I have central posterior disc herniation with annular tear?
Age:17, Gender: Female
At my l4-l5 i have central prosterior disc herniation with annular tear and a degree of subligamentous extrusion of the disc material, which is occupying the anterior epidural space and causing partial compromise of the left lateral recess with potential for impingement of the left transversing nerve root. There is mild bilateral nerve root exiting forminal stenosis, aggravated by some facet joint arthropathy with widening of the joint spaces and hypertrophy. No direct exiting nerve root impingement is demonstrated at this level. My L5-S1, there is central prosterior and left paracentral and foraminal disc protrusion causing obliteration of the anterior epidural space and partial compromise of the left lateral recess with displacement of the left transversing nerve root. There is also mild stenosis of the proximal aspect of the left nerve root exit foramen with no definite direct exiting nerve root impingement.
Are these results bad and what would you recommend, i have already tried physio for 4 months with symptoms only getting worse, i am also on medication with no improvements, i have tried exercising and avoiding bending or sitting for long periods. I have also tried accupuncture with no change.
More details about the presenting complaint:
Numbness down left leg frequently, shooting pain down back of left leg and stabbing pain under big toe. Doctor said i have decreased quad and hamstring strength bilaterally and slump test produces leg pain bilaterally.
Naproxen 500mg 1 tablet 4 times daily, cocodomal 2 tablets 4 times daily. Doctor said thats the highest dosage they can give me because of my age.
Lab tests performed:
Height, Weight, BMI
Height (cm) BMI Weight (Kg)
180.00 16.98 55.00