dear friends presenting a unique case .we had a 55yr /F admitted with pain on walking associated with perineal numbness on walking for 5-10 min,relieved at rest.she had h/o slipping of chappal from left foot since a yr.typically complaints that whenever she micturates she automatically defeacates since last 1 year but increased in severity and frequency since last 2 month at time of admission her frequency was  15-16/day.

had microdiscectomy done in 2005 at L4-5 level,say that no change in complain even after surgery.

o/e she had no scar tenderness. total sensory loss of lt S1,decreaed perineal sensation more on left side.

kindly opine i will furnish with the MRI details later