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Doctor insights on: L4 L5 Chronic Pain With Hip Pain

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Can a large cyst at left L4 L5 cause right lower back hip pain and sciatica?

Can a large cyst at left L4 L5 cause right lower back hip pain and sciatica?

Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read more

Dr. Jimmy Bowen
701 Doctors shared insights

Hip Pain (Definition)

Depending upon who is using the term, hip pain may be limited to pain coming from the hip joint itself, or it can describe pain from a number of different causes in the ...Read more


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Would pinch nerve at l4-l5 cause hip pain/popping or would it be a pinch nerve at l5-s1? Or can it be either?

Would pinch nerve at l4-l5 cause hip pain/popping or would it be a pinch nerve at l5-s1? Or can it be either?

See details: A pinched nerve in the lower back would not cause a popping in the hip joint. Have an orthopedist or rheumatologist check it out. ...Read more

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I was rearended in accident 1 year ago, MRI showed L4 L5 s1 slip disc, since then I have back lower, hip pain, having bowel accidents more often daily?

I was rearended in accident 1 year ago, MRI showed L4 L5 s1 slip disc, since then I have back lower, hip pain, having bowel accidents more often daily?

See Pain Doctor: You need a thorough workup. If you are having bowel incontinence you should probably get an EMG and consider seeing a surgeon. Check out paindoctor. Com for good doc near you. ...Read more

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Got l4-l5 facet block and feel pain in hip, is that normal?

Got l4-l5 facet block and feel pain in hip, is that normal?

Possible: Facet joints can have referred patterns of pain that radiate into different parts of the back and legs. It could be that stretching out the joint capsule could cause this issue. It should resolve as the cortisone takes affect and any fluid in the joint is absorbed by the body. ...Read more

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I am in chronic pain since last 2 years due to slip disc at L5-S1 & L4-L5?

I am in chronic pain since last 2 years due to slip disc at L5-S1 & L4-L5?

See a Specialist: Back issues like slip disc are very serious and you should follow all the instructions given to you by your specialist. Physiotherapy is the way to go if your specialist agrees to strengthen and protect your back. ...Read more

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I am in chronic pain since last 2 years due to slip disc at L5-S1 & L4-L5. Had many medimedications and physiotherapy but to no use and problem still?

I am in chronic pain since last 2 years due to slip disc at L5-S1 & L4-L5. Had many medimedications and physiotherapy but to no use and problem still?

Well...: Assuming you've completed good physical therapy, and you are still in severe pain you must consider surgical options.
Consult a Dr. That specializes in Spinal surgery, preferably at a University Center ...Read more

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Normal to have chronic pain after suffering t12 compression & L3 burst fracture in 2013 w chronic hip pain upon injury?

Normal to have chronic pain after suffering t12 compression & L3 burst fracture in 2013 w chronic hip pain upon injury?

Yes: These injuries often lead to chronic back pain. The hip pain you mentioned is more likely to be lower back in origin than the hip. Has you had and a bone density (dexa scan) study and are you taking anything for osteoporosis? If not you need to have the study done. ...Read more

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After my last deployment; I came home with chronic lower back pain. The pain has now progressed to my hips and down my legs. I have been told I have spinalbifia, and recently a old fracture was found in my spine around my l3, l4, L5 area while doing xrays

After my last deployment; I came home with chronic lower back pain. The pain has now progressed to my hips and down my legs. I have been told I have spinalbifia, and recently a old fracture was found in my spine around my l3, l4, L5 area while doing xrays

This could be a. ..: You may be describing a spondylolysis (a type of stress fracture or defect) which can lead to chronic lower back pain that can produce pain into the legs & has a higher association with the presence of a spinal bifida occulta. Treatment is aggressive exercise: core strenghtening & flexibility as well as cardiovascular routines along with use of medication with activity modification. ...Read more

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What is alternative conservative treatment instead of a rizotomy? Cronic pain sufferer from degeneration in l4/l5

What is alternative conservative treatment instead of a rizotomy? Cronic pain sufferer from degeneration in l4/l5

See below!: Massage therapy, physical therapy, accupuncture, and chiropracty as well as antiinflammatories and muscle relaxants all might help. Assuming those have failed, a tens unit (external electric stimulation) or an epidural steroid injection would be other options, as would a topically applied medication such as the Lidocaine patch. Good luck! ...Read more

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I had a discetomy at L4 L5 7 weeks ago. I am experiencing the same pain as before. Why when I thrust my hips forward does the sciatic pain come on?

It's the anatomy: The sciatic nerve exits the pelvis in the back between muscles of your buttocks. So, when you flex your hip and your leg goes forward you stretch that nerve bad aggravate the pain. ...Read more

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Hip pain after L5/S1 spinal fusion?

Hip pain after L5/S1 spinal fusion?

That's common: Often, your low back can cause hip pain, just like hip problems can cause knee pain. I would talk to your orhtopedic and see if he could recommend some strengthening and stretching exercises and also to ensure nothing else is going on. ...Read more

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Have pain in left groin &hip aggravated by sitting. Have spinal stenosis severe in L4'L5. Started 20 days ago after long car ride. Can back cause?

Have pain in left groin &hip aggravated by sitting. Have spinal stenosis severe in L4'L5. Started 20 days ago after long car ride. Can back cause?

Yes: Yes sitting long periods of time can inflame a lumbar region that as severe spinal stenosis. The pain in your hip and groin can be from aggravated nerve roots. You can try McKenzie Back exercises. If it doesn't resolve, then seek medical evaluation. Back pain that causes numbness around rectum, foot immobility or bladder incontinence needs immediate attention. ...Read more

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Had disc surgery on L4-L5 about 2 years ago. Having pain in right hip and inside my penis (the shaft). Back hurts too. Could they be connected?

Had disc surgery on L4-L5 about 2 years ago. Having pain in right hip and inside my penis (the shaft). Back hurts too. Could they be connected?

Yes. See your: Treating physician. Nerves to penis come from S2, (racepinephrine)3, 4, but could be involved from your prior history. Go get checked out. ...Read more

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Had a lamenectomy (sp?) 9/17/12. In l5. No more nerve pain but moderate pain in lower back and hip. Could the hip pain be related to back pain?

See your doctor: It could be related, or the surgery may have unmasked a coinciding condition that was difficult for you to notice until the nerve pain was abated. Your doctor can help sort this out. ...Read more

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Is it a bad idea to continue to play wheelchair basketball with a herniated disc? It's in my L4-L5 region. I do have some pain in my back and hips.

Is it a bad idea to continue to play wheelchair basketball with a herniated disc? It's in my L4-L5 region. I do have some pain in my back and hips.

Wheelchair: Basketball can be very tough on the back. I would make sure I ran this by a supervising physiotherapist who is familiar with your medical conditions. ...Read more

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I have numness in left leg, some kind of sensation in both knees and left hip has little pain anb iirritation. My L4 L5 disc are slipped. What to do?

I have numness in left leg, some kind of sensation in both knees and left hip has little pain anb iirritation. My L4 L5 disc are slipped. What to do?

Start with NSAIDS: And gradually increase your activity. Core back exercises can help as well as warm compress form spasm of the muscles. If it is not improving over a few weeks seek the care of your doctor. ...Read more

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I have a bilateral L5 pars defects and grade 1anterolisthesis of L5 relative to L4 and S1 I've been having back pain and hip and leg pain what is the options í have and will surgery fix my pain?

I have a bilateral L5 pars defects and grade 1anterolisthesis of L5 relative to L4 and S1 I've been having back pain and hip and leg pain what is the options í have and will surgery fix my pain?

A spondylolisthesi-: -is, usually causes mainly back pain. L5 on S1 may cause some hip pain. But in young people+/-20, it is usually back pain. In older it may also cause spinal stenosis which is may B leg & back pain. The spine surgeons object is 2 relieve your pain. My wife at 66yrs had a fusion L4-S1, & has never looked back. Exercises @ a gym, , no pain. Not all R success stories. Listen 2 adverse effects. Goodluk ...Read more

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I had an xray showed I have spondilitis grade 1 in L4 and l5. How do you treat this kind of lower back pain which sometimes the pain goes to both hip?

I had an xray showed I have spondilitis grade 1 in L4 and l5. How do you treat this kind of lower back pain which sometimes the pain goes to both hip?

Physical therapy: Grade 1 is the lowest form, however p.T. Is needed to keep the vertebrae from slipping further. Additionally p.T. Can help reduce the pain. Avoiding movements thathyperextend your back or an epidural steroid injection can be helpful. ...Read more

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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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What level of pain should be expected two weeks post op from an L4-L5 fusion with a cage and screws and a bone graft from my hip.

Varies: Unfortunately there is not one correct answer. In other words, some patients will have very little or even no pain, whereas other patients will continue to have severe pain. Also unfortunately, a bone graft from the hip is a well known cause of postop pain which can be persistent. If your pain is really severe, you should of course see your surgeon and have x-rays and an examination. ...Read more

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When evaluating lower back pain, can radicular pain on left affect right butt, hip & hamstring when there is a problem with L4, L5 and sacrum?

When evaluating lower back pain, can radicular pain on left affect right butt, hip & hamstring when there is a problem with L4, L5 and sacrum?

Left Radicular Pain: Left side radicular symptoms won't cause right side symptoms. Radicular implies that specific nerves are involved (example: left L5 and S1 radicular symptoms can cause side of the left leg and back of left leg pain-sometimes all the way into the left foot.). You have the same set of nerves on the opposite (right) side which could cause the same symptoms-depends on what that path is at L4/5 & L5/S1 ...Read more

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Low back and extrem hip pain after laminectomy L4/5 two month ago Now Bilateral facet fractures found. Neurosurgeon want to fuse now. Is he correct?

Low back and extrem hip pain after laminectomy L4/5 two month ago Now Bilateral facet fractures found. Neurosurgeon want to fuse now. Is he correct?

I will: Defer on answering and hope a neurosurgeon comments on this. If you don't have any luck on HealthTap getting this answered, please seek another opinion by a new surgeon. This is acceptable and appropriate if you have any concerns. Best of luck to you! ...Read more

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I have moderately severe l5-s1 L4 disk degeneration. Mild disk bulge. Mild bilateral posterior facet and mild bilateral stenosis per MRI and hips hurt?

I have moderately severe l5-s1 L4 disk degeneration. Mild disk bulge. Mild bilateral posterior facet and mild bilateral stenosis per MRI and hips hurt?

PT: Physical therapy is the traditional approach. You should also get a good physical and comprehensive blood work. If it gets worse you will need some type of surgery. ...Read more

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4mm kidney stone xray showed it at L4. I've had a lot more pain & haematuria & now buttock/hip pain. Does that indicate the stone has moved to bladder?

Moved somewhat: It is known that these stones will hurt when they move. Bleeding will also occur. Can't always tell where it is by the pain. The closer to the bladder, the more likely you will feel it in the groin area or back. The best way to know where it is, is with an X-ray. Hope it passes quickly ...Read more

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I have experienced severe right leg pain. Almost and electrical sensation I have lower l4, L5 deteriotion and I get spinal injection. But this time it has not helped the pain in my right from the hip to my foot when the pain hits the hardest I sweat prof

Back: Back and leg pain can be caused by disks, stenosis, slipping of the spine (spondylolithesis), foraminal stenosis, spine fractures, etc.

Most likely your right leg pain is from herniated l4-5 disk. Patients with disk herniations may benefit from giving time for the pain to settle, physical therapy, steroid injections and surgery. If the disk herniation did not respond to steroid injection then you should see a spine surgeon to discuss surgical options. There has been many advances in spine surgery and I would recommend looking into endoscopic spine surgery. Please see my health guide on lumbar disk herniations and sciatica.

Maximum Ibuprofen dose varies on your weight and medical conditions I recommend discussing this with your doctor.

Good luck! ...Read more

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Curious. If an rfa doesn't help leg butt si joint and hip pain, what would be next? Have ddd, hern. [email protected]/s1, si it dynsfcn, sciatia.

Curious. If an rfa doesn't help leg butt si joint and hip pain, what would be next? Have ddd, hern. Disc@l5/s1, si it dynsfcn, sciatia.

Many Options: There are many different options for stem cell therapies in the us. I would suggest you evaluate all of them thoroughly before choosing. So far the only practice that has significant research and patient base regarding stem cell therapy is regenexx. They have over 6500 patient registry with pretty good results. Regenexx. Com. ...Read more