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

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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

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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

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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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X-ray says: grade 1 anterolisthesis of L4 on L5 (6mm) mild disc height loss @ l3-4, l4-5, l5-s1. Feel asymmetric pain: upper r calf/l sole. Related?

X-ray says: grade 1 anterolisthesis of L4 on L5 (6mm) mild disc height loss @ l3-4, l4-5, l5-s1. Feel asymmetric pain: upper r calf/l sole. Related?

Yes: This is also called degenerative spondylo and is dueit to degenaration of the facet joints. It also produces some degree of spinal stenosisand some impigment of the nerve roots and hence some radiculopathy that can give you the symptoms you are expiriencing now. ...Read more

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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

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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

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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

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

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

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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

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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

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How common is it for a thin 15 year old female to have bulging discs at l4-5 and l5-s1? She has pain when getting up from a sitting position

Disc bulges: Disc bulges are best considered as asymptomatic incidental findings not used as an explanation for a pain complaint just keep looking for pain generator rule out muscluar pain first, the evidence for disc bulges are painful is weak, and subjective, biased and leads to no effective treatments that uphold the first do no harm ethos one guys opinionl after14 years of experience it. ...Read more

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Should I have artificial discs put in my back for annular tearing and bulging of l4/5 and l5/s1?

Should I have artificial discs put in my back for annular tearing and bulging of l4/5 and l5/s1?

Only you can decide: This needs to be an extensive conversation between yiu and the doctor recommending it. Spine surgery is no small thing and disc abnormalities happen to almost everyone. The question to ask is "what is the purpose of replacement? What is to be gained? " ...Read more

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What to do if I had surgery (tlif L4 5 L5 s1) and recently found out that What to do if I had a failed fusion.?

What to do if I had surgery (tlif L4 5 L5 s1) and recently found out that What to do if I had a failed fusion.?

That depends on what: You mean by that-did the fusion not heal or did the fusion heal & you have persistent symptoms. 1st case may require another surgery to achieve fission. This may best be achieved by minimizing factors that affect healing like smoking in addition to a 360 surgery or front & back approach surgery with the addition of bone morphogenic protein to help with the fusion. If 2nd case, speak to your doc ...Read more

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Lumbar lordotic curvature is reduced. Loss of T2WI hyperintensity is seen at L4-5 & L5-S1 disc levels suggestive of desiccative disc change.?

Degenerative disc: As we age we do develop gradual degenerative disc disease, a "wear and tear", and not unique to see desiccation or drying out of disc structure, which can shrink. This is NOT an indication for either surgery or injections, and best handled by good nutrition, sleep, and exercise. If you have low back pain, a physical therapy program can benefit. ...Read more

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Narrowing of the disk space at the L4 5 and L5 s1, loss of disc height, how can we make it fixed?

Narrowing of the disk space at the L4 5 and L5 s1, loss of disc height, how can we make it fixed?

Disc narrowing: Disc narrowing is a natural aging process. It is just like wrinkles and gray hair. If you live long enough, it will happen to 100% of people. It is not arthritis which is a disease. It is also called degenerative disc disease or loss of height of disc space. ...Read more

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I am having headaches after my bilateral l4/5, l5/s1 lumbar facet medial branch block. Is this normal.

I am having headaches after my bilateral l4/5, l5/s1 lumbar facet medial branch block. Is this normal.

Wait and watch: Typically no reason to have headaches after mediial branch block. Potentially may happen IF the needle accidentally went too deep and caused spinal fluid leak but still the headache in that case would be constant with some change with position (lying down versus sitting up). Alternatively could be from steroids if used for block. Best to ask the office that did the block. ...Read more

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Can you explain my findings...grade 1 anterolisthesis of L5 on S1 of 4mm. Degenerative about facet joints L4-5 and L5-S1.

Can you explain my findings...grade 1 anterolisthesis of L5 on S1 of 4mm. Degenerative about facet joints L4-5 and L5-S1.

Yes: Normally the vertebrae line up when going from one to the next. An anterilisthesis simply means one varrtebrae is shifted forward on the other. The facet joints are joints in the back of the spine and at the two lower levels you have developed some degenerative arthritic changes. ...Read more