Doctor insights on:
L5 S1 Epidural Injection
I have herniated disc l5-s1, getting epidural steroid injections. Will it help with weakness and numbness or does it only help pain?
Hard to say: once inflammation is removed, then if your weakness and numbness improve it will help. typically though weakness suggests significant compression on the nerve and that may take time to return. Numbness also in my experience is the last thing to improve from nerve injuries or compression. ...Read more
Epidural injections treat either acute or chronic pain. The most common epidural injections are to treat labor pain and usually include an indwelling catheter that provides continuous treatment until the baby is delivered. The medicine is a local anesthetic +/- opiod. Epidural injections also include single shot injections to treat chronic back pain. These usually include ...Read more
Does a herniated disk at L5 s1 ever go away without having a epidural injection? Why does my ankle hurt so much on the right side of the disk
Yes it does!:
Lots of people live not knowing they have 1. Also if some1 has pain and 1 is found, pain attributed to it. Surgery doesn't always helpi have patients who got rid of even foot drops with yoga and or rehab.
Pain is just your body telling you you are doing something wrong, and at that point it is often reversible if you listen.
Yes it cd go away, but what you really need is have it silent. ...Read more
Does having a epidural injection help a L5 s1 annular tear? I am having a lot of back pain that goes to my knee when i sit down please explain
Does a epidural injection for low back pain L5 s1 disk herniated usually help in patients? What is the procedure for having a epidural injection?
Yes: It can work. In my experience 50% of patients do very well and the other half only partially helped.The procedure involves injecting meds in the epidural space which is inside the spinal canal but outside the sac which contains the nerves and spinal fluid, it is done either by feel or using x-ray guidance. ...Read more
Had 2 epidural steroid injections a few hours ago on the left side at L4/5 and L5/S1. My left foot was numb initially, but it went away. Now my foot feels like it's asleep again, and it isn't going away. Do I need to be concerned about this?
Call pain doc: Without knowing the original reason for injections or other health status, hard to say why the numbness returned. Call the injecting doc as soon as possible, report this event and learn the recommended plan ...Read more
I have an appt for an epidural for a nerve issue, near L5 s1 I think. What can I expect at & after the appt?
Maybe some discomfor: I might assume that you are going for epidural steroid injection, for a possible disc issue. This can work if inflammation is involved and is usually worth a shot. You might get some transient discomfort, but for the most part is benign and well tolerated. The important thing is to see if it help and call your doc if concerns arise. ...Read more
19 y o athlete on scholarship who has L5 s1 herniated disc and has tried conservative tx of pt, epidural and meds and rest with no significant relief ?
Large disc herniations with neurological signs or symptoms may require surgery - an MRI can give a good idea of the prognosis - most disc herniations will heal with time.
I have used inversion tables with excellent success in many cases of back pain - chronic seems to respond better than acute but worth a try. The is is a well-studied but underutilized modality. ...Read more
I have a herniated disc pressing on my L5-S1 nerve root I already had the epidural shot, what should I do?
23m 5mm paracentral bulge @ l4-5 & l5-s1, 4mm retrolisthesis at both levels as well. S/p l5-s1 discectomy/hemilaminotomy & 3 epidurals. Still have daily pain at least 4/10 & getting worse. What next?
22yo, bulged l4-l5, l5-s1 causing leg pain, had 2 epidurals. What are my options now ? Affects my sports and irritates me in footy season.
Variable: Go see your spine surgeon. How long has it been? Over a year, maybe a microdiscectomy. ...Read more
A para central disk protrusion at L5-S1. Moderate to severe back pain &sciatica. Epidurals, facet blocks etc..Nothing helps.Surgeon says not surgical.
I have herniation in the l4, l5, s1 area. I don't need a fusion but i want to know if there are alt. Methods to cure this prob beside injection/surgry?
If symptomatic: There are several newer technique s that are improving outlook on back surgery. ...Read more
What's the best type of dr to treat hypermobility type 3 that presents primarily as L5-S1 pain (5 yrs tried injections, acup, chiro, PT)?
Physical medicine: I would recommend that you see a physical medicine and rehabilitation doctor. They specialize in musculoskeletal abnormalities/evaluation. ...Read more
Large disc extrusion at L5 compressing L5,S1&S2 n/roots. Got to decide on surgery or injections, would like opinions.
Lge disc ext at L5 compressing L5,S1&S2 n/roots&displacing thecal sac. Pain & numbness. Got to decide on surgery or injections, would like opinions. ?
No...L5 S1 injection: The L5 s1 space is one level down from L4 L5 intervertebral space. ...Read more
How many corticosteroid nerve blockage injections can I have,for my sciatica and discopathy L5-S1 problem?
3-4 injections: There are no limits to how many epidural injections you can have. That said repeated steroid based injections put your body at risk for other medical issues down the road. Good rule of thumb is no more than 3 injections in 6 months. If your pain persists after a good physical therapy trial, consider the injections. ...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
Ddd on L5 s1, done p/t, yoga, exercise, chiro, massage, edpidural, nerve block & facet injection, in pain, aside from surgery, what else can I do?
Core strengthening: Core strengthening is the best non-surgical option for DDD at L5-S1. Also, I would recommend the "Treat Your Own Back" by Robin McKenzie ( a book) for additional exercises you may find helpful. ...Read more
Recently i was diagnosed with a hern disk at l5/s1. Most of the acute symptoms have gone away after 6 weeks except for soreness in my left calf. Should i try steroids or injections or will this go away?
Treat leg not back: Treatment should only be based on pain levels and functional status, not on the anatomical/mri state of your spine. If the left calf pain is minor, then simply wait for it to fade. If it is troublesome, then physical therapy followed by epidural steroid injection are the options. But a pinched nerve does heal with time even by itself. ...Read more
Did bilateral transforaminal nerve root block on Wed for L4 L5, L5 S1. What’s the component of the injection? When can I work out again & have sex?
L5-S1 disc herniation/facet arthritis with 23 degree levoscoliosis. Multiple epidural injections. Feel very off balance could scoli be source of pain?
Yes it can.: 23 degrees is not severe scoliosis but it can be source of pain. L5-S1 disc herniation can also be a source of pain. I am sure you are seeing pain specialist and a spine surgeon. Make sure you go over your films with spine surgeon if you have not done so and they should be able to help you with this question. ...Read more
Can the steroid in a L5 s1 injection spread into the psoas muscle which attaches to the last 4 vertebrae causing it to shrink?
Let me explain: If you look at the anatomy of the psoas muscle you see the body is in front l5-s1 disc space which usually injected from the back area. I doubt very much that could happen. ...Read more
I have mild to moderate facet joint hypertrophy at l5/s1 worse on right side had cortisone & nerve block injections but pain is getting worse?
Platelet Rich Plasma: PRP is an offered treatment that has shown good success however is considered experimental at this time. The basic theory is it helps to strengthen the ligaments around the facet joint using your own platelets/growth factors and therefore reducing stress on the joint by tightening them up. As far as I know its safer than steroid injection. Pretty cool stuff. Check out regenexx.com ...Read more
Does having a trigger point injection help a herniated disk at L5 s1? I have a lot of pain in a certain spot that shoots down my leg to my ankle help
Disc bulge indenting thecal sac at L5/S1, possible impringment of left S1 root. Could this be cause of burning toes at night? Steroid injection help?
S-1 root gives leg-: -pain from buttock 2thigh posterior & lateral calf. If only all Ur toes, most likely not. Sounds more like a neuropathy from a different case, such as diabetic neuropathy . I don't think epi will help. If a neurologist has seen U & U had an EMG, & recommend it I would follow his/her advise . ...Read more
With hypertropic facet sclerosis, l4-5, l5-s1, should I look to ortho or neuro surgeon to fix? Other speciality?Tired of injections, don't want opiates
Had back surgery in2010 L4 L5 S1 still having severe pain radiating down my leg causing toe tingling. Injections or therapy hasn't worked. ?
The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more