
Have Pain Of Sciatica And The Pins And Needles Sensation. Is This Related To The Mild Nerve Impingement?

Thanks for posting your query.
The pain of sciatica and the pins and needles sensation can be related to the mild nerve impingement that you are having at the level of L4.
The weakness in the leg, sexual dysfunction and foot drop cannot be explained by mild nerve impingement at L4. The level of affection of nerve at L5-S1 is more likely. Further investigations like EMG are needed to find out the exact cause and site of nerve compression before deciding for surgery.
Taking a second opinion from a neurologist will be helpful. You can continue with the physiotherapy till then and see if it helps with some improvement.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

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