Question
QUESTION: As  MRI  :  

Mild direct posterior Bulge  of the L5 -S1 disc touching both s1 nerve roots
congenital spinal canal stenosis
mild bulges of L4-L5 discs , the disc bulge is more inclined to the left side at L4-5 level


Please Reply to My Email :

ANSWER: Dear Bassel,

There is no question here.  What would you like me to comment on...explanation of what your results mean, treatment options, what your likely symptoms are, prognosis etc...

Please narrow it down for me and I will get back to you ASAP.

Respectfully,
Dr. J. Shawn Leatherman
www.suncoasthealthcare.net

---------- FOLLOW-UP ----------

QUESTION: is My status  dangerous ?

I feel pain in my right foot (root)

that will with me always or after Iwill ok

How I can Continue my life

I can married

that pain will be return to me ?

what the meaning Exactly I have

Answer
Ok Brassel,

A bulge is when the disc material sticks out toward the spinal canal and nerve roots that exit the spine.  In your case they have described it as mild which means that you stand a good chance for a full recovery.

The levels in which the disc has bulged is at the lowest point in the vertebral column where the last 2 vertebra connect with the sacrum.  For a better representation of this, I have explanations and illustrations on my website:  www.suncoasthealthcare.net.  The complication you have with this is that your spinal cord is smaller than normal (congenital stenosis), so you have less room in the spinal cord for the disk to bulge into and that makes it easier for the bulge to cause problems.

I am assuming that the pain you feel in your foot is more towards the back and outside of the foot because of the MRI results and description.  This is because the SI nerve root has been inflamed and irritated by the bulge.  This issue can be treated conservatively and will probably not require surgery.  I do not know what country you are writing from, but chiropractic care can be very successful in treating these conditions...some specific techniques are Cox Flexion/Distraction and decompression.  I would suggest that you make an appointment if you can.

Your current status does not seem dangerous at this point.  However, if you start to get noticeable weakness in the muscles of the leg or foot, that is an indication that the problem is becoming worse and needs intervention.  Specifically, it may become difficult for you to walk on the back of your heals or walk on your toes.  Watch for that.

Lastly even if you do require surgical intervention, the newer techniques of correction such as diskectomy, laminotomy, or posterior disc fusion are highly successful when needed and generally resolve the problem.  hope this helps your understanding.

Respectfully,
Dr. J. Shawn Leatherman
www.suncoasthealthcare.net