Question 1

hi doctors, can you tell me what is s1 nerve root compression?

Accepted Answer

S1 compression: S1 nerve root compression usually comes from a herniated l5/s1 disc.  It causes pain in the back of the leg, decreased plantar flexion and decreased ankle reflex.
Hope that helps.

Question 2

i have had a two-level spinal fusion (l5-s1). what is the best way to avoid (or prolong) adjacent disc disease?

Accepted Answer

Not much : Accelerated adjacent segment degeneration is relatively common and concerns
adverse effects following spinal fusion. It
is believed that this accelerated degeneration
is due in large part to increased
mechanical stress on the adjacent motion
segments. Stay in shape, do not gain weight.

Question 3

what is surgery for l5 s1 isthmic spondylolisthesis like?

Accepted Answer

Fusion: The success is higher with a fusion in this case.  Whether there should also be a decompression depends on the findings on clinical exam and on imaging of any significant nerve compression. Overall, success rate should be 90% if not a smoker.

Question 4

what is mri report l5 s1 broad based disk expansion with small annular tear?

Accepted Answer

Bulging disc: As discs age they lose water and become less resilient. This causes broad based bulging of the disc. The ligament on the outer part of the disc (annulus fibrosus) is stressed more when the disc bulges and small annular tears can result.

Question 5

my father is diabetic and has diagnosed with neurodegenerative changes in l5,  and s1 what is could be the best option?

Accepted Answer

All develop: Degenerative  changes in the lower lumbar spine, especially males. The best thing to do is monitor weight, not smoke and exercise regularly.  Make sure good vitamin d and calcium intake as well.

Question 6

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 7

doc wants to remove disk and do fusion, herniated disk l5 s1. what is recovery time and what is there a high chance of pain relief?

Accepted Answer

Depends on procedure: There r many ways 2 fuse: anterior, posterior, or both. The 1 2 best advise u is ur surgeon. If u have doubts get an answer 2 which procedure is proposed ; why. If still not satisfied getting a second opinion is in order, but get all the details 1st.

Question 8

what is narrowing of l5-s1 disc & early osteoartritis? i have pain in my leg since childhood does this means disc narrowing is congenital?

Accepted Answer

Not necessarily: It may or may not be congenital.

Question 9

what are symptoms of having low back pain at the level of l5-s1? what is sciatica? please help and explain

Accepted Answer

Sciatica is leg pain: Sciatica is a symptom . Leg pain and it does no say where it originates.

L5-s1 could cause a back ache or leg pain or spasms in the low back  or numbness in the buttock or leg. 

You need to be examined by a doctor to find the origin of the pain so that a decision can be made as to what to treat or not to treat.

Question 10

mri shows i have herniated dics on l4-l5 and protrusion on l3-l4 and l5-s1. what is the treatment?

Accepted Answer

Depends on symptoms: If you have no symptoms, you may not require any treatment. With symptoms limited to pain, non-surgical treatments should be attempted first - physical therapy, massage, analgesics, etc. If those treatments fail, minimally invasive or surgical options can be considered. If you have severe symptoms such as inability to walk, bladder or bowel incontinence, surgery may be necessary.

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Doctor answers about:

What is s1

A member asked:

Hi doctors, can you tell me what is s1 nerve root compression?

A member asked:

I have had a two-level spinal fusion (l5-s1). what is the best way to avoid (or prolong) adjacent disc disease?

A member asked:

What is surgery for l5 s1 isthmic spondylolisthesis like?

A member asked:

What is mri report l5 s1 broad based disk expansion with small annular tear?

A member asked:

My father is diabetic and has diagnosed with neurodegenerative changes in l5, and s1 what is could be the best option?

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:

Doc wants to remove disk and do fusion, herniated disk l5 s1. what is recovery time and what is there a high chance of pain relief?

A member asked:

What is narrowing of l5-s1 disc & early osteoartritis? i have pain in my leg since childhood does this means disc narrowing is congenital?

A member asked:

What are symptoms of having low back pain at the level of l5-s1? what is sciatica? please help and explain

A member asked:

Mri shows i have herniated dics on l4-l5 and protrusion on l3-l4 and l5-s1. what is the treatment?

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