Doctor insights on:
Pinched Nerve L4 L5
Many options!: However, this is as long as there are not motor deficits (weakness) yet. If there is weakness, it becomes a more important discussion. If no weakness, and stable, then physical therapy should be your first stop. From there, epidural injections can be helpful, as well as medications, including oral steroids acutely can help. Many modalities, including things like acupuncture. Avoid sx until needed. ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
EMG/NCV says pinched nerve of L4, L5, S1, S2 (racepinephrine). I do not have weakness, atrophy, change in sensation, or any other complaint. Might be misdiagnosis?
Yes: EMG is complex and the report requires interpretation. Sometimes muscle spasm in the back causes abnormality of the back muscles that is described as lumbar radiculopathy but may not be a significant pinched nerve. Tests need to be taken in the context of the patient and their complaints and physical examination, just as you have suggested. ...Read more
Could a pinched nerve in L4, L5, S1, or S2 (racepinephrine) cause the right lower leg to look rounder than the other in the back of the leg but measure the same?
R/O BAKERS CYST: Usually a pinched nerve in that region will cause sciatica and neuropathic pain. This may result in muscle atrophy and later potential foot drop. If the area behind the knee is full you may have a Bakers Cyst or potentially a DVT. An Doppler US or MRI IS NEEDED to define the anatomy. ...Read more
I have back pains with a bulging disc and pinched nerve in my L4 L5 disc and the neurosurgeon recommended amytriptlene?
1possibility: It is very common to have a bulging disc. The nerve symptoms are usually related to inflammation. The first step in treatment is usually anti- inflammatories and physical therapy to decrease the mechanical traits that are putting pressure on the disc and strengthen your core. When these measures do not completely work, a medication to help with netve pain is often added. Amytrip. Is one of those. ...Read moreSee 2 more doctor answers
Can a pinched nerve in the L4-L5 and/or S1 cause a muscle in the leg to stay in a contracted state?
Definitely, yes: Pinched nerve can be caused by being sandwiched between two spinal bones, pressed by a bulging. It can cause muscle spasm and back pain. Prevention treatment is always recommended. This condition must be professionally managed. See interventional pain management specialist for definitive diagnosis and management. Good luck. ...Read more
Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?
?cauda equina syndr.: If you possess a large ruptured disk in the lower back which compresses multiple nerve roots, or if you have lumbar stenosis, this could affect both bowel and bladder, but a localized pinched nerve at the root level otherwise will have not influence on bowel dysfnctn. ...Read more
Can pinched nerve in S1-S2 or L4-L5 cause the lower posterior leg to look rounder than the other leg, but measure the same in circumference?
Can you have a pinched nerve without having any herniated disks in back but mild spondylitic change in L4-L5 (some facet degenerative change)?
Yes: The facet joint outlines the neuroforamen in which the spinal nerve exits out of the spine. So if you have spondylitic change you may be compressing the nerve that exits out, hence pain. That said, it doesn't take much for a disc to bulge (it doesn't have to herniate) and the facet joint arthritis to cause such an event. ...Read moreSee 1 more doctor answer