I have left leg sciatica. There is no back pain, but there is a referred pain down to the heel. I have recurring flare ups once in every six to eight months. I am currently taking Advil 3200 mg per day and ice. I feel great once the Advil kicks in. I got a selective nerve block on L5-S1 before two months and it did nothing to me. I cannot do anything during the period of flare up. I am 46 years old and in great shape.
I had an MRI lumbar spine without contrast. The findings are as follows: The vertebral bodies are of normal height and marrow signal intensity. Small hemangioma noted within the posterior aspect of L5. The spinal cord is normal in morphology and signal and the conus medullaris terminating at L1. L1-L2 and L3-L4 there is neither central canal narrowing nor neural foraminal stenosis. There is mild facet arthropathy. The impression was L4-L5 paracentral and posterolateral disc protrusion. This preferentially narrows the left lower recess and abuts the descending left L5 nerve root. L5-S1 broad based left posterolateral disc protrusion. This preferentially narrows the left lower recess and abuts the descending left S1 nerve root. Mild to moderate central canal narrowing at L3-L4 secondary to diffusely bulging disc.
I afraid that surgery (discectomy) will not fix as this recurs. What is your opinion doctor? I was a geriatric speech pathologist (retired), so I know it is difficult to say without seeing the patient and how they present. Please do your best.