Doctor insights on:
Back Surgery L5 S1
I had back surgery L4 L5 S1 & I also have fluid in my knee with some tearing all due to a fall at work. I'm gaining lots of weight & what to exercise?
Had back surgery in2010 L4 L5 S1 still having severe pain radiating down my leg causing toe tingling. Injections or therapy hasn't worked.?
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'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.
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
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
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
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
What are cures for chronic nerve pain caused by back surgery scar tissue pressing on the nerves. L4, l5, l5, s1?
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?
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
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
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
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?
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
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
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.
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
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
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
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
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
Been having mid-lower left side back pain, had surgery in 2010 l4 l5 s1 now l3-2 shows on MRI could this pain be from the injury or something else?
Probably: The L 2-3 nerves supply the lateral hip and anterior thigh, so it could very well be coming from that. I would not hesitate to be seen if you are having problems. ...Read more
Which surgery should I have done 1st and why? Surgery in spine to replace disk at l5-s1 (bone on bone now) or surgery to correct cystocele & rectocele.
Pcp & chiro agree I should consider surgery for lower back l3-4 bulge l4-5 herniation l5-s1 bulge. I'm scared what do I need to know and consider?
I have pain only in my feet. Had MRI of Lumbar shows L5-S1 broad disc buldge and l4-l5. Have had pain for 18+ months. Meds don't help. Surgery?
My lumbar l5-s1 disk herniated lead to cauda equina syndrome, I did my surgery, bladder still not emptying and after surgery my body is very weak.?
Speak to your: Surgeon about repeating a MRI with contrast to evaluate surgical outcome to make sure adequate decompression and no recurrence or new disc issue. Sometimes, there may be ongoing issues that may or may not be permanent and a urodynamics test may help to evaluate this situation further if MRI is negative. ...Read more
Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?
Back surgery: You need to ask your surgeon, however if MRI was fairly recent and showed no problems at L3/L4 then answer probably no change. Pain could be from the extruded fragment migrating slightly and/or inflammation. If you were to have additional disc problems at L3/L4 then surgery somewhat lengthened but really shouldn't affect recovery much. ...Read more
I've had lumbar spine surgery 4yrs ago.... L4 L5 S1 and now after the surgery I have a bulging disc directly on the nerve. What can I do for pain?
Having scoliosis surgery and fusion to thoracolumbar spine to pelvis and l5/s1 decompression with multilevel osteotomies. What happens in surgery?
Lumbar scoliosis: Simple. Incision made in back to visualize spine to be fused. Length of incision appropriate for fusion. The facet joints are removed and the bone prepared for fusion. At l5-s1, facet and disk removed, and spacer placed into disk along with bone graft. Multiple laminectomy and facet excisions (osteotomy) to make spine more flexible. Rods/screws placed to maintain correction. Bone graft placed. ...Read more
I've got two herniated disc in my back that happen on the job injury. I've had one surgery back in March 2014 microdistemcy by disc blew out so now they wanna do a back fusion on L5-S1 which was denied by workman comp and my pain level stays at 9 and I'm
WC Denies Fusion: Are you having more leg than back pain? Fusions typically work better for patients who have limb pain greater than back or neck pain. Maybe your adjuster will agree to you undergoing a 2nd opinion to determine if that surgeon's plan of care is in agreement with your current surgeon's recommendations. Fusion hardware, in some patients (not on purpose), has contributed to increased back pain. ...Read more
Herniated disc at L5-S1 compresses the dural sac, and lumbar canal stenosis at that area, sciatica (left leg)...do I need surgery??
Possibly: Suggest seeing surgeon to discuss your options if you have completed conservative care. ...Read more
I've had 2 surgeries on l5/s1, first through the back discectomy then a fusion through the front. What poss complications can I hv during pregnancy?
Not much: If your fusion is solid you should be ok with your pregnancy. As you gain weight you may be more prone to back aches or disk problems at l4-5 so stay in shape if ok with your obgyn. Also because of scar tissue an epidural at the time of delivery may be difficult and if you need a C-section your scar may not heal as well or a hernia can develop since they went from a similar approach for fusion. ...Read more
Minor herniated L5/S1 & a rectocele causing constipation. Miralax helps but BAD back pain b4 bowel movements, pain can last days. Don't kno who to see. Want to get pregnant, afraid my back couldn't take it. Time to bite bullet, get rectocele surgery?
Moderate sized broad based right para central profusion on L5-S1. Dr says surgery is only option but that won't take away all the pain. Other options?
1. Does the disc compress a nerve root, and if so, are signs of weakness, numbness, and muscular atrophy occurring? 2. Is bladder/bowel function OK?
If so, could wait it out as over 9-10 months, many of these discs desiccate and shrink. Conservative physical therapy could work in meantime. Do NOT get inactive, as that will make all worse. ...Read more
Does an extruded disc fragment, very painful, require surgery, and fusion surgery l5-s1 help with the pain?
See a back surgeon: This is a complex issue and is highly dependent upon the actual lesion, the patient and the extent of symptoms. Surgical fusion may or may not be helpful, and sometimes makes things worse. Find a highly recommended surgeon and let them evaluate and recommend management. Good luck. ...Read more
I had a microdiscectomy of l5-s1 about a two years ago and the pain I worse now then it was before the surgery. Any suggestions what I can do?
Neurosurgery eval: Neurosurgery evaluation, MRI of the lumbar spine to look for a re-herniation or residual nerve compression. Emg may help to check for any denervation. If no surgical issues found, keep body mass index (bmi) below 30 and add isometric exercises to strengthen the paraspinous muscles. ...Read more
I have bilateral degenerative changes at l5-s1 level w/a grade 1-2 spondylolisthesis found 9/2012 has become worse will I end up needing surgery?
Spine Surgery: Spine surgery is reserved for individuals that have unrelenting pain that has failed conservative care or who have a progressive neurologic condition due to the spinal changes. Many individuals with your radiographic finding are pain free. If worsening would followup with your doctor or see a surgical or nonsurgical spine specialist. ...Read more
I was diagnosed with spondylosis l5/s1, which is now affecting my nerves I've been advised to have surgery but how bad can it get without surgery?
How bad is bad?:
Surgery for your condition, or almost any other spinal condition is indicated by several things. First, intolerable pain (which is a subjective, non-measurable quality)
if pain is the only issue & you can adapt to it, don't do surgery
second, is functional loss which means impaired walking, severe leg weakness, bowel/bladder problems or severely restricted spinal mobility). ...Read more