Alternative causes of sciatica

Daniel Miles said:

I'm 27, male, and have had terrible sciatica off and on
for about 9 months. I had an MRI of lumbar spine which
came back normal except for T12/L1 which showed "a mild
left paracentral disc protrusion". Could this be
causing my sciatica? I've also had numbness in my
buttocks and groin.

If your symptoms are on the left, maybe. If they're on the
right, no.

Quoted message said:

From: anon [email hidden]

Quoted message said:

I had an MRI of lumbar spine which came back normal except
for T12/L1 which

showed "a mild left paracentral disc protrusion". Could this
be causing my sciatica? I've also had numbness in my
buttocks and groin.

When you say "sciatica" are you saying you have posterior
thigh pain? If so piriformis syndrome is a consideration.

....and groin pain is more akin to an L2 or L3 subluxation.

I'd see a chiropractor but you may want to ask Dave or Carey
since they seem to know everything.

DC

"KyroDoc" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Quoted message said:

From: anon [email hidden]

Quoted message said:

I had an MRI of lumbar spine which came back normal
except for T12/L1

which

Quoted message said:

showed "a mild left paracentral disc protrusion". Could
this be causing

my

Quoted message said:

sciatica? I've also had numbness in my buttocks and groin.

When you say "sciatica" are you saying you have posterior
thigh pain? If

so

Quoted message said:

piriformis syndrome is a consideration.

....and groin pain is more akin to an L2 or L3
subluxation.

I'd see a chiropractor but you may want to ask Dave or
Carey since they

seem

Quoted message said:

to know everything.

DC

Thanks for the reply. The pain is most severe behind the
left knee and in the calf but radiates up the thigh and
buttocks, sometimes both legs hurt or it switches to the
right leg. The last attack caused numbness from the left
flank down the buttocks and in the pelvic region with an
almost complete

weak with muscle twitching. Have first appointment with
neurologist in two weeks.

In article <[email hidden]>,

KyroDoc said:

Quoted message said:

From: anon [email hidden]

Quoted message said:

I had an MRI of lumbar spine which came back normal except
for T12/L1 which

showed "a mild left paracentral disc protrusion". Could
this be causing my sciatica? I've also had numbness in my
buttocks and groin.

When you say "sciatica" are you saying you have posterior
thigh pain? If so piriformis syndrome is a consideration.

....and groin pain is more akin to an L2 or L3 subluxation.

I'd see a chiropractor but you may want to ask Dave or
Carey since they seem to know everything.

It's so cute when you get all petulant. As it happens, I
don't know much about back pain. The fact that I frequently
shoot down your postings is merely a reflection of the
quality of your postings, not my vast expertise.

-- David Wright :: alphabeta at prodigy.net These are my
opinions only, but they're almost always correct. "If I
have not seen as far as others, it is because giants were
standing on my shoulders." (Hal Abelson, MIT)

(KyroDoc) said:

Quoted message said:

From: anon [email hidden]

Quoted message said:

I had an MRI of lumbar spine which came back normal except
for T12/L1 which

showed "a mild left paracentral disc protrusion". Could
this be causing my sciatica? I've also had numbness in my
buttocks and groin.

When you say "sciatica" are you saying you have posterior
thigh pain? If so piriformis syndrome is a consideration.

....and groin pain is more akin to an L2 or L3 subluxation.

I'd see a chiropractor but you may want to ask Dave or
Carey since they seem to know everything.

DC

Clinically significant disc problems at T12-L1 are very
rare. They do not produce symptoms of the type that you have
described.

A good neurological examination is the best way to localize
the cause of "sciatica".

Best,

Bob

Robert A. Fink, M.D., FACS, P. C. 2500 Milvia Street Suite
222 Berkeley, California 94704-2636 USA

Telephone: 510-849-2555 FAX: 510-849-2557
<http://www.rafink.com>

"Ex Tristitia Virtus"

--------------------------------------
NOTE: The above message is not to be considered as "medical
advice". Medical advice can be given only after a "hands-
on" examination of the patient by a physician.

========================================

(KyroDoc) said:

I'd see a chiropractor but you may want to ask Dave or
Carey since they seem to know everything.

No, Dave only knows *almost* everything.

As for me, I would refer him to Robert Fink's answer.