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Mount Sinai, NY
A 27-year-old male asked:

Can a herniated s1 disc with an annual tear be causing severe knee, calf, and foot pain in both legs. had sciatica and lumbar radiculopathy.

3 doctor answers6 doctors weighed in
Dr. Frederick Buechel, jr. md
Orthopedic Surgery 26 years experience
It can: Severe disc herniations that push straight backwards can put pressure on the nerves going down both legs. So you need to discuss with your neurosurgeon or orthopedic spine surgeon.
Dr. Thomas Inwood
Podiatry 35 years experience
Knee calf foot : Yes - the component of the sciatic nerve ( that innervates the lower extremity) is where your problem lies. See your neuro or ortho doc for the right help
Dr. Qamar Khan
Pain Management 17 years experience
Annular tear: Sometimes the herniated disk has annular tear that releases the spongier nucleus pulposus out that can cause a chemical neuritis on the nerves that is similar to sciatica. Also if the MRI reflects any listhesis (slipping of one bone on the other) there may be a compression on the nerves that will not be appreciated on the MRI because you are lying down and not allowing gravity/forces to move it.

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Last updated Oct 18, 2018

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