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Date of last update: 10/01/2017.

Forum Name: Spinal problems and back pain

Question: Pain!!! in lower back down to foot & big toe


 mafontes - Sat Dec 29, 2007 3:22 pm

Can you please describe the doctors report & what treatment can be done?(Thanks!)

Report: There is a bilateral L5 spondylolyes with a grade 1 anterior listhesis of L5 on S1 by 4 to 5mm. The anterior slippage and the resulting diffuse disk bulge causes compression of the L5 roots in the neural foramina bilaterally. Additionally there is a far lateral disk protrusion component on the right causing more signifficant root compression. No central canal stenosis.

All the other disk levels are normal, normal alignment, normal conus into a corner.
 Dr. Chan Lowe - Mon Jan 14, 2008 11:25 pm

User avatar Hi Mafontes,

Basically, what this is saying is that you have a bulging disk at L5 due to the vertebra above it slipping and being compressed some. The vertebra is the bone and the disk is the cushion in between vertebrae. The bulging disk is pressing on one of the nerve roots. This is one of the main nerves that supplies sensation to the leg/foot. This compression is what is causing the pain in your leg/toe.

Sometimes physical therapy can help this, along with rest. In some severe cases, surgery may be needed.

Seeing your primary care doctor is a good place to start. If needed, you can be referred to a neurosurgeon or spine surgeon for further evaluation.

Best wishes.

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