Hi, welcome to our site. I am Dr Saumya Mittal, MD.
Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query
I would have preferred if you had mentioned the report of
MRI as it was stated. Then we could have probably interpreted better. Now all we know is that there i some problem in L4-5.
I am assuming, looking at the symptom complex you have mentioned that there is some pathology in the
cervical spine as well, probably of the same etiopathogenesis, as you
lumbar spine. And this is causing you the symptoms.
An MRI of the cervical spine can confirm this diagnosis. You may need
physiotherapy of the neck with possibility of a prescription of pregabalin/methylcobal (depending on the report).
I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.
I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.
Please do understand that some details could be extracted from a detailed history and examination.
Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.