L4-5 intervertebral disc with compression of L5 root
24 y ,F ,Presented with low back pain with radiation to Rt lower limb since 2 yrs.Whipe walking 100 meters she is getting back pain with numbness in the Rt leg.For the last 3 months she is having parasthesia rt lateral aspect of leg. She too anti-inflammatory/ analgesics and had undergone 3 months ayurvedic massage.No significant relief in her symptoms. She is the mother of 2 children, both were C Sections, last child 2yrs old. On exam : vitals stable ,BP130/:80 mmhg.Neurological exam weak EHL ,hypoactive rt ankle jerk with dulling of sensation Rt L5 S1. Already ref to Spinal surgeon. MRI done. Blood work up normal Diagnosis and Management?
Thanks for all answere. All are well done. Surgery done discectomy . MRi LS spine shows Desiccation, asymmetrical annular bulge at Rt posterior paracentral protrusion of L4-5 IV disc ,causing moderate stenosis of the Rt lateral recesses and mild stenosis of bilateral inferior neuroforamin.Protruded disc is compressing the L5 nerve root. Discectomy done pt is better.
Thanks for all answere. All are well done. Surgery done discectomy . MRi LS spine shows Desiccation, asymmetrical annular bulge at Rt posterior paracentral protrusion of L4-5 IV disc ,causing moderate stenosis of the Rt lateral recesses and mild stenosis of bilateral inferior neuroforamin.Protruded disc is compressing the L5 nerve root. Discectomy done pt is better.
Mam there is significant PIVD at L5s1 region In view of EHL weakness and significant sensory symptoms suggesting compressive rediculopathy decompression would be best treatment offer for her
L4/5 ivdp with canal stenosis and root compression Correlates with symptoms Will benefit from discectomy
Disc prolapse Annular tear Mri whole spine EMG lower limb Opinion of orthopedic
This appears to be Disk prolapse and herniation with reduced joint space resulting in compression of the nerve roots which is resulting into numbness and pain. Operative correction along with lumber belt will do the needful in getting lasting relief. Regular Excersizes will help to avoid future problems
She must be operate as soon as possible, madam Is therev
Any bowel bladder involvement?
It is lower Quada - Equina syndrome because of disc prolapse between L5 n S1 vertebrae. Surgical intervention should be done urgently.
Cases that would interest you
- Login to View the image
40/m/persistant sciatica ,numbness left side only/no motor/bladder bowel involvement/one month...
Dr. Mb Nitheesh6 Likes23 Answers - Login to View the image
A 54 years old patient had back pain with radiculopathy, Lt>Rt lower limbs. MRI impression was mild disc bulge at L5-S1 level and diffuse clumping of Cauda equina nerve root in lower lumber spine. Surgeon advised him for spinal surgery. Surgery done, Procedure was: Minimal invasive posterior decompression and Instrumentation with inter body fusion L5-S1 (MITLIF) with left sided approach. Now pain is subsided but weakness in his left leg and unable to bear weight on that leg. Can't walk independently. Power: 3+/5. Surgeon said this is because of cauda equina clumping. What is exact cause of this, suggest management.
Rajdeep Bordoloi3 Likes16 Answers - Login to View the image
My father is suffuring from radiating pain in both thigh Rt>left. MRI shows L2-L3 secondary canal stenosis & spodylolisthesis at S1- S2.He couldn't sit or stay erect. kindly give your expert opinion what should I do?
Dr. Yogendra Kumar0 Like11 Answers - Login to View the image
44yrs old male presented with C/o Lower backache,No weakness,No Bladder n bowel complaint.B/l UL/LL power grade 4/5 H/o Fall from height today morning.Patient conscious,awake n alert,No comorbidies Approach to this patient???
Dr. Prashant Ved4 Likes11 Answers - Login to View the image
A28 years old pt .claims lower back pain last few month radiating in both lower limbs .she feel difficulty in daily routine work . what are the possible diagnosis and treatment
Farooq Mohammad3 Likes11 Answers
1 Like