6 doctors weighed in:

Posterior disc protrusion at lumbar4?

6 doctors weighed in
Dr. Qamar Khan
Pain Management
2 doctors agree

In brief: It is a Herniation

By definition a disc protrusion is a herniated disk.

In brief: It is a Herniation

By definition a disc protrusion is a herniated disk.
Dr. Qamar Khan
Dr. Qamar Khan
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Dr. Douglas Linville II
Orthopedic Surgery - Spine
1 doctor agrees

In brief: L4 Radiculopathy

Disk herniations at l4-5, could cause pressure to either the L4 or L5 nerves or both.
L4 would cause pain or numbness along the front and inside if the shin stopping at the ankle. L5 would cause the outside of the calf and top of the foot to be affected. Weakness bringing the toes and ankle up may be present with both, but L4 could cause thigh/quads weakness. Mri would answer definitively.

In brief: L4 Radiculopathy

Disk herniations at l4-5, could cause pressure to either the L4 or L5 nerves or both.
L4 would cause pain or numbness along the front and inside if the shin stopping at the ankle. L5 would cause the outside of the calf and top of the foot to be affected. Weakness bringing the toes and ankle up may be present with both, but L4 could cause thigh/quads weakness. Mri would answer definitively.
Dr. Douglas Linville II
Dr. Douglas Linville II
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Dr. Thomas Dowling
Orthopedic Surgery - Spine

In brief: Usually time heals

90% of disc herniations including extrusions heal over time without surgery.
One study looked at mris in people with symptomatic disc herniations & then repeated a MRI 6 months later & the disc herniation was no longer present or significantly reduced in size. For most, it is not only the actual compression of the nerve by the disc, but the inflammation caused by the herniation that resolves.

In brief: Usually time heals

90% of disc herniations including extrusions heal over time without surgery.
One study looked at mris in people with symptomatic disc herniations & then repeated a MRI 6 months later & the disc herniation was no longer present or significantly reduced in size. For most, it is not only the actual compression of the nerve by the disc, but the inflammation caused by the herniation that resolves.
Dr. Thomas Dowling
Dr. Thomas Dowling
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