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What Does My MRI Scan Suggest?
Question: Hi, I have had back pains a lot, and reasontly take and MRI and here was the result
There is central-left paracental disc extrusion at L5/S1 wich is causing compression on left side of thecal sac and left S1 traversing nerve root.Anterior posterior diameter of extruded disc is about 11mm,
since then I have had I thinck what is call sciatica an my left leg, step by steb there is tingling and numbness specially siting on toilet or sleeping. I have hade some small semillar to my right leg now, how dengrous is to feel on both legs? do I need a surgery and how dengrous is this kind of surgery?
There is central-left paracental disc extrusion at L5/S1 wich is causing compression on left side of thecal sac and left S1 traversing nerve root.Anterior posterior diameter of extruded disc is about 11mm,
since then I have had I thinck what is call sciatica an my left leg, step by steb there is tingling and numbness specially siting on toilet or sleeping. I have hade some small semillar to my right leg now, how dengrous is to feel on both legs? do I need a surgery and how dengrous is this kind of surgery?
Brief Answer:
you need a disc surgery
Detailed Answer:
Hello,
I have studied your case and your MRI is suggestive of very advance disc herniation. Pain in both leg is suggestive that disc compression is on both right and left side in spinal canal. At this stage there is not much role of non operative treatment. You should plan spine surgery as early as possible.
If you do not plan for surgery there is chances that you may developed weakness in lower limb, and you may find it difficult to walk. Rarely it may involve bladder, bowel and sexual function also. It is called cauda equina syndrome.
Surgery can be done by endoscopy or a minimal incision technique. Usually it is safe surgery and results are good. I think it should be done by either a neurosurgeon or a specialist spine surgeon. Complications are rare and consist of weakness, infection and some time back pain.
I hope this answer will be useful for you. Let me know if there is any other followup questions.
Thanks.
you need a disc surgery
Detailed Answer:
Hello,
I have studied your case and your MRI is suggestive of very advance disc herniation. Pain in both leg is suggestive that disc compression is on both right and left side in spinal canal. At this stage there is not much role of non operative treatment. You should plan spine surgery as early as possible.
If you do not plan for surgery there is chances that you may developed weakness in lower limb, and you may find it difficult to walk. Rarely it may involve bladder, bowel and sexual function also. It is called cauda equina syndrome.
Surgery can be done by endoscopy or a minimal incision technique. Usually it is safe surgery and results are good. I think it should be done by either a neurosurgeon or a specialist spine surgeon. Complications are rare and consist of weakness, infection and some time back pain.
I hope this answer will be useful for you. Let me know if there is any other followup questions.
Thanks.
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
There is no laser surgery
Detailed Answer:
Hello,
Herniated disc is compressing more on left side then right side so pain is not present on right side.
some center can perform endoscopic surgery when cut is less then 1 cm size and you can walk from next day. Other method where cut is around 5 centimeter is called XXXXXXX discectomy. Endoscopy surgery is called laser surgery but it is a misnomer. So as such there is no laser surgery.
In surgery herniated disc is removed and that leads to decompression of the nerves and it causes pain relief. Usually whole disc is not removed but only loose and herniated part is excised.
I hope this answer will help you.Let me know if there is any other query.
Thanks.
There is no laser surgery
Detailed Answer:
Hello,
Herniated disc is compressing more on left side then right side so pain is not present on right side.
some center can perform endoscopic surgery when cut is less then 1 cm size and you can walk from next day. Other method where cut is around 5 centimeter is called XXXXXXX discectomy. Endoscopy surgery is called laser surgery but it is a misnomer. So as such there is no laser surgery.
In surgery herniated disc is removed and that leads to decompression of the nerves and it causes pain relief. Usually whole disc is not removed but only loose and herniated part is excised.
I hope this answer will help you.Let me know if there is any other query.
Thanks.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions
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