Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
144 Doctors are Online

Have severe sciatica in leg with numbness, tingling and foot pain. MRI done. Reason for pain and discomfort?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2010
Answered : 661 Questions
Question
I have severe sciatica in my right leg with numbness, tingling, & pain all the way to my foot where there are times I can't feel my toes. My right leg is heavy & at times it's hard to walk or even get comfortable. I just had an MRI where the results were a minimal asymmetric left L4/L5 bulge with minimal left neuroforaminal narrowing. Could this be the cause of all my pain & discomfort?
Posted Thu, 2 May 2013 in Bones, Muscles and Joints
 
 
Answered by Dr. Muhammad Ishfaq Habib 31 minutes later
Hi
Welcome to XXXXXXX

You already know the problem you are having. The sciatic nerve fibers originates from lumbar and sacral vertebra going downwards where in the thigh it continues as a common peroneal nerve and goes till the toes with different branches. The disc bulge you are having is compressing the nerve fibers of the right sciatic nerve and hence you experience the pain through out its distribution.

The symptoms like severe pain, numbness. tingling and loss of sensation and/or decreased power and tone are indication for surgery known as leminectomy in which the pressure is released by partial or complete removal of the disc.

It is recommended to visit a neurosurgeon for better opinion and avoid excessive walking and exertion. Rest will help in relieving symptoms. Physiotherapy is also quite helpful

If you still have some query, feel free to ask

Thanks
Regards
Above answer was peer-reviewed by
 
Follow-up: Have severe sciatica in leg with numbness, tingling and foot pain. MRI done. Reason for pain and discomfort? 3 days later
On the same MRI, my L5 S1 came back as normal & there is no nerve dissection but there was a 5cm fundal fibroid seen in my uterus, is this separate from my back/sciatica pain? I have been having urinary issues recently but it was thought that it was worsening of the back issues I was having. I'm asking seemingly dumb questions because my Dr keeps telling me that my MRIs are coming back normal, but when I get the reports, these things are on them. I am being sent for an ultrasound for the fibroid. Also I have since made an appointment with our pain clinic & with a neurosurgeon.
 
 
Answered by Dr. Muhammad Ishfaq Habib 8 minutes later
Thanks for the reply

You had a clear report of disc bulge in the previous MRI plus you were also having the symptoms and signs of sciatica. Now I don't know how you got a normal report this time.

The fibroids in uterus is separate issue from that of the sciatica and have its own features. The fibroid uterus is a gynecological problems. I will recommend you to go with your previous MRI report and do consult a neurosurgeon.

If you still have some query, feel free to ask

Thanks
Regards
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor