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Doctor insights on: L5 S1 Back Pain

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1 month recovering from microlumbar disectomy, l4/l5, l5/s1. Back pain relieved but numbness/tingling/pressure in right knee persists. Possibilities?

1 month recovering from microlumbar disectomy, l4/l5, l5/s1. Back pain relieved but numbness/tingling/pressure in right knee persists. Possibilities?

Neuropathic pain: You may still have irritation of the nerve root but it is also possible that you have injury to a peripheral nerve innervating the knee. This possibility would be most likely if you had diabetes or the original injury involved trauma to your knee. ...Read more

Dr. Heidi Fowler
3,173 doctors shared insights

Back Pain (Definition)

Pain in the back is a symptom that can be due to a number of causes including musculoskeletal or neurological problems or due to problems ...Read more


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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?

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

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I have a herniated disc at l5-s1. I suffer acute back pain crisis frequently. Should i resort to surgery?

I have a herniated disc at l5-s1. I suffer acute back pain crisis frequently. Should i resort to surgery?

Sciatica: True sciatica is leg pain that shoots from back, down the leg past the knee. This mimics the path of the sciatic nerve, thus it's name. Young patients more likely to have herniated disc. Older patients, pressure from arthritic spurs. All can be treated non-surgically if not getting worse. Physical therapy, tylenol (acetaminophen) or aleve, nerve blocks, the combination works 80% of the time. ...Read more

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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

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

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A para central disk protrusion at L5-S1. Moderate to severe back pain &sciatica. Epidurals, facet blocks etc..Nothing helps.Surgeon says not surgical.

A para central disk protrusion at L5-S1. Moderate to severe back pain &sciatica. Epidurals, facet blocks etc..Nothing helps.Surgeon says not surgical.

Spine Problems: Anti inflammatories (including oral steroids and injections), physical therapy and rest. Exercises to improve your strength around the injury. Seek the help of a pain management specialist. ...Read more

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Can my dr do anything for back pain due to a 3mm bulge at l5-s1?

A lot of things: We start doing things in sequences, start from the easy stuff and progress to surgery. Physical therapy pain medications anti- inflammatory medications. Muscle relaxant. Occupational therapy. Trigger points injections. Epidural injections. Microdisctomy. Good luck. ...Read more

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What are good exercises for lower back pain due to herniated l5/s1 disc?

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

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What are symptoms of having low back pain at the level of l5-s1? What is sciatica? Please help and explain

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

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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?

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

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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 ?

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 ?

Lower back pain: minor bulging disc can hurt and you are the only person can help you; Get stronger; To improve the core strength a program of exercise is better than a straight forward exercise such a Yoga or Tai chi exercise is better than straight abdominal strengthening ...Read more

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I am having a lot if low back pain that goes into the butt what could this be? I have a herniated disk at L5 s1

I am having a lot if low back pain that goes into the butt what could this be?  I have a herniated disk at L5 s1

Related to disc: Disc herniation at the l5-s1 level can produce back, buttock, leg and foot pain, weakness and numbness. If your pain is not better after physical therapy, have a re-evaluation by your doctor to see if you need further treatment. ...Read more

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I have a herniated disc at l5-s1. I suffer frecuently strong back pain. Planning to have surgery but i'm not sure what to do. What do you recommend?

I have a herniated disc at l5-s1. I suffer frecuently strong back pain. Planning to have surgery but i'm not sure what to do. What do you recommend?

Back surgery!!!: When faced with this question know that not all back pains are caused by a herniated disc & not all herniated discs require surgery. Guided pt, injections & other options may help. In severe cases, in cases where conservative care failed, in cases with neurological deficit, surgery may be the best & only option. If surgery needed, ask questions; don't be afraid to get pain relief sooner than later. ...Read more

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I have a stable L5 s1 grade 2 spondylolisthesis and it is causing me leg and back pain. Should I get a fusion surgery? Or just decompression surgery

I have a stable L5  s1 grade 2 spondylolisthesis and it is causing me leg and back pain. Should I get a fusion surgery?  Or just decompression surgery

Fusion: Decompression alone is unlikely to resolve the issue and is likely to worsen the situation in the long run. Furthermore there are now more options then just posterior fusion, an anterior approach may also be an option but a good surgical opinion or opinions are needed. ...Read more

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Dr. Qamar Khan
2,660 doctors shared insights

Pain In The Back (Definition)

Pain in the back = dorsalgia = discomfort of any ...Read more