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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does MRI Report Mean For Severe Pain In Leg And Butt?

I just had a mri and it showed a right neural formaminal broad base mild disc protrusion at l3-l4 level with potential contact with right L3 nerve root. I am always in severe pain with recently pain in my butt and leg on my left side. what does this mean? Surgery?
Thu, 15 May 2014
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Radiologist,  's  Response

Hi,
Thanks for writing in.

There is degeneration of lumbar spine disc between L3 and L4. This is resulting in the disc herniating between the bones. The nerve roots pass through these neural foramina and you might have severe nerve root compression at that level more to the left. The nerve pain may be controlled with restricted physical activity and pain relief medication. Please do not do heavy physical activity till you are comfortable. If the pain persists in spite of restricted physical activity and proper pain relief medications for few months then surgical treatment can be thought of. Laser assisted surgery is becoming popular in this area.
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What Does MRI Report Mean For Severe Pain In Leg And Butt?

Hi, Thanks for writing in. There is degeneration of lumbar spine disc between L3 and L4. This is resulting in the disc herniating between the bones. The nerve roots pass through these neural foramina and you might have severe nerve root compression at that level more to the left. The nerve pain may be controlled with restricted physical activity and pain relief medication. Please do not do heavy physical activity till you are comfortable. If the pain persists in spite of restricted physical activity and proper pain relief medications for few months then surgical treatment can be thought of. Laser assisted surgery is becoming popular in this area.