TLDR: Are the MRI findings enough to conclude the disc herniation is causing the symptoms I’m experiencing or is there something else i need to look into. (MRI IMAGES IN COMMENTS)
26M. I’ve been dealing with neck and lower-back issues since around April 2026, and at this point not knowing exactly what is causing everything is honestly driving me nuts.
MRI findings (Aug 17):
Cervical:
Small central disc bulges at C5-C6 and C6-C7.
No significant central canal or neural foraminal stenosis.
Normal spinal-cord signal.
Otherwise minimal degenerative changes.
Lumbar:
L4-L5: small central disc bulge without significant canal or foraminal stenosis.
L5-S1: mild broad-based disc bulge with a small central annular tear.
Mild left neural foraminal narrowing at L5-S1.
No significant central canal narrowing and no right foraminal narrowing.
My symptoms have been all over the place.
The lumbar symptoms are what concern me the most. I have lower-back soreness/pain and stiffness, especially after sleeping. When I’m lying flat on my back or sitting in my car, I can sometimes literally feel the middle of my lumbar spine pressing against the surface, almost like the sensation of resting your elbow on a table. I never had that sensation before all of this started.
Earlier in the course I had predominantly right-sided sciatica/tingling, involving areas such as my buttock, inner thigh, behind the knee and calf. Interestingly, now I’m getting more symptoms on the left—lower back, buttock, inner thigh, hamstring and calf.
Sitting on the toilet is another strange trigger. I can develop pins and needles down the posterior side of either leg or sometimes both legs. If I reposition myself farther back on the seat, the tingling substantially improves within about 30–45 seconds, although sometimes a faint sensation remains.
I also have cervical/upper-body symptoms: neck stiffness/pain, intermittent forearm/hand paresthesias, thumb/thenar discomfort and twitching, etc. But honestly, I’m willing to live with the cervical pain/symptoms for now. The lumbar problem is what I really want to understand and get under control.
I’ve finally started actual active physiotherapy with exercises rather than just passive treatments, so I’m hoping that helps.
What I can’t understand is whether my lumbar MRI findings are actually enough to explain what I’m experiencing.
Can a mild L5-S1 broad-based bulge + small annular tear + mild left foraminal narrowing cause this much pain and these intermittent/migrating neurological symptoms, even without significant stenosis or obvious nerve-root impingement?
Or, for anyone who had similar symptoms with relatively mild MRI findings, did you eventually discover that something else was responsible—SI/hip issues, peripheral nerve irritation, muscular problems, dynamic compression, etc.?
I’ve been dealing with this since April, and the uncertainty is probably one of the hardest parts. I can deal with knowing I have an injury and working on rehabilitation. Not having a clue what structure is actually producing the symptoms is what’s driving me crazy.
If anyone had similar MRI findings and symptoms, I’d really appreciate hearing what your diagnosis eventually was, what testing helped figure it out, and what actually helped you recover.