Q. Can conservative care and physical therapy help with leg twitching and and weak bladder?

Hello doctor,

Since eight months, I have been having twitching in my right leg and foot and extremely mild weakness combined with intermittent bladder hesitancy. I finally had an MRI of my lumbar spine. I am currently a college student doing a studyabroad and so I am attaching my MRI results.The results are:

Findings:

Rectification of lumbar lordosis in the sagittal plane. Alterations in the morphology of the L4 vertebral body at the level of the anterior region of the upper vertebral endplate. Signs of degenerative disc disease in L2/L3 in L3/L4. Disc overflow in L2/L3 in L3/ L4. A slight decrease in the amplitude of the lateral recesses in L4/L5 and L5/S1. The spinal canal is normal. There are alterations at the level of the roots of the cauda equina.

Conclusion:

Signs of degenerative disc disease in L2/L3 in L3/L4. Disk spillage in L2/L3 in L3/L4. Alterations in the morphology of the L4 vertebral body at the level of the anterior region of the upper vertebral plate. We recommend evaluating the history and correlating it with a radiographic study. I would like to know what my next step should be. With my age, do you think conservative treatment and physical therapy would be beneficial?

Thank you.

Hello doctor,

I had a brain MRI three months back due to my symptoms. However, the only result was “few, small, nonspecific hyperintensities in the subcortical white matter predominantly in the frontal lobe.” My neurologist stated that it was normal and did not explain my symptoms. Additionally, there were no signal abnormalities in that MRI and the MRI of my cervical spine.

Thank you.