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Doctor insights on: L5 S1 Microdiscectomy Surgery

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Herniated L5/S1 w/sciatica. Would microdiscectomy surgery help with SI joint pain or just the sciatica?

Herniated L5/S1 w/sciatica. Would microdiscectomy surgery help with SI joint pain or just the sciatica?

Most likely: Just the sciatica. SI joint pain is an arthritic phenomenon, and releasing pressure on the nerves wouldn't affect that. Be sure to speak with your surgeon, as surgery is usually a last resort, and is not always successful in relieving the pain. ...Read more

Dr. Justin Esterberg
108 Doctors shared insights

Microdiskectomy (Definition)

In a microdiscectomy, a herniated disc fragment is removed through a small incision under magnification using either a ...Read more


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At age 44, is it normal to lose alot of weight approx 5 kg for 6 mths post microdiscectomy surgery for l5/s1?

At age 44, is it normal to lose alot of weight approx 5 kg for 6 mths post microdiscectomy surgery for l5/s1?

Postop wt loss: It is not normal to lose weight after this procedure, but perhaps your diet, activities or medications have changes since then? These are more likely explanations. ...Read more

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I had a microdiscectomy of l5-s1 about a two years ago and the pain I worse now then it was before the surgery. Any suggestions what I can do?

I had a microdiscectomy of l5-s1 about a two years ago and the pain I worse now then it was before the surgery. Any suggestions what I can do?

Neurosurgery eval: Neurosurgery evaluation, MRI of the lumbar spine to look for a re-herniation or residual nerve compression. Emg may help to check for any denervation. If no surgical issues found, keep body mass index (bmi) below 30 and add isometric exercises to strengthen the paraspinous muscles. ...Read more

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2months after spine surgery (microdiscectomy L5-S1), started pt and I'm feeling great...can I wear high heels?

2months after spine surgery (microdiscectomy L5-S1), started pt and I'm feeling great...can I wear high heels?

EZ does it: Very high heels could put unwarranted strain on your lower back. Start with a pair with 2-3" heels, wear them for a few days and see how your back reacts. Go back to flats if your back begins to hurt. Gradually increase the height over time, slowing down if you experience discomfort in your back.

Thanks for trusting HealthTap! ...Read more

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Can I cover my surgery scar (microdiscectomy L5-S1) with a tattoo or that is a bad idea?

Can I cover my surgery scar (microdiscectomy L5-S1) with a tattoo or that is a bad idea?

Not recommended: Would not recommend it. Will only attract attention to that area. Any chemical applied to a scar may result in further unpredictable inflammatory reaction. ...Read more

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Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Back surgery: You need to ask your surgeon, however if MRI was fairly recent and showed no problems at L3/L4 then answer probably no change. Pain could be from the extruded fragment migrating slightly and/or inflammation. If you were to have additional disc problems at L3/L4 then surgery somewhat lengthened but really shouldn't affect recovery much. ...Read more

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I've had 2 back surgeries- a microdiscectomy at L5/S1 & L4/L5. I've got scar tissue & am still in pain. I use TENS, inversion, PT, Neurontin, Norco, Cymbalta, and am trying injections. Any new ideas/tx for me to try? I'm only 23 & I feel like I'm 80.

I've had 2 back surgeries- a microdiscectomy at L5/S1 & L4/L5. I've got scar tissue & am still in pain. I use TENS, inversion, PT, Neurontin, Norco, Cymbalta, and am trying injections. Any new ideas/tx for me to try? I'm only 23 & I feel like I'm 80.

Adhesiolysis: Cassara 1st NO more surgeries on your back.
FInd an Anesthesiologist in your area who will do a minimal risk type of epidural injection BUT without steroids. This injection is called lysis of adhesions or Adhesiolysis with a medicine called "Hyaluronidase". This injection will break up the scar tissue that has entrapped the nerves in your back. It must be performed with physical therapy ...Read more

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How evasive is a l5-s1 decompression and microdiscectomysurgery; what are the pros and cons a patient should consider before undergoing surgery?

How evasive is a l5-s1 decompression and microdiscectomysurgery; what are the pros and cons a patient should consider before undergoing surgery?

It is minimally: Invasive with a better than 90% success rate in a non smoker who has failed at least 12 weeks of nonoperative care with leg pain worse than back pain & imaging studies reveal a disc herniation correlating with your symptoms. Done by an experienced surgeon, cons are small but include: infection, dural tear/spinal fluid leak, scarring, recurrent disc herniation, back pain, neurologic injury & others. ...Read more

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Had a L5-S1 microdiscectomy and laminectomy eight months ago. Although I am no longer in excruciating bouts of pain, why is standing > 20 min so hard?

Had a L5-S1 microdiscectomy and laminectomy eight months ago. Although I am no longer in excruciating bouts of pain, why is standing > 20 min so hard?

For some there is: Ongoing back pain as the disc no longer functions to support prolonged loads such as standing which is 2x body weight across the low back discs. This occurs in about 10% of miscrodisectomy cases. One should stay trim, not smoke and work on core strength as well as cardio endurance as well as flexibility to minimize symptoms - use proper body mechanics and minimize prolonged positioning. ...Read more

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What to do if a right sided microdiskectomy on my l5-s1 there disk after a microdiskectomy?

Avoid strenuous acts: In microdiscsctomy surgery they take out the portion of the disc that ruptured and came out of place to cause pressure over the nerve/ right s1 nerve roo., we make sure there are no more loose pieces that will come out again. We do not take out the entire disc material. So there is some disc left behind. You have to take it easy wait for the body to heal before starting strenuouous activities. ...Read more

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How long should a man wait to have sex after an L5-S1 microdiscectomy?

How long should a man wait to have sex after an L5-S1 microdiscectomy?

Discectomy: The neurosurgeon or operating surgeon is best qualified to answer this question as he/she knows the exact extent of dissection and the postoperative condition of the tissues at the operative site. As you know, some sexual intercourse positions create more strain on the lower back than others. ...Read more

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What to do if I could run 15 days after a microdiscectomy (l5 s1) but I still have nerve pain is this normal?

What to do if I could run 15 days after a microdiscectomy (l5 s1) but I still have nerve pain is this normal?

Did your doctor: Really tell you that you could resume running 2 weeks after your back surgery? Please discuss this with your neurosurgeon/ spine surgeon - because pushing your body too hard physical post operatively can impact the effectiveness of the surgery. ...Read more

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L4-l5 mild to moderate disk bulge. L5-s1 severe disk herniation. Microdiskectomy, what to do?

L4-l5 mild to moderate disk bulge. L5-s1 severe disk herniation. Microdiskectomy, what to do?

Aquatic exercise: Swim, water aerobics or walking in chest deep water. We are about 80% lighter standing in chest deep water due to buoyancy. This will make exercising easier. Start with an amount that is relatively easy and comfortable, then repeat 4 or more days per week and add a few minutes to the program once a week, initially only add 2-3 mins per week, so you don't over do it. Don't give up and keep moving. ...Read more

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Microdiscectomy has been scheduled for my L5/S1 13mm herniation. My foot strength & feeling have improved the last 2w (4w since onset). Wait longer?

Microdiscectomy has been scheduled for my L5/S1 13mm herniation. My foot strength & feeling have improved the last 2w (4w since onset). Wait longer?

Yes: I would definitely consider postponing the operation. A surgical procedure after only 4 wk of symptoms is rushing it. 4 months, definitely. 4 weeks is premature. ...Read more

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I reherniated the same disc, L5, S1, 8 months after a microdiscectomy, and now have a lot of pain in my left leg and glute after sleeping. What do I do?

I reherniated the same disc, L5, S1, 8 months after a microdiscectomy, and now have a lot of pain in my left leg and glute after sleeping. What do I do?

Varies: Approximately 80-90 percent of herniations will heal over time, even in patients with previous surgery. Choices would essentially be the same as before you had surgery: give time with possibly use of medications, or do noninvasive treatments to see if they will help (therapy, chiropractic, traction, modalities), or do interventional procedures such as esi, or consider more surgery. ...Read more

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Had recurrence of herniated disc (L5-S1) & 2nd microdiscectomy on July 2nd. Back & Lt leg SX improved, but now having pains in Lt knee, behind Lt knee & ankle/calf. Could this be due to reherniation?

Had recurrence of herniated disc (L5-S1) & 2nd microdiscectomy on July 2nd. Back & Lt leg SX improved, but now having pains in Lt knee, behind Lt knee & ankle/calf. Could this be due to reherniation?

Do NOT wait: Am focused on location, and need to make sure this does not involve vein in back of leg, thrombophlebitis, as needs diagnosis and interventional treatment if the answer. Am skeptical that this is pain emanating from re-rupture of a disc, at least based on your description. See a doctor ASAP and at least get a venous NIVA screen. ...Read more

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L5-S1 microdiscectomy Fri for left leg sciatic pain. Calf/foot pain relief w/some thigh/behind knee pain. Pain less AM but sharp pain down left leg into foot w/pain level of 9.5 & hurts sitting/lying.

Microdiskectomy: Give it some time; sometimes simply moving the roots around can upset the lumbar plexus and give you intermittent (even quite severe) pain, although it resolves within a week or two. Getting to the disk requires mobilization of the roots and inflammatory changes from that- or the disk herniation- itself can give this pain. As long as bowel and bladder OK, hopefully this will resolve also. Best! ...Read more

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What is surgery for L5 s1 isthmic spondylolisthesis like?

What is surgery for L5 s1 isthmic spondylolisthesis like?

Fusion: The success is higher with a fusion in this case. Whether there should also be a decompression depends on the findings on clinical exam and on imaging of any significant nerve compression. Overall, success rate should be 90% if not a smoker. ...Read more

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Moderate sized broad based right para central profusion on L5-S1. Dr says surgery is only option but that won't take away all the pain. Other options?

Consider this:: 1. Does the disc compress a nerve root, and if so, are signs of weakness, numbness, and muscular atrophy occurring? 2. Is bladder/bowel function OK?
If so, could wait it out as over 9-10 months, many of these discs desiccate and shrink. Conservative physical therapy could work in meantime. Do NOT get inactive, as that will make all worse. ...Read more

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Does an extruded disc fragment, very painful, require surgery, and fusion surgery l5-s1 help with the pain?

Does an extruded disc fragment, very painful, require surgery, and fusion surgery l5-s1 help with the pain?

See a back surgeon: This is a complex issue and is highly dependent upon the actual lesion, the patient and the extent of symptoms. Surgical fusion may or may not be helpful, and sometimes makes things worse. Find a highly recommended surgeon and let them evaluate and recommend management. Good luck. ...Read more

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I have bilateral degenerative changes at l5-s1 level w/a grade 1-2 spondylolisthesis found 9/2012 has become worse will I end up needing surgery?

Spine Surgery: Spine surgery is reserved for individuals that have unrelenting pain that has failed conservative care or who have a progressive neurologic condition due to the spinal changes. Many individuals with your radiographic finding are pain free. If worsening would followup with your doctor or see a surgical or nonsurgical spine specialist. ...Read more

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I was diagnosed with spondylosis l5/s1, which is now affecting my nerves I've been advised to have surgery but how bad can it get without surgery?

I was diagnosed with spondylosis l5/s1, which is now affecting my nerves I've been advised to have surgery but how bad can it get without surgery?

How bad is bad?: Surgery for your condition, or almost any other spinal condition is indicated by several things. First, intolerable pain (which is a subjective, non-measurable quality)
if pain is the only issue & you can adapt to it, don't do surgery
second, is functional loss which means impaired walking, severe leg weakness, bowel/bladder problems or severely restricted spinal mobility). ...Read more

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I heard fusion is the best way to fix severe disc desiccation on l5-s1. All other nonsurgical procedure didn't work the past 4 yrs. Time for surgery?

Replacement possible: Fusion is gold standard but disc replacement is done as well at this level. Goggle active xl and prodisc for lumbar disc replacement to learn more. This is done in limited centers in us. Dr jochen feil md in hiddleburg germany is an e pert in this procedure. ...Read more

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Do I need surgery first I had my l5-s1 bad now 3 months later I have my l5-s1and s2 (racepinephrine)?

Do I need surgery first I had my l5-s1 bad now 3 months later I have my l5-s1and s2 (racepinephrine)?

Not possible to say.: Most patients with herniated spinal discs will not require surgery. However, patients who develop numbness or weakness of their arms or legs, or changes in the function of their bowels or bladder, may need to undergo surgery to free up compressed nerves. ...Read more

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What to do if I had surgery (tlif L4 5 L5 s1) and recently found out that What to do if I had a failed fusion.?

What to do if I had surgery (tlif L4 5 L5 s1) and recently found out that What to do if I had a failed fusion.?

That depends on what: You mean by that-did the fusion not heal or did the fusion heal & you have persistent symptoms. 1st case may require another surgery to achieve fission. This may best be achieved by minimizing factors that affect healing like smoking in addition to a 360 surgery or front & back approach surgery with the addition of bone morphogenic protein to help with the fusion. If 2nd case, speak to your doc ...Read more

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Large disc extrusion at L5 compressing L5, S1&S2 n/roots. Got to decide on surgery or injections, would like opinions.

Large disc extrusion at L5 compressing L5, S1&S2 n/roots. Got to decide on surgery or injections, would like opinions.

Surgery, most likely: It seems this is a very impressive disc herniation (extrusion). If you have symptoms you may not have any options as you don't want any nerve damage. ...Read more

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Should I shave my pubic area if I am getting an anterior spinal fusion for l5-s1? I am having surgery on the 12th of this january

Should I shave my pubic area if I am getting an anterior spinal fusion for l5-s1? I am having surgery on the 12th of this january

Just ask: Seeing as your surgery is months away, there's plenty of time to ask your surgeon what his or her preference is when you follow up with them. Depending on how much hair you have, and where the planned incision is, you may not have to shave at all. If you have hair in or very near the surgical field, it will have to be removed. ...Read more