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
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
It is lower Quada - Equina syndrome because of disc prolapse between L5 n S1 vertebrae. Surgical intervention should be done urgently.
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