hello doctor,
this is a very old thread but I’d like to ask something related to it.
You stated that an annular tear or disc degeneration at L5-S1 is not compatible with pain in the perineum, anus, testicles etc…..as the Pudendal nerve comes out from the sacral (s2) not the lumbar
BUT
can’t a protrusion at l5-s1….irritate (either mechanically or chemically) ALL the nerves in the cauda equina and indeed also the sacral nerves like the Pudendal ?
I have heard of people suffering from Pudendal symptoms…having annular tears in L5-S1
thanks a lot
