[wstroud]

#32909

1. Have pain in the small of my back, pain in the groin area(my right side)
pain in the front of my right leg, numbness in the back of my right leg. Can’t sit down without trying to put my head in my lap.
2. First trip to the doctor – ordered x-rays and MRI
3. Second trip to the doctor- looked at images and said L5 is herniated, but images say all my pain symptoms should be on my left side. So nothing he can do except refer me to an epidural practice.
4 Have had 4 TFESI-transforaminal epidural steroid injections – relief a couple of days,then back to wondering if I’ll ever get better.
5. I now have a urinary problem on the stopping side endless dribbling.
6. what do i do now.I’m 65 years old with a cattle farming business and I can’t be laid up.
7. Thanx for a reply
.

[Donald Corenman, MD, DC]

#32977

Pain that radiates down the buttocks then to the front of groin and thigh is most likely the L3 or L4 nerve root. An L5-S1 disc herniation compressing the S1 nerve root, even if on the correct side would not fit well with your symptoms. I would think you most likely have a missed far lateral herniation at L3-4 or L4-5 on the right side. Get a copy and see if the radiological report identifies a far lateral HNP but don’t be surprised if it is missed. See “https://neckandback.com/conditions/symptoms-of-lumbar-nerve-injuries/

Your urinary symptoms are most likely from pain and not neurological compression of the nerve roots.

See https://neckandback.com/conditions/missed-diagnosis-far-lateral-lumbar-disc-herniation/

Dr. Corenman

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