tingling caused by low back or microvascular ischemia?

[mocam8]

I am a 60 year old male ( 167 lbs normal blood pressure & colesterol ) with tingling ( which only lasts a few seconds and not constant )in many places in my body from my head to my toes,and low back and hip pain while sitting, standing still , lying flat on my back or lying on my left side.I had these symptoms over a year ago before  lumbar surgery which amounted to trimming off bone spurs.I have 2 degenerated discs at L4L5 and L5S1.After my surgery it was instant relief from the symptoms but I still had some tingling in my feet which my surgeon said was good because that meant it was healing .after about 6 months I started to get most of the original sympoms back that I had prior to my surgery.I have had phys.therapy,aqua therapy,chiropractic treatment all which offered no relief .
  I went to my family MD and he orderd a EEG on my brain which was normal and a MRI on my low back and  brain. The brain MRI showed that I have microvascular ischemia ( now taking PLAVIX )and my low back MRI showed stenosis at L4L5.
   Just before I get out of bed each day I have no tingling.but after I get up the tingling  will start in by feet or legs.
  My Question    IS it possible that all of these symtoms could be caused from my low back? I never have any numbness of any kind. THANKS

[mocam8]

I have an apointment to see my neurosurgeon in 10 days .I have searched the web trying to find symptoms of microvascular ischemia and so far I cain't find anything that says it causes tingling at random all over your body.Is this a common symptom of microvascular ischemia?THANKS

[Stephen Ryu, MD]

It does not seem physiologically possible that a degenerative low back/spine issues would cause tingling anywhere above the legs.

I am surprised surgery helped with your symptoms, but you may have experienced a 'holiday' after surgery which is not uncommon, then the symptoms recurred.

Now if your symptoms are now ONLY in the legs, then it is possible that it is comming from the low back. What surgery did you have done? If you had L4-5 treated, I wonder why your new MRI shows L4-5 stenosis? Lumbar stenosis can cause lumbar claudication which is numbess, tingling, or weakness or some comby in the legs with movement and prolonged standing. Sitting, leaning forward, and lying usually make it go away.

I would probably go see a spine surgeon with your new films for an opinion.