Question 1

hello doctor. i am diagnosed with diffuse annular disc bulge 1 to 2 mm at l4 l5.  tightnness in mid and low back. how bad will this progress ?

Accepted Answer

Back pain: A bulging disc between the lumbar 4 and 5 vertebral bodies is a sign of early arthritis in the low back. We treat you and not the MRI scan. In general, anti-inflammatory medications and muscle relaxers will reduce or eliminate the pain. Stretching exercise for the low back will improve flexibility. Strengthen core muscles to prevent progression of the bulging disc.

Question 2

been having mid-lower left side back pain, had surgery in 2010 l4 l5 s1 now l3-2 shows on mri could this pain be from the injury or something else ?

Accepted Answer

Probably: The L 2-3 nerves supply the lateral hip and anterior thigh, so it could very well be coming from that.  I would not hesitate to be seen if you are having problems.

Question 3

lumbar mri results. l4-l5 and l5-s1 references the mid sagitall dimension of thecal sac as 14 mm at each level.  is that a normal measurement?

Accepted Answer

Yes, that: is within the normal range.

Question 4

increasing numbness limbs constant pain and spasms in lower & upper back & down left leg, mri lumbar showed bulge disk l4 l5, rotatory scoliosis causes

Accepted Answer

Nonspecific: Believe it or not, scoliosis does not cause pain for most patients - unless the scoliosis is very severe.  Similarly, a disk bulge is often of no consequence, and is simply a normal finding as we age.  See a physician (consider seeing a neurologist since you have numbness) for further evaluation.

Question 5

l4-l5 herniation, fine for years. sneezed while bending down. sharp pain, now tingling down left leg, lasting 3-4 days so far. should i be worried?

Accepted Answer

Possibly: If symptoms progress or don't get better within a week, then would seek medical evaluation.

Question 6

i had an auto wreck i have ruptures and bulges in l4,l5, and s1 and degenerative disc. causes spasms down legs and toes and go numb alot and numbing?

Accepted Answer

See doctor: You need to see your doctor probably have a referral to orthopedic and see if the orthopedic. An repair this back.

Question 7

would a left paracentral lateral annular tear at l4/l5 disc cause sciatica pain like when sitting burning and pins and needles and numbness? thanks?

Accepted Answer

: Your annular tear will cause low back pain, and if a portion of the disc contacts a nerve root, referral of sciatic pain down the leg in that distribution would be associated.  An examination will readily answer that question.  See your doctor and clarify, but also start therapy.

Question 8

l4-l5 disc bulge noted,superimposed upon the bulge is a moderate size broad herniation mildly asymmetric to the right w/impingement on the right side of thecal sac. what does this mean and is this the cause of numbness in part of my right leg & foot?

Accepted Answer

: Actually, there is not enough information from this question to give a confident answer.  There would need to be correlation of the findings to the location that you are having numbness in the leg and foot.  Oftentimes impingement on the thecal sac is meaningless unless it is concomitantly impinging on the corresponding nerve.  That nerve would then have to travel to the location of the numb leg.

Question 9

annular tear l4/l5 disc. could that cause aching in leg muscles @ night, intermittent knee weakness, numbness in lateral quad in l leg, sweating fits?

Accepted Answer

No. An annular tear-: -usually has symptoms of back pain. If that is the only finding on Ur MRI, these symptoms R not related 2 the tear.

Question 10

what else can cause sciatica and tingling in both legs, numbness in both feet, when mri says broad based disc bulge at l4, l5 and spine dr says looks normal and the bulge isnt causing my symptoms! help?

Accepted Answer

Sciatica: It is possible you may have developed a polyneuropathy- please have your physician consider ordering a nerve conduction study and emg, or you can request referral to a neurologist.

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Doctor answers about:

Will compression of L4 and L5 cause numbness and sharp pain down mid upped led

A member asked:

Hello doctor. i am diagnosed with diffuse annular disc bulge 1 to 2 mm at l4 l5. tightnness in mid and low back. how bad will this progress ?

A member asked:

Been having mid-lower left side back pain, had surgery in 2010 l4 l5 s1 now l3-2 shows on mri could this pain be from the injury or something else ?

A member asked:

Lumbar mri results. l4-l5 and l5-s1 references the mid sagitall dimension of thecal sac as 14 mm at each level. is that a normal measurement?

A member asked:

Increasing numbness limbs constant pain and spasms in lower & upper back & down left leg, mri lumbar showed bulge disk l4 l5, rotatory scoliosis causes

A member asked:

L4-l5 herniation, fine for years. sneezed while bending down. sharp pain, now tingling down left leg, lasting 3-4 days so far. should i be worried?

A member asked:

I had an auto wreck i have ruptures and bulges in l4,l5, and s1 and degenerative disc. causes spasms down legs and toes and go numb alot and numbing?

A member asked:

Would a left paracentral lateral annular tear at l4/l5 disc cause sciatica pain like when sitting burning and pins and needles and numbness? thanks?

A member asked:

L4-l5 disc bulge noted,superimposed upon the bulge is a moderate size broad herniation mildly asymmetric to the right w/impingement on the right side of thecal sac. what does this mean and is this the cause of numbness in part of my right leg & foot?

A member asked:

Annular tear l4/l5 disc. could that cause aching in leg muscles @ night, intermittent knee weakness, numbness in lateral quad in l leg, sweating fits?

A member asked:

What else can cause sciatica and tingling in both legs, numbness in both feet, when mri says broad based disc bulge at l4, l5 and spine dr says looks normal and the bulge isnt causing my symptoms! help?

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