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

MRI showed L4L5 disc herniation with secondary spinal canal stenosis. Recommended surgery. Guidance

User rating for this question
Very Good
Answered by

Spine Surgeon
Practicing since : 2002
Answered : 322 Questions
My mom underwent MRI as recommanded by orthopaedic surgeon as we went for back pain whice c has from a year..for which used to take pain killer tab and physiotherapy in between.last week she did MRI ...and the reports says

L4L5 disc herniation with secondary spinal canal stenosis by thickening of ligament um flavum she requires decompression and screws n rod fixing surgery.her pain scale is only between 5-6,does normal daily I need your valuable opinion about the condition and surgery.dr says spinal canal is occupied nearly 75% at the level.presently no other neurological problem(no numbness weakness )
Dr recommands surgery bcoz MRI shows bad compression and c may prone to cauda equina syndrome in future or anytime.I need your valuable opinion.
Posted Sun, 30 Jun 2013 in Back Pain
Answered by Dr. Rahul D Chaudhari 1 hour later
Thanks for writing to us.
She has severe spinal stenosis at L4-5 level. Need to know more about her disability. How frequently does she take pain medicine? Does she have limitation in walking as compared to last year? Any leg pain is there?
Looking this picture she is a defiantly surgical candidate. Also with increasing the age spine changes will worsen and may result in neurological deficit . Recovery from neurological damage is always unpredicatable. So I would consider doing surgery in this case.
Above answer was peer-reviewed by
Follow-up: MRI showed L4L5 disc herniation with secondary spinal canal stenosis. Recommended surgery. Guidance 23 minutes later
Thank u sir.c has only back pain and calf muscle pain left side.back pain at para spinal muscle of L3-L5 mid spine pain.and I'm a physiotherapist sir I give her ultrasound if pain z more and in this 1 year c had 3times consultation with ortho for pain and taken physiotherapy 2weeks and bw.her ECL power and other muscle power r good.reflex is good.
Answered by Dr. Rahul D Chaudhari 3 hours later
I am more interested in knowing her disability due to pain. What is her walking tolerance? how much distance can she walk without leg pain? does she feel any heaviness in legs after walking. Stenosis patients dont have symptoms at rest but whenever they do any exertion such as walking they tend to develop weakness in legs. Is she able to do toe and heel walking for 2-3 min. XXXXXXX weakness in legs is too late sign in stenosis and not good for overall prognosis.
Patient's pain and disability should be the criteria for intervention rather than waiting for neurological symptoms to appear. thanks.
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