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Doctor insights on: Back Surgery L5 S1

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Back Surgery (Definition)

Any surg that enters the muscles & beyond. Usually means involving work on the bone structurs disks r considered back surgery. They include a multitude of procedures. 2 ...Read more


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I'm having pain in my lower left side mainly when I lay down. Had back surgery 4yrs ago l4, l5, S1, could this cause my pain? Can a bad mattress causeit

I'm having pain in my lower left side mainly when I lay down. Had back surgery 4yrs ago l4, l5, S1, could this cause my pain? Can a bad mattress causeit

Yes, need evaluation: A bad mattress, muscle spasm and adjacent level disease are just a few of the possibilities so you should be thoroughly evaluated. I recommend you see your spine surgeon again and updated imaging and more PT may be the next step. Keep us updated. ...Read more

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I've had 2 back surgeries- a microdiscectomy at L5/S1 & L4/L5. I've got scar tissue & am still in pain. I use TENS, inversion, PT, Neurontin, Norco, Cymbalta, and am trying injections. Any new ideas/tx for me to try? I'm only 23 & I feel like I'm 80.

I've had 2 back surgeries- a microdiscectomy at L5/S1 & L4/L5. I've got scar tissue & am still in pain. I use TENS, inversion, PT, Neurontin, Norco, Cymbalta, and am trying injections. Any new ideas/tx for me to try? I'm only 23 & I feel like I'm 80.

Adhesiolysis: Cassara 1st NO more surgeries on your back.
FInd an Anesthesiologist in your area who will do a minimal risk type of epidural injection BUT without steroids. This injection is called lysis of adhesions or Adhesiolysis with a medicine called "Hyaluronidase". This injection will break up the scar tissue that has entrapped the nerves in your back. It must be performed with physical therapy ...Read more

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I have serve back pain 2 months after back surgery. I had L5 and s1 disc removed. Now I'm in worse pain then before. Is this normal?

I have serve back pain 2 months after back surgery. I had L5 and s1 disc removed. Now I'm in worse pain then before. Is this normal?

Back pain: Not normal but a common problem. After the herniated disc is removed, a recurrent disc or collapse of the disc space can cause new back and leg pain. This can lead to a repeat of the nonoperative measures such as physical therapy and cortisone injections. A back brace may help. Emotionally it is very deflating because you feel that you are back at the beginning of the process. It will get better. ...Read more

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What to do if I had back surgery 10 months ago I'm in a lot of pain can you please explain my l4/l5 & l5/s1 MRI report to me?

What to do if I had back surgery 10 months ago I'm in a lot of pain can you please explain my l4/l5 & l5/s1 MRI report to me?

Spine Pain Options: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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Do I need another back surgery? I have a herniated disk at l5-s1, I've been suffering for over 3 years now. I had a surgery in november of 2009, all that was done was scraping the calcium off of the nerve to relieve sciatica. It all started again 6 mont

Do I need another back surgery? I have a herniated disk at l5-s1, I've been suffering for over 3 years now. I had a surgery in november of 2009, all that was done was scraping the calcium off of the nerve to relieve sciatica. It all started again 6 mont

Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more

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What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves. L4, l5, l5, s1?

What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves. L4, l5, l5, s1?

If all other causes: Have been ruled out then time and medication can help along with various pain management techniques ranging from injections to a spinal cord stimulator. ...Read more

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I have disuse atrophy in my right leg, and foot, due to nerve damage in l4/l5 s1.Had a failed back surgery 02'13. Will I lose ability to walk one day?

I have disuse atrophy in my right leg, and foot, due to nerve damage in l4/l5 s1.Had a failed back surgery 02'13. Will I lose ability to walk one day?

Varies: It could potentially still improve. If you have not had it, I would recommend an NCV and EMG test just to make sure there is nothing else contributing to your condition that may be treatable; for example peroneal nerve impingement at the fibular head. ...Read more

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2 back surgeries in ~1 month. Wondering if increased swelling@L5-S1 from overdoing it could cause severe burning/cramping pain behind knee, in calf/ankle, & thigh? Have to lie down & hard to walk/sit.

2 back surgeries in ~1 month. Wondering if increased swelling@L5-S1 from overdoing it could cause severe burning/cramping pain behind knee, in calf/ankle, & thigh? Have to lie down & hard to walk/sit.

This may be related: To anyone of several possible causes. Sometimes, even though the nerve that may have had some compression on it does not immediately respond to surgery or if you had surgery especially 2 so close that just manipulation of nerve may cause inflammation. Also one has to make sure you did not develop a blood clot in leg post op. You should discuss this with your surgeon. Scar tissue can form now. ...Read more

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2months after spine surgery (microdiscectomy L5-S1), started pt and I'm feeling great...can I wear high heels?

2months after spine surgery (microdiscectomy L5-S1), started pt and I'm feeling great...can I wear high heels?

EZ does it: Very high heels could put unwarranted strain on your lower back. Start with a pair with 2-3" heels, wear them for a few days and see how your back reacts. Go back to flats if your back begins to hurt. Gradually increase the height over time, slowing down if you experience discomfort in your back.

Thanks for trusting HealthTap! ...Read more

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I herniated a disc in low back, now I have lost the sensation to pee will they have to do surgery on me? I have previous herniations at l4-l5 l5-s1

I herniated a disc in low back, now I have lost the sensation to pee will they have to do surgery on me? I have previous herniations at l4-l5 l5-s1

Highly likely: You need to contact your spine surgeon or go to er asap if you are having difficulty controlling bowel or bladder (starting or stopping), preferably a large enough hospital that would have 24hr MRI access, as this would be the test of choice to see what is going on, and so surgeon can decide if might improve with steroids / conservative mgmt, or will need surgery. ...Read more

Dr. Brian Le Dr. Le
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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?

Dr. Brian Le Dr. Le
2 doctors agreed:
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?

Failed back: It appears that you have failed back syndrome. Please see a pain specialist for evaluation and treatment. You might benefit from additional therapy, medications, injections like epidural steroid injection or spinal cord stimulation. ...Read more

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23m-rupture discs w/ 5mm retrolisthesis (l4/5&l5/s1) s/p discectomy surgeon doesn't want surgery, 2nd opinion recommended hybrid lumbar fusion. What should I do? Daily pain 6+/10 back & both legs 2yrs

23m-rupture discs w/ 5mm retrolisthesis (l4/5&l5/s1) s/p discectomy surgeon doesn't want surgery, 2nd opinion recommended hybrid lumbar fusion. What should I do? Daily pain 6+/10 back & both legs 2yrs

Be careful: Make sure seeking advice from well-trained spine surgeon. The pathology you mention will not necessarily cause the symptoms you list. Let's say you have herniated discs/lumbar stenosis, nerve impingement, then that will explain your leg pain. And after failing appropriate conservative management decompression surgery will help. But be very careful with surgery for back only pain -- esp.@ 23Y.O. ...Read more

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Hi I had lumbar disectomy surgery on my L5 s1. If still possible I can come back in my jiu jitsu and octagon fight?

Hi I had lumbar disectomy surgery on my L5 s1. If still possible I can come back in my jiu jitsu and octagon fight?

Talk with surgeon: I find it hard to believe that the person who operated on you hasn't discussed this and made recommendations. If they said no, then don't search online for an opinion from someone who doesn't really know you. ...Read more

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Surgery L5-S1.Now pain set in. Now in only a few mins pain is a 9. Large area of back becomes numb as pain increases. From waist to ribs in back.

Back pain: The back pain you are having may be related to some other nerve roots, to the muscles that help strengthen your back, or perhaps some other problem. L5-S1 should not affect numbness to the level of your ribs, that is why a new issue could be happening. It is not likely though.

What kind of surgery did you have? How long ago was it? Do you have any treatments for your symptoms? PT? ...Read more

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I have a herniated disc at l5-s1. I suffer frecuently strong back pain. Planning to have surgery but I'm not sure what to do. What do you recommend?

I have a herniated disc at l5-s1. I suffer frecuently strong back pain. Planning to have surgery but I'm not sure what to do. What do you recommend?

Back surgery!!!: When faced with this question know that not all back pains are caused by a herniated disc & not all herniated discs require surgery. Guided pt, injections & other options may help. In severe cases, in cases where conservative care failed, in cases with neurological deficit, surgery may be the best & only option. If surgery needed, ask questions; don't be afraid to get pain relief sooner than later. ...Read more

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I have a stable L5 s1 grade 2 spondylolisthesis and it is causing me leg and back pain. Should I get a fusion surgery? Or just decompression surgery

I have a stable L5 s1 grade 2 spondylolisthesis and it is causing me leg and back pain. Should I get a fusion surgery? Or just decompression surgery

Fusion: Decompression alone is unlikely to resolve the issue and is likely to worsen the situation in the long run. Furthermore there are now more options then just posterior fusion, an anterior approach may also be an option but a good surgical opinion or opinions are needed. ...Read more

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What are the possible risks of NOT having surgery when anterior lumbar interbody fusion with posterior fixation is indicated (ALIF L4, L5, S1, fix L5-S1?

What are the possible risks of NOT having surgery when anterior lumbar interbody fusion with posterior fixation is indicated (ALIF L4, L5, S1, fix L5-S1?

Depends: Have you tried nonsurgical options? Surgery is typically indicated if you're having neurologic dysfunction and/or chronic intractable pain from a serious disc herniation and have failed to improve with conservative options. At your age make sure that you've had a couple of opinions and have tried nonsurgical options including physical therapy, medication, and possibly injections ...Read more

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I have a herniated disc at l5-s1. I suffer acute back pain crisis frequently. Should I resort to surgery?

I have a herniated disc at l5-s1. I suffer acute back pain crisis frequently. Should I resort to surgery?

Sciatica: True sciatica is leg pain that shoots from back, down the leg past the knee. This mimics the path of the sciatic nerve, thus it's name. Young patients more likely to have herniated disc. Older patients, pressure from arthritic spurs. All can be treated non-surgically if not getting worse. Physical therapy, tylenol (acetaminophen) or aleve, nerve blocks, the combination works 80% of the time. ...Read more

Dr. Edward Hellman
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Orthopedic Spine Surgery (Definition)

An orthopedic surgeon who further specializes in the ...Read more