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Doctor insights on: Exercise For L5 S1 Herniated Disc

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Dr. Heidi Fowler
5,169 doctors shared insights

Exercise Or Physical Activity (Definition)

Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more


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DDD Spondy l5-S1 severe stenosis herniated discs + abdominal injury any advice on how to correct posture & improve Severe hunching?

DDD Spondy l5-S1 severe stenosis herniated discs + abdominal injury any advice on how to correct posture & improve Severe hunching?

How about PT: Well, I know you're in pain with all that you've said..you haven't specified the nature of the abdominal injury so I don't know whether or not you are bedbound right now or able to get up and move about? Is there a plan to surgerize the back with everything there? I wouldn't necessarily unless it's your only option. But as far as posture goes, PT is usually pretty good with helping with that. ...Read more

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Back disc L4 L5 compresed moderately to L5 nerveroot & L5 s1 mildly intending calsac s1 nerveroot. doing PT. can it cure? Once cured wil ths come agn?

Back disc L4 L5 compresed moderately to L5 nerveroot & L5 s1 mildly intending calsac s1 nerveroot. doing PT. can it cure? Once cured wil ths come agn?

Yes and no: Physical therapy does not "cure" the radiologic findings you are describing; but some people can come through therapy with much less pain and able to be much more active. And because the findings in the MRI are not dangerous, if anything nonoperative can be done to reduce your pain and improve your activity level that would essentially be a form of "cure." ...Read more

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Have 8 hern. discs, spinal facet arth., deg. disc dis., and more. Losing weight and core strengthening. Would a lumb/sac belt ever be an good option?

Have 8 hern. discs, spinal facet arth., deg. disc dis., and more.  Losing weight and core strengthening. Would a lumb/sac belt ever be an good option?

It may help with : your symptoms in conjunction with a well executed exercise program combining: flexibility, cardiovascular conditioning and core strengthening. You may want to start this program under the guidance of your physician and a physical therapist and transition to a home program. ...Read more

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Greetings! I would like to ask about m xray result: Loss of lumbar lordosis L5 seen sacralized Spna bifida L5 L5-S1 is narrowed Disc prolapse L5-S1?

Greetings!
I would like to ask about m xray result:
Loss of lumbar lordosis
L5 seen sacralized
Spna bifida L5
L5-S1 is narrowed
Disc prolapse L5-S1?

Combination of issue: Some of the back issues are congenital, some due to injury or wear and tear. None seems surgical, and your symptoms can respond to conservative therapy. ...Read more

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I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

Surgery: Sometimes it solves with pain control, pain procedures (epidurals w/local anesthetic and steroids). After reducing the inflammation the disk if it is intact could slip backwards in place. The spondilosis is a chronic condition similar to the osteoarthritis that can not be cured like the disk herniation.I think you meant spondylolisthesis. Surgery can be efficient but also can have complications. ...Read more

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Herniated disc at L4 and L5 causing sciatica, please help?

Herniated disc at L4 and L5 causing sciatica, please help?

See your doctor: The doctor who ordered the scan which showed the disc herniations should be able to give advice regarding the next steps. Any numbness or weakness associated with the sciatica should be worked up by a neurosurgeon, who may recommend conservative management including injections, endoscopic or minimally invasive discectomy, laminectomy etc depending on the findings. ...Read more

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L4-l5 mild to moderate disk bulge. L5-s1 severe disk herniation. Microdiskectomy, what to do?

L4-l5 mild to moderate disk bulge. L5-s1 severe disk herniation. Microdiskectomy, what to do?

Aquatic exercise: Swim, water aerobics or walking in chest deep water. We are about 80% lighter standing in chest deep water due to buoyancy. This will make exercising easier. Start with an amount that is relatively easy and comfortable, then repeat 4 or more days per week and add a few minutes to the program once a week, initially only add 2-3 mins per week, so you don't over do it. Don't give up and keep moving. ...Read more

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What does Bilateral L5 pars fractures with grade 1 anterolisthesis of L5 S1 and L5 S1 mild to moderate diffuse disk bulge mean?

What does Bilateral L5 pars fractures with grade 1 anterolisthesis of L5 S1 and L5 S1 mild to moderate diffuse disk bulge mean?

See below : There is a term called isthmic spondylolisthesis that summarizes what you have. Basically at some point you developed a fracture in a part of the spine known as the pars interarticularis and this allowed one of your vertebrae to shift forward on the other. It is a fairly common cause of back and leg pain. Many good treatment options. Discuss directly with your doctor. ...Read more

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There's a tarlov cyst at s1 & s2 , a fracture at L5 pars interarticularlis and mild disc dessication at L5 S1 level...what do I do about it plz?

There's a tarlov cyst at s1 & s2 , a fracture at L5 pars interarticularlis and mild disc dessication at L5 S1 level...what do I do about it plz?

Symptoms: Those are MRI findings you recited. More importantly what type of symptoms are you having? When did you injure your back? How did you injure your back? Tarlov cysts at the sacral level are usually not pathologic . Fractures of the pars interarticularis are not necessarily painful. See your primary care doc for eval, Physical Therapy, Core strengthing, diet , good sleep regimine, for starters ...Read more

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I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read more

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Is this bad?: Moderate degenerative disc disease at L4-L5 and L5-S1, better characterized on the more recent MRI. A disc osteophyte complex at L5-S1

Is this bad?:  Moderate degenerative disc disease at L4-L5 and L5-S1, better characterized on the more recent MRI. A disc osteophyte complex at L5-S1

Degeneration is norm: What you're describing could be the normal process of aging in the lumbar spine. Discs degenerate as we get into our 30's & 40's, but most often, don't cause pain. The disc degeneration is often associated with bone spurs, or osteophytes. Again, this can be normal as we age. Low back pain due to degenerative issues is effectively treated with nonoperative methods - exercise, therapy, OTC meds. ...Read more

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My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?

Nothing: Research has shown that the findings on imaging studies do not correlate all the time with patient symptoms. If you have no problems then don't worry about it. If you have back pain, it is more likely to be associated with muscle strain than the bulging disc. Sacralization is common on of no real signficance. ...Read more

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I have herniated disc on L4 L5 and buldge on L5 s1. Before pain in flexion now more on extension. Y? Any sugstn?Mri done

I have herniated disc on L4 L5 and buldge on L5 s1. Before pain in flexion now more on extension. Y? Any sugstn?Mri done

Many treatments: Start with physical therapy and core conditioning. At some point an epidural steroid injection might be helpful. If all else fails and your symptoms impact your activities of daily living, surgery can be curative. I would suggest seeing a spine surgeon with expertise in minimally invasive spine surgery if it comes to that. ...Read more

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Do a recent c5-c6 herniated disc with spondylosis and l5-s1 prolapse disc with spondylosis cause symptoms similar to heart attack?Chest pain& fatigue

Do a recent c5-c6 herniated disc with spondylosis and l5-s1 prolapse disc with spondylosis cause symptoms similar to heart attack?Chest pain& fatigue

Not usually. See MD: A cervical disc on the left can cause pain in to left shoulder/scapula and in to the arm. The pain can give a patient fatigue if sleep is impaired. The heart should definitely be evaluated as soon as possible, though, as that could be potentially be life-threatening. ...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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Bad constipation for ~4wks. Tried high fiber (3x rda!), more h2o, & stim. Laxatives (mildly helpful). Can lumbar ddd/torn disc at l5/s1 cause this?

Bad constipation for ~4wks. Tried high fiber (3x rda!), more h2o, & stim. Laxatives (mildly helpful). Can lumbar ddd/torn disc at l5/s1 cause this?

Medications: The disc does not cause this, but the immobility (not moving because of the pain) and the medications you take for the pain sure can. Getting up and move around helps, mix some raw oatmeal with prune juice in a blender and make a milkshake/smoothie out of it, avoid any codones/narcotics will usually help. ...Read more

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Workouts for people with herniated discs advised?

Workouts for people with herniated discs advised?

Depends: A lot depends on positions that cause problems (bending forward or back). This has an impact in exercises that help. So if you have pain with sitting or bending forward then do exercises in standing or neutral spine positions (elliptical), if the opposite consider things like recumbent bike. Either way avoid exercises where you have to bear down. ...Read more