As noted in my other posts, my foot neuropathy started all of a sudden in left foot only in May 2019. It did not start in toes, started in entire front half of foot all at once. A year later moved to the right foot. It is progressively getting worse in both feet, but it is still numbness, not pain, although almost pain now. Seems worse first thing in the morning. I walk 2 hours a day and that sort of helps it. Blood work is all fine. I have B12 deficiency but have been taking shots for years.

I have always had an issue with my lower back, which seemed minor, and simply ached a bit if I lifted too much -- never major pain. I had an MRI done in 2019 (results below) but Docs said they did not see anything

After 2x neurologists, podiatrist and a Chiropractor no cause can be found. My Primary is sending me to a spine doctor and trying to get a new MRI and CT of neck/skull done, waiting for insurance approval.

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EXAM: MRI LUMBAR SPINE (BONE) WITHOUT INTRAVENOUS CONTRAST
COMPARISON: Abdominal CT on July 16, 2014.
HISTORY: * Back pain, > 6wks conservative tx, persistent-progressive sx, surgical candidate
back pain as well as numbness of feet B/L- left side worse then right. this is getting worse. seen by neuro in the past.
TECHNIQUE: Exam performed on a 1.5 Tesla high-field MRI scanner. Magnetic resonance imaging of the lumbar spine was performed WITHOUT injected contrast using standard department protocols. Sagittal T1, T2 and STIR, axial T1 and T2 sequences were obtained.
FINDINGS:
ALIGNMENT: Exaggerated lumbar lordosis. Minimal grade 1 retrolisthesis of L4 on L5.
VERTEBRAL BODIES: Vertebral body heights are maintained. Bone marrow signal pattern is within normal limits.
INTERVERTEBRAL DISCS: Very minimal desiccation changes and very minimal loss of height of L4-L5 and L5-S1 discs.
SPINAL CORD/CONUS: Included spinal cord has normal caliber and signal characteristics. The conus terminates normally at L1-L2.
Level by level analysis yields the following:
L1-2: No disc herniation. No significant canal or neuroforaminal stenosis.
L2-3: No disc herniation. No significant canal or neuroforaminal stenosis.
L3-4: Shallow central disc protrusion. No significant canal or neuroforaminal stenosis.
L4-5: Minimal bulging with superimposed shallow central disc protrusion. No significant canal or neuroforaminal stenosis.
L5-S1: Minimal bulging disc with superimposed shallow central disc protrusion. No significant canal or neuroforaminal stenosis.
OTHERS:Visualized portions of the retroperitoneal structures are grossly unremarkable. Posterior paraspinal soft tissues are unremarkable.
IMPRESSION:
1. Mild degenerative disc changes at L3-L4, L4-L5 and L5-S1, without causing significant canal or neuroforaminal stenosis.
2. Exaggerated lumbar lordosis. Minimal grade 1 retrolisthesis of L4 on L5.
POS - CDHRADBOARDWS10
Electronically Signed by: XXXX on 10/31/2019 4:05 PM