Cincinnati, OH
A 41-year-old female asked:
Mri shows foraminal stenosis l5-s1, l4-5, l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. l leg is numb & painful. surgery?
3 doctor answers • 7 doctors weighed in
Dr. Walter Husaranswered
Neurology 35 years experience
Would Need More Info: In general, i would need more symptoms, but what you are describing with your symptoms and the results of the mri, i would first recommend physical therapy and epidural before considering surgery. Really depends on your examination and whether there is any weakness. I would check with your doctor.
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4.3k viewsReviewed >2 years ago
Dr. Edison McDaniels commented
Specializes in Neurosurgery
A few words here cannot replace a thorough evaluation of signs & symptoms, review of MRI, and a physical exam. It does seem premature to jump to surgery first though. Discuss w/ your doctor and get referral to a specialist as necessary.
Jun 1, 2014
Dr. Qamar Khananswered
Pain Management 19 years experience
Surgery Last Resort: I would consult a fellowship trained spine/pain specialist to see your options. You may need surgery or you may not. If you haven't tried epidural steroid injections first, that may be your best bet first.
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
Dr. Bennett Machanicanswered
Neurology 47 years experience
Low back surgery is typically clearly indicated when there is progressive muscular weakness and atrophy, involvement of urinary dysfunction, progressive unrelenting pain unresponsive to conservative measures. Otherwise, as has been mentioned, would try injections, physical therapy, and exercise. The latter two might initially employ therapy in a warm pool
Created for people with ongoing healthcare needs but benefits everyone.
Answered Jan 18, 2023
Last updated Jan 18, 2023
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