Doctor insights on:
L5 Back Pain Symptoms
What are symptoms of having low back pain at the level of l5-s1? What is sciatica? Please help and explain
Back and leg: I assume you arereferringto. A disc herniation at l5-s1. Symptoms include sharp or burning pain in the center of the low back. Pain can radiate across the low back, to. The buttock, or down the leg, depending upon th eleven of nerve involvement. L5 nerve pain will usually travel down the leg to the top of the foot or great toe. S1 will produce pain, shooting, or tingling to the outside /sole foo. ...Read more
L4-s1 fusion 10 weeks ago. Some symptoms better but now new severe r. Back pain x1mo. L5, on the spine to r. Pain10/10 turning in bed. Leaning to l. 2° pain. Xrays ok, they insist it's muscle spasm?
How sucessfull are spinal fusions for reliving constant back pain. I had a discetomy of l4and L5 2years ago?
Varies: By far the most important factor is patient selection. If the pain is very clearly coming from that disc and there is nothing else contributing, there is about a 90 percent success rate. But it can be hard in that there are often multiple things that can contribute to a persons back pain, and if they are not all addressed in surgery, they might still hurt despite surgery. ...Read more
Can minor L5 s 1 disc bulge cause a Bartholin's cyst back pain increasing over 10 weeks. Had a fall now worried?
The Bartholin's cyst is not related to the disc bulge at all.
A minor disc bulge is very common and likely not the cause of the pain as well.
A fall in someone 35 years old would more commonly cause inflammation in the facet joints.
Seek out a physiatry physician or other spine specialist. ...Read more
I am suffering from back pain due to mild compression at L4 - L5 since 2011.Feels inflammation & burns with pain whenever I sit or stand for long hr?
Sciatica: Pain in the distribution as you suggested describes the pattern of the nerve that travels in the leg called the sciatic nerve. The sciatic nerve is not the cause of the pain source, it is the result of an irritated nerve typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease requiring further evaluation by a spine specialist. ...Read more
I have back pain and a injury to l2, l3, L4 L5 on my spine. What kind of exercise is safe for me to do?
Depends on the injur: It depends on the severity of the injury. I generally recommend you avoid exercises that increase loading to your spine or impact activities. Thus, biking or elliptical machines or swimming are better than running. Also, no heavy weight lifting that loads your back such as squats. ...Read more
I have serve back pain 2 months after back surgery. I had L5 and s1 disc removed. Now I'm in worse pain then before. Is this normal?
Back pain: Not normal but a common problem. After the herniated disc is removed, a recurrent disc or collapse of the disc space can cause new back and leg pain. This can lead to a repeat of the nonoperative measures such as physical therapy and cortisone injections. A back brace may help. Emotionally it is very deflating because you feel that you are back at the beginning of the process. It will get better. ...Read more
Grade2 Spondylolisthesis of L5/S1. I get back pain at least once per year for a week? Does the pain mean the vertebra is further slipping forward?
Usually not: Even a spondylolisthesis that is not further shifting forward can cause episodes of back and leg pain. It is fairly uncommon (although not impossible) for it to slip further in an adult patient. If you have any concern, don't hesitate to be seen in follow up for a repeat exam and X-ray. ...Read more
I was in a MVA in the early 90's. I had some damage to L4-L5, L5-S1. I have had back pain ever since. I had an MRI a couple years ago that showed I had degenerative discs, arthritis, and narrowing of the nerve pathways due to sclerotic discs or tissue. I
Second opinion?: 41 y male w. MVA in 90's & "pain ever since" & now has Degenerative Disk Disease, DDD, which is not reliably a pain generator; as medical lit. Well reports, which DDD did not develop until years after the pain onset in the 90's & which is likely a red herring. Concern for acute SIJ ligament injury never detected; because it is radiolucent. See an Osteopath. ...Read more
23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. What is my next treatment option? More epidural? Fusion surgery?
Sudden increase in back pain after PT approx 24 hours ago. S/p lower pole patellar fx, CRPS II, CPS, L4-L5 S1 herniated disc. Using Advil (ibuprofen) for pain.?
Pt: It is expected to have the pain exacerbated after first couple sessions of PT, just go through with it, it should get better ...Read more
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 ...Read more
L5. I hv undergone slip disk surgery. Still I hv back pain. Now really afraid of mri. Wt to do doing light exercise?
Severe back pain condition. MRI tells Reduced fluid & narrowing at L3-L4 & L4-L5. broad basic HNP L3-L4 and small median HNP in L4-L5. Is it serious?
Concerning, see a dr: HNP means there is Herniated Nucleus Pulposus, or the inside part of the disc between the vertebrae is extruding (squished out). This can put pressure on nerves/nerve roots and cause pain. It's is more concerning if the pain radiates down one leg or the other or if there is associated incontinence or loss of bladder or bowel, function. In these cases, surgery may be required or epidural injections ...Read more
Severe back pain condition. MRI tells Reduced fluid & narrowing at L3-L4 & L4-L5. broad basic HNP at L3-L4 & small median HNP in L4-L5. Is it serious?
Spine abnormalities: For 30 year old, these changes are signficant. ...Read more
Depends: If it is a really acute problem with much leg pain, low impact aerobic exercise (water exercise, walking) may be the best. For lesser or more chronic pain, you can focus on core stretching and strengthening (tummy and back muscles). You can find some online or better, see your primary provider or a physical therapist. ...Read more
Rarely the problem:
A sacralized L5 segement suggests that this level is fused with the sacrum. This means there is no motion at the disc so should not cause pain.
In some people, they can have a pseudo-articulation (or false joint) form where L5 and s1 are still connected. This can be a pain generator but can be tough to treat. A diagnostic injection can help determine if this where the pain is coming from. ...Read more
Yes Many: Sacralization of the L5 is not generally the only problem you may have. Often times the spinal levels above them cause more problems, however I would suggest seeing a spine/pain fellowship trained physician who can address your real concerns and educate you on what to do for relief and what you may be able to do to maintain relief as well. ...Read more
Back pain. Vain blocking between L5 an l6, stiffness in waist an legs, can't bend. Help how to increase flexibility...
I had a l4-l5 discectomy 5 months ago and still have lots of lower back pain in the mornings mostly, will it ever heal completely?
Talk to your doctor: I counsel my patients that the primary goal of a discectomy is to relieve a pinched nerve, which thereby will relieve pain radiating down the leg. Relief of back pain is not the main goal of a discectomy, although sometimes we get lucky and the back pain does get better. Back pain can be much trickier to treat and surgery is often not the answer for that, so see your surgeon to discuss options. ...Read more
Back pain all the time now is time to hurt more in the center of my back? Had MRI done and have some bulging disc in my back. L5, s1.
Evaluation: May be it is time to be evaluated by neurosurgeon. ...Read more
What is the likelihood a root block injection will provide a long term fix for the back pain I feel due to my minor l5/s1 bulging disk?
Root block: A nerve root block is most typically done for the purpose of improving radiating leg pain (aka radiculopathy or sciatica). If you are having isolated back pain then a root block is actually unlikely to help. For a minor bulging disk, most patients will improve with conservative treatment measures such as physical therapy and nsaids (non-steroidal anti-inflammatory drugs). ...Read more
I've had back pain for a yr mri reveals minor bulge l5 s1 but I'm in pain everyday all day and I've tried everything u name it I've done it?
Hi! 10 weeks out from far lateral micro discectomy l3-l5. 2 bilateral blocks worked great for intense leg pain. Should I still have back pain?
No: May be related to instability of spine. ...Read more
1 yr post PLIF on l4-l5 still have lower back pain and not fused. I've have cold water sensation now constantly on my sacral area. What is that? Tx
Suspect nerve irrita: Is not completely clear but you may be having neurologic irritation related in part to your surgery. These are lower nerves not in the surgical area that might be responsible for this pain. You need to ask your physician to have you see a neurologist to see if this can be clarified ...Read more
I've back pain & MRI shows that gap between L3 & L5 has reduced to 11.5.Doctors have prescribed me mainly exercises. I'm a 37 year old engineer. Do help?
Had a laminectomy/discectomy more back pain after then fusion to fix it at l3, 4 now herniation at L5 should my dr just do a fusion now or a lam/discec?
Depend on findings: I do not recommend prophylactic spinal arthrodesis. If you have a disc herniation at the l5-s1 level with associated radiculopathy associated with either the L5 or s1 nerve root that does not respond conservative care, then a decompressive laminotomy & dissecting may be indicated. If there is associated spinal instability with associated dominating lower back pain, an arthrodesis may be indicated. ...Read more