Ok, so I had an MRI done after having weekness and numbness in both legs a feets after having a severe back spasm episode. The MRI came back as follows:
-At the level of L3-4, there is mild bilateral facet and ligamentum flavum hypertorophy abutting the posterior margins of the thecal sac. The disc is desiccated and bulging. There is asymmetric disc extension to the right lateral location consistent with a component of broad based right lateral disc protrusion. This narrows the right neural foramen moderately and causes mass effect ont he exiting right L3 root. the left neural foramen is patent. there is no central canal stenosis.
-At the level of L4-5, there is bilateral facet and ligamentum flavum hypertrophy. the disc is desiccated and there is a large central herniation of disc material which extends 7-8 millimeters in anterior posterior extent causing significant compression of the thecal sac and severe spinal canal stenosis. Bilateral neural foramina are mildly narrowed at this level, more so on the right.
At the level of L5-S1, the L5 vertebra is transitional and partially sacralizied. The disc at L5-S1 is small. There is asymmetric disc bulging and prominent osteophryte formation from the adjacent margin of the L5 body laterally one the right and the upper aspect of the sacrum. This complex narrows the right neural foramen and contacts the exiting right L5 root. The left neural foramen in patent. there is no central canal narrowing at this level...
Ok, the one i'm most worried about is the second one....Should I seek Immediate Medical attention and get surgery....Is this a reason for emergency surgery...I have severe pain in lower back and numbness in both legs and feet...and some numbness in groin area....and have a hard time walking with leg weekness...have to walk with a cane. on the next page it says:
1. Large central disc herniation at L4-5 causes sever spinal canal stenosis and thecal sac compression.
2. Broad based right lateral disc protrusion at L3-4 causes mass effect on the exiting right L3 root within the neural foramen which is moderately narrowed.
3. Partial sacralization of the L5 vertebra on the right. Vertebral osteophyte formation and some degree of asymmetric disc bulging to the right lateral lacation results in moderate stenosis of the right neural foramen and contact of the exiting right L5 root.
Please give me suggestions on what I should do....and if i do go to the emergency room...would they do an emergency surgery.