My MRI showed : Moderate to large left parcentral disc extrusion at L4-L5 with extruded disc material extending inferoiaterally into the left lateral recess of L5, displacing and impinging the traversing left L5 nerve root . Lambar neutral formainal narrowing is most pronounced at L5-S1 where is at least moderate potentially moderate to severe harrowing of the left L5-S1 neral foramen, more pronounced within the distal portion of the neural foramen. It s been 6 weeks since the finding, I ve had one epidural injection, no improvement. Pain not as great, but the tingling , numbness, weakness persist. I m an active cyclist & looking for best advice to get back to normal activity
Hi, thanks for writing to Chat Doctor. Generally, the symptoms arising due to an EXTRUDED disc will not resolve completely with conservative management. If your concern is only tingling & numbness, Pregabalin & methylcobalamine combinations may help to certain extent but will not provide complete cure. I personally feel that surgical decompression is indicated in you (because of persisting weakness in the involved muscles) either in the form of Endoscopic discectomy or Microlumbar discectomy which offers excellent outcomes. So, I suggest you to approach a spine surgeon for further management. Hope this information is helpful. Good day