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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Slipped Disc And Numbness In The Knee?

I am 26 year old male. 2 months back I found out I have L3L4 slip disc, through MRI, after I noticed numbness below the waistline upto the knees throughout. I am under physiotherapy and slowly recovering from the numbness but the pain is still there. one more problem is that my groin is still numb and I can hardly feel my penis, perineum, anal area, buttocks and scrotum or I should say the sensation has gone down to 50% from normal. Also the erections have become weak. Kindly suggest a line of treatment as I am very much worried about this because I have read L3L4 slip disc causes impotence or ED due to nerve compression. Please help such that I can have a normal sex life.
Wed, 5 Nov 2014
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Neurologist, Surgical,  's  Response
Hello, I have gone through your questiin and understand your concern.

This is very serious. I think your slipped disc causes compression on the dural sac and the nerves in it causing a caudal syndrome, which is a neurosurgical emergency. You should repeat the MRI (remember: a herniated disc may appear smaller on MRI because the exam is done in a clinostatic position) and should have a decompression procedure, at least a micro herniectomy.

Wishing you good health, please feel free to ask further questions
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What Is The Treatment For Slipped Disc And Numbness In The Knee?

Hello, I have gone through your questiin and understand your concern. This is very serious. I think your slipped disc causes compression on the dural sac and the nerves in it causing a caudal syndrome, which is a neurosurgical emergency. You should repeat the MRI (remember: a herniated disc may appear smaller on MRI because the exam is done in a clinostatic position) and should have a decompression procedure, at least a micro herniectomy. Wishing you good health, please feel free to ask further questions