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Thank you but actually there is mild to moderate stenosis on MRI different level so the issue is more complex as the neurogenic claudication symptoms could either be from the disc herniation or stenosis but this stenosis is only surfaced over the past 3 months is that possible, what would be the physical symptoms that would make microdiscectomy the choice as I am now not sure
Thank you but actually there is mild to moderate stenosis on MRI different level so the issue is more complex as the neurogenic claudication symptoms could either be from the disc herniation or stenosis but this stenosis is only surfaced over the past 3 months is that possible, what would be the physical symptoms that would make microdiscectomy the choice as I am now not sure
If there are multiple regions that could cause your pain and the physical examination is not so specific to point to an obvious disorder, you can use selective nerve root blocks to discern the correct problem area. See:
https://neckandback.com/treatments/epidural-injections-and-selective-nerve-root-blocks-diagnostic-and-therapeutic/
https://neckandback.com/treatments/pain-diary-instructions-for-spinal-injections/
and
https://neckandback.com/treatments/diagnostic-vs-therapeutic-injections/
to understand these optionsDr. 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.Symptoms similar to neurogenic claudication but minimal leg pain or fatigue brought upon mostly when standing not when walking at times when seated and very unsettling movements especially in calf and then into foot only since disc herniation similar to stenosis, do you think microdiscectomy will be preferred route some times when you walk it does come on
Your information is not specific enough to indicate with precision that a microdiscectomy would be the procedure of choice. Herniated discs that are in the typical posterolateral position should cause leg pain with sitting, better with standing. If this disc fragment also jams the root to the side of the canal, could cause standing pain also but far lateral herniations can also cause that set of symptoms.
See:
https://neckandback.com/conditions/far-lateral-disc-herniations-lumbar-spine/ and
https://neckandback.com/conditions/herniated-disc-lumbar-spine/ and
https://neckandback.com/conditions/lateral-recess-stenosis/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.So sorry I was not specific, right now 3 months after having herniated disc MRI S1 L5 , I am experiencing something different whenever I rest or lie down I have very little leg pain or tingles whereas as soon as i stand up get out of bed or start moving then i have a radiating movements from my buttocks down to my foot not painful but bothersome, if I then start walking and do so for 30 plus minutes that goes away but then when I stop and remain standing the vibrations restart , this pattern is bothering me , so the query is what can be done about this type of non leg pain non fatigue neurogenic claudication mostly in fixed standing position seldom in any other position unilateral
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