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Old 03-15-2012, 11:22 AM   #1
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ashkumar HB User
Lower Back pain and Knee pains and right leg tingling

Hi,

I had lower back pain since more than 3 months. This got started 5 months ago while spiking and landing the ground in a volley ball game.

Sometimes my right leg gets tingling and I notice knee pains on both legs (more while I get down steps). Donít feel to stand for long time. But I can walk and go jogging too. While jogging I get more pain on the right leg.

I had the x-ray 2 months ago and no negative signs shown as per the doc. I took the MRI report for Lumber spine w/o contrast two day ago. The MRI report says as below.

A Normal Marrow signal is noted through the lumbar vertebral bodies. The Conus Medullaris is unremarkable and there is no obvious intradural abnormality identified. There is some early facet arthrosis throughout the lumbar spine region.

At L1/L2 level, there is no evidence of disc herniation,neural foraminal narrowing, or spinal stenosis.

At L2/L3 level, there is no evidence of disc herniation,neural foraminal narrowing, or spinal stenosis.

At L3/L4 level, there is no evidence of disc herniation,neural foraminal narrowing, or spinal stenosis.

At L4/L5 level, there is diffuse mild Bulging.

At L5/S1 level, there is diffuse mild Bulging.

Impression: Diffuse Mild Bulging and Facet Arthrosis at L4/L5 and L5/S1 Levels. No spinal stenosis or Neural FOraminal Narrowing Noted.

Please suggest me? Appreciate your help. Thanks in advance

 
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Old 03-15-2012, 07:46 PM   #2
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Re: Lower Back pain and Knee pains and right leg tingling

The good news is that your spine is mostly healthy! You some very early signs of aging: diffuse disc bulge and mild facet arthosis.

The diffuse disc bulge means that your discs are a little squished, but not interfering with any spinal structures (no central canal stenosis, no foraminal stenosis). The central canal is where your primary spinal nerves reside, and the foramen are where the nerves exit the spine to go to the areas of the body they control.

The mild facet arthrosis means that you have a little bit of natural aging in the joints at the back of the spine. These joints are the bony protrusions that you can actually feel along your back.

The tingling and pain could be unrelated to your back. However, they could be related. If you had the MRI performed while lying down, it won't show the effect of gravity on your back. When you had the X-rays taken, were you lying down, standing, bending?

The fact that your leg hurts while jogging suggests that the compression from the force of running may be pushing the discs beyond a mild bulge. Do you wear appropriate shoes? And, do you engage in any core strengthening exercises? If not, the jogging could be compressing the disc further, causing a nerve to be affected.

You also may have injured a nerve when you fell.

Until your back pain/leg pain resolves, you might want to stop jogging. And, strengthening the core muscles is always good.

 
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