Ncs and emg show no specific nerve issue, MRI shows l5s1 disc hern. But doesn't show cause of foot drop. Back and leg pain persist. What next?

Clinical discussion. Time for a face to face meeting with your doctor and an explanation of the cause of your l-5 or peroneal issues. Could this truly be coming from brain or spinal cord instead, and should those areas be imaged via mri?

Related Questions

If MRI doesn't show cause of foot drop (l5s1 protusion)and emg doesn't show nerve issue and you have back and sciatica pain, could MS be a possibility?

Unlikely. Lumbar radiculopathy and peroneal neuropathy are much more likely, and sometimes the MRI findings are there but poorly understood. Further evaluation, emg/ncv of the lower extremities, and additional MRI eval for lateral recess l5s1. Read more...
Possibly. Emg would identify a peripheral nerve source for foot drop. If EMG is neg, other central nerve diseases should be considered. These would include MS and a host of other central problems. You probably want to see a neurologist for a complete examination and consideration of additional diagnostic testing. Read more...
Could be. but you would need to se neurologist for that diagnosis. You mention L5/S1 protrusion, do you have that? If so, that can be a cause for your foot drop. Also there could be some sort of mononeuropathy going on, surprised EMG did not show anything. Foot drop is definitely a nerve issue and the EMG should have shown some issue. Suggest maybe getting repeat EMG with AANEM board certified doctor. Read more...

Leg/back pain/foot drop. Emg norm. Mri l5s1 protusion. Consult wont treat/sending me nuero. Gp says disc is issue\drop is failed nerve block. I agree. What next? How can I convince consult to treat disc?

?? Not sure i'm understanding your question. If you have a protruding l5s1 disk and are being sent to a neurologist, it sounds like you are bring treated. Certainly, foot drop is nothing to ignore. If your doctor does, look elsewhere for treatment. Read more...

Have l5s1 protusion back\leg pain\footdrop. Mri doesn't confirm drop. Emg\nerve study normal. What should be next step? Do symptoms clash with test results

Epidural injection. The imaging studies give info to help with a diagnosis. All the symptoms should be considered. A foot drop is due to muscle failure which is most often caused by pressure on a nerve, usually from a disc. They should treat your clinical findings in this case . Read more...
Unusual. If you have foot drop (weakness) with sciatica or other le nerve problem, then EMG should not be negative unless it was done too soon after the onset of the weakness. There can be other reasons for those symptoms besides a disc but if a disc is hitting a nerve and the weakness if from that EMG should be positive. Consider a second opinion. Read more...

Why wouldn't a consult treat l5s1 protusion with escalating back and leg pain based on normal emg and foot drop on basis symptoms of drop don't fit?

Depends. It depends on if there is something that can actually be done to improve the symptoms. If you are concerned, get a second opinion. Read more...
Many variables. Bottom line, is get more information and more opinions. The nerve damage untreated could be permanent so finding the best advice is your best option. Read more...