What could be the reason for chronic lower back pain and weakness in the right leg?

Hello,

Welcome to icliniq.com.

Thank you for your query. I have seen your MRI (attachments removed to protect the patient's identity). Regarding your lumbar MRI, I could not find any gross compression, which explains your right leg weakness. However, I could see there is severe facet joint arthropathy at L5-S1 and also at L4-5. Otherwise, there is nothing grossly abnormal. So now I suggest you get three things to find the exact cause which are, MRI screening the whole spine, sometimes the compression is above and responsible for symptoms, so get just a screening MRI, and if anything becomes abnormal, then we can go for a detailed MRI, EMG or NCV of lower limbs to look for any peripheral neuropathy, and X-ray of the lumbosacral spine - lateral view in standing position in flexion and extension, to look for any instability in the lumbar spine.

I hope this has helped you. Thank you.

Hello,

Welcome back to icliniq.com.

First of all, the diagnosis in your case is not clear. At least, I am not sure your pain is coming from the lumbar spine based on the MRI you sent me. Secondly, there is no point in nerve ablation unless we are unsure of the diagnosis. So I suggest you get a full MRI as scheduled and EMG or NCV. Parkinson's does not present with such symptoms. So it is unlikely.

I hope this has helped you. Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. I have seen your cervical spine MRI (magnetic resonance imaging). There are myelomalacia changes in your cervical spinal cord. There is a high possibility that the symptoms are due to that. Kindly tell me, have you recently noticed any change in your handwriting, or signature or any difficulty in eating food from your hands or buttoning or unbuttoning your shirt?

Thanks and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. It does not seem to be MS (multiple sclerosis). ALS (amyotrophic lateral sclerosis) can only be diagnosed after clinical examination. Anyways, at least the cause is now known. The problem is in the cervical spine. I think you should take steroids and look at how you behave with that. I think your doctor will suggest the same.

Thanks and take care.