Doctor insights on:
L5 S1 Vertebrae
Can training of soft tissue like ballet cause the L5 s1 vertebrae to be anatomically higher than the iliac crest? Due to hypertrophied lm muscles?
No: That cannot anatomically happen. There could be structural differences that you may have (congenital issues), but what you described cannot happen. ...Read more
Transitional anatomy: There are typically 5 vertebrae that make up the lumbar spine, but there are variants with 4 or 6 segments that naturally occur. With l5/s1 above the crests, it is most often with a true sacralized L5 segment with the lowest moving disc being l4/5..... ...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?
What is "diffuse disc space narrowing from L1 to L5-S1 with marginal osteophytes arising from the vertebral endplates."?
(osteo)arthritis: Whoever ordered xrays and gave you results should have explained results to you (or patient). More important than xray interpretation (no offense intended towards radiology colleagues) is why xray ordered in first place. While xrays may show evidence of arthritis, we treat patient & pain/debility, not xray. Sometimes, there can be lots of pain despite normal xray. Other times, no pain w/coincidenc ...Read more
I have constant pain/pressure around the L4/L5-L5/S1 disc area, diagnosed MRI report says: Disc bulging with posterior vertebral body endplate osteoph?
Pain may not be-: -from the oeteophyte, because you don't say what level that finding is at or how many levels are involved. The back pain I would assume front your age could very well be from degenerative disk disease of the lumbar spine. A bulging disk is another sign of degenerative disease. There are many treatments available so see your PCP for eval & referrals if needed. ...Read moreSee 1 more doctor answer
Intermittent back pain (only back. No radiating sx) MRI revealed l5, s1 schmorl node located to posterior part of the vertebral body. Can it be the cause?
Physical Therapy 1st: Most persons with this diagnosis do not have a "surgical" problem, but benefit from physical therapy (possibly including traction), strengthening and stretching exercises, anti-inflammatory medicine, and ice/heat/ultrasound or a combination. If there is significant weakness, bowel or bladder dysfunction, of if it is progressive, then involving neurology or neurosurgery would be helpful. ...Read moreSee 1 more doctor answer
Disc: It is certainly possible, but perhaps there were already disc issues before. ...Read more
Yes!: We never see them in older adults. Even for full blown herniations, the discs repair... http://casereports. Bmj. Com/cgi/content/full/bcr-2013-201037. ...Read more
Spondylolysis: Spondylo means spine and lysis means crack. These can be congenital variety which is genetic in origin occuring in 6% of the us population or after trauma which can be repetitve particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most are treated non operatively. It can be from trauma too. They can be found in about 6% of the us ...Read more
No: It is a soft tissue but this represents a significant mechanical lumbosacral disc injury. ...Read more
Not usually: Are you symptomatic? It depends where the fragment is in relation to the herniated disc (anterior, posterior, lateral placement, and how big it is, and whether it's impinging on anything or not). Need to speak to your spine specialist about this further, as s/he did the physical exam, and has the imaging needed to answer this question more fully. ...Read moreSee 1 more doctor answer
Prone on Elbows: Hi TamaraR, It is always best to be evaluated by a competent specialist prior to starting exercises. Generally, pain can be relieved by stretching exercises that arch your back. You can lay down prone with elbows resting on the ground and arch your back for 3-5 min at a time. If you have symptoms such as weakness then it may be urgent to see a specialist. Thank You Dr. Ayman Omar ...Read more
Entrap roots: Possibly roots can be trapped or spinal space can be stenosed ...Read more
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