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Doctor insights on: L4 L5 Herniation Causing Testicular Pain

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Would a central disc herniation l4/l5 cause leg pain or just back pain? Please help! Thanks

Would a central disc herniation l4/l5 cause leg pain or just back pain? Please help! Thanks

Often times both: I've answered questions for you on other occasions though I don't recall this category. A disc herniation at L4/L5 could cause both back pain as well as result in radiation of that pain down nerve root distributions which go into the leg. If you'd like a 1-1 consultation with more information on this condition please write and let's VIRTUALLY MEET: www. Healthtap. Com/drsaghafi Key Code: PDXFNR

Testicular Pain (Definition)

There are many reasons for testicular pain. Bottom line, if you have testicular pain...Pain in the testicle...You should go to the nearest er immediately to have special imaging to rule out a torsion. Testicular torsion is when the vessels to the testicle twist and the blood supply is lost. If not corrected immediately you could lose the testicle. You may experience belly ...Read more


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Can disc herniation at l4-l5 cause s1 nerve pain (pain along side of feet). How?

Can disc herniation at l4-l5 cause s1 nerve pain (pain along side of feet). How?

L5: Disc herniation a tl4 L5 causes L5 nerve pain which overlaps significantly with s1 and siatica pain hard clinically to distinguish.

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Would a central disc herniation (l4/l5) have to be quite big to cause sciatica down both legs? And could it cause pain in front of the thigh?

Would a central disc herniation (l4/l5) have to be quite big to cause sciatica down both legs? And could it cause pain in front of the thigh?

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.

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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?

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?

Part of Aging Proces: Bulging discs are very common especially as we age. That same MRI probably also showed some loss of water content in the discs. Bulging discs are usually asymptomatic and don't go on to herniate. Bulging discs do not return to a non-bulging configuration.

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Can damage to nerve roots at L4-L5 cause the calf to become swollen/inflamed?

Can damage to nerve roots at L4-L5 cause the calf to become swollen/inflamed?

Unlikely: It is unlikely that nerve root damage would cause swelling in the calf. However, if you have a swollen calf you need to see your doctor immediately or go to an urgent care to make sure you do not have a blood clot in that leg.

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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!

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I have recurring L4-L5 disc herniation. What is the best treatment? I've had too much PT which isn't much help.

Believe it or not: Aerobics, (running, jogging, working with a trainer), yoga, pilates and stretching classes. Speaking to a sports psychologist and learning that pain is controllable

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I have terrible l4-l5 disk problem which now has caused scoliosis. I don't want a surgery. I am going for a P.T. will I ever recover. I don't want this?

I have terrible l4-l5 disk problem which now has caused scoliosis. I don't want a surgery. I am going for a P.T. will I ever recover. I don't want this?

Back pain: The L4/5 level is a common area for injury in the lumbar spine. The pain can be caused by a tear or protrusion in the disc, a pinched nerve from the joint or disc, and from an inflamed facet joint that connects one level with the other level. A sports or lifting injury can cause a fracture of the pars interarticularis. Often the the pain resolves without surgery. Bracing the back may help too.

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Can a L4 L5 Pars Defect cause sciatica pain?

Can a L4 L5 Pars Defect cause sciatica pain?

The defect itself: Doesn't cause radicular symptoms (sciatica), but it can result in slippage of one vertebra over another (spondylolisthesis), and extensive degenerative changes, which can.

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Is a torn disc the same as a herniated disc? What effects could an l4-l5 torn disc cause?

Is a torn disc the same as a herniated disc? What effects could an l4-l5 torn disc cause?

The term torn as you: Are using it would imply a tear of the outer coating of a disc known as an annular tear. This is different from a disc herniation which occurs when a piece of a core of the disc called the nucleus polposusmoves through the annular tear. Boh can cause painor can be painless, incidental findings on a mri. These tears canbe the result of norms. Disc aging or can be traumatic in nature. Most heal.

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Is it really rare for l5-s1 bulging disc / minor herniation to slip back to its place compared to l4-l5?

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.

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I have moderate facet arthropathy at L4 and L5 what can help to treat it or fix it. What is it. Does it cause pain to walk.

I have moderate facet arthropathy at L4 and L5 what can help to treat it or fix it. What is it. Does it cause pain to walk.

Avoid extension. ..: Facet arthropathy is arthritis in the posterior joints of the spine. Any arching of the back will aggravate your condition. Axial loading is also not recommend. You need to keep your lumbar spine flexed and avoid any arching of the back. Hip capsule & flexor stretches will help maintain your posture. You need to see an physical therapist after the orthopedist writes the appropriate prescription.

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Follow-up q: extra foraminal disc herniation at l4-l5 level. Mild compression of exited l-4 nerve root. Would this need surgery?

Follow-up q: extra foraminal disc herniation at l4-l5 level. Mild compression of exited l-4 nerve root. Would this need surgery?

Possibly: If u are having pain down your thigh or leg, or weakness in the leg and it is not improving then surgery is an option. However, if this is an MRI DX and you have minor pain, you shouldn't require surgery. Even w/ radicular (down the leg) pain non- operative treatment should be tried first (lb exercises, nsaids, epidural steroid injections)...Sometimes if u can " wait it out"... It will go away!

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Post epidural for collapsed disc at l4-l5 w/o herniation w/ radiculopathy (L) leg. I know that the relief is temporary. Can it be fixed? Permanent tx?

Post epidural for collapsed disc at l4-l5 w/o herniation w/ radiculopathy (L) leg. I know that the relief is temporary. Can it be fixed? Permanent tx?

Some solutions?: The ESI buys a little time but does not "cure" the pinched nerve. However, the disc may desiccate and shrink over 9-10 months, and improve outcome. Surgery here may be a drastic remedy, but may be useful when increasing weakness, atrophy, or urinary tract issues. I find physical therapy to be highly beneficial. Sometimes oral or injected steroids can stabilize.

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Mri says I have small disc protrusion l4/l5, if I keep exercising could this cause a herniaions? Am I more at risk now then someone without protrusion?

A disc protrusion...: IS a herniaions. Presumably you didn't just wander into an Mri facility one day and made an impulse purchase. Please repost your question with an explanation of why you had an Mri in the first place.

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Help please! Could bulged disc L4 and L5 cause an abdominal pain?

Help please! Could bulged disc L4 and L5 cause an abdominal pain?

No: Generally an l4/5 disc can cause pain down a leg with numbness and tingling. Taking pain pills and getting constipated could cause abdominal pain.

Testicle Pain (Definition)

Testicular pain can be acute or chronic, and is perceived as pain emanating from the scrotum. Sudden, sharp pain is often referred to as an acute scrotum, and requires quick evaluation to rule out testicular torsion. Trauma and infections can present similarly. Chronic orchalgia is usually a dull ache, and is often difficult ...Read more