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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Back Pain, Numbness In Leg. MRI Read Significant Thecal And Cauda Equina Compression, Sacralization. Suggestions?

I had lower back pain and numbness in my left leg. My recent MRI report says 1) Diffuse posterior bulge with posterocentral focal protrusion of L3-L4 disc causing significant thecal and cauda equina compression. Inferior nerve root canal are moderately narrowed. 2) Sacralisation of L5. The effective midsagittal diameter of spine canal at various disc levels are as follows - D12-L1 16mms, L1-L2 16mms, L2-L3 15mms, L3-L4 5.8mms, L4-L5 12mms. Right now I am feeling well, no pain or numbness on my lower back or left leg. Please tell me how serious this condition is. I don t want to go for any surgery. What should I do?
posted on Sat, 12 Jan 2013
Twitter Thu, 17 Jan 2013 Answered on
Twitter Fri, 18 Jan 2013 Last reviewed on
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Orthopaedic Surgeon,  's  Response
hi ,
though you are feeling well today looking at the mri report it seems that your back may hurt you on and off .
absolute indication for surgery is progressive neurodeficit which you have or not can be confirmed by periodical examination by good spine surgeon till then there is no hurry and you can take your own time if you can manage the pain
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Lower Back Pain, Numbness In Leg. MRI Read Significant Thecal And Cauda Equina Compression, Sacralization. Suggestions?

hi , though you are feeling well today looking at the mri report it seems that your back may hurt you on and off . absolute indication for surgery is progressive neurodeficit which you have or not can be confirmed by periodical examination by good spine surgeon till then there is no hurry and you can take your own time if you can manage the pain