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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low Back Pain, Weakness In Legs, Loss Of Sensation To Bottom Part. MRI Taken. Suggestions?

Hi I'm 35year old female and have been suffering greatly for many years with low excruciating back pain. I get pins and needles ,tingles , weakness in both my legs and feet toes and at times have experienced total numbness to my rright leg lasting anything from 5mins to 20mins at a time. I have had at times loss of sensation to my bottom and not getting to the toilet in time resulting in my .GP sending me to hospital on emergency to be checked and me almost having to have an emergency operation (luckily my sensations came back and i didn't need an operation at that time but was warned about red flag symptoms and to get emergency medical attention if i develop these symptoms anytime in the future).
I had my 2nd MRI scan January's this year and my Dr gave me a copy of the report (i do not understand this properly and wondered if u could explain it to me in more detail and tell me what it means?
The report is as follows....

There is central/right paracentral disc bulge at L5/S1 indenting the thecal sac and causing mild central canal and mild to moderate right lateral recess narrowing.
The disc comes into contact with the traversing S1 nerve root in the right lateral recess. There is mild narrowing of the right exit foramina .
No significant disc changes at other l
The vertebral body heights and alignment are normal.
Normal marrow signal.
The disc cord,comes conus and cauda equina are normal.
SUMMARY
focal central/right paracentral disc bulge at L5/S1 causing mild central-moderate
Fri, 10 May 2013
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Orthopaedic Surgeon 's  Response
hi...well according to ur history and mri findings...there is mild impegiment of s1nerve root by the corresponding disc ...which means the nerve supplying the bottom part of ur body is been pressed by disc at ur lumbosacral spine level..which if increases may lead to permanent loss of sensation...so kindly avoid bending activites and squatting...go to physiotherapist and learn spinal extention exercises..do it regularly...and wait for the response...along with the medications.. as of now
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello
Thanks for posting your query.
Your symptoms and MRI findings suggestive of disc bulge at l5s1 level causing compression of s1 nerve root.
There are many treatment modality in form of medicines, physiotherapy, epidural injection in back.
If the symptoms are not responding with conservative treatment, surgery(discectomy) is another option which will relieve pressure over nerve root.
Hope this will help you
Regards.
Dr Saurabh gupta.
Orthopaedic Surgeon.
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Low Back Pain, Weakness In Legs, Loss Of Sensation To Bottom Part. MRI Taken. Suggestions?

hi...well according to ur history and mri findings...there is mild impegiment of s1nerve root by the corresponding disc ...which means the nerve supplying the bottom part of ur body is been pressed by disc at ur lumbosacral spine level..which if increases may lead to permanent loss of sensation...so kindly avoid bending activites and squatting...go to physiotherapist and learn spinal extention exercises..do it regularly...and wait for the response...along with the medications.. as of now