For Dr. Mark I had a microdisectomy in february 2010 due to left sided L4-L5 herniated disc with foot drop. An MRI of lower lumbar in November 2011 showed severe facet arthritis at L5/S1 and L4/L5. There is residual degenerative broad based disc protrusion mildly abutting the thecal sac. Superimposed upon this there is focal signal abnormality within the left lateral recess that demonstrates diffuse enhancement and is round like in appearance at 9mm. The left L5 nerve root is thickened at this point.The appearances are in keeping with scar tissue causing compression of nerve root. Also L5/S1 there are adequate signs of decompression. No definite signs of nerve root compression or scar tissue formation. Severe facet arthrosis is seen from L3-S1" I have been in physio 3-4 months. When I initially went my physio said I was wobbly, and my balance was not so good. My stabilisers were not switching on and core strength was weak, though I was fit otherwise. I am 5ft 5 and 63 kilos age 40 female. My physio said I have gotten much better and core has improved allot She often gives me a back rub and when she presses on my facet joints it mimics the pain in my thighs. She often remarks my glutes are very tight and when she presses the muscles they hurt alot. I have full range of motion and straight leg lifts are normal. I do ballet class once a week, power walk 3 times a week for an hour. I also do core exercises 3-4 times a week. My problem is I often have a diffuse lower back pain and sometimes an ache into both thighs. I may even wake up like this. Sometimes I will have a more pronounced left leg pain starting at buttocks with some numbness. Sometimes even an ache in calf. These pains are neither incapacitating and this is all on the mild low moderate. If I lie in bed and put a pillow under my knees, my left leg will start to ache. I try to stay off the anti-inflammatory but I do not know if I am doing more harm than good not taking the anti-inflammatory. I take 2.5 mg daily of Neo Mercazole, 40 mg daily Inderal, 100 mg Lyrica daily. I am not sure what I should do from here. i am not expecting to be perfect, but is this something I should be worried about (mild sciatica)?? I do not know the source of the pain. Is it the disc bulge, the scar tissue, the facet joints, pirformis?? Am very confused as to what I should do above and beyond. Thank you so much.
My name is XXXXX XXXXX X am the Moderator for this topic. Dr. Mark is not available right now, but I have sent him a message to follow up with you here, when he comes back online. If I can help further, please let me know. Thank you for your continued patience!
Hello and thank you for your question. I'd be happy to help unless you would like wait for Dr. Mark.
Then can you please give this to someone within orthopedics spine/neurology? I do not want a dermatologist or an endocrinologist answering my question if it relates to orthopaedic spine problems.
I am sorry but unfortunately I have exhausted all of my efforts to find a Professional to answer your question. I am sorry.
Hello, Thank you, XXXXX XXXXX continue to look for a professional to assist you. Please let me know if I can be of any further assistance while you wait. Best,