[lini1975]

#35289

Good afternoon,
I’m looking for a second opinion, I have been told that disc replacement will help.I’ve had two failed microdiscectomy and been suffering with pain for 13 years. I live in Ontario,Canada and they don’t do disc replacement I would have to go out of the country.

Mild levoscoliosis centered at the l3-l4 level. Moderate space narrowing at the l5-s1.mild disc space narrowing and disc desiccation at l4-l5. Disc space heights and vertebral body heights are otherwise within normal limits. Small schmorls node at the inferior end plate of the L1 and l4 veterbal bodies.
L1-l2 2 to 3 mm disc bulge with mild neural foraminal narrowing bilaterally. No stenosis
L2-l3 2 mm disc bulge with mild neural foraminal narrowing bilaterally. No stenosis
L3-l4 2 to 3 mm disc bulge with mild neural foraminal narrowing bilaterally. No stenosis
L4-l5 4 to 5 mm left paracentral disc protrusion with moderate neural foraminal narrowing bilaterally with indentation on l4 nerve root greater on the left than right. Mild central spinal stenosis.
L5-s1 moderate disc space narrowing.4 to 5 mm paracentral disc protrusion with mild ligamentum flavum and facet hypertrophy.moderate lateral recess stenosis and neural forminal narrowing on the left with impingement on the l5 and s1 nerve roots on the left. There is mild neural narrowing on the right and mild central spinal stenosis.

[Donald Corenman, MD, DC]

#35291

You need to describe your symptoms in much more detail. See this link to understand how to explain your symptoms:
https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-lower-back-and-leg-pain/

Dr. Corenman

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.

[lini1975]

#35294

I constantly have a sharp pain that runs in my left leg accompanied with hip pain on the left, I use a walking aid because I get tired quickly and lean over to one side . The above info that I provided was from a recent mri that I had done in July.

[lini1975]

#35295

My activity level is limited. My pain levels are at 8-9 daily, walking causes severe pain and leg cramps

[lini1975]

#35296

lini1975 wrote:

My activity level is limited. My pain levels are at 8-9 daily, walking causes severe pain and leg cramps

lini1975 wrote:

I constantly have a sharp pain that runs in my left leg accompanied with hip pain on the left, I use a walking aid because I get tired quickly and lean over to one side . The above info that I provided was from a recent mri that I had done in July.

I also have difficulty with sitting for a long period. I can’t get up and walk I need to stand for a bit and then move slowly

[Donald Corenman, MD, DC]

#35298

“L5-S1…moderate lateral recess stenosis and neural forminal narrowing on the left with impingement on the l5 and s1 nerve roots on the left…L4-l5 4 to 5 mm left paracentral disc protrusion with moderate neural foraminal narrowing bilaterally with indentation on l4 nerve root greater on the left than right”.

It appears that you have a herniated disc, lateral recess stenosis and foraminal stenosis on the left at L4-5 and L5-S1. This problem becomes more symptomatic when you stand as the nerve hole narrows when you stand. See these hyperlinks to understand:

https://neckandback.com/conditions/foraminal-collapse-lumbar-spine/
https://neckandback.com/conditions/lateral-recess-stenosis/
https://neckandback.com/conditions/herniated-disc-lumbar-spine/

You more likely need a surgical workup which consists of diagnostic blocks and possibly surgery.

Dr. Corenman

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.

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