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MRI - help understanding report please

I got my MRI results today, but I'm on gaberpentin (just started) and didn't take it all in, I have a copy can anyone give me an idea of the outcome ? minor issue or a worry.

Me: problems started 9 months ago, came on slowly no idea what I did, lower back pain then scaticia with numbness and altered sensation. Had a caudal epidural in July, it made my symptoms seem worse (although some improvement in leg) and altered sensation in buttock area, I now cannot sit on a hard seat. I have neuropathic pain (heaviness across / going up upper back and stretching in neck and a feeling of pressure. I have started gabapentin and this is helping the neuorpathic pain. Sitting is the biggest issue and if I walk too far I 'loose speed, and have to walk slowly. I get very tired.

MRI Scan: Mechanical left lateral recess stenosis due to a left paracentral disc extrusion at L5 S1 with impingement of the traversing S1 nerve root. Annual disc bulge at L4-L5.

The doctor has told me to try medication for 1 month, then try another epidural, then surgery. This is based on leg symptoms, when I asked him about the back / seat pain he said I might always have it.
Appreciate your thoughts and any expalinations about the scan as I am not sure I understand

Thank you for reading this post
2 Responses
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1711789 tn?1361308007
MEDICAL PROFESSIONAL
Hi there!

1. I would suggest considering an initial trial of conservative management, which if fails interventional/ surgical measures can be decided on.
2. Well, there is impingement of a single nerve root which may not respond to conservative management, making surgery a possible option in the situation.
3. It would be difficult to comment of this would qualify for disability support. I would suggest discussing this in detail with your treating doctor.
Hope this helps.

Take care!
Helpful - 0
Avatar universal
further questions

1. Do you think I should accept surgery?
2. How serious is it, will it heal by itself after so much time (9 months) could I be left with long term damage to nerve's?
3. How do you work, do you qualify for disability support?

Any comments would be welcome
Thanks
Helpful - 0
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