Top
30
Doctor insights on: L4 L5

Share
1

1
What can be done for a herniated l4/l5 disc?

What can be done for a herniated l4/l5 disc?

Disc: Many things can be done. Please see your doctor and have a full work-up. Pt, chiropractic, injections, decompression etc. Can be tried before any surgical options are expleored. ...Read more

2

2
What is the management of mild indentment of l4/l5?

What is the management of mild indentment of l4/l5?

Exercise: I presume you mean bulge of the l45 disc. This is normal finding with aging. Exercise and learning proper posture and body mechanics will usually control most low pain caused by bulging discs. ...Read more

4

4
What is narrowing of the left neuroforamina at l4-l5 mean?

What is narrowing of the left neuroforamina at l4-l5 mean?

See details: It means there are osteoarthritic changes in that area which could be compressing the nerve root. ...Read more

5

5
Should I ride a spin cycle with a bad L4 L5 or a more conventional stationery bike?

Should I ride a spin cycle with a bad L4 L5 or a more conventional stationery bike?

Whatever tolerated: Any aerobic activity you tolerate is fine. No harm is likely even if it hurts. Just experiment and find what you enjoy and tolerate best. I would expect a recumbent cycle to be best tolerated as it provides the best back support. Anything that stoops you forward will likely aggravate your pain a bit. ...Read more

6

6
I have a problem of L4 L5 and s1?

I have a problem of L4 L5 and s1?

This would: Refer to a problem in the bones or nerve roots at the very bottom of your spine or start of the pelvis. ...Read more

7

7
Osteophytes at l4-l5 what does this mean?

Osteophytes at l4-l5 what does this mean?

Sign of arthritis: U mean l-1, l-2? This is a sign of a degenerative process @ than level in ur spine. They r not always symptomatic. C a spine surgeon if u r symptomatic. ...Read more

8

8
How is spinal retrospondylolisthesis of l4-l5 managed?

How is spinal retrospondylolisthesis of l4-l5 managed?

Depends on symptoms: Retrolisthesis occurs from degenerative changes in the disc and facet joints of the spine. It is generally considered more stable than a forward slippage and therefore a fusion is not always recommended if you are having nerve pain. Instead a simpler laminectomy can be done. If the slippage is significant leading to narrowing of the nerve exits (foramen), then a fusion is sometimes warranted. ...Read more

9

9
Broad based central disc protusion at l4-l5 level? I'm 26 years old. How long till I recover?

Physical therapy: The broad central disc protrusion is a radiographic finding and may not be the cause of your back pain. Studies have been done on people of all ages at random and it has been shown that the broad disc protrusion is usually not symptomatic. If there is asymetry so that it compresses the neural foramen on one side, that is different. Still, over 90% improve without surgery.Physical therapy is helpful. ...Read more

10

10
What is an annular fissure? Is having an annular fissure centrally at l4/l5 something serious?

What is an annular fissure? Is having an annular fissure centrally at l4/l5 something serious?

Maybe/or not: I guess we are talking about a lumbar disc, and depending on your level of pain/ incapacity will guide your treatment options. If you are feeling O.K. The MRI findings are not that important. ...Read more

11

11
What are the symptoms of l4/l5 central disc herniation. Thanks a lot for answering in advance. :)?

What are the symptoms of l4/l5 central disc herniation. Thanks a lot for answering in advance. :)?

Lower leg symptoms: L5 nerve impingement (L4-5 level) from a herniated disc can cause weakness in extending the big toe and potentially in the ankle (foot drop). Numbness and pain can be felt on top of the foot, and pain may also radiate into the buttock. S1 nerve impingement (L5-S1) may cause loss of the ankle reflex and/or weakness in ankle push off (patients cannot do toe rises). Numbness and pain in foot noted. ...Read more

13

13
Can a person with mental bars in their back go back to work after back accident L3 broken fused L4 L5 31-year-old male?

Can a person with mental bars in their back go back to work after back accident L3 broken fused L4 L5 31-year-old male?

Back trauma: Have your orthopedic surgeon assess what you can and cannot do. It may be light duties that protect your back. All the best. ...Read more

14

14
I go to the vamc for my primary medical needs. I've had a double discatomy of l4-l5 in'09. Lately bending and such has been a chore to do.?

I go to the vamc for my primary medical needs. I've had a double discatomy of l4-l5 in'09. Lately bending and such has been a chore to do.?

See your doctor: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more

15

15
Microdisectomy L4/L5 6 months ago. I started spring cleaning, now I have been experiencing crucial pain on my right side of my spine for 1.5 wks now?

Microdisectomy L4/L5 6 months ago. I started spring cleaning, now I have been experiencing crucial pain on my right side of my spine for 1.5 wks now?

Likely a strain: It is likely a lumbar strain. However, if the pain begins to radiate down the leg as it did prior to surgery it may be a herniated disk recurrence. You should speak with your surgeon about any radiating pain or bowel/bladder issues. I would try ice and heat along with NSAID to control current symptom. Also continue therapy exercises. No more than 20 minutes for ice and heat. ...Read more

16

16
I have exactly the pain as described above by. "a member asked" please help, as I am 71yrs old, and in pain, have backproblems at L4& L5...cushions gone?

I have exactly the pain as described above by. "a member asked" please help, as I am 71yrs old, and in pain, have backproblems at L4& L5...cushions gone?

Distressing. ..: I'm sorry I can't see the pain description from another questioner, but certainly degenerative joint disease/arthritis is a common cause of pain as we get older: deterioration of the discs/cushions with stiffness & strain of the supporting muscles. See doc for diagnostic eval, then rest, ice and/or heat, proper exercise/conditioning, pain/anti-inflamm meds, TENS, relaxation: multiple strategies! ...Read more

17

17
I had a laminating & fusion of L4 L5 on December 23rd. My question is what exercises should I be doing to help my recovery? I am walking 2 1/2 miles a day.

I had a laminating & fusion of L4 L5 on December 23rd. My question is what exercises should I be doing to help my recovery? I am walking 2 1/2 miles a day.

Remember: This is something based addressed with your physician and physical therapist as they should have a better understanding of any concerning complications/limitations in regards to exercise. ...Read more

18

18
Best treatment for L4 L5 problem?

Best treatment for L4 L5 problem?

Depends on the: Problem. A number of disorders, e.g., spondylolisthesis, slipped disk, fracture, arthritis, hla b-27 related disease, spina bifida oculta, metastatic tumor etc can affect l4-5 region. Treatment would depend on the disease affecting a particular person. ...Read more

19

19
Is xlif surgery appropriate for L4 L5 fusion?

It could be: Is that the only level involved. Are other levels also damaged.

You could first consider prolotherapy to stabilize the back with out surgery. Can always do surgery.

Visit www. Getprolo. Com or www. Aaomed. Org for info on prolotherapy and to find a doctor to help you and give you another opinion. ...Read more

21

21
Work related injury (herniated) l4/l5. Feet problems now. Related?

Work related injury (herniated) l4/l5. Feet problems now. Related?

Lumbar radiculopathy: Herniation of the l4-5 disc may impinge or "pinch" the exiting nerve roots of l5, the traversing nerve roots of s1 & occasionally the L4 nerve root if it is a far lateral disc herniation. These nerves travel from the spine to the lower leg, feet & as far as the toes. This explains why an l4-5 disc herniation may be accompanied by symptoms such pain, numbness, & pins & needles sensation in the feet. ...Read more

22

22
What does mild l4-l5 diffuse disc bulging with anterior thecal sac effacement mean?

What does mild l4-l5 diffuse disc bulging with anterior thecal sac effacement mean?

Disc bulge: It means that the disc is somewhat compressing the sac around the spinal canal. In some patients, this may cause neurologic deficit or be completely asymptomatic. ...Read more

23

23
Please let me know if there is any help for a pinched nerve in L4 & L5 in lower back?

Please let me know if there is any help for a pinched nerve in L4 & L5 in lower back?

Many options!: However, this is as long as there are not motor deficits (weakness) yet. If there is weakness, it becomes a more important discussion. If no weakness, and stable, then physical therapy should be your first stop. From there, epidural injections can be helpful, as well as medications, including oral steroids acutely can help. Many modalities, including things like acupuncture. Avoid sx until needed. ...Read more

24

24
What complications can arise from having a nerve block done on lower back by the L4, L5?

Epidural is safe: Since the spinal cord ends at L1, L2 level, there is minimal chance of injury to the spinal chord during a lumbar epidural steroid injection, especially when done under flourscopy. Hope that helps. ...Read more

25

25
Microdisectomy with hemilaminotomy at L4 L5 on 6 march 2013 when can I start running/jogging again?

Microdisectomy with hemilaminotomy at L4 L5 on 6 march 2013 when can I start running/jogging again?

Postop microdisk: When your surgeon says you can. Each patient is different and the findings at surgery suggest postop instructions. Continue to avoid bending/lifting/twisting until advised otherwise. Low impact aerobics are fine after pain from surgery subsides and you are no longer taking pain meds. ...Read more

27

27
I have a fusion at l4-l5 I have a broken screw and another screw that appears to be backing out is there any way to fix my issue?

I have a fusion at l4-l5 I have a broken screw and another screw that appears to be backing out is there any way to fix my issue?

Yes: You need to determine why the screw broke and the other is backing out. Most likely, you have a pseudoarthrosis (meaning the fusion did not heal). Another surgery may be needed to help re-fuse the area. I recommend evaluation by a spinal surgeon. ...Read more

28

28
If I have a L4 L5 discectomy could I return to classes in 1 week? Class length is 3 hours per day on tuesday and thursday and 1.5 hours mwf.

If I have a L4 L5 discectomy could I return to classes in 1 week? Class length is 3 hours per day on tuesday and thursday and 1.5 hours mwf.

It should be ok if: You can get up or stand periodically for the next few weeks as sitting generates 4times your body weight across the discs of lower back. Get a note from your surgeon. ...Read more

29

29
L4 & L5 disc in my back are compressed. I have had pain for over 6 months in back and 1 leg. Dr says will get better on its own, but it hasnt.

L4 & L5 disc in my back are compressed. I have had pain for over 6 months in back and 1 leg. Dr says will get better on its own, but it hasnt.

Options: Data suggests that surgery may provide early relief of leg pain from herniated disks. Non operative therapy is generally successful as well but can take up to a year. Therapy and injections are also options. Back pain may or may not improve with surgery but leg pain is reduced or eliminated routinely. ...Read more

30

30
I have two herniated disks at L4 L5 but my back has been cracking and poping a lot more lately and its extremely painful as if I broke my back?

I have two herniated disks at L4 L5 but my back has been cracking and poping a lot more lately and its extremely painful as if I broke my back?

The popping: And cracking is probably due to changes in the ligaments or arthritis in the facet joints which are the actual articulations of the vertebrae in the spinal column ...Read more