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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Lumbar Shows L3-L4 Left Foraminal Disc Herniation With Stenosis. Will It Affect My Left Leg, Neck And Back ?

I have a MRI results of my lumbar. There are several statements being made that I cannot understand the meaning of. Findings: The conus terminates at the L1-L2 invertebrate disc space level appearing unremarkable. No cord signal abnormality. The descending nerve root are unremarkable. L5-S1: mild loss of disc herniation. no disc herniation. L4-L5 Mild bulging disc. No disk herniation. L3-L4 There is left posterolateral broad-based disc herniation or protrusion that extends into the left neural fora men, minimally effacing the left ventrolateral the cal sac and abutting and elevating the exiting the L3 nerve root within the neural foramen, and accompanying moderate narrowing of the neural foramen. No sequestered disc fragment. No significant central canal steno-sis. L\2-L\3 Subtle left foraminal small disc/neophyte complex is seen which results in the moderate left foraminal narrowing. The right neutral foramen is patent. No central canal stenosis. L1\L2 No disc herniation, foraminal or canal stenosis. No evidence of bone marrow-replacing lesions. Mild Modic type II changes at L4\L5\L3\L4\L2\L3 and L1-L2 are noted. No pre-or paravertebral soft tissue mass. Impression: 1: Dominate findings at L3-L4 where there is a broad based left foraminal disc herniation or protrusion which results in moderate left foraminal stenosis and abutment of the exiting left L3 nerve root. 2: At L1-L2, a small subtle left foraminal disc/osteophyte complex is seen contributing to mild to moderate left foraminal narrowing...Does this indeed affect my left leg straight thru to my foot and from lower back. Would it affect my neck and middle of my back with pain. I have to walk slow and am in pain with sharp shooting pain that leads from my back right down to my toes. Hips and back side hurts and is tight-muscle. I've done epidurals, p/t, medicine, etc. but now is my back finally at the state for back surgery? If so what kind, how long will it take, how long is recovery time and where at..at home or at hospital? How long before I would feel better? Thanks
Fri, 13 Dec 2013
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Physical Therapist or Physiotherapist 's  Response
Hi, I have gone through your query. In your case decompression surgery will be helpful. As you have stenosis, decompression will relieve your pain and compressing nerve roots. There is no harm in this surgery,fast recovery will be possible with the help of Physical therapy immediately after surgery with minimum hospital stay. Prior to surgery, you can go to physical therapist for assessment, follow those exercises for the given period of time. Looking at your MRI findings, this condition affects your legs and back. It happens because of compression of nerve roots at stenosis level. No harm in surgery but extending it with such symptoms might give you more harm and reduced strength of leg muscles too. So please go for it. i hope this might help you.
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MRI Lumbar Shows L3-L4 Left Foraminal Disc Herniation With Stenosis. Will It Affect My Left Leg, Neck And Back ?

Hi, I have gone through your query. In your case decompression surgery will be helpful. As you have stenosis, decompression will relieve your pain and compressing nerve roots. There is no harm in this surgery,fast recovery will be possible with the help of Physical therapy immediately after surgery with minimum hospital stay. Prior to surgery, you can go to physical therapist for assessment, follow those exercises for the given period of time. Looking at your MRI findings, this condition affects your legs and back. It happens because of compression of nerve roots at stenosis level. No harm in surgery but extending it with such symptoms might give you more harm and reduced strength of leg muscles too. So please go for it. i hope this might help you.