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Doctor insights on: L5 S1 Surgery Recovery

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I have an L5 s1 herniated disc. I am having surgery next week. What can I expect? How long is recovery time? Will I be able to perform daily tasks?

I have an L5 s1 herniated disc. I am having surgery next week. What can I expect? How long is recovery time? Will I be able to perform daily tasks?

Back surgery: Recovery time could be 4-6 weeks or more depending on how extensive your surgery is. Every back is different, and your surgeon will determine whether you will benefit from just a microdiscectomy or whether you will require a more extensive laminectomy or even fusion. You should still be able to perform activities of daily living with necessary precautions. ...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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What is the best way to deal with a destroyed l5-s1 disk? I think i need some sort of surgery but i'm scared. Nothing else has worked.

What is the best way to deal with a destroyed l5-s1 disk? I think i need some sort of surgery but i'm scared. Nothing else has worked.

Second opinion: X- ray and MRI images are not certain ways to decide that a disk is the problem. You are young and unless you have had a terrible back injury, the disk changes are probably age related as is seen in many your age and who do not have pain. See an osteopath, and always get a second surgical opinion; preferably from a surgeon in another city. ...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 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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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?

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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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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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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