ฝัง
- เผยแพร่เมื่อ 25 ก.ย. 2021
- In this video Doctor Andrea Furlan, physiatrist and pain specialist, explains what disc bulge is. Because magnetic resonance imaging (MRI) is so sensitive to see tiny changes in the body, there are a lot of people who find out that they have lumbar disc bulges. But these are not always the cause of low back pain. There are many people, including children, who have disc bulging but they don't have any symptoms, they are asymptomatic.
A bulged disk sometimes may be associated with lower back pain, if the disc is compressing the nerve root or causing narrowing of the spinal canal, which we call spinal stenosis.
Doctor Furlan will explain that the most serious disc problems are related to disc herniation, and disc bulging may progress to disc herniation. There are various types of disc herniation: disc protrusion, disk extrusion and disc sequestration.
When disc bulging causes symptoms, they are usually in the lower back area, and this is what we call degenerative disc disease. When there is disc herniation, the symptoms are in the area innervated by that nerve root, and then, the symptoms are in the buttock, thigh or leg. And they are usually on one side only, that is usually called "sciatica" but that is not a good name for this, as it is not a problem of the sciatic nerve.
The summary of this video can be found here:
bit.ly/DrFurlan_LumbarDiscBul...
Watch the other videos by Dr. Furlan here:
-Exercises for DDD • #030 Learn Exercises f...
-Exercises for sciatica • #032 Learn Exercises a...
-Exercises for facet joint disease • #031 Learn Exercises f...
-Exercises for lumbar spinal stenosis • #033 Learn Ten Home-Ba...
-Exercises for myofascial pain of the lumbar spine • #016 SSAR Exercises fo...
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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call 911. CLOSED CAPTIONS in this video have not been professionally verified.
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Thank you for the clarity of your expose.
So simple to understand and presented very well. Appreciated!
Glad you liked it
Great work and tutorial
Wow, another new health tip episode. Thanks a million dr. Andrea
You are welcome Romeo!
Beautiful video on Lumbar pain & You
Thanks for liking
Hello Doc! Am very blessed to be led to your very informative and useful videos. Am curious if you have specific videos about scoliosis?
Best video and explanation about this theme. Thank you very much!!!!
That is great to hear. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Excellent video. I have been navigating the world of orthopedics mostly on my own trying to discover the source of my outer thigh pain with multiple trigger points activated, that has been ongoing for four years. Not one specialist has been able to give me a definitive answer or solution. This video fills a gap in my knowledge of the pathology of my injury and pain. Thank you! The journey continues.
Glad you like it!
Thank you for being so helpful and making it easy to understand!
Thank you for this comment. Have you seen my website yet? All of my videos are organized by topics and you can download all handouts, worksheets and booklets that I made. You will need to sign up for a membership to access all of my materials. It is FREE to become a member. Check it out: www.doctorandreafurlan.com
And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.
Great video! This gave me a better understanding of my back and leg pains than 4-5 doctors, that I have seen these latest few months, have given even though they had my MRI results. Really complicated pain patterns explained so even I can understand. Thank you, doctor!
Glad it was helpful!
Doctor I have tingling on my right arm that come and Goes . What can be causing this . Please advice
Well done and informative video!
Glad you liked it!
Great presentation, graphics and information. Thank you Doctor
Glad it was helpful!
Is the finger stiffness linked to ur back issues? I have the same problem. Body aches all over, especially fingers. No arthritis in the diagnosis. Only ddd, multiple disc bulges, stenosis, and spinal ligament sprains. And straightening of the spine (lordosis)
Dr. mam; you do have tremendous ability to explain the subject in most easiest way. Thnk you very much. Looking forward to " new subject; new video ". God bless you.
Thank you for watching and for writing this comment. God bless you too. Consider subscribing to this channel. I have lots of videos that you might find useful.
NOVEMBER ,I'll be going for my second kneck fusion. First time my c5/c6 was fused, in less then 2 wks they are fusing c4/c5 and possibly adjusting c6. Personally the surgery was scary, but the best decision I made. This past June, had my 1rst stimulator replaced with a more updated one that works. I have bulging disks and was told I also have DDD. I had pain going down my legs arms and migraines beyond belief. So far, I'm happy I've had these surgeries and I'm starting to feel " normal" so to speak again.😀
Thanks ma'am such a great information.
Great video, thank you. 👍😊
Very good presentation.
Many many thanks
Muito obrigada. Excellent video and so well explained Dr. Furlan.
De nada!
Thanks always Dr. Andrea for the excellent information it's very helpful. You are very cheerful. The first comment 😊
Thank you!
Very good information thanks so much
Glad it was helpful!
Always waiting for the next new videos of the 👸💕💕💕. Very informative and good video. Love you ❤️❤️❤️
Thank you Arham
Very well explain
Glad you think so!
Thank you so much doctor,it is very useful for me,past 17 years I had backpain, fingers Stiffness,now the pain spread buttocks and thighs.god only save me
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
@@DrAndreaFurlan I been suffered 40 years and scared of doing surgery so just keep on living with the pain
Very informative video
Glad you think so!
Thanks the information this is helpful
Glad it was helpful!
Good info.
Glad it was helpful!
Good information. I had a bulging disc, but was in pure agony for a long time (a couple months). I can't describe the pain, it was overwhelming. Good to know most people don't have to suffer through that. I simply went to bed, and woke up next morning barely able to move my legs, so this can occur at any time. Just terrible.
How are you now and what kind of treatment you went through
What a great video best video I've ever saw thank u it explains alot of my questions many many thanks dr
Hi Paul, you are very welcome.
thank you for these informative videos. Can you please do an episode on spinal stenosis?
Thank you for this comment.
I just published a new video about cervical myelopathy (spinal stenosis in the neck).
th-cam.com/video/WNNKuw5FAM0/w-d-xo.html
Have you seen my website yet? www.doctorandreafurlan.com
And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.
Very many thanks indeed!
Thank you for subscribing to this channel
Thanks so very much. This is a beautiful video. Thumbs up.
Many thanks!
@@DrAndreaFurlan of course
Good luck.
Wondered what your thoughts are on Internal Disc Disruption (IDD) - first coined Prof Crock back in 1970, with Emeritus Prof Nikolai Bogduk covering a lot of work on IDD in his books, Clinical Anatomy of the Lumbar Spine & Sacrum 4th Ed (2005) and the update, Clinical and Radiological Anatomy of the Lumbar Spine (2012).
I had back surgery in 2012, I had herniated disks l5 and l4. I also have degenerative disk disease and stenosis. The surgery went well, but when the surgeon went in he said I had more damage then what showed on all the many xrays, mri and visits. I had let it go for many years. I had multiple injections into my spine which only masked the pain, then I had to go on pain meds because the pain was getting worse. I let it get to the point where I couldn’t walk and had to crawl to get to the bathroom. That’s when I said ok I have to have surgery this took my 4 years of pain to decide because I was so afraid of being paralyzed. I waited too long a lot of my nerves on my leg were damaged. To this day i still have no feeling in them. Well I’ve always heard if you have one surgery you’ll always need another at some point. I think I’m there now, my lower back is killing me and I have sciatica again.I have been doing the stretching exercises but they aren’t helping. I truly hope I don’t have to have another surgery 😔 your video was very informative so I guess I’ll be going back to the back dr again. Thank you for talking about this subject and I just subscribed to your channel 🙂
Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. Please talk to your doctor. Consider subscribing to this channel.
i am in the UK (3rd world country) i am on the waiting list for surgery for 4 1/2 years !!!!!!!!!!
This is EXACTLY why I'm trying to avoid any more surgeries at 66 yr old
Thank you.
Welcome!
Great video!!,,very helpful!, and well said !! Amazing Doc !!,wonder! If you have clinic here in Brampton..
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Good Video
Hi Dr. Furlan, I found your channel after attending a recent ECHO with the Toronto pain institute! Great video!!
Hi Fenan, that is great. Thank you for posting this comment. I hope you gain some pain knowledge here.
Thank you very much for your valuable information. Jay Swaminarayan.
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Thank you for this information. I had a CT Scan and MRI Scan and l have moderate central canal stenosis L4, L5. Plus a bulging disc. It's very painful. I'm waiting to see a Rheumatologist. Do you recommend l see another Specialist? I have had for 1 year now and pain is getting worse.
Please follow your doctors advice
Thanks
Welcome
tanks for Persian subtitles
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Thank you for this clear explanation. Now I feel more normal.
You’re welcome 😊
Bravissima dr Furlan👏! Durante tutta l'estate ho avuto forti dolori al gluteo, alla gamba e al piede... è stato terribile, non potevo stare seduta, nemmeno in piedi e a letto 😩. Ora va meglio, farò terapia con ozono. Grazie per i suoi video sempre molto interessante e utili. Buona serata e tanti saluti dall'Italia 🇮🇹🤗🙋🏼
Grazie
Thank you, well explained. My MRI and EMG results came out already thou my appointment to my neurologist is a day after tomorrow. This help me to better discuss everything with my doctor.
I'm glad I could help. How did the conversation with your doctor go?
Ευχαριστούμε για τα κατατοπιστικά βίντεο που ανεβάζετε! Χαιρετισμούς από Ελλάδα 🇬🇷 Είστε εξαιρετική!!!🌼⭐🌺
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
Hello Dr I was wondering if I should take glucosamine or fish oil and if it would help for degenerative disc/ disc bulge
Is the hernia size in general considered for the interventional approach? Which sizes are direct indications for surgery ?
Which hernia types is direct indication for surgery or has the worst outcomes?Thanks
Thank you doctor you are very nice and useful for me l like all you're advice Thank you so much God bless you abundantly
Thank you for watching and for writing this comment. God bless you too. Consider subscribing to this channel. I have lots of videos that you might find useful.
Hello Dr. I have been watching your program. So good for me. I have shift bone rest on the root of my nerve. Which exercise good for it. The stretching exercise has been doing good for it.
Thank you for watching the video and writing this comment. Please talk to your physiotherapist, as they will be able to help you with an individual program. Consider subscribing to my channel. I post videos once a week about a variety of topics on chronic pain.
Hi Dr. Andrea,
The MRI result shows L4-5: Mild broad posterior disc bulge and ligamentum flavum hypertrophy. Mild degree of central canal narrowing without significant neural foramen narrowing.
L5-S1: Mild bilateral facet arthropathy. No central canal or neural foramen narrowing.
What do you advice me? I want to talk to you and is there any way to contact you?
Thanks
Thanks Dr. Andrea for another informative video pertsining to back pain series. Need to know whethet disk herniation
Is deducted in MRI?
hi Shaheen, what do you mean by "deducted"?
@@DrAndreaFurlan I mean to say whether Herniation is mentioned on MRI
Yes. It is. The graph that I show with "disc protrusion" in normal asymptomatic individuals are all about disc herniation in MRIs. Disc protrusion is a type of disc herniation.
@@DrAndreaFurlan Thanks Doctor AF
Dr.thank you so much from the iland of Curacao!
Happy to help!
Thanks for information. Will taking opioid pain medication help any of this go away. Or do people just like to be high all the time and insurance companies are paying for it. ???? Help me out.
Thank you for the information on your video found it most helpful and going to try your excersizes I was recently diagnosed with parkason dasease and I also have renale failure been on dailysis for five years and also have spinalis stenosis at l5l4 and cervical spine stenosis from c2toc8 spinal cord damage incomplete injury 🤕 you advise me will gratefully appreciated 👍😊 thank you
Hi, thank you for posting this comment. I'm receiving so many comments lately that I don't have time to answer all of them. I hope you are doing well. I can't offer medical advice over social media. I hope you understand.
Excellent presentation!!!
Thanks Doc.
I have lumbar compressed discs.
Some bulging. Just started back decompressions last month. I have had about 12 so far. Starting to feel a little better. Hope this will work. I'm not in any real pain. Stiffness in the morning's.
What's your take on back decompressions. Can this alleviate the problem, or am I wasting my time and money?
Thank you
Glad to help
Tối bị đau lưng và thần kính cột sống và thoát vị đĩa đệm l4l5.s1.xin bác sĩ chỉ giúp dùm em
Thank u
Welcome
Please tell me NERBET damage get butter or no. And blalnce loses.
Mam, I have a disc bulge at L4-L5 and L5-S1. ND inflammation in sarcollic joint. I have done physiotherapy and chriopractric treatment but my pain is still in lower back nd in left thighs. I have taken snrb injection but still having pain..plz suggest me something to get rid off pain
Thanks for the video, my disc buges in the triasic region I have compression and stenosis do you have any videos to help?
Yes, I have other videos in my channel about that.
Hello how're you doing hope you're safe due to the covid 19 pandemic?
Dra. Tenho impacto acetabular nos dois femures que provoca muita dor na minha protusão lombar.. Posso fazer exercícios para a coluna com esse problema nos femures?? Obrigada
De nada
I have Spinal stenosis, I went to pain management got the epidural shots they didn't help. I went to physical therapy it did help but pain is coming back. I had this problem for over 20 years, should I see a back surgeon? I'm tired of the pain.
Hi Dr. My mom complained of pressure on her back about a year ago. About 6 months ago, she slowly lost her ability to walk (without a walker), stand up or use her arms effectively. We had numerous radiographs taken except an MRI. All of which indicates osteopenia. We have also seen a physical therapist who suggested narrowing of the spine due to muscle tightening, when my mom said she lifted very heavy stuff in her occupation. She also has a history of Gout. With exercise, she seems to be getting bit by bit better, but still far from it. What would you suggest her most likely diagnosis would be and any recommendations?
All of these indicate osteoporosis and osteopenia. Do not forget at night the body decomposes the bones with osteoclasts and in the morning it synthesizes them with osteoblasts. She need daily calcium vitamins with D3 K2 and of course magnesium with vitamin c. In summer, leave it in the sun until it bursts with sweat, it is extremely beneficial for the bones.Excellent presentation!!!
@@dimitrisd5296 p
Hey guys I’ve had 3 laminectomys on l5s1 which did work then I had a fusion on l5s1 and I came out worse my foot is numb still still extreme pain in back and leg I would hold off as long as possible for a fusion at least in my experience
What is the corelation between disc herniations and buldges leading to stenosis? And what is your opinion about treatment for stenosis? How to avoid surgery? And what about sciatica, radiculopathy, and myelopathy?
Hi Annette, I have various videos about those conditions. Please check my channel.
Following
I, mam help video l4 disc compressing my back pain and left leg pain please suggest me which time is pain relief in normal life
I have all 5 of my lower lumbar discs along with myelopathy spinal stenosis arthritis that is getting worse in my facet joints. So what’s your medical opinion? I’ve had this for 10 years due to injuries from my former employer. I also now have a very good Doctor now
Thank you very much for telling about Magnesium
I have been diagnosed with spinal stenosis and cervical stenosis in the neck area bulging in chronic pain daily have to have back surgery
Thank you for this comment.
I just published a new video about cervical myelopathy (spinal stenosis in the neck).
th-cam.com/video/WNNKuw5FAM0/w-d-xo.html
Have you seen my website yet? www.doctorandreafurlan.com
And please remember that I do not give individual medical advice via email, social media or website. My channel and my website are for educational purposes only. For any individual medical advice, please talk to your doctor.
Do 3 epidurals help to alleviate a herniated disc L4-L5?
Thank you. I’ve had two disks herniate. Therapy really helped.💜
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
@@DrAndreaFurlan I share any of your videos to friends I know who would benefit by the article.
So physical therapy helps charlynn. Interesting.
Which exercises are to be done for disc herniation and bulge ?
Please check my video about Exercises for Sciatica.
Is this problem common after a car accident. A city bus hit my car on the passenger side back fender, one year ago. Since then my right leg is still hurting all the way down into the foot and toes. It is like deep stabbing pains. I am finally going for an MRI in a few days. I also developed a “capsulitis” of the second toe.. Recently my left ankle is starting to hurt also. I am in my sixties, but l never had back or such leg pain before? Prior to this accident l use to walk a lot and exercise almost daily . I am no longer able to do this.
I would very much appreciate your opinion. Thank you so much.
Thank you Marguerite. Please talk to your doctor. I don't offer medical advice here. Only if you are in Ontario, and you are my patient at the hospital where I work.
Thank you so much Dr. . My mother has the same disease . What's your opinion about cupping therapy . Moreover, wet or dry cupping whish one is best in this case.
She is 77 yrs old.
Thank you for your comment. That is a good question/suggestion for a future video.
Im quite confused my MRI said i have diffuse disc bulge with superimposed central disc protrusion wich causing severe bilateral foraminal stenosis abd mild spinal canal... May you please enlighten me is this a bulge or herniation? Thank you
I had a discectomy surgery at l4l5 disc , one of the worst pain I have ever experienced
Sorry to hear that.
Dr , pls advice me if I hv a hienated disc on my L3/L4 , can a chiropractor relieve my pain on my legs without surgery ?
Thank you n God bless you , you are God sent to help humanity !
Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. Please talk to your doctor. Consider subscribing to this channel.
@@DrAndreaFurlan
Sorry my Q dr is that a mri was done on me by the musculoskeletal department of our hospital here , n the dr found the hienated disc on my L3/L4
Thank you
Dr Andrea thank you for your clear explanation. I learnt a lot from watching this. Kind regards.
Glad it was helpful!
Can you address cervical and lumbar disc degeneration?
I have 2 places in my neck and 2 in my low back that are near bone on bone. And Scoliosis in between.
Hi mark, I already have videos for that in my channel.
@@DrAndreaFurlan thanks. I'll try to find them.👍
How r mark now?????
Dr.Furlan what is lumbar bulging disc?
Hi Jaya, I answer this question in the video.
I have a herniated disc L2/3,which has pushed onto my nerve leaving half my R leg numb with some shooting/burning pains,Naproxen helps but would like to cease this painkiller,any ideas on this?
Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. Please talk to your doctor. Consider subscribing to this channel.
Naproxen didn't help me. Amitriptyline does. Hope you're ok
Which exercises is good for disc bulge please?
Check my other video about exercises for degenerative disc disease
Excellent asusual admiring one .disc bulge and very common in asymptmatic individuals ...is the evidence because it might affect psychological rather than physical more with noceibic effect never accept treatment ...so due to that unnecessary spine surgeries are prevalant .if you see my last video MRI catastrophisation ..great madam ..i admire your passion
Thank you Vignesh
..
I have got 2 bulging discs but i have also got something pressing on my spinal chord. I had an mri scan to look at my back because of major back pain at the bottom which prevents me to walk. As soon as i sit down its relief and as soon as i stand up its painful. The doctor told me that he doesnt know what it is that id pressing on my spinal chord so i am being sent back to physio. It effects my life on a daily basis. I had a rupurtured annurysm in 2017 which caused a bleed on my brain so i am wondering if this is an after effect from then. Any information you have for me i would be grateful. I am wondering wether to go to acident and emergancy or wait for an appointment for physio.
Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.
I REALLY WISH U could be my DOCTOR!!! Please show a video on why my but keeps Hurting!!!
Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.
A dr told me I have spikes that go down my spine are those bone spurs
Nice
Thanks
@@DrAndreaFurlan you are most welcome
Is this information true for cervical discs also?
Yes, the same principles apply to any disc in the spine.
Dear, could you tell me what to use to relieve the leg pain because my mum has back problems but her left leg very pain please, please can you tell me what to use 🙏🏻🙏🏻 natural recipe please 🙏🏻🙏🏻she use tablet for pain but still she is not good 🥲
My mother is in so much agony from collapsed L5S1 that she said if there is no pain relief solution she will commit suicide😔 she’s had two failed back surgeries. I don’t know what to do
Please take her to a doctor specialist in mental health.
Good video.i suffered severe back pain for 25 years I found out auto amune daseese was causing it.i stoped eating bread all grains and sugars after a year and a half my back stoped hurting over 95 percent.and I have returned to normal life.mri said i had 9 bulged and deterated disc . They called it stage 4 spine deasese.i would love to have another MRI to see if there's a change.
so sugary food is dangerous?
Buna ziua ! So , protruzia discala se repara ? Am fost la kinetoterapeut si mi a zis ca mi se reface . Pai dpdv mecanic , reiese ca protruzia va genera pt toata viata o presiune asupra nervului si implicit o durere !?
Multumesc ! Sarbatori Fericite !
The body heals in amazing ways.
هل حقا تعافيت من انتوء القرص
I get migraines from degenerative disc disease and Ehlers-Danlos syndrome causing probs with my spine. They always kick off from my spine nerves.
Hi Pippa, thank you for this comment and for being a subscriber.
Hello how're you doing hope you're safe due to the covid 19 pandemic?
I have a knee big brobleme paining and swelling too heard for walk.
Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. Please talk to your doctor. Consider subscribing to this channel.
Thank you doctor for the video. Ik have a disc bulge L5 S1 for about 20 years. It helps to reduce thé pain to do the exercises from you. Thank you. Didier
I'm glad to hear that. I'll do a LIVE TH-cam session to make an announcement this Saturday. March 4th at 11 am ET. I hope to see you there.
Please doctor, I have a slight lumbar disc swelling, I am 23 years old, can I go back to exercising and go to the gym?
Thank you for taking the time to write this comment. I don't have the ability to give medical advice here because I am not able to get all the details that I need and most importantly, to examine you. I don't give individual medical advice via social media or by email. This channel is for educational purposes only. Please talk to your doctor.
What about AS and DISH?
Thank you for your comment. That is a good question/suggestion for a future video.
Super madam
Thank you for watching the video and writing this comment. Please share this video with your friends. I have lots of videos about chronic pain on my channel th-cam.com/users/DrAndreaFurlan And don't forget to turn on the notifications 🔔
ungaluku disc problem ah
read about discseel procedure and dr Kevin Pauza
هل يمكن الشفاء نهائيا من القرص المنتفخ
In fact, buldging discs are usually not the cause of the pain. How do we know that? Because there are hundreds of thousands of people with buldging discs who do not have any symptom of back pain.
Dr what is the meaning of difuss disk bulg with annular tear .... thanks ..it's bulg or harniation.... please reply..
There might be annular tear with or without herniation.
@@DrAndreaFurlan thanks
U aslo saying with or without ,how I cn understand it,I hv no back pain only little pain In my leg but sometimes it's ok,I can walk for long time I cn stand,my slr test also negative...and my canal diameter is 12mm thanks