Doctor insights on:
5th Lumbar Vertebrae Pain
I have a synoid cyst on my spine between the 4th and 5th lumbar vertebrae causing severe pain from hip to ankle on my right leg. What are treatment op?
What is the normal range of motion for the lumbar spinal vertebrae? (e.G. Can everyone'e l5-l1 pivot?)
Lumbar rom: Check out google search article bible, j et al. Normal functional range of motion of the lumbar spine during 15 activities of daily living. Journal of spinal disorders and techniques. April 2010 vol 23 issue pp 106-112. Objective answer to your question. ...Read more
Can the inflammation of the L5 vertebrae cause lower abdoml pain that radiates to the lower back. All tests are normal and this pain seems a mystery?
L 5 pain: Yes, dorsal root irritation of L5 can cause this. ...Read more
Why does my lower back and hips hurt. I have a pars defect in my L5 vertebrea and recently my hips have been hurting when I sleep. I'm a 28yo/f.?
Back pain: With this history, it is best to consult an orthopedic surgeon for complete evaluation & workup. ...Read more
No: A "missing" L5 vertebrae usually refers to a sacralized L5 segment, which is not really missing at all. In and of itself, nothing needs to be done about that radiologic finding. ...Read more
My son fractured L1 & L5 vertebrae and is experiencing upper body tremors. We have had head, neck, and back MRI to rule out other injuries.
Upper Body Tremors: Hello. No previous history prior to fractures of upper body tremors? What did his MRIs show specifically of his neck? Did he have one of his thoracic spine? Do tremors involve arms AND chest (torso)? Is this the 1st time he has taken Flexeril (cyclobenzaprine hcl)? Tremor can be seen with Flexeril (cyclobenzaprine hcl) but it is RARE. Tremors usually occur with overdose of Flexeril (cyclobenzaprine hcl). Is he taking any narcotics too for pain control? ...Read more
Should I have the surgry on my back L5 vertabr is 50% crushed and back is curving and what kind of surgry wld it b I had a mva sep of 2011 my L5 vertabra was crushed 20% I went to work in feb of 2012 and it has now crushed another 30% so now it is 50% my
There are many treatment for vertebral body fractures and the specific treatment depends on the amount of compression of the vertebral body, if the body is pressing on nerves, if the spine is falling apart, the presence of other fractures, etc. Therefore it is difficult to know the exact treatment you would need. In general there are two types of treatments:
1. Kyphoplasty - the fracture is bone is made taller and filled with plastic through a large needle
2. Corpectomy - removal of the vertebral body and replacement with cage to remake the vertebral body and hold it together with screws and rods. This is usually done open but there are minimally invasive options being developed.
These procedures may be done alone, combined or only part of the procedure done. They may need to be done at one or many levels depending on what is fractured.
Please see my health guide on vertebral body fractures and kyphoplasty. ...Read more
This is very vague: As to what you mean. If this is a condition called a pars fracture or spondylolysis this is typically from a congenital defect that will manifest itself in childhood but may not become symptomatic at all or at some point later in life. These typically do not heal but can be managed non op 90% of the time. If there is a compression or vertebral body fracture, they heal in about 3 months. ...Read more
What does it mean when your lower spine X-ray report says "notable for a lumbus vertebrae at l5"?
Disc herniating: Sounds like possible limbus vertebra at 5th lumbar vertebra at lower back. Limbus vertebra is defect in the anterior margin of the vertebral body where disc material herniates. Sometimes but less often posterior in location. Anterior herniation usually asymptomatic but posterior herniation can be symptomatic. ...Read more
Hi, am a Meningomyelocele pt had my syrgery done when I was 3yrs now I m 27 and planning to marry my question is can I have kids? L4-L5 vertebrae
Back surgery: Absolutely yes - if you have had regular periods and have gone through the changes in a cycle then there is no reason that you cannot have kids. ...Read more
I have done physical Theropy and Cyropractics for my levoscoliosis and missing L5 vertebrae and I'm still in pain. What should I look at for medical treatments?
An evaluation: It is time to see a Physician, either a primary care or a specialist in back problems. There are many good treatments depending on the exact source of your pain and symptoms. ...Read more
I have a cob angle of 26 degrees with a slight rotation in my spine w my levoscoliosis. Would me also missing my L5 vertebrae make my pain worse and effect my scoliosis?
Seek consultation: Pain with scoliosis may have many etiologies, bone, nerve or muscle, in the adult. Consultation with orthopedic doctror and physical therapist may help. In general non surgical attempts at improving pain should be considered before surgery. The absence of vertebra is usually not likely to increase pain unless causes increase in deformity. ...Read more
Looks like sacrum: A transitional L5 vertebrae is a fairly common finding when reviewing lumbar spine x-rays. It basically means that your L5 vertebrae has characteristics of s1 (or the sacrum). Sometimes referred to as a "sacralized l5"... Nothing to be worried about...! ...Read more
Medial branch block: Mbb stands for medial branch block. The medial branch is a small branch of the spinal nerves that supplies sensation to the facet joints, which are the joints in the back of the spine. L4 and L5 refer to the specific spinal nerves in the lower back (lumbar spine). Likely this procedure would be performed for somebody with pain due to facet joint arthritis at l5-s1 on both sides (bilateral). ...Read more
See the Spinal surg-:
Eon who has treated you, as he would have options to help you, as he knows you, has treated you, knows the local condition of your back, etc and whatever previous treatments were used.
Spinal fusion or a redo fusion might be an option.
Check with him/her.
Good luck. ...Read more
My 13-year-old son has spondylolysis with minimum spondylolisthesis of the L5 vertebrae. Is this serious?
No: In most cases, no. Conservative measures usually work and a normal active life is possible. ...Read more
How do I find out and who can tell definitively if my L5 is sacralized or have transitional vertebrae? X ray? Pcp?
Go see an Orthopod: I would recommend you see an orthopedic spine specialist. That way, you know you will get the proper x-rays. ...Read more
I had a lumbar fusion at the L5 s1 level five years ago. I am having lower back now. Is the next level herniated or degenerative?
Hard to say: Certainly one cause can be the development of adjacent level disease, and it is probably the most common cause. There are also other structures in the area that can cause pain such as the sacroiliac joints and the facet joint, hips, etc. Thank you for your question. A detailed history, exam and studies can usually determine the cause. ...Read more
Had a lumbar mmb l1-l5 (4injections) this morning, keep feeling extremely hot from inside out & nauseas, dr office clsd, is this normal?
Mmb: You may be having a reaction to the procedure. Since your dr 's office is closed check in with the er. ...Read more
Annular tear: The disk is made of two types of cartilage: a softer inner nucleus pulposis and a fibrous stiffer annulus fibrosis. As we age, the connective tissue of the body dries out and becomes stiffer, producing wrinkles and bulges in our skin- parts of our body sag and bulge as we age, including disks. Annular fissures or tears are asymptomatic cracks in disks, a weak spot where a disk might herniate. ...Read more
No arm symptoms.: L2-5 lumbar disc herniations or stenosis would not cause upper arm symptoms. They would cause leg symptoms. ...Read more
Transitional anatomy: There are typically 5 vertebrae that make up the lumbar spine, but there are variants with 4 or 6 segments that naturally occur. With l5/s1 above the crests, it is most often with a true sacralized L5 segment with the lowest moving disc being l4/5..... ...Read more
How long to comeback in your normal activities like playing softball and jiu jitsu from lumbar microdesectomy of L5 s1?
L/S Microdesectomy: Prognosis for a one level uncomplicated lumbar spine microdesectomy is very promising and can certainly provide a cure for many. With appropriate post-operative rehabilitation, a patient should be able to return to normal activities withing 2 to 3 months. One should keep in mind that each case is unique & the actual spine surgeon is the best person to ask about recovery. ...Read more
What is the difference between a transforaminal and a epidural injection? Left l.4.L5 two level injection lumbar radic.
Transforaminal Inj: In the transforaminal approach to the epidural steroid injection the the epidural space and nerve (s) is coated with the steroid/anesthetic mixture. The epidural injection you refer to is called an interlaminar or translaminar epidural injection where the medication is placed between the two spine bones in your back. Check out Spine-Health. Com for more info. ...Read more
Why would 5mm retrolisthesis at L4/L5 be seen on 1 lumbar xray and not another months later, or another 2 years later? Does retrolistesis heal?
Movement possible: Spondylolisthesis is when vertebrae move relative to each other. So it's possible to see it on one film ¬ another. Also 5mm is small amount &one radiologist may see it (or think she sees it) &other may not. Some minor findings are in eye of the beholder. Sounds like spine has been stable; should be reassuring. Be careful of focusing on spine too much. Can lead to more pain &unneeded procedures. ...Read more
What to do if I have been suffuring with lumbar (ddd) pain and what to do if I have been feeling pain around rectal area I was wondering if L5 s1 nerve's travel's to rectal area?
Low back pain: The nerves of the lumbar and sacral spine do travel to the rectal area, Tailbone pain is common with degenerative disc disease (DDD) of the lumbar spine. The collapse and dehydration of the discs leads to a lack of cushioning of the vertebral bodies which leads to pain that transmits into the tailbone. See a spine specialist for relief of the pain. ...Read more
Depend on symptoms: If you are having fairly severe leg pain, gentle, low impact aerobic activity (e.g. Walking, pool exercise) is a good place to start. As the leg pain subsides, increase the aerobic exercise to at least 30 minutes nonstop three days a week. As tolerated, work on core muscle strengthening exercise (exercise to strengthen tummy and back muscles). ...Read more
Not surgery: Spondylosis is ubiquitous in the middle ages and beyond. Research has shown that it is not possible to reliably and definitively diagnosis/isolate spondylosis as a primary cause of lbp to predict any level of success with injections or surgery. Patients are best off trying noninvasive measures including wellness initiatives such as exercise, weight reduction, stress management, mindfulness, etc. ...Read more
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