Dear
I am 50 years old man weighing 96 kg working as an emergency physician transferred recently to the G surgery dept. With no H/O chronic illness, complaining of occasional low back pain for the last 3 months which is increased on long-standing a hard work. I took 3 injections of Voltaren for my back pain last year but unfortunately not eliminate the pain for the last attack that lasted 1 week. The pain is spasm like increased on movement and decreased on lying down and after rest, I have tingling sensation at the right 2nd toe that come and goes during walking or standing 3 months duration and I noticed that specially when I had wore a theater shoes. I did an MRI to exclude disc prolapse but unfortunately it reveals a paracentral focal disc protrusion causing S1 nerve root compression with rural edema .and incidental sacral meningeal cyst at S2 level compressing right S2 nerve, I wander how my symptoms and signs are not applicable or correlate the MRI findings. And I want to know the problem exactly and the management of such case.,maybe I have 2 pathology one at the foot and the other at the disc. Thanks. I look forward to hearing from you soon. Yours Faithfully Chat Doctor.