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in reply to: Sciatica, no pain now, foot numbness continues #34706
Dr Corenman, thanks for your help back in March 2020. I did not do MD surgery due to Covid and then my symptoms got much better. I was about 80-90% good for most 2020 and 21 with just a bit of numbness on my right foot, Then in early Dec 21, I had a flareup, more numbness but no loss of strength this time. Got repeat MRI at 22 month mark – have a consult this week. Copying relevant results – wondering if worse or better than first one.
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L2-L3: Minimal disc bulge resulting in minimal indentation of ventral
thecal sac and minimal neural foraminal narrowing.L3-L4: Minimal disc bulge resulting mild indentation of ventral thecal
sac and minimal neural foraminal narrowing.L4-L5: Moderate severe disc space narrowing with endplate changes.
Broad-based central disc protrusion seen abutting both L5 nerve roots
along the lateral recess, left worse on right. No neural foraminal
stenosis.L5-S1: Interval resolution of right lateral recess disc extrusion with
persistent broad-based right paramedian protrusion seen slightly
abutting the right S1 nerve root.Nonaneurysmal aorta with normal flow-voids.
“in reply to: Sciatica, no pain now, foot numbness continues #32256Thank you Dr. I saw surgeon and microdiscectomy scheduled in 2 weeks. But he said it may not fully remove the symptoms but better chance than no surgery. Called it acute herniation of L5-S1.
Question I forgot to ask is the endoscopic microdiscectomy possible? It is advertised by a lot of clinics but not clear under what conditions it works.in reply to: Sciatica, no pain now, foot numbness continues #32242Thank you Dr. Is surgery the only/best option for decompression of nerve or manual methods like traction or stretching machines worth trying?
Spine physiatrist said injection might help clear out inflammation but as you said not compression. He did say it is just on way to surgery consult. I will try to expedite my surgery evaluation.in reply to: Sciatica, no pain now, foot numbness continues #32233To add based on leg tests, my deficit is in the raise on tip toe test. I can do on left but not on right.
in reply to: Sciatica, no pain now, foot numbness continues #32231Thank you Dr Corenman. When you say “probably needed a decompression at the time of occurrence” whch procedure do you refer to – surgery or otherwise?
The spine physiatrist confirmed the S1 compression in MRI and suggested to do steroid injection to reduce inflammation.He did mention motor weakness concern and also setup a consult with spine surgeon. I have found some improvement after injection but not enough on numbness.He did not suggest decompression of S1.
The chance of recovery of motor strength gets lower if not done on ‘timely basis’. This condition is now 6 weeks old. Is it getting to be outside the time limit? Does the weakness get worse over time? Should I expedite the surgery consult?
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