L4/L5 foraminal disc prolapse with nerve root impingement

120 views555y Male10/9/2026

Clinical Presentation

4 weeks + of lower back pain and radiation into the left buttock. Feels left leg weaker at times, but power 5/5 and sensation normal. No loss of bowel or bladder control. Harder to elicit left knee reflex ?cause/entrapment. Also left hip pain.

1Established mild L1 and L2 superior endplate fractures.Large focal left foraminal disc prolapse at L4/L5 impinging on the exiting L4 nerve root.The remaining disc levels are normal
2The left sided focal foraminal disc impinging on the L4 nerve root in the exit foramen (inside black circle).