Top
10
Doctor insights on: Can L4 5 Or L5 S1 Cause Pain Down My Right Leg

Share
1

1
I have bulging at l4-5 and l5-s1 and severe pain in hips and lower legs. What should I do?

I have bulging at l4-5 and l5-s1 and severe pain in hips and lower legs. What should I do?

Sciatica: Staying active without overdoing. Stretching exercises as tolerated. Non-steroidal antiinflammatories - naproxen, ibuprofen, etc. Comfortable mattress, preferably memory foam, orthopedic one. If not better in 1-2 weeks, see doc. May need stronger pain killers for a short while. ...Read more

See 2 more doctor answers
2

2
Mri shows foraminal stenosis l5-s1, l4-5, l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful. Surgery?

Mri shows foraminal stenosis l5-s1, l4-5,  l3-4 and extrusion nearly abuts the descending bilateral s1 nerve roots. L leg is numb & painful.  Surgery?

Would Need More Info: In general, i would need more symptoms, but what you are describing with your symptoms and the results of the mri, i would first recommend physical therapy and epidural before considering surgery. Really depends on your examination and whether there is any weakness. I would check with your doctor. ...Read more

See 2 more doctor answers
3

3
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

See 1 more doctor answer
4

4
Grade 2 anterolisthesis L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defect at l5. Right leg goes numb after standing still for 5 min or more. Surgery?

Grade 2 anterolisthesis L5 on s1 with severe loss of disk height. Moderate loss of disk height at l3-4 and l4-5. Pars defect at l5. Right leg goes numb after standing still for 5 min or more. Surgery?

Spinal pain: It certainly time to consider advanced treatments, diagnosis, and possibly surgery. You have a bad spine with multiple pathologies. It's important to figure out if you have active ongoing nerve damage. An EMG will give you the information that you need. If you don't have active nerve damage try everything else (injections, decompression, chiro, pt) before surgery as many can avoid surgery. ...Read more

See 2 more doctor answers
5

5
Can moderate central canal stenosis throughout the lumbar spine, moderate degrees of neural foram, stenosis at l4-5,l5-s1 cause gastroparesis please H?

Can moderate central canal stenosis throughout the lumbar spine, moderate degrees of neural foram, stenosis at l4-5,l5-s1 cause gastroparesis please H?

Not likely: Lumbar spinal stenosis can give rise to a condition called cauda equina syndrome. CES can give rise to bowel dysfunction but generally in the form of incontinence or constipation. This is a lower bowel problem and not a generalized condition such as gastroparesis (a condition that reduces the ability of the stomach to empty its contents). I hope this helps. ...Read more

See 1 more doctor answer
6

6
Can neural foraminal , and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5,l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Can neural foraminal , and lumbar spinal stenosis, with ddd at l5-s1. And the stenosis is at l4-5,l5-s1, cause HIGH abn on CBC for WBC mono lymph gran?

Ummm....: Let me see if I can translate your post into English: You have bony and disc abnormalities in your lumbar spine and also some hematological abnormalities. Is that the correct rendering? The two have nothing to do with each other. Did you ask the question of your doctor? (I recommend that in future you have a native speaker of English check your question before you post it.) ...Read more

See 1 more doctor answer
7

7
Just had L4-5 L5-S1 discectomies .am now pain free...what can I do to Stay pain free?

Just had  L4-5 L5-S1 discectomies .am now pain free...what can I do to Stay pain free?

Pain free: after successful discectomy I would recommend several things. Stay physically active. Abdominal strengthening exercises should be done with supervision initially. Make sure your Vitamin D and Calcium levels are adequate. Be sure to adhere to any restriction (lifting) you have been given. Do not twist laterally when picking things up. Vitamins A and C, Zinc and methionine are import after surgery. ...Read more

8

8
I have arthropathy at l2-3, l3-4, l4-5 and L5 -s1 im on pain all the time what is arthropathy

Arthritic joint: Arthropathy describes an arthritic joint. Based upon your description, you likely have a radiology report that is describing your facet (or zygopophyseal) joints. These are the joints in the back of the spine (behind the disc and spinal canal). There are two at each spinal level. ...Read more

See 1 more doctor answer
9

9
How significant are annular tears at L4 5 and L5 s1? These findings are from MRI after a car accident injury.

How significant are annular tears at L4 5 and L5 s1?  These findings are from MRI after a car accident injury.

Depends: The annulus fibrosus is a thick, fibrous tissue around the edge of the discs in between the vertebrae holding the disc in place. A fissure/tear indicates disruption of some of these fibers. Fissures are very common and most are asymptomatic, but they can be a source of pain, especially if they are close to a nerve. Also, disc herniations may occur through these areas of weakness. ...Read more

See 2 more doctor answers
10

10
Can someone explain the effect extension has on a moderate bulging disc w/ mod degeneration at l4-5 and l5-s1?

Can someone explain the effect extension has on a moderate bulging disc w/ mod degeneration at l4-5 and l5-s1?

Complicated...but: There have been lots of studies that show mckenzie exercises help reduce pain but have no (or negligible) effect on bulging discs. They do not reduce recurrences of back pain and little functional benefit. But, i still recommend them for certain patients. See a spine specialist! ...Read more

See 1 more doctor answer