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Doctor insights on: Hernia Discal L5 S1

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Are there non steroidal and non surgical treatments for a l5-s1 disc hernia?

Are there non steroidal and non surgical treatments for a l5-s1 disc hernia?

Therapy: You can try Ibuprofen over the counter and physical therapy as a first line treatment of a herniated disk without surgery. If you fail therapy and your pain persists, you may need surgery. Try to do physical therapy first. Williams and mckenzie exercises help quite a bit. ...Read more

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Dr. David Earle
1,427 doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more


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Can an L5 s1 hernia heal on its own?

Can an L5 s1 hernia heal on its own?

Herniated disc?: If you do not have nerve compression resulting in pain or bladder/bowel dysfunction, your body will eventually form scar tissue around the new place the disc rests and the symptoms will improve. This can take 2-3 months. ...Read more

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Hello, lm from macedonia and l need a help because l really don't know how to get health l have 27 age, and l have discuss hernia l4, L5 l5-s1 pls, help?

Hello, lm from macedonia and l need a help because l really don't know how to get health  l have 27 age, and l have discuss hernia l4, L5 l5-s1 pls, help?

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

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I just discovered a ~5mm L5-S1 hernia. I workout moderately at the gym 4 times/week-1h. Is it true that flexing is bad in my case? How about crunches?

I just discovered a ~5mm L5-S1 hernia. I workout moderately at the gym 4 times/week-1h. Is it true that flexing is bad in my case? How about crunches?

Disc herniation?: While flexing is thought to potentially increase risk of worsening a disc herniation.. It is not necessarily bad; especially if it isn't causing you more pain. I would be cautious with squatting exercises and recommend working on core strength (back/abdominals). Over overdoing repetitive flexion activities in the gym if possible as a precaution. Learn a Mckenzie program. Hope that helps! ...Read more

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How many kilos is it ok to lift at the gym considering l have a L5-S1 ~5mm hernia? I haven't had any sciatica problem from it. I'm 5'2" and 110 lbs.

How many kilos is it ok to lift at the gym considering l have a L5-S1 ~5mm hernia? I haven't had any sciatica problem from it. I'm 5'2" and 110 lbs.

See a physiatrist: It is wise of you to investigate these limitations. However, this isn't something that can be answered generally, and requires an understanding of your body habitus, history of training, planned activities, etc. A Physical Medicine and Rehabilitation specialist can assist you in assessing your overall limitations by both evaluating your various tests and your physical examination. ...Read more

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Is it normal to still feel pain after 2weeks hernia surgery on l5-s1?. Leg hurts when stretched horizont., the hernia was large, nerve still swolen?

Is it normal to still feel pain after  2weeks hernia surgery on l5-s1?. Leg hurts when stretched horizont., the hernia was large, nerve still swolen?

Not uncommon: Never the less please make appt with the surgeon to make sure that you are healing normally. Many things could have gone wrong after you went home. ...Read more

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Need doctor's help! will L5 s1 cause hernia type groin pain?

Need doctor's help! will L5 s1 cause hernia type groin pain?

Yes, it is possible: But sensory nerves in this area originate from higher levels, so it is not very likely. ...Read more

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I have bulging in l5-s1 causing major sciatica l5-l4 is almost as bad slight stnosis in my t spine and small hernias i take MS cotin 30-2/day still pa?

I have bulging in l5-s1 causing major sciatica l5-l4 is almost as bad slight stnosis in my t spine and small hernias i take MS cotin 30-2/day still pa?

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 pain/spine specialist. You may be a candidate for epidural steroid injections for relief. ...Read more

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Back injury d/t pt pulling me forward & leaned back against force. Hernia L5-S1(MRI L3-5). Mid back sore 3 months later.Called strain but not healing.

Back injury d/t pt pulling me forward & leaned back against force. Hernia L5-S1(MRI L3-5). Mid back sore 3 months later.Called strain but not healing.

Consult: Physical therapy is important. Can Consult neurologist, pain specialist, back specialist, sports doctor, physiatrist and yes neuro or back surgeons for additional options on treatment. Alternative and complementary practitioners that are experienced in back pain can also help. Get all opinions and options available and research your surgeons before disk surgery which may be what is needed. ...Read more

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Can a sudden fall onto your coccyx cause a disc to slip L5 s1?

Can a sudden fall onto your coccyx cause a disc to slip L5 s1?

Disc: It is certainly possible, but perhaps there were already disc issues before. ...Read more

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Does a disc annular repair itself in a l5-s1 bulging disc case?

Does a disc annular repair itself in a l5-s1 bulging disc case?

Yes!: We never see them in older adults. Even for full blown herniations, the discs repair... http://casereports.bmj.com/cgi/content/full/bcr-2013-201037. ...Read more

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Is it possible that a l5-s1 bulging disc be herniated over time?

Is it possible that a l5-s1 bulging disc be herniated over time?

Bulging Disc: A bulging disc= herniated disc. The real significance is the degree of herniation and whether there is any impingement on the nerves in the cauda equina of the lumbar spine (peripheral nerves). ...Read more

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Can an extruded disc fragment at L5-S1 go away without dissection?

Can an extruded disc fragment at L5-S1 go away without dissection?

Not usually: Are you symptomatic? It depends where the fragment is in relation to the herniated disc (anterior, posterior, lateral placement, and how big it is, and whether it's impinging on anything or not). Need to speak to your spine specialist about this further, as s/he did the physical exam, and has the imaging needed to answer this question more fully. ...Read more

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What are some good, safe exercises to do with L5/S1 Herniated/Bulging disc?

What are some good, safe exercises to do with L5/S1 Herniated/Bulging disc?

Prone on Elbows: Hi TamaraR, It is always best to be evaluated by a competent specialist prior to starting exercises. Generally, pain can be relieved by stretching exercises that arch your back. You can lay down prone with elbows resting on the ground and arch your back for 3-5 min at a time. If you have symptoms such as weakness then it may be urgent to see a specialist. Thank You Dr. Ayman Omar ...Read more

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What does disc height loss in L4-L5 thru L5-S1 and osteophytes in L4-L5 mean?

What does disc height loss in L4-L5 thru L5-S1 and osteophytes in L4-L5 mean?

Entrap roots : Possibly roots can be trapped or spinal space can be stenosed ...Read more

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Can you tell me what is degeneration and massive central herniation of the l4-l5 and l5-s1 discs?

Can you tell me what is degeneration and massive central herniation of the l4-l5 and l5-s1 discs?

Yes this is when a : When a disc ages, it degenerates & when it does it is more susceptible to herniate. If a smoker, the disc wears out 4x faster & smokers have a 2x higher rate of herniations compared to non smokers . Size of a disc herniation usually does not matter in terms of symptoms but they tend to get better quicker & without surgery as they most likely provoke a large inflammatory or healing response! ...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?

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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How would I correct my back the l5-s1 has disc desiccation and 2 mm of retrolisthesis of L5 onto s1?

How would I correct my back the l5-s1 has disc desiccation and 2 mm of retrolisthesis of L5 onto s1?

Don't look at pic: The picture of your back usually does not play a role in your treatment unless you have failed nonop care and have symptoms that warrant surgery and findings on studies consistent with your complaints. All of us develop changes at l5-s1 over time and the dessication with retrolithesis is a normal finding for most as we age not necessarily requiring a "fix.". ...Read more

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Does an extruded disc fragment, very painful, require surgery, and fusion surgery l5-s1 help with the pain?

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