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?
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
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 more
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 more
Disc: It is certainly possible, but perhaps there were already disc issues before. ...Read more
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
A bulging disc= herniated disc.
The real significance is the degree of herniation and whether there is any impingement on the nerves in the cauda equina of the lumbar spine (peripheral nerves). ...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 more
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.
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
Can you tell me what is degeneration and massive central herniation of the l4-l5 and l5-s1 discs?
Yes this is when a: When a disc ages, it degenerates & when it does it is more susceptible to herniate. If a smoker, the disc wears out 4x faster & smokers have a 2x higher rate of herniations compared to non smokers. Size of a disc herniation usually does not matter in terms of symptoms but they tend to get better quicker & without surgery as they most likely provoke a large inflammatory or healing response! ...Read more
How would I correct my back the l5-s1 has disc desiccation and 2 mm of retrolisthesis of L5 onto s1?
Don't look at pic: The picture of your back usually does not play a role in your treatment unless you have failed nonop care and have symptoms that warrant surgery and findings on studies consistent with your complaints. All of us develop changes at l5-s1 over time and the dessication with retrolithesis is a normal finding for most as we age not necessarily requiring a "fix.". ...Read more
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
I have had a two-level spinal fusion (l5-s1). What is the best way to avoid (or prolong) adjacent disc disease?
Accelerated adjacent segment degeneration is relatively common and concerns
adverse effects following spinal fusion. It
is believed that this accelerated degeneration
is due in large part to increased
mechanical stress on the adjacent motion
segments. Stay in shape, do not gain weight. ...Read more
How often does a l5-s1 bulging disc shrink compared to other discs? And how long does it usually take to shrink?
Usually they don't.: Over the many years the water content of discs decreases and they can "shrink" in size. However the co-relation of bulging and pain is poor. Many people with absolutely no pain have bulging discs which are found incidentally. ...Read more
It's my 4 weeks and 1 day after L5 s1 discectomy, I want to ride a bike as a part of my exercise do you think I can?
Ask YOUR doctor:
It should be fine. But, you're asking the wrong source. I wasn't there at your surgery to know if something looked abnormal. I would almost guarantee that if you just call, you doc would get an answer to you quickly.
My patients I allow back once pain allows and not taking meds. Avoid bend/twist/lift for 2-3 months as much as reasonable. ...Read more
Herniated l5-s1 herniation post l5-s1 laminectomy w/ fusion, why can't I be surgically treated when all has failed?
Vague question: Assuming you mean why _further_ surgery is not advised (the laminectomy & fusion certainly are surgeries!) there may be many factors including general health. However, I would suspect that scar tissue formation around nerves in the area of prior surgery may be so intertwined with the nerves, matted down, that one might easily damage the nerves trying to take away the scar tissue. ...Read more
I will be having a 360 fusion at L5 s1 how long will the procedure take and what can I expect for a hospital stay?
What can cause intense pain (7) at l5-s1 to decrease in intensity when standing in high heels (the higher the better).
Relief w/ back arch: Perhaps your problem is at the anterior aspect of your vertebral bodies, such as a disc bulge anteriorly. When you are in heels, it causes your low back to arch back more. That would cause distraction of the vertebral bodies at the anterior aspect relieving pressure on the anterior disc (but of course, putting more pressure on the disc posteriorly). ...Read more