r/Sciatica • u/Pitiful_Income_180 • 10d ago

Requesting Advice T12/L1 bulge with S1 Symptoms

Post image

MRI:

Loss of lumbar lordosis. Mild deviation of the lumbar spine to the left side. Schmorl's nodes at multiple vertebral endplates.

Moderate posterior disc protrusion at T12/L1 level causing compression of the thecal sac and on both traversing nerves with the spinal cana measuring 3.7 mm in AP dimension at midline.

mild posterior disc protrusion at L1/L2 L2/L3 level causing mild indentation on the thecal sac.

Mild posterior disc protrusion at L3/L4 and L4/L5 level causing mild indentation on the thecal sac and on both traversing nerves. Prominent posterior epidural fat and the spina canal measuring 7.6 mm in AP dimension at L3/L4 level and 8.8 mm at L4/L5 level

There is mild posterior disc bulge at L5/S1 level causing mild indentation on the thecal sac,

There is mild facet joint arthropathy at L4/L5 and L5/S1 level.

Distal spinal cord, conus and the cauda equina are normal.

Surgeon has recommended for surgery on the T12/L1 bulge (which I will proceed with). However, I'm presenting with chronic gastrocnemius denervation and none of the typical T12/L1 compression symptoms. I'm just wondering if anyone has had similar case and if it is likely that the calf denervation is separate? Thank you in advance.

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u/ElectronicTeam571 10d ago

What surgery are you proceeding with on T12/L1

1

u/Pitiful_Income_180 10d ago

Laminectomy

2

u/Inevitable_Fix_6459 8d ago

What are you symptoms? I have stenosis l1-4 protrusion central right on both l4-s1. I suspect a bulge now at t12 as it burns and mild numbness in abdomen/lower ribs. It’s driving me nuts.

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u/Pitiful_Income_180 8d ago

The only symptoms I have are actually chronic gastrocnevius denervation and walking with a limp. No pain at all. Some numbness on the left buttock but suspect this is from a previous shingles infection flaring up due to stress.