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What causes pain in back, left leg and groin area while suffering from bulging disc?

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Posted on Tue, 12 May 2015
Question: I have have bulging disc in L3-4 3-4 mm,L4-5 left foraminal narrowing L5 S1 left bulging disc with left foraminal narrowing. L3-4 Foraminal left foraminal stenosis and right foraminal stenosis. I have had 3 epidural injections and 1 medial branch injection that have not helped. I still have pain in back and left leg and groin. I am seeing pain management dr. Should I see an orthopedic dr? This has been going on for 6 months. I am 51 year old female
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Answered by Dr. Geldon Fejzo (2 hours later)
Brief Answer:
possible arthrosis

Detailed Answer:
Hello. I have been through your question and understand your concern.

Back pain with groin and leg involvement has many causes, but only a few are progressive. You have ruled out most of the serious conditions with the MRI which shows changes within normal range according to your age. Since pain killers have failed so far, I recommend you schedule a neurological consult because it is important to have a detailed neurological examination of the extremities to see if there is any nerve damage. If in doubt the neurologist can suggest you proceed with a nerve conduction study. This would definitely exclude any neurological progressive condition (because the narrowing of the foramina implies that the origin of the nerve might be compressed, thus causing neurological discomfort or damage)

Then you should see an orthopedist to see if there is any arthrosis the origin of your pain.

Hope this helps.

Wish you the best health
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Geldon Fejzo

Neurologist, Surgical

Practicing since :2009

Answered : 337 Questions

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What causes pain in back, left leg and groin area while suffering from bulging disc?

Brief Answer: possible arthrosis Detailed Answer: Hello. I have been through your question and understand your concern. Back pain with groin and leg involvement has many causes, but only a few are progressive. You have ruled out most of the serious conditions with the MRI which shows changes within normal range according to your age. Since pain killers have failed so far, I recommend you schedule a neurological consult because it is important to have a detailed neurological examination of the extremities to see if there is any nerve damage. If in doubt the neurologist can suggest you proceed with a nerve conduction study. This would definitely exclude any neurological progressive condition (because the narrowing of the foramina implies that the origin of the nerve might be compressed, thus causing neurological discomfort or damage) Then you should see an orthopedist to see if there is any arthrosis the origin of your pain. Hope this helps. Wish you the best health