glassman's guest house
Member since Oct 2003
112969 posts

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 at 3:04 pm


Y.A. Tittle
LSU Fan
Member since Sep 2003
93635 posts

Who's your doctor?

Who's your lawyer? (actually, if I know this I can probably answer the first question)


ChewyDante
LSU Fan
Member since Jan 2007
16823 posts

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."


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140
birdieman
Alabama Fan
New Orleans
Member since Dec 2012
1647 posts

I live in the Lehigh valley, Pa.


Festus
LSU Fan
With Skillet
Member since Nov 2009
83868 posts

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.


birdieman
Alabama Fan
New Orleans
Member since Dec 2012
1647 posts

I just quoted what it said. Didn't mention worsening symptoms. Same symptoms since March.
This post was edited on 9/29 at 3:12 pm


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21
birdieman
Alabama Fan
New Orleans
Member since Dec 2012
1647 posts

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 at 3:10 pm


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