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Doctor insights on: Microdiscectomy Recovery Time L4 L5

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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

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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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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Professional tennis player gets l4-l5 hernia affecting the left root and leg. After microdiscectomy, how long on average until return to competition?

Professional tennis player gets l4-l5 hernia affecting the left root and leg. After microdiscectomy, how long on average until return to competition?

Twelve weeks after: Surgery is the time to return to the most rigorous activities based on current outcome studies after a microdisectomy. One should be sure to undergo an appropriate rehabilitation program in the post op period leading up to a return to any sports. ...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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I had a laminating & fusion of L4 L5 on December 23rd. My question is what exercises should I be doing to help my recovery? I am walking 2 1/2 miles a day.

I had a laminating & fusion of L4 L5 on December 23rd. My question is what exercises should I be doing to help my recovery? I am walking 2 1/2 miles a day.

Remember: This is something based addressed with your physician and physical therapist as they should have a better understanding of any concerning complications/limitations in regards to exercise. ...Read more

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I have L4, L5 and s1 herniated. I do p. Therapy But I went to a chiro. Been there 6 times. I am in more pain. Can my disc get more damage from this?

Possibly: Can aggravate the issue. See a pain or spine specialist to see if interventional treatments are options for you. ...Read more

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Mri shows disc bulge at l4/l5. Will disc return to normal position with time n stretches? What caused it? Does it mean more danger of it herniating?

Mri shows disc bulge at l4/l5. Will disc return to normal position with time n stretches? What caused it? Does it mean more danger of it herniating?

Part of Aging Proces: Bulging discs are very common especially as we age. That same MRI probably also showed some loss of water content in the discs. Bulging discs are usually asymptomatic and don't go on to herniate. Bulging discs do not return to a non-bulging configuration. ...Read more

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I have had a spinal disc problem (l4-l5) and terrible pains for more tha 20 years now, does it get worse to the time that I won't be able to walk? .Thx

I have had a spinal disc problem (l4-l5) and terrible pains for more tha 20 years now, does it get worse to the time that I won't be able to walk? .Thx

Rare but possible: Typically without anything compressing your nerves like herniated discs or bone spurs. And without spinal stenosis, symptoms will like be restricted to your back.

You must watch out for any changes in your bowel or bladder function, as that could imply an emergency.

You need to be evaluated by a spine surgeon, to inform you of your specific diagnosis. There are lots of effective treatments. ...Read more

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I have arthropathy at l2-3, l3-4, l4-5 and L5 -s1 im on pain all the time what is arthropathy

Arthritic joint: Arthropathy describes an arthritic joint. Based upon your description, you likely have a radiology report that is describing your facet (or zygopophyseal) joints. These are the joints in the back of the spine (behind the disc and spinal canal). There are two at each spinal level. ...Read more

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I had spondylolisthesis 4 times. I had a total of 7 fractures in my L5 and L4. I am 24 and have been told I am too young for fusion. What can I do?

I had spondylolisthesis 4 times. I had a total of 7 fractures in my L5 and L4. I am 24 and have been told I am too young for fusion. What can I do?

Is it symptomatic?: Painless spondylolithesis if low grade can often be managed non operatively but if it is progressive and has neurological symptoms or has pain that fails conservative care surgery can be considered up to and including fusion ...Read more

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I have degenerative disc L4 L5 is it safe to do sit ups n crunch. Will the it get better over time without doing surgery will it be like that 4 ever?

I have degenerative disc L4 L5 is it safe to do sit ups n crunch. Will the it get better over time without doing surgery will it be like that 4 ever?

Yes: In fact, we encourage abdominal strengthening exercise in patients with back problems, including disc disease because making abdominal muscles stronger takes pressure off lower back muscles, and helps with pain. Most disc problems don't require surgery. ...Read more

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History of L4, L5 bulges. On road bike for 30 min & both feet tingling bad! Getting new MRI, but which discs cause tingling in both feet at same time?

History of L4, L5 bulges. On road bike for 30 min & both feet tingling bad! Getting new MRI, but which discs cause tingling in both feet at same time?

Several can: Tingling in both feet can suggest that the lumbar nerves are being irritated or compressed on the left and right side. A disc bulge/herniation or stenosis (narrowing) of the nerve canals on both sides of the spine can cause symptoms in both feet. Radiation to the feet often means L4-L5 or L5-S1. If I can help, then join my care team & virtual practice at
www. Healthtap. Com/dr-clarkeholmes ...Read more

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Pain since 2 1/2 yrs. MRI done 2 times initially and now. Disc Bulg at L3-L4, L4-L5, L5-S1 with no neural. Focal central annular tear L4-L5, L5-S1?

Pain since 2 1/2 yrs. MRI done 2 times initially and now. Disc Bulg at L3-L4, L4-L5, L5-S1 with no neural. Focal central annular tear L4-L5, L5-S1?

Hard Case: With bulging discs, it's always hard to know if they are actually the cause of pain. Many people without back pain at all have bulging discs. Since you don't have any neural involvement, you may want to consider seeing a physical therapist or chiropractor to see if they can offer you any benefit. Best of luck! ...Read more

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I'm 24 and have herniated discs at L4 L5 and a building disc at T11-12. I've done physical therapy many times and cortisone injections to try to help with the pain and neither worked so at 18 I was told my only option left was surgery but I opted not to s

I'm 24 and have herniated discs at L4 L5 and a building disc at T11-12. I've done physical therapy many times and cortisone injections to try to help with the pain and neither worked so at 18 I was told my only option left was surgery but I opted not to s

See below: Injections can provide relief if they are placed in the correct location, and therapy is only as good the therapist your working with. You may also want to try chiropractics. Proper diet, ergonomic modifications, posture, and your mental state also play an important role overcoming back pain. ...Read more

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Awful low back pain. Scoliosis. L4-l5 bulging disc. 1 year last time pain. Hurts to walk, sit, do anything. Radiates to thighs. What's causing this?

Awful low back pain. Scoliosis. L4-l5 bulging disc. 1 year last time pain. Hurts to walk, sit, do anything. Radiates to thighs. What's causing this?

Lumbar Muscle Spasm: If you have a bulging disc at l-4/l-5 probably irritated a nerve by twisting, bending, lifting, etc. Now have spasm compressing the nerves. ...Read more

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I have experienced severe right leg pain. Almost and electrical sensation I have lower l4, L5 deteriotion and I get spinal injection. But this time it has not helped the pain in my right from the hip to my foot when the pain hits the hardest I sweat prof

Back: Back and leg pain can be caused by disks, stenosis, slipping of the spine (spondylolithesis), foraminal stenosis, spine fractures, etc.

Most likely your right leg pain is from herniated l4-5 disk. Patients with disk herniations may benefit from giving time for the pain to settle, physical therapy, steroid injections and surgery. If the disk herniation did not respond to steroid injection then you should see a spine surgeon to discuss surgical options. There has been many advances in spine surgery and I would recommend looking into endoscopic spine surgery. Please see my health guide on lumbar disk herniations and sciatica.

Maximum Ibuprofen dose varies on your weight and medical conditions I recommend discussing this with your doctor.

Good luck! ...Read more

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6mm herniated disc, L4-L5. Lower back pain and now into hip. Is steroid normal initial treatment. What's best, very painful at times.?

6mm herniated disc, L4-L5. Lower back pain and now into hip. Is steroid normal initial treatment. What's best, very painful at times.?

Therapy Usually fist: If the herniation is posterolateral, then epidural or foraminal steroid injection (s) is a possible answer. But your symptoms suggest that the herniation is more central. In case of lateral herniation, the pain would go down to the top of your thigh and your knee (L4 nerve root caught at L4-5). So I think you should try low back strengthening, traction, or a McKenzie certified therapist first! ...Read more

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How long should an nsaid be taken to treat chronic backpain? I have a degenerative L4 and herniated l5. Have already done several rounds of physical therapy. The orthopedic surgeon does not recommend back surgery at this time simple because of my age 29.

How long should an nsaid be taken to treat chronic backpain? I have a degenerative L4 and herniated l5. Have already done several rounds of physical therapy. The orthopedic surgeon does not recommend back surgery at this time simple because of my age 29.

Depends: The nature of your back pain would help determine the type of medication you should try. If your herniated disc is impinging on the nerve and you are having electric, burning, shooting "nerve" pain then you should try an neuropathic agent like gabapentin/lyrica. If is due joint issues related to the degeneration- nsaids are a good choice. Try naproxen. See an interventional pain physician. ...Read more

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Is it possible while having a colonoscopy done to hit/touch the lumbar spine area? I had infusion surgery to l3, L4 and L5 in april. A couple of weeks ago I had a colonoscopy done and since that time my intestines feel somewhat sore expecially when I hav

Is it possible while having a colonoscopy done to hit/touch the lumbar spine area? I had infusion surgery to l3, L4 and L5 in april. A couple of weeks ago I had a colonoscopy done and since that time my intestines feel somewhat sore expecially when I hav

It: It is not likely. During a colonoscopy, the scope is inserted into the rectum and into the colon, and there is much space between the colon and lumbar spine. Any complications with your back would have been felt immediately post procedure if any part of your body was traumatized. It sounds like you have a sensitive back injury of your lumbar spine, and you should see your doctor to investigate this pain, since your surgery was not too long ago. ...Read more

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I have a problem of L4 L5 and s1?

I have a problem of L4 L5 and s1?

This would: Refer to a problem in the bones or nerve roots at the very bottom of your spine or start of the pelvis. ...Read more

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Osteophytes at l4-l5 what does this mean?

Osteophytes at l4-l5 what does this mean?

Sign of arthritis: U mean l-1, l-2? This is a sign of a degenerative process @ than level in ur spine. They r not always symptomatic. C a spine surgeon if u r symptomatic. ...Read more

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Bad back L4 and L5 with a annular tear, what to do?

Bad back L4 and L5 with a annular tear, what to do?

Keep: Your core strong (strength exercise to abdomen and low back muscles, under the supervision of physical therapy. ...Read more

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What is chronic grade retrolisthesis of the L4 on L5?

Typically represent: Degenerative settling across a spinal segment, in your case L4 settles on L5 and not lined up with it as it should be, but instead L4 is noted to be lined up slightly backwards relative to L5. ...Read more

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How is spinal retrospondylolisthesis of l4-l5 managed?

How is spinal retrospondylolisthesis of l4-l5 managed?

Depends on symptoms: Retrolisthesis occurs from degenerative changes in the disc and facet joints of the spine. It is generally considered more stable than a forward slippage and therefore a fusion is not always recommended if you are having nerve pain. Instead a simpler laminectomy can be done. If the slippage is significant leading to narrowing of the nerve exits (foramen), then a fusion is sometimes warranted. ...Read more

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Difficulty going to the toilet opening bowels L4 and L5 compression?

Difficulty going to the toilet opening bowels L4 and L5 compression?

What do you mean?: Are you trying to gauge the force of straining at stool? Or, how can we help you? ...Read more