MRI and physio says steroid injection....

[physiobob]

One should condsider that the lower limb nerves run through the thing, left and foot. I would get your physio to look for possible sites of entrapment in those areas. Perhaps some neural testing and posturing will highlight where the tract is getting blocked. Releasing this (joint, fascial tension etc) might well resolve the big toe issue.

In summary don't just blame the back itself as we all (well most of us) exhibit those changes you mention on your MRI. One might say in fact that they are pretty darn normal.

[gcoe]

Physiobob is making a good point there. so there are a few things to consider.

A clinical examination with and experienced therapist that includes not just a full examination of the lower back but also consideration of the nerve that supplies the big toe (from the back, all the way along the leg to the toe) at this stage maybe the best way forward.

[crazycrow]

thanks for the advice - but other than go to my GP, get referred to a physio I dont see where else I could go to get a clinical examination with an experienced therapist - I thought that was what I was getting? I'm not blaming my back at all its just what the physio told me, in fact the pain is well right of my spine anyway. I have now been sent with a letter to go for an injection (but dont want it) - so what sort of therapist should I look for?