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Doctor insights on: L5's 1

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I had a L5 s-1 disc replacement 8months ago and I am still having a lot of discomfort and a deep burning feeling deep in the bone, is that normal?

Not typically-: Most are better within 6-8 weeks after surgery but success rate does not exceed that of a standard fusion for the same diagnosis & that is less than 100% of the cases. You should have discussed the success rate pre op with your surgeon & you should seek answers from your surgeon first checking to make sure everything has been done technically correct. Even then, success is not a guarantee. ...Read more

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Can minor L5 s 1 disc bulge cause a Bartholin's cyst back pain increasing over 10 weeks. Had a fall now worried?

Can minor L5 s 1 disc bulge cause a  Bartholin's  cyst back pain increasing over 10 weeks. Had a fall now worried?

Completely unrelated: The bartholin 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

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I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

I have bulging disks at l-4-l-5, l5-s-1, compression of nerve bundle, stenosis, aethrotic spurs.3recs.Diskectomy, lamenectomy, fusion. What is best route?

Decompression: When someone has symptoms from nerve compression due to stenosis and the spine is stable, decompressive procedures such as discectomy (laminotomy) or laminectomy are usually best. If the spine is unstable or if decompressing the spine would make it unstable, the decompressive procedures are best combined with fusion. ...Read more

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Ct scan showed mild facet joint arthropathy and bone spurr of right L5 s/1 from an injury 6 months ago. Is my youth over such as running/working out?

Ct scan showed mild facet joint arthropathy and bone spurr of right L5 s/1 from an injury 6 months ago. Is my youth over such as running/working out?

Ex cerise is good: The injury is healing and the bone will continue to remodel. It is far better for you to excercise than to be sedentary. If there is pain the use of nsaids is helpful and plenty of stretching.. ...Read more

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Could spinal stenosis or scar tissue be a cause for post L5 s-1 fusion patient to have numbness and tingling in feet then to buttocks and groin.?

Could spinal stenosis or scar tissue be a cause for post L5 s-1 fusion patient to have numbness and tingling in feet  then to buttocks and groin.?

Yes: Spinal stenosis can lead to these symptoms and postoperative spinal changes can as well whether related to "scar tissue" or not. This causes symptoms from buttocks down to feet. If symptoms are going up leg from feet it may be a neuropathy or related to nerve changes in leg rather than in spine. You can have this evaluated and an emg/ncv or nerve test may help to distinguish source. ...Read more

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L5 and s 1 stenosis. is it a permanent condition?

Depends: Lumbar stenosis is typically does not resolve on its own. It usually from hypertrophied ligaments or bones. If, however, stenosis is secondary to a herniated disc, this may resolve on its own. Discs have a fluid-like component which can dessicate over time, and as the disc dries up it lifts pressure off the nerve roots. ...Read more

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I have severe stenosis at L4-L5 two bulging discs at L4-L5 & L-5-S-1, ddd. I have started noticing that area feels hot to the touch. Ideas?

Unusual: The presence of heat over the area is an unusual complaint, even in someone with severe stenosis. I would probably be seen and examined, in part to make sure you have not developed some form of infectious process somewhere; particularly if you have had any invasive spinal procedures such as an epidural steroid injection. ...Read more

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Previously had CES following trauma 9 years ago at L5. Now have another problem at L4. Is it possible for CES to occur twice in one patient?

Previously had CES following trauma 9 years ago at L5. Now have another problem at L4. Is it possible for CES to occur twice in one patient?

Yes, it can: It is possible to get disc re-herniation at the same level since there is usually some amount of disc still present at the area of surgery. Disc herniation can also occur at a level above or below. If you have just pain radiating down the leg, you should try : gabapentin, epidural steroid injection, and physical therapy. If you have weakness, or bladder/bowel symptom, go to the ER for CES! ...Read more

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I have deteration of L4 & L5 disc and in a lot of pain. I'm waiting to go to pain clinic. I have had one lot of injection in my back but nothing since?

Disc pain varies: Sounds like you had epidural injection for pain relief of disc degeneration or protrusion. These are usually done in sets of three to see if get relief. Sometimes these disc problems burn out with time. If relief can be obtained with conservative measures rather than surgery, that's the best alternative. Surgery can have its own complications. Physical therapy for disc problems may be helpful. ...Read more

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What is a palpable step off in regards to a pars defect and spinal instability? How to tell if i have one? Pars defect at L5 with bump on spine.

What is a palpable step off in regards to a pars defect and spinal instability? How to tell if i have one?  Pars defect at L5 with bump on spine.

The step is the: .. spinous process left behind as the effected vertebra slips forward, in someone with a pars defect. if you don't know if you have 1, C a spine surgeon for imaging. x-rays a-, & a CT may B needed. ...Read more