Doctor insights on:
Exercises For Bulging Discs L4 L5
I have severe stenosis at L4-L5 two bulging discs at L4-L5 & L-5-S-1, ddd. I have started noticing that area feels hot to the touch. Ideas?
Unusual: The presence of heat over the area is an unusual complaint, even in someone with severe stenosis. I would probably be seen and examined, in part to make sure you have not developed some form of infectious process somewhere; particularly if you have had any invasive spinal procedures such as an epidural steroid injection. ...Read more
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
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
I have mild facet arthropathy from l3-s1 as well as bulging discs at l4-5&l5-s1 and bilateral neural foraminal stenosis @l5-s1. What does this mean?
My MRI study reveals diffusely bulging discs at l4-l5, l5-s1 level. Fluid signal intensity at above facet joints, due to facetal arthropathy please explain?
Depends on symptoms: The discs in the lower back (lumbar spine) frequently bulge. This can cause some back pain but usually doesn't affect the nerves in a 19 yo. If there is a focal disc "herniation" this can cause problems with the nerves. Facet arthropathy means there is some inflammation and/or degeneration of the joint in the back of the vertebra. Fluid around the joint suggests this may be a source of pain. ...Read more
What is the prognosis for lumbar stenosis with bulging discs at l4/l5 and l3/l4 with spinal cord effacement and bilateral facet joint hypertrophy.
Mixed: Facet hypertrophy is a common change as people age; the amount of joint enlargement is more important than the fact that it is present. Stenosis is an issue if it is symptomatic. Weight control and exercise can help. Surgery can help in cases that don't respond to other treatment. The spinal cord usually ends at l1-2, so if it truly goes down to l5, there are other issues that need to be addressed. ...Read more
Slight disc bulge at l4/l5. Treatment needed? Will traction make disc go back in? Or just back exercises will do?
Integrative care: A herniated disc can cause back pain as well as foot pain by physically pressing on the nerves that travel to the foot and by irritating them through the extrusion of pro-inflammatory disc materials. Physical therapy and other conservative measures, including medication management, are considered first line treatment. If these fail, your physician may recommend epidural steroid injections. ...Read more
I have a disc bulge in l4/l5 which goes to the left but the majority of my symptoms are to the right. The dr says this is abnormal. Is this right?
Disc bulge & symptom: Yes, this is unusual. If the bulge is on one side, most of the time, it would cause symptoms on that side, if it affects a nerve root. What are the symptoms? A disc bulge is not necessarily the cause of symptoms, unless it impinges on a nerve root. Sometimes it is not the disc but the nucleus pulposis or disc jelly material that causes the problem. ...Read more
Got disk bulge l4-l5, l5-s1degenerative disk disease and suffering from 9 months, is there any chances of healing?
Back pain: Most patients with disk herniation or bulging improve with conservative therapy, including physical therapy, massage, stretching. Other options like chiropractic approach or acupuncture may offer some relief. Combination of short term anti-inflammatory medication or muscle relaxer may be helpful. Your doctor may consider EMG/ NCS or neuroimaging if surgery is viewed as an option if refractory. ...Read more
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
Is it really rare for l5-s1 bulging disc / minor herniation to slip back to its place compared to l4-l5?
First, discs don't: "Slip" back into place but the majority resolve just fine over time 90% without any surgery. If one were to do a follow up MRI from the first one over a 6 month period, 60+% chance of noting the disc resorted or shrink in size. Also, disc bulges are normal findings on imaging studies of the spine and even significant disc herniations can get better without surgery. ...Read more
I have back pains with a bulging disc and pinched nerve in my L4 L5 disc and the neurosurgeon recommended amytriptlene?
1possibility: It is very common to have a bulging disc. The nerve symptoms are usually related to inflammation. The first step in treatment is usually anti- inflammatories and physical therapy to decrease the mechanical traits that are putting pressure on the disc and strengthen your core. When these measures do not completely work, a medication to help with netve pain is often added. Amytrip. Is one of those. ...Read more
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?
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
Mri shows disc bulge at l4/l5. Will disc return to normal position with time n stretches? What caused it? Does it mean more danger of it herniating?
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
Broad based disc bulge between L5-S1 and L4-L5 has a a broad based central disc protrusion whay am I in pain?
2 bulging discs: In lumbar spine. These discs may push against nerves thereby causing pain. Non-steroidal pain relievers may help. Physical therapy may help. In general, most patients improve within 6 weeks to 3 months. Surgery is often a last resort and may not provide long term relief. Be patient and follow your doctor's instructions. Thanks for trusting HealthTap! ...Read more
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
Generalized disc bulge with right posterior paracentral type of disc protrusion of L4/L5 I.V disc, canal area 112.11sq. Mm?
Disc protrusion: From your question, it sounds like you have a focal right paracentral (meaning to the right of midline) disc protrusion (disc poking out) superimposed on a general disc bulge of the disc located between the L4 and L5 lumbar vertebral bodies, that pokes out into the central spinal canal by 1.2 x 1.1 cm. I'm not sure what your question is. ...Read more
I have been diagnosed with bulging disc in L4 and herniated disc in l5. I also suffer from utis at least every other month...What should I do?
UTIs not related: First, check with a urologist on UTI & frequency as not related to back issues. In terms of a disc bulge, they are normal findings. Even herniated discs can occur in asymptomatic people. For back health, you need to exercise regularly, particularly core exercise & cardiovascular regimens. Watch your weight & don't smoke. Make sure you have good vitamin d and calcium intake as well. ...Read more
At L4-L5 annular tear and diffuse disc bulge causing narrowing of left lateral recess and neural foramen and abutting ipsilateral exiting nerve root.?
I have mild effacement of anterior aspect of thecal sac related to disc bulging L1/2 also L2/3 is bulging L4/5 bulging L5/6 L/6s/1 vestigial disc spa?
You gave a: Report which should be interpreted by you physician and consultants ...Read more
I have bulging disc at l4/l5 (based on mri) and pain in back and left leg. What can I do to put it back, to fix it and what shouldn't do? Thank you!
Wait a few days: Oftentimes, such pain goes away on its own after several days to several weeks. Studies show that those who have surgery on average are no better off after two years than those who don't.. If its unbearable or worsening, then see a doctor. Physical therapy can help in the short term, but best to just take it easy and don't lie down more than for sleeping, as it can make it worse. ...Read more
Non significant disc bulges & minor postero central annular fissures at l3-l4 and l4-l5. Small circumferential disc bulge at l5-s1. Please advise.?
49 year old spine: Sounds like you have the spine of a 49 year old. It is very common to have minor abnormalities of the discs as you get older. These only become significant when there is a neurologic deficit or pain which directly correlates with the findings on mri. With the findings on this MRI no neurologic findings are expected. Pain is possible but it will be difficult to blame your discs. ...Read more
I'm19.I have a L4-L5 disc bulge. I'm on 23hrs bed rest. No physio or meds. There was no pain for 2 weeks but now I do. Could the disc have prolapsed? Help!
Disc: At your age there is a very good chance for full recovery. PT and exercise should be started after your initial bed rest. ...Read more
L4/l5, posterior disk bulge, central disc protrusion indenting thecal sac. Causing bilateral lateral recesses and lower segments bilateral neural foramin?
Report: You need to take the results in combination with the clinical findings. Ask the attending doctor to explain th findings in conjunction with your complaint ...Read more
What is the maximum weight that I can lift/carry with a L4/L5 disc bulge and L5/S1 disc herniation with an annular tear?
I have l4-l5 bulging disc. My cat puke on my bed. Sudden horrible low back pain, changing sheets. Am I feeling the disc? What could it be?
Spine Injury: 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. ...Read more
Hello doctor. I am diagnosed with diffuse annular disc bulge 1 to 2 mm at L4 l5. Tightnness in mid and low back. How bad will this progress?
Back pain: A bulging disc between the lumbar 4 and 5 vertebral bodies is a sign of early arthritis in the low back. We treat you and not the MRI scan. In general, anti-inflammatory medications and muscle relaxers will reduce or eliminate the pain. Stretching exercise for the low back will improve flexibility. Strengthen core muscles to prevent progression of the bulging disc. ...Read more
Have had severe back pain for a few weeks. Mri shows broad- based disc bulge with annular tear at l4-l5. What are the ways of dealing with this?
Many options: For someone your age, most mds try nsaids and a course of physical therapy first. If not, stronger pain meds (dep on symptoms, radicular pain), perhaps epidural streroid injections to reduce inflammation near the nerve root. If the pain persists and you are unable to function, an orthopedic may consider surgery (hopefully min. Invasive). Most docs try to hold off on surgery if at all possible. ...Read more
I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?
Depends: It depends on why the MRI was ordered and what symptoms and signs exist on the examination. It could be incidental or it could explain alot - without having more history it's impossible to tell. However, given that you have had an MRI, and your physician ordered it, you should ask your health care provider to go over it with you for an assessment. ...Read more
Hi, I have been suffering from lower back pain for the last 3.5 years, which was recently diagnosed as pain due to L4/L5 disc bulge with thecal sac?
Hi, impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?
Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient. ...Read more
I have a fusion at l4-l5 with instramentation. An MRI in 2010 confirmed I had a bulging disc at s1 where I have pain. A new MRI & cat scan was ordere?
Consult your Spine: Surgeon. It is a common to have increased stress at the spinal segment above and below a fusion, with resultant acceleration of degeneration of these segments. However because you see these on xray/mri doesn't mean it is causing any symptoms. A well-trained spine specialist in your area will help you identify the pain generator, which might have nothing to do with the bulging disc you described. ...Read more
What is the best way to get nutrition to allow body to heal spinal disc? L4 - L5 bulge, not arthiritis nutrition, heat? New techniques? Has va insurance
Physical Exercise: Tai chi, yoga for low back pain, Osteopathic manipulation, acupuncture, and lots of walking may work to help alleviate your symptoms. Here is an explanation of osteopathic medicine: http://www. Osteopathic. Org/osteopathic-health/about-dos/about-osteopathic-medicine/Pages/default. Aspx ...Read more