Fall From Ladder, Leg Weakness And Numbness, Constant Urge To Urinate, Diarrhea. Surgery Best Option?
I feel that surgery would be my best option do you agree?
Hello,
Thanks for the providing a detailed account of your problem in addition to providing the MRI report.
Based on what you describe the symptoms are suggestive of involvement of nerves at level L4 and below. Since it has occurred following this significant fall, the most probable cause of it will be compression from the injured / displaced segments of the spine.
However MRI report appears fairly good for the amount of problems that you are having.
This means there is a possibility of cause other than compression contributing to the symptoms. The one that I can think of is chemical arachnoiditis following the disc extrusion. If the contribution of chemical arachnoiditis is significant then surgery is not suggested; because that condition does not improve with surgery.
To make picture little clearer, I would suggest MRI of the spine with contrast followed by a lumbar puncture test (if required). Discuss further about this possibility with your treating physician.
Till than you should manage with strict bed rest, physiotherapy and pain medications.
Hope this answers your query. If you have any further queries, I would be happy to answer.
Good luck!!