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Suggest Treatment For Severe Pain In The Buttocks
Question: hi
I have been experiencing severe pain on left buttocks, radiating all the way through left toes, pain is intense at the calves. Initially pain was mild and I ignored the warning, then in later months and now I am not able to walk comfortably for even 15 mins.
I have been experiencing severe pain on left buttocks, radiating all the way through left toes, pain is intense at the calves. Initially pain was mild and I ignored the warning, then in later months and now I am not able to walk comfortably for even 15 mins.
Brief Answer:
Please re-upload the MRI report file.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Seems like your symptoms are caused by herniated disc disease and/or stenosis of the lumbar spine.
Please re-upload the MRI report because the file you uploaded already is empty.
Awaiting.......
Please re-upload the MRI report file.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Seems like your symptoms are caused by herniated disc disease and/or stenosis of the lumbar spine.
Please re-upload the MRI report because the file you uploaded already is empty.
Awaiting.......
Above answer was peer-reviewed by :
Dr. Prasad
hi doc, I do not have soft copy of MRI However I have uploaded report(as PDF file). I have also requested diagnostic center for the soft copy of MRI scan.
Thank you for your response.
Incase you're unable to see the report, please see the transcript below:
MRI LUMBO-SACRAL SPINE
Protocol: Sagittal and Axial T1 and T2 Wt sequences. Coronal T2 IRFSE sequence
Screening mid sagittal T2 Wt sequence through whole spine
OBSERVATIONS:
Lumbar spine shows mild spondylosis with normal alignment.
Vertebral bodies show normal marrow signal intensities. Appendages are normal.
No evidence of osteolysis / osteosclerosis. No evidence of spondylolysis / listhesis.
Facetal and ligamentum flavum hypertrophy noted at L4-5 and on right side at L5-S1 levels.
Conus is normal in size & signal intensity. No evidence of extradural/intradural/ intramedullary mass lesion.
No pre or para vertebral soft tissue mass lesion seen.
AP spinal canal dimension at the Pedicular levels are as follows:
L1 level : 1.67 cms
L2 level : 1.31 cms
L3 level : 1.40 cms
L4 level : 1.19 cms
L5 level : 1.31 cms
Intervertebral levels:
Disc dehydration is noted at L4-5 and L5-S1 levels.
L4-5: Diffuse annular bulge with posterocentral disc protrusion indenting the thecal sac and left traversing exiting nerve root.
L5-S1: Diffuse annular bulge with posterocentral broad based disc protrusion indenting the thecal sac and right exiting nerve root.
Other lumbar discs: No significant herniations.
Both S.I. joints are normal.
Screening of cervico-dorsal spine:
Cervico-dorsal spine shows mild spondylosis with loss of lordosis.
CV junction is normal.
No disc dehydration is noted at the cervical and upper dorsal regions.
Disco-osteophytic thecal sac indentation at C3-C4 and C7-T1 levels.
Spinal cord: Shows normal signal intensity. No focal lesions.
IMPRESSION:
Diffuse annular bulge with posterocentral disc protrusion at L4-5 indenting the thecal sac and left traversing exiting nerve root.
Diffuse annular bulge with posterocentral broad based disc protrusion at L5-S1 indenting the thecal sac and right exiting nerve root.
Thank you for your response.
Incase you're unable to see the report, please see the transcript below:
MRI LUMBO-SACRAL SPINE
Protocol: Sagittal and Axial T1 and T2 Wt sequences. Coronal T2 IRFSE sequence
Screening mid sagittal T2 Wt sequence through whole spine
OBSERVATIONS:
Lumbar spine shows mild spondylosis with normal alignment.
Vertebral bodies show normal marrow signal intensities. Appendages are normal.
No evidence of osteolysis / osteosclerosis. No evidence of spondylolysis / listhesis.
Facetal and ligamentum flavum hypertrophy noted at L4-5 and on right side at L5-S1 levels.
Conus is normal in size & signal intensity. No evidence of extradural/intradural/ intramedullary mass lesion.
No pre or para vertebral soft tissue mass lesion seen.
AP spinal canal dimension at the Pedicular levels are as follows:
L1 level : 1.67 cms
L2 level : 1.31 cms
L3 level : 1.40 cms
L4 level : 1.19 cms
L5 level : 1.31 cms
Intervertebral levels:
Disc dehydration is noted at L4-5 and L5-S1 levels.
L4-5: Diffuse annular bulge with posterocentral disc protrusion indenting the thecal sac and left traversing exiting nerve root.
L5-S1: Diffuse annular bulge with posterocentral broad based disc protrusion indenting the thecal sac and right exiting nerve root.
Other lumbar discs: No significant herniations.
Both S.I. joints are normal.
Screening of cervico-dorsal spine:
Cervico-dorsal spine shows mild spondylosis with loss of lordosis.
CV junction is normal.
No disc dehydration is noted at the cervical and upper dorsal regions.
Disco-osteophytic thecal sac indentation at C3-C4 and C7-T1 levels.
Spinal cord: Shows normal signal intensity. No focal lesions.
IMPRESSION:
Diffuse annular bulge with posterocentral disc protrusion at L4-5 indenting the thecal sac and left traversing exiting nerve root.
Diffuse annular bulge with posterocentral broad based disc protrusion at L5-S1 indenting the thecal sac and right exiting nerve root.
Brief Answer:
Degenerative changes and herniated discs disease.
Detailed Answer:
Welcome back and thanks for posting the MRI report.
There are diffuse degenerative changes of your lumbar spine that are a little premature regarding to your age.
So, spondyloarthritis should be taken in consideration.
There are two herniated discs at L4-L5 level and right L5-S1 level affecting/compressing the respective nerve roots.
It is clear that the left herniated disc is mainly responsible for your symptoms, besides degenerative changes.
It is necessary to get treated with NSAID/painkiller drugs, physical therapy (lumbosacral traction) and later on with epidural injections, in order to improve your symptoms.
If these measures fail to improve your condition after one month, surgical decompression of the L4-L5 nerve root (microdiscectomy) may be necessary.
Please discuss with a spine Specialist or a Neurosurgeon about these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Take care.
Degenerative changes and herniated discs disease.
Detailed Answer:
Welcome back and thanks for posting the MRI report.
There are diffuse degenerative changes of your lumbar spine that are a little premature regarding to your age.
So, spondyloarthritis should be taken in consideration.
There are two herniated discs at L4-L5 level and right L5-S1 level affecting/compressing the respective nerve roots.
It is clear that the left herniated disc is mainly responsible for your symptoms, besides degenerative changes.
It is necessary to get treated with NSAID/painkiller drugs, physical therapy (lumbosacral traction) and later on with epidural injections, in order to improve your symptoms.
If these measures fail to improve your condition after one month, surgical decompression of the L4-L5 nerve root (microdiscectomy) may be necessary.
Please discuss with a spine Specialist or a Neurosurgeon about these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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