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Kirkland, WA
A 37-year-old female asked:

mri-t12-l1 l4-l5 l5-s1 disk protrusion no nerve impingement or spinal stenosis. left low back buttock leg pain 3 wks. foot cold tingling. worse when sitting standing walking. 10 days steriod no help?

3 doctor answers6 doctors weighed in
Dr. Ihab Ibrahim
Pain Management 29 years experience
Still pinched nerve: What is missing is complete history and in your case, more importantly, your exam. An emg/ncs by Rehab Dr. or Neurologist may show which nerves. MRI performed with flexion/extension films may show different results. MRI not perfect. They are a picture. You are more than a picture.
Dr. James Henning
Anesthesiology 50 years experience
Delaying in this: Circumstance isn't advisable. Your symptoms suggest impingement, either through direct nerve compression or swelling around the nerve. In any event, a discussion with your neurologist/neurosurgeon about an epidural steroid (or transforaminal steroid) injection should happen sooner, rather than later. Although a cold, numb foot may be related to other (vascular) problems, nerve problems are primary.
Dr. Rick Pospisil
Specializes in Orthopedic Surgery
Consider nerve testing
Dec 4, 2015
Dr. Robert Masson
Neurosurgery 33 years experience
Lateral stenosis: Those symptoms are suggestive of a pinched nerve, perhaps of the lateral recess or foramenal which is frequently missed. A spine surgeon would be a good idea if the symptoms are progressive and disabling. Reports can be misleading.

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Last updated Nov 14, 2020


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