Top
30
Doctor insights on: Left Paracentral Disc Protrusion L5 S1

Share
1

1
MRI RESULTS please interpret Schmorl's nodes T11-T12, T12-L1. mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1 Mild Disc protrusion L5-S1

MRI RESULTS please interpret Schmorl's nodes T11-T12, T12-L1. mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1 Mild Disc protrusion L5-S1

Don't panic: 1) The scan is not the pt; you are. 2) Operative word here is "mild." Those findings may cause no symptoms at all. 3) In medicine and especially in this sort of situation, 1 picture = 1000 words. Your doc ordered the scan for a reason. Look at the images with your doc and have them interpret them for you, or find you someone who can. You have a right to an explanation in terms you understand. ...Read more

3

3
What does this mean? "Residual/recurrent left central/subarticular L5/S1 disc protrusion? "

What does this mean? "Residual/recurrent left central/subarticular L5/S1 disc protrusion? "

Suggests you may: Have had surgery for a left L5-S1 herniated disc, and your new MRI still shows disc protrusion in the area close to your prior herniated disc -- hence the wording of residual (suggesting not all disc material was successfully removed), or recurrent (suggesting all disc material was successfully removed, but new disc fragment is now protruding in the same area -- different from the original one.) ...Read more

4

4
Can docs explain what does residual/recurrent left central/subarticular l5/s1 disc protrusion mean?

Can docs explain what does residual/recurrent left central/subarticular l5/s1 disc protrusion mean?

Disc Problems...: Looks like by the verbage you gave, you've had a previous MRI before suggesting that the disc herniation has recurred or stuck around. "Central" just means in the middle of the spinal canal, "Subarticular" suggests below the facet joint since that is the only articulating joint in the spine. Protrusion is just another name for a herniation and specifically denotes the type of herniation. ...Read more

5

5
I have disc protrusion ( (to the left at L5 s1)) and don't want it to become herniation. What is the best safe sport I can play.

It is a Herniation: By definition a disc protrusion is a herniated disk. As far as what sport is safe, that is a million dollar question. Really I would say, play what you enjoy and if the disk becomes a problem then seek medical care right away so you don't have any lasting or activity limiting effects. ...Read more

6

6
What treatment would you recommend for MRI results: Moderate size midline L5-S1 disc protrusion with mild effacement of the left S1 nerve root sleeve?

What treatment would you recommend for MRI results: Moderate size midline L5-S1 disc protrusion with mild effacement of the left S1 nerve root sleeve?

Lumbar disc disease: As with any ailment you need to get expert opinion. If you don't have any weakness in legs, sensory deficits or urinary issues then treating it conservatively would be appropriate at this time, taking Advil (ibuprofen) or Ibuprofen, Physical therapy, heating pad may help it if symptoms persist then see a Neurologist. ...Read more

7

7
What does L5-S1 central disc protrusion abutting the thecal sac without spinal stenois mean? I have severe pain down my left leg when standing/walking

What does L5-S1 central disc protrusion abutting the thecal sac without spinal stenois mean? I have severe pain down my left leg when standing/walking

Disc protrusion: The L5-S1 disc is very susceptible to protrusion since it gets more load than most other lumbar discs. The disc is abutting the spinal canal's covering (thecal sac) without impinging on the canal itself (without stenosis). Your neurologist might suggest approaches like muscle strengthening exercises & physical therapy to help address your pain. Http://www. Nlm. Nih. Gov/medlineplus/herniateddisk. Html ...Read more

10

10
Ongoing peripheral neuropathy, top of left foot, since june 2012. Area numbed after 2006 12mm l5/s1 disc protrusion (resolved). What are my options?

Ongoing peripheral neuropathy, top of left foot, since june 2012. Area numbed after 2006 12mm l5/s1 disc protrusion (resolved). What are my options?

Herniated disc: The numbness or neuropathy in the foot may have several possibilities such as a recurrent disc protrusion, ligament and facet growth leading to canal narrowing, low B12 levels, or other reversible causes. Follow up with a spine specialist to determine the cause of the numbness. ...Read more

11

11
Doc is it for surgery if I have a disc protrusion @ L5-S1? Thank you!

Doc is it for surgery if I have a disc protrusion @ L5-S1? Thank you!

Not necessarily: If there is no weakness or bowel or bladder changes it is reasonable and prudent to trial non operative care such as physical therapy ...Read more

12

12
Fix without surgery? Large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

Fix without surgery? Large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

That is a MR Dx.: If U have no symptoms no need 2 treat. If U have severe symptoms U can buy some time with epidural steroids but not permanent. Surgery is very successful if symptoms match the MR findings.

Good luck. ...Read more

13

13
MRI RESULTS please interpret Schmorl's nodes T11-T12, T12-L1. mild bilateral facet hypertrophy L3-L4, L4-L5, L5-S1 Mild Disc protrusion L5-S1

Don't panic: 1) The scan is not the pt; you are. 2) Operative word here is "mild." Those findings may cause no symptoms at all. 3) In medicine and especially in this sort of situation, 1 picture = 1000 words. Your doc ordered the scan for a reason. Look at the images with your doc and have them interpret them for you, or find you someone who can. You have a right to an explanation in terms you understand. ...Read more

14

14
I have a disc protrusion at L5 s1, is it ok to do push ups or/and pull ups?

I have a disc protrusion at L5 s1, is it ok to do push ups or/and pull ups?

Disc Herniation: Strengthening exercises, such as pull up and pushups, can be done with a disc herniation dependent on the acuity of the herniation and if you still have symptoms from the injury. No symptoms, then proceed with good form, progressively. Start slowly an build yourself up. If you still have pain r symptoms, then see your physician for evaluation. ...Read more

15

15
After paracentral disc protrusion at l5 s1 level inMri after three weeks rest/medication pain is almost negligible what is best treatment going forwad?

After paracentral disc protrusion at l5 s1 level inMri after three weeks rest/medication pain is almost negligible what is best treatment going forwad?

Do your lumbar: Strengthening exercises to increase your paraspinal muscle tone and durability, which in the long term will help strengthen your back against trauma and/or recurrence of symptoms. Physical therapy is always a good answer for vertebral problems. I would make sure I do my back exercises everyday for at least 15-20 mins, and avoid situations where you may have to strain your L5-S1 disc. ...Read more

16

16
I'm 27 years old and developed a Right Paracentrl Disc Protrusion on L5-S1. Is this an uncurable condition? What is the best form of treatment?

I'm 27 years old and developed a Right Paracentrl Disc Protrusion on L5-S1. Is this an uncurable condition? What is the best form of treatment?

Fairly common: Lumbar disc bulges are common. Many are found incidentally are not likely to cause symptoms. Aprox 20 - 35% of adults have disc bulging on MRI. The incidence of sciatica symptoms is 2%. Some disc herniations may be resolved with conservative treatment. Some will progress. If you have persistent symptoms despite conservative therapy, then surgery maybe warranted. ...Read more

17

17
Broad based disc bulge between L5-S1 and L4-L5 has a a broad based central disc protrusion whay am I in pain?

2 bulging discs: In lumbar spine. These discs may push against nerves thereby causing pain. Non-steroidal pain relievers may help. Physical therapy may help. In general, most patients improve within 6 weeks to 3 months. Surgery is often a last resort and may not provide long term relief. Be patient and follow your doctor's instructions. Thanks for trusting HealthTap! ...Read more

18

18
I have a small disc protrusion at l5-s1. Could this be causing foot pain?

Possible: It could cause pain if it was touching the nerve. Usually the pain is towards the side of the protrusion. ...Read more

19

19
Postero central and paracentral disc protrusion at l5 s1 level causing thecal indentation encroachment upon bilateral canal with compression on bilateral trarvesing compression s1 nerve roots this is written on my mri scan, doctor has recommended me disct

Postero central and paracentral disc protrusion at l5 s1 level causing thecal indentation encroachment upon bilateral canal with compression on bilateral trarvesing compression s1 nerve roots this is written on my mri scan, doctor has recommended me disct

Comments: Not sure what your question is, but in most cases, would handle this conservatively, if you are not progressively losing strength and muscle bulk, with intolerable pain. These disks can desiccate and shrink if you can wait 9-10 months, and avoid surgery. An EMG test can objectify extent of nerve damage at this point. ...Read more

20

20
Is it safe to run with. L5/S1 disc protrusion with narrowing of right exit foramen and L5/S1 grade 1 spondylolisthesis?

Is it safe to run with. L5/S1 disc protrusion with narrowing of right exit foramen and L5/S1 grade 1 spondylolisthesis?

Sure: Let pain be your guide if you get back or leg pain switch to biking or swimming or elliptical This is all one condition Spondylolithesis next question degenerative isthmic the answer provides etiology and prognosis ...Read more

21

21
Will my disc ever heal? Mri result was " minimal disc protrusion at L5 s1 " a year ago. Sometimes im pain free, others I can't sleep from pain.

Will my disc ever heal? Mri result was " minimal disc protrusion at L5 s1 " a year ago. Sometimes im pain free, others I can't sleep from pain.

No, but: Teenager w. Low back pain seemingly told "l5-s1 disk protrusion" cause. Pain comes ; goes ; interferes w. Sleep. Supposed "diagnosis" is radiologic term ; likely wrong choice for "diagnosis". Protruding disks commonly seen in unpained persons. Disk impingement pain decreases w. Lying down as sacroiliac joint subluxation pain worsens. Extreme sports participation? See osteopath for evaluation. ...Read more

23

23
I need help understanding: L5/S1 ~3mm central disc protrusion. I often feeling my back (lower part) pain, always feel my right thigh aches in 1 spot?

I need help understanding: L5/S1 ~3mm central disc protrusion. I often feeling my back (lower part) pain, always feel my right thigh aches in 1 spot?

Consult SpineSurgeon: Your pain is from the disc herniation and if not already you should consult a Spine Specialist. May need PT/Pain Management and if not successful non invasive surgery may be the last resort ...Read more

24

24
What does it mean to have a disc protrusion at the L3-S4 and L5-S1 levels without spinal or neural foraminal stenosis?

What does it mean to have a disc protrusion at the L3-S4 and L5-S1 levels without spinal or neural foraminal stenosis?

Common finding: Disc bulging or protrusion of the disc does not correlate very well with the presence or absence of back symptoms (based upon MRI studies). Since you do not have evidence of nerve root or spinal cord compression it would suggest that your pain might be arising from lumbar facet osteoarthritis and/or myofascial pain in the lumbar muscle groups. Has an experienced physical therapist evaluated you? ...Read more

25

25
I had an l5-s1 large disc protrusion in 2009 and now my lower back is sore again (x5 days). What is the best treatment to avoid it getting worse?

I had an l5-s1 large disc protrusion in 2009 and now my lower back is sore again (x5 days). What is the best treatment to avoid it getting worse?

Careful exercise: The risk of a recurrence is 5%. Start by avoiding prolonged positioning & any repetitive twist or bend maneuvers. If you had physical therapy with your last episode, resume those exercises. Use of otc medication will help control symptoms. Cardiovascular workouts may help except for rowing & maybe running. If you did not have physical therapy, you may want to get a session to learn exercises. ...Read more

27

27
I have a 2mm central disc protrusion at l5-s1. My pcp says this is too small to be causing my bilateral foot pain. What do you think? Worth a 2nd op?

I have a 2mm central disc protrusion at l5-s1. My pcp says this is too small to be causing my bilateral foot pain. What do you think? Worth a 2nd op?

Shouldn't cause: Bilateral foot pain, especially at that level. While it is always safe to get a second opinion, and I cannot be sure without seeing the mri, a small protrusion would most likely not cause bilateral foot pain. Have you checked your a1c to make sure you are not looking at diabetic neuropathy? Would need to see the mri, but it doesn't sound like that's the cause. ...Read more

28

28
Focal central disc protrusion at l5-s1 level. Central spinal canal ismildly compromised at l5-s1 level l5-s1 disc is dessicated-written in MRI report?

MRI Report: In the absence of significant symptoms, this really means nothing. Desiccation starts in the teen years on mri. Protrusion simply means the disc is wider than it is deep into the spinal canal. Usually not significant if central. Don't fixate on the report. Nothing to worry about here. ...Read more

29

29
If I had a fusion of L4-S1 with a spacer at L4/5, why would my most recent MRI say that there is disc-desiccation and at L5/S1 also a disc protrusion?

Adjacent degeneratio: Because of the fusion there is more stress on the docs above and below leading to their degeneration like narrowing, bulging or herniation. However some people can get degenerative discs adjacent to another abnormal disc just spontaneously. ...Read more