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Doctor insights on: L4 L5 Disc Degeneration

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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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Can someone explain the effect extension has on a moderate bulging disc w/ mod degeneration at l4-5 and l5-s1?

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

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Impressions: 1) broad based central disc protusion at l4-l5 level. 2) mild degeneration changes in cervical and lower lumbar spine.

Impressions: 1) broad based central disc protusion at l4-l5 level.  2) mild degeneration changes in cervical and lower lumbar spine.

Not unusual: What you have listed under the impressions seems to be a report from an MRI scan or ct scan of the spine. In a 26 year old, these are not unusual findings. The disc bulge refers to an outpouching of the l4-5 disc. It is not frankly ruptured or herniated. This goes along with the degenerative changes you mention, which are often referred to also as arthritic changes of the spine. ...Read more

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I am diagnosed with disc degeneration in c6-c7, l4, l5, and sacrum.. I am 14 weeks pregnant. Is it safer to opt for cesarian . Hav severe back pain ?

I am diagnosed with disc degeneration in c6-c7, l4, l5, and sacrum..
I am 14 weeks pregnant. Is it safer to opt for cesarian . Hav severe back pain 
?

No: Preservation of the abdominal wall muscles will help to protect your lower back especially if you exercise. There is no reason based on your description why u cannot have a natural delievery. ...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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Mri read l3-l4 there is early darkening of the facets.L4-l5 there is mild right facet degeneration.

Mri read l3-l4 there is early darkening of the facets.L4-l5 there is mild right facet degeneration.

Probably nothing: Mild facet "degeneration" (ie arthritis) is very common at that level even at your age. Darkening is probably meaning sclerosis, which also goes along with this, but is kind of an unusual way to describe it. ...Read more

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I got injection for my buldging discs at L4 and L5 didn't help what's next.?

I got injection for my buldging discs at L4 and L5 didn't help what's next.?

Depends on what else: You have done to date and what your symptoms are. Medication, guided exercise/ physical therapy, activity modification and lifestyle changes where needed like smoking cessation and weight control play a role as does just time to heal. If your pain is predominantly in back, injection unlikely to benefit. See a spine specialist for an opinion as to your diagnosis and treatment options. ...Read more

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Broad based central disc protusion at l4-l5 level? Im 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

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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