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  • ftkm92
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    Post count: 28

    The 3rd Mri is done in 13/10/14
    Lordosis abnormal lumbar may due to spasm
    L4l5 minor Para central disc herniation indenting the theca. L5S1 Left paracentral disc herniation with annual tearnarrowwing thelateral recess and left neura foramen causing impingement of the left S1 nerve root. There is further scarring and granulation tissue inflammatory changes of the sit of surgery but no obvious abcess.

    4th Mri with contrast
    Recent surgery has been performed discectomy at L5S1 levelaminectomy. Signal abnormality and enhancement along the surgical tract and enhancement adjacent to the S1 nerve root. Granulation tissue.
    Central buldge of the L4L5 disc.

    Current symptoms. Leg pulling sensation and tightness while sitting , , laying on the bed and difficulty tip toes and pointing toes up. Walking I drag my leg and weakness and heavy.
    Somwtimes muscle twitching during the night. Do not really have numbness.

    Sorry for the repeat of the questions. I want to have a clear picture. Dr ask me to used crutches. I force my self not to depend on crutches.

    Just want to know what is going on. I been to physiotherapy .

    ftkm92
    Participant
    Post count: 28

    I am not sure. Base of my compression of the S1 nerve root is it true that I should have spastic gait?

    But that why my surgeon , pain doctor current physiotherapy says I have foot drop. Is it possible I have foot drop and spastic gait? Does a with person with spastic gait and footdrop tend to drag their leg when they walk.

    I remember when I was in hospital after surgery I went for physiotherapy session and there was one very senior and experience physiotherapist was check on me and she said I could have problem with L5 and S1 nerve root.

    Every time I went for my follow up with my surgeon he ask me to push up and down using my toes. After the follow up he just gave me pain killers and told my parents that my left ankle is weak.

    Base of the MRI I have only compression on S1 nerve root and both of my surgery is to decompress the S1 nerve. I am puzzle why pain management dr and physiotherapist says i am having footdrop. My surgeon says my ankle weak. and He did not mention what gait I am having.

    I know I having problem to tip toes. The exercises I am doing now using a special string and put around all my 5 toes and pull the string using my hands.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    Your MRI reports do not note significant compression of the L5 nerve at either level. Muscle twitching can be from denervation (loss of continuity with the brain from nerve injury).

    Spastic gait is something very different from foot drop. Foot drop develops from compressive injury to the L4 or L5 nerves, normally in the lower back spinal canal from a disc hernation. Spastic gait normally occurs from a spinal cord (or occasionally brain) injury. If you have a spastic gait, you need someone to do a careful examination and look at the thoracic and cervical spine for compression of the cord.

    You might be mixing your foot weakness directions. Foot drop is the inability to walk on your heels (keeping the forefoot off of the ground). The foot might “slap” on the ground with walking and you would need to bend your leg like you are going up stairs (steppage gait) to keep the foot from catching on the ground.

    Calf (gastroc) weakness is the inability to tiptoe (keeping your heel off the ground). This is the weakness that would be involved with exercises like “The exercises I am doing now using a special string and put around all my 5 toes and pull the string using my hands”.

    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.
    ftkm92
    Participant
    Post count: 28

    Actually I am not sure what walking problems i have now. I just drag my leg when I walk.

    Base on my MRI report I should not have footdrop but why My pain management and physiotherapist saying I have footdrop. My surgeon says ankle weak.

    I am not sure what’s going on.
    current symptoms. Back of my left leg I feel pulling sensation. Both side left and right ankle of left leg feels tight too. My last 3 toes and first toes feels someone is pulling my toes.
    Is granulation tissue and scar tissue the same?

    Is about 4 months after my 2nd surgery and having those leg discomfort. I am not sure Is the granulation tissue on the L5S1 giving me those problem.

    If is S1 nerve root giving problem what is the name of that gait?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    To understand how the S1 nerve functions, see “walking (gait) disorders” and “symptoms of lumbar nerve injuries”. on the website.

    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.
    ftkm92
    Participant
    Post count: 28

    Thanks.

    Base of my symptoms I am having chronic radiculopathy. The nerve test said normal and no nerve damage but i still having walking difficulties.

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