Question 1

23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. what is my next treatment option? more epidural? fusion surgery?

Accepted Answer

Find out why: You shold go to see your doctor/spinal surgeon to find out why. Is there any new bulging, new tear, etc that requiring any surgical approach or is something that can be treated supportively. Something you will find from further testing. Definitely, you should have an MRI of ls done to evaluate this problem. You won;t  know the treatment if you don't know the cause of the problem.

Question 2

what is the diagnosis for marked narrowing of l5/s1? what is plan of treatment for such? if all conventional therapies fail? how do studies go from having an untreated l5/s1 with marked narrowing to having a partial transverse s1 lumbarization?

Accepted Answer

: I sense from your question you are looking for conservative recommendations. I am a podiatrist. I have had success treating back pain patients employed by a back surgeon. He fired me because I was helping his pts. Obviously I could not to continue to work for him. Have your doctor or physical therapist measure your limb lengths and if you have a pelvic rotation. Orthotics with appropriate lift

Question 3

what could cause 'clicking' in the lower back at the l4/l5 s1 level. it's centralized. occurs with extension and no radiculopathy. with severe pain.

Accepted Answer

Facet Arthropathy: Could be facet arthropathy/arthritis.  There are joints in the spine where the bones articulate and can develop bone spurs and cause the clicking with pain typically with extension.  I would consider seeing a pain/spine specialist to see if facet injections or radio frequency ablation would be helpful for you.

Question 4

have moderate /severe radiculopathy that started and progressed more than a year after l5/s1 adr surgery.emg showed compressed nerve. causes for this?

Accepted Answer

Check ADR: Lots of causes.  Ensure ADR device in proper position, check for degeneration at the levels above L5S1.  If you want a second opinion try a virtual consult.

Question 5

can you please suggest treatment for l5 s1 spondylolysis?

Accepted Answer

Several Options: Congenital variety genetic origin occuring in 6%-8% of us population particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few.  Most treated non operatively (90%)including bracing, physical therapy leading to regular exercise ; medication and activity modification. Epidural steroid injections can also be considered.

Question 6

im 27 years old and developed a right paracentrl disc protrusion on l5-s1. is this an uncurable condition? what is the best form of treatment?

Accepted Answer

See your doctor: This condition does not mean that you necessarily need surgery.  It can often be helped by physical therapy and other nonsurgical methods. Please see your doctor for an explanation of treatment choices.

Question 7

after paracentral disc protrusion at l5 s1 level inmri after three weeks rest/medication pain is almost negligible what is best treatment going forwad?

Accepted Answer

Do your lumbar: strengthening exercises to increase your paraspinal muscle tone and durability, which in the long term will help strengthen your back against trauma and/or recurrence of symptoms.  Physical therapy is always a good answer for vertebral problems.  I would make sure I do my back exercises everyday for at least 15-20 mins, and avoid situations where you may have to strain your L5-S1 disc.

Question 8

am affected with slipped disc\l5-s1\. am on treatment with medicines .can i mastrubate in this situation ?will it affect my treatment ?

Accepted Answer

No: This is not going to affect your back or treatment.

Question 9

i had an mri done on my lower back. results show l5-s1 radiculopathy and right brachial plexopathy. what does that mean, and what can be done for it?

Accepted Answer

Radiologist: In cases like this I recommend that your physician sit down with the radiologist and review the images while describing your symptoms to the radiologist. Radiculopathy May be caused by a bulging disk or vertebral arthritic spur. Brachial plexopathy affects the upper extremity rather than the low back. The radiologist may recommend additional studies or referral to other specialists for evaluation

Question 10

can i receive proper medication for my back injury in ohio i have l5 s1 disc herniation and radiculopathy and cronic pain in back and both legs

Accepted Answer

There : There are many treatments for l5-s1 disk disease including physical therapy, medications, steroid injections and surgery.  You should see a spine pain doctor and spine surgeon to determine the best treatment for your disk problem.  Good luck!

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Doctor answers about:

L5 s1 radiculopathy treatment

A member asked:

23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. what is my next treatment option? more epidural? fusion surgery?

A member asked:

What is the diagnosis for marked narrowing of l5/s1? what is plan of treatment for such? if all conventional therapies fail? how do studies go from having an untreated l5/s1 with marked narrowing to having a partial transverse s1 lumbarization?

A member asked:

What could cause 'clicking' in the lower back at the l4/l5 s1 level. it's centralized. occurs with extension and no radiculopathy. with severe pain.

A member asked:

Have moderate /severe radiculopathy that started and progressed more than a year after l5/s1 adr surgery.emg showed compressed nerve. causes for this?

A member asked:

Can you please suggest treatment for l5 s1 spondylolysis?

A member asked:

Im 27 years old and developed a right paracentrl disc protrusion on l5-s1. is this an uncurable condition? what is the best form of treatment?

A member asked:

After paracentral disc protrusion at l5 s1 level inmri after three weeks rest/medication pain is almost negligible what is best treatment going forwad?

A member asked:

Am affected with slipped disc\l5-s1\. am on treatment with medicines .can i mastrubate in this situation ?will it affect my treatment ?

A member asked:

I had an mri done on my lower back. results show l5-s1 radiculopathy and right brachial plexopathy. what does that mean, and what can be done for it?

A member asked:

Can i receive proper medication for my back injury in ohio i have l5 s1 disc herniation and radiculopathy and cronic pain in back and both legs

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