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Forum Name: Spinal problems and back pain

Question: lumbar disc problem with L4-S1 and pain


 kel73 - Thu Nov 05, 2009 7:13 pm

Hello,
I have a few quick questions regarding my back problem. I am 36, in good health otherwise. I have had back pain since I was in my 20's, this was always put off as muscle pain. Recently I had an MRI and I am having trouble understanding the conclusions. L4-L5 is just disc degeneration and mild bulging. L5-S1 shows disc bulging, broad-based right posterior extruded nucleus pulposus encroaching upon the right lateral recess, of uncertain significance. There is bilateral outlet foraminal encroachment, right greater than left, and mild facet joint osteoarthritis.
My question is, the nucleus within the disk that is extruded, is this herination? or simply just extruded and has not leaked out of the disc?
Is foraminal encroachment serious? I do suffer from pain everyday. Some days are better than others. Sometimes if it gets aggrivated enough I can feel pain radiation in my right buttock, and my right leg feels "different", no pain to foot.
Just wondering if this is more serious than I thought, or common.
Thank You for your time.
 Tom Plamondon PA-C - Fri Nov 20, 2009 3:36 pm

User avatar Hello,
Disc extrusion is less severe than herniation.
Foraminal encroachment means a nerve may be pinched (from disc or bony spurs) and can cause radiating pain, lower limb numbness / tingling or leg weakness.
If any of these symptoms occur then see a neurosurgeon for evaluation.
Take care.
 mikkyox2 - Wed Dec 09, 2009 11:10 pm

Hi! My name is JW the question i have my lower back works aginst me.Any thing i try to do it do the oppisite.the pain is more than i can stand and my doctor have had every test that can be done.Across my lower back down hurts like tearen muscle, burning, stabbing, tignlen, numbesness, and my lower back locks up when i sit or stand , for the last eight years i been suffering with this curse cant work, disabled behind this ,when i sit my lower back start burning to the point where it go completely numb i really need to talk a specialist i cant take the pain no more

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