Neurologist

[Dee41]

APAS and back pain.
To add to my previous questions regarding my APAS. for the past 18 months something happened from probably overdoing it, and I have so much pain down both my legs from lower back to ankles, down the rear of my legs muscles pull so severely it stops me in my tracks, down around my thighs and sides of the calves. when walking they just burn like you wouldnt believe. I can no longer do the everyday things anymore. I am 41 yrs old. My last MRI showed
mod to servere degen L4/5 facet joints bilaterally resulting in 3mm of L4/5 spondylolisthesis, posture L4/5 disc is uncovered, thickening of ligamentum flavum. Combination of facet joint arthropathy, spondylolisthesis with uncovering of the posterior disc, thickening of ligamentum flavum causes mild L4/5 central canal stenosis. Slight narrowing of L4 neural foramen bilaterally,particularly in the cranio-caudal dimension, however preservation of perineural fat an unlikely to be significant stenosis.
mild posterior disc bulge of T12/L1, L1/2, L2/3,L3/4 L5/S1 discs without causing central canal,lateral recess or foraminal stenosis.
The cord terminates at L1 vertebral body level.
Mod to severe bilateral L4/5 facet joint arthropathy resulting in grade 1 L4/5 spondylolisthesis and mild L4/5 canal stenosis.
Why am I in so much pain down my legs that they have stopped my enjoyment of life so much and has this got anything to do with APAS???? Please help I want sence made of this to why I am getting such pain and an orthorpedic surgeon didn't understand the leg pain.

[Dee41]

Thanks for your response,  I have been offered steroid inj but have refused as I dont believe they r that benefitial, and I am so neddle phobic that I end up in pretty severe shock... state....I have seen an orthopedic surgeon though wasnt interested with the leg pain, and said there is nothing more he can offer. Is this only going to get worse thankyou again.

[DrNoopurMD]

Hi,

Spondylolisthesis is anterior displacement of vertebra with respect to the vertebra below.
Because of this the person has back pain and stiffness and tightening of the hamstrings.
You also have a mild disc bulge from level T1-S1. The disc bulge will put pressure on the nerves and thereby cause pain in legs.
I would suggest you to schedule an appointment with another orthopedic surgeon and decide the future course of action. The treatment is conservative in the early stages mainly OTC painkillers and steroid injections, but in late stages a surgery is required.