Doctor insights on:
Transitional Lumbosacral Anatomy With Lumbarization Of The S1 Vertabral Body
My 16y daughter has back pain X-rays: Lumbarization S1. Mild levoconvex curvature. Limited visualization T6 spinousi process should we see a ortho?
My lumbar l5-s1 disk herniated lead to cauda equina syndrome, I did my surgery, bladder still not emptying and after surgery my body is very weak.?
Speak to your: Surgeon about repeating a MRI with contrast to evaluate surgical outcome to make sure adequate decompression and no recurrence or new disc issue. Sometimes, there may be ongoing issues that may or may not be permanent and a urodynamics test may help to evaluate this situation further if MRI is negative. ...Read more
MRI showed transitional lumbosacral vertebra mild herniation L-4 L-5, L-5 S1 and central disc protrusion. Could this be DDD. Severe back and leg pain?
Yes: These symptoms are compatible with DDD.Get a more detailed answer ›
I have a broad based bulging disc L5 S1 and multilevel facet arthropathy throughout the lumbosacral spine. What does this mean?
It means that: The disc between the 5th lumbar & 1st sacral vertebrae has developed a weak spot that allows the soft pulpy inside to bulge out. The rest has to do with the places where vertebrae connect. HEADS UP: Words really aren't enough here. ASK to review the images with the doc. You deserve an explanation in terms you understand. BUT, you also owe it to yourself to do your homework. Read up about it first. ...Read more
Yoga after fusions: Hello. I have patients who continue in yoga following spinal fusions; however, the yoga activities they perform are not the traditional type. Find out who does "chair yoga" in your community. Exercise physiology background of the yoga provider has been a + for my patients since she teaches improvised yoga for those who have undergone spinal fusions. Yoga can be done but must be "tweaked." ...Read more
Is it possible by discipline and persistence to return to a good level of flexibility after a L4-S1 lumbar fusion?
I had a lumbar fusion at the L5 s1 level five years ago. I am having lower back now. Is the next level herniated or degenerative?
Hard to say: Certainly one cause can be the development of adjacent level disease, and it is probably the most common cause. There are also other structures in the area that can cause pain such as the sacroiliac joints and the facet joint, hips, etc. Thank you for your question. A detailed history, exam and studies can usually determine the cause. ...Read more
How long to comeback in your normal activities like playing softball and jiu jitsu from lumbar microdesectomy of L5 s1?
L/S Microdesectomy: Prognosis for a one level uncomplicated lumbar spine microdesectomy is very promising and can certainly provide a cure for many. With appropriate post-operative rehabilitation, a patient should be able to return to normal activities withing 2 to 3 months. One should keep in mind that each case is unique & the actual spine surgeon is the best person to ask about recovery. ...Read more
What to do if I have been suffuring with lumbar (ddd) pain and what to do if I have been feeling pain around rectal area I was wondering if L5 s1 nerve's travel's to rectal area?
Low back pain: The nerves of the lumbar and sacral spine do travel to the rectal area, Tailbone pain is common with degenerative disc disease (DDD) of the lumbar spine. The collapse and dehydration of the discs leads to a lack of cushioning of the vertebral bodies which leads to pain that transmits into the tailbone. See a spine specialist for relief of the pain. ...Read more
Not surgery: Spondylosis is ubiquitous in the middle ages and beyond. Research has shown that it is not possible to reliably and definitively diagnosis/isolate spondylosis as a primary cause of lbp to predict any level of success with injections or surgery. Patients are best off trying noninvasive measures including wellness initiatives such as exercise, weight reduction, stress management, mindfulness, etc. ...Read more
I had an MRI done on my lumbar on december 28th. I received an email this morning from my doctor stating that I have L5 s1 stenosis.?
Spinal stenosis is a: Narrowing of the spinal canal (in the lower lumbar region in your case) that can compress the spinal cord, cause pain, or compromise function, depending on severity. Nih site covers topic very well: http://www. Ncbi. Nlm. Nih. Gov/pubmedhealth/pmh0001477/ your doc can further discuss options based on your case. ...Read more
Is Lumbar Disc (L5/S1) replacement a viable option? If so, is Spinal Kinetics M6L better than Synthes ProDisc?
Yes and no: For the appropriately selected candidate who has also failed non-operative care, I do think a disc replacement can be a very viable option. The profuse in general probably had more ongterm data to support its use at this point, which is not to say it is better (just more documentation that it is relatively safe and effective. ...Read more
Opinion on lumbar disc replacement? Had fusion L4-S1 and wondering if would be possibility if adjacent segments deteriorate.
Lumbar lordotic curvature is reduced. Loss of T2WI hyperintensity is seen at L4-5 & L5-S1 disc levels suggestive of desiccative disc change.?
Degenerative disc: As we age we do develop gradual degenerative disc disease, a "wear and tear", and not unique to see desiccation or drying out of disc structure, which can shrink. This is NOT an indication for either surgery or injections, and best handled by good nutrition, sleep, and exercise. If you have low back pain, a physical therapy program can benefit. ...Read more
What is a iR 100 custom procedure exactly? I'm supposed to schedule on for my lumbar disc herniation L5-S1. Curious about actual details of procedure.
Back pain: Ask your surgeon to explain the procedure using your MRI studies, models of the spine, and brochures. Risks, benefits, and alternative treatments should be discussed as part of the informed consent. IR stands for interventional radiology. Apparently, a radiologist is perfoming your procedure. It is reasonable to ask how many of these procedures has her/she performed and the expected recovery. ...Read more
Usually after 12: Weeks one can resume all activities if without ongoing symptoms. ...Read more
Hi I had lumbar disectomy surgery on my L5 s1. If still possible I can come back in my jiu jitsu and octagon fight?
Talk with surgeon: I find it hard to believe that the person who operated on you hasn't discussed this and made recommendations. If they said no, then don't search online for an opinion from someone who doesn't really know you. ...Read more
What does diffuse degenerative endplate spurring, mild neutral narrowing L4-L5 & L5-S1 mean? The x Ray says minimal lumbar spondylosis mean?
These are changes in the bones of the back associated with aging. These changes are similar to arthritis changes and do not necessarily cause any symptoms. They can be seen in most people to varying degrees after age 40-50.
These spurs may irritate the nerves going to the buttocks or legs. Th spondylosis refers to one vertebrae sliding out of line slightly with the others. This is minor /common ...Read more
What are the possible risks of NOT having surgery when anterior lumbar interbody fusion with posterior fixation is indicated (ALIF L4, L5, S1, fix L5-S1?
Depends: Have you tried nonsurgical options? Surgery is typically indicated if you're having neurologic dysfunction and/or chronic intractable pain from a serious disc herniation and have failed to improve with conservative options. At your age make sure that you've had a couple of opinions and have tried nonsurgical options including physical therapy, medication, and possibly injections ...Read more
Spondylosis: Is loss of vertical height due to disk degeneration. Retrolisthesis means backward slippage of one vertebra over another. If it's mild it shouldn't cause many symptoms but this should encourage you to strengthen your core muscles and keep them strong because this problem gets worse as you age and you want your muscles to do all the work not the joints or disks of your spine. ...Read more
I am having headaches after my bilateral l4/5, l5/s1 lumbar facet medial branch block. Is this normal.
Wait and watch: Typically no reason to have headaches after mediial branch block. Potentially may happen IF the needle accidentally went too deep and caused spinal fluid leak but still the headache in that case would be constant with some change with position (lying down versus sitting up). Alternatively could be from steroids if used for block. Best to ask the office that did the block. ...Read more
Had a lumbar nerve block today on s1 nerve and have no pain relief from it. I'm so disappointed. Should I go to doctor. 6 weeks till my next consult?
Call doc: You should call and discuss with your doc. If not satisfied, seek a 2nd opinion. ...Read more