Top
20
Doctor insights on: Pinched Nerve L5 S1

Share

Nerve (Definition)

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


2

2
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?

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.

3

3
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?

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.

4

4
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.

5

5
My emg shows pinched nerves in l5-s1 region but the MRI is negative. How is this possible?

My emg shows pinched nerves in l5-s1 region but the MRI is negative. How is this possible?

Complementary...: The MRI shows a picture of the vertebrae and discs, but it does not show how the nerves are functioning. The two tests are complementary: one shows structure and the other shows function. A pinched L5 or s1 nerve does not always mean it is trapped by a disc or bone spur-- it may get damaged or pinched intermittently when your spine moves, or may have incurred stretch damage.

See 1 more doctor answer
7

7
Pinched nerves in neck from bulges at C5-C6 and C6-C7 via neck MRI, shoulder pain. Related? 6 MM slip at L5-S1 with pars defect and leg pain. Related? Thanks.

Pinched nerves in neck from bulges at C5-C6 and C6-C7 via neck MRI, shoulder pain. Related? 6 MM slip at L5-S1 with pars defect and leg pain. Related? Thanks.

..Spine Specialist: 47 y/o Male w Pinched nerves in neck from bulges at C5-C6 and C6-C7 via neck MRI, shoulder pain. Related 6MM slipp at L5-S1 with pars defect and leg pain. Related? Thanks. Yes related called Degenerative Joint/ Disc disease. The Doctor who ordered the studies know what he/she is looking for Have him/her provide treatment guidance or see Spine Specialist. Thereafter mind Diet/ Exercise/ Lifestyle

8

8
Have a bulging disc with nerve compression at L5/S1, what distance is safe for me to walk each with a 10kg backpack for me to have no pain. Thank u?

Have a bulging disc with nerve compression at L5/S1, what distance is safe for me to walk each with a 10kg backpack for me to have no pain. Thank u?

Get a lumbar pack: Be kind to your back and it will be kind to you. Backpacks are hard on the low back. Large fanny packs are known as "lumbar waist packs" allowing one to carry a lot of the weight directly on the hips and decrease back strain. See: http://www. Ebay. Com/sch/i.html? _trksid=p5197.m570.l1313&_nkw=lumbar+fanny+pack&_sacat=0&_from=R40 I do not endorse this particular model, it is only an illustration.

9

9
I had a bone spur removed from my l5/s1 due to nerve compression. How likely are they to grow back?

I had a bone spur removed from my l5/s1 due to nerve compression. How likely are they to grow back?

Somewhat likely.: By bone spur, I assume you are referring to osteophytes caused by arthritis to the facet joints of the back. Facet degeneration is a continous process, and over time, will cause increasing bone spurs. Most of the time, we can accommodate these bone spurs, without surgery. In some instances, the bone spurs will cause enough nerve compression, causing severe pain, weakness and numbness.

See 1 more doctor answer
10

10
Have moderate /severe radiculopathy that started and progressed more than a year after L5/S1 ADR surgery. EMG showed compressed nerve. Causes for this?

Have moderate /severe radiculopathy that started and progressed more than a year after L5/S1 ADR surgery. EMG showed compressed nerve. Causes for this?

Postlaminectomy synd: Post Laminetomy syndrome can be flared following ADR surgery. The resulting nerve pain is due to altered kinetics, gravity or possibly scar. Other times the surgery just cant stop progression of disease and nerve damage. See your surgeon right away to evaluate: starting physical therapy focusing on core strengthening, postop imaging, epidural injection or SI joint examination or possible injection.

See 2 more doctor answers
13

13
L5-s1 disk herniated and cauda equina, did surgery 4 months before. My bladder not empties so urologist thinks still be nerve compression. Is that so?

L5-s1 disk herniated and cauda equina, did surgery 4 months before. My bladder not empties so urologist thinks still be nerve compression. Is that so?

Maybe, maybe not: Acute cauda equina syndrome from a ruptured disk in the low back is an urgent problem & is best treated with surgery. However, not everyone gets better. Residual numbness in the private area and difficulties with bladder emptying can remain despite surgery. It is something to discuss with your spine surgeon. She and he can assess, seeing if you need further tests like an mri.

See 1 more doctor answer
14

14
Is a nerve block in L5 s1 safe?

Yes: These types of nerve blocks are relatively safe and simple these days. One can even opt to have sedation if you are nervous about it to make it easier.

See 1 more doctor answer
15

15
Difference between l5/s1 rhitozomy and nerve block?

Difference between l5/s1 rhitozomy and nerve block?

Length of relief: Nerve blocks use local anesthetic to "numb" the nerve so it does not transmit pain messages to the brain. Rhizotomy uses heat (or cold or a chemical) to inactivate the nerve. Blocks last hours, rhizotomy lasts months.

16

16
What to do if I have pain around rectal area I was wondering if L5 s1 nerve's travel's to rectal area?

See your doctor for: An examination, lots of things can cause this. The rectal area involves the S1 to the S5. Much closer to your anus involves the S4 and S5 nerve. With the coccygeal nerve supplying sensation to the skin on top of the coccyx.Your symptoms maybe unrelated to your spine. If you have changes in your bowel/bladder function, or numbness over your anus/buttock area, then go seek care right away.

17

17
I have an appt for an epidural for a nerve issue, near L5 s1 I think. What can I expect at & after the appt?

I have an appt for an epidural for a nerve issue, near L5 s1 I think. What can I expect at & after the appt?

Maybe some discomfor: I might assume that you are going for epidural steroid injection, for a possible disc issue. This can work if inflammation is involved and is usually worth a shot. You might get some transient discomfort, but for the most part is benign and well tolerated. The important thing is to see if it help and call your doc if concerns arise.

See 1 more doctor answer
18

18
Is it normal for me to be having pain around rectal area? I was wondering if L5 s1 nerve's travel's to rectal area?

Nerve: The l6 and s1 nerves innervates the lower part of the leg and not the rectum. The lower sacral nerves are responsible for the rectum.

19

19
Compressing the nerves on the left side at the L5/S1 level.

Compressing the nerves on the left side at the L5/S1 level.

Not sure what you: Are asking. Please resubmit with a specific question.

20

20
I was diagnosed with spondylosis l5/s1, which is now affecting my nerves I've been advised to have surgery but how bad can it get without surgery?

I was diagnosed with spondylosis l5/s1, which is now affecting my nerves I've been advised to have surgery but how bad can it get without surgery?

How bad is bad?: Surgery for your condition, or almost any other spinal condition is indicated by several things. First, intolerable pain (which is a subjective, non-measurable quality) if pain is the only issue & you can adapt to it, don't do surgery second, is functional loss which means impaired walking, severe leg weakness, bowel/bladder problems or severely restricted spinal mobility).