I am 45 years old and experiencing lower back and leg pain after 5-10 minutes of standing. Minimally invasive, microdisectomy surgery is suggested for me. I need to know further about treatment options and whether I can postpone the surgery for few months. My MRI report says chronic posterior protrusion of L4 L5 with mild thickening of ligementum flava bilaTerally, cauing mild compression of the thecal sac and severe compression of L5 nerve roots at L4 L5 disc levels. Posterior midline annular tear in L5S1 disc.
The type of surgery to give you relief really depends upon your specific symptomatology. If you had the majority of pain as significant central low back pain that does not “lean” to the leg pain side, the success rate for microdiscectomy/decompression is less than if the lower back pain is much greater on the leg pain side. It sounds like you have lateral recess stenosis from both the disc protrusion and the ligamentum hypertrophy. You might be a candidate for a lateral recess decompression. See https://www.neckandback.com/conditions/lateral-recess-stenosis/ to see if this fits with your symptoms. Back pain can be generated by the disc, the bone, the facet and occasionally, the nerve root.
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.