How to treat severe sciatica and loss of sensation in left leg due to spinal issues? - #53735

I’m Suffering with Sciatica from 2010 first time pain was going and coming off and ON till late 2014. Then no pain till march 2018 lasted till December 2018. It came back again very badly from 07/04/26 with a loss of sensation in left leg under the knee front side of leg, it feels like anaesthetic leg just front part between knee and toe. Back pain is still there. Having problems with L3-L4 and L4-L5 and L5-S1. MRI—- report At L3/4, there is a posterior annular fissure with a posterior central disc protrusion. There is moderate bilateral facet joint arthropathy resulting in moderate spinal canal stenosis. There is moderate bunching of the cauda equina nerve roots with effacement of CS signal. There is also a superimposed left posterior disc sequestration measuring approximately 12 x 7 x 17mm posterior to the L4 vertebral body. This is contributing to impingement of the descending L4 nerve root at the inferior aspect of the lateral recess. No exiting nerve root impingement. At L4/5, there is circumferential disc bulge with a posterior central disc protrusion with inferior disc extrusion. This is resulting in moderate spinal canal narrowing with moderate bunching of the cauda equina nerve roots. Narrowing of the lateral recesses, impinging on the descending L5 nerve roots, right greater than left. There is mild bilateral neural exit foraminal narrowing. Moderate facet joint arthropathy. At L5/S1, there is a posterior central disc protrusion with bilateral facet joint arthropathy. Patent spinal canal and lateral recesses. There is moderate bilateral neural exit foraminal stenosis, impinging on the exiting L5 nerve roots. Conclusion- There is moderate spondylosis at L3/4 with a circumferential disc bulge with a superimposed posterior central disc protrusion. There is a sequested disc fragment seen at the left lateral recess, impinging on the descending left L4 nerve root. Moderate to severe spinal canal stenosis is seen at this level with bunching of the cauda equina nerve roots and severe effacement of CSF signal. There is also moderate to severe narrowing of the right lateral recess, impinging on the descending right L4 nerve root. At L5/S1, there is a large posterior central disc protrusion with inferior disc extrusion. There is bunching of the cauda equina nerve roots and moderate spinal canal narrowing. Bilateral facet joint arthropathy is seen. There is bilateral narrowing of the lateral recesses, potentially irritating the descending L5 nerve roots, right greater than left. Neurosurgery opinion is recommended. The patient has been asked to return to the referring medical center for review.