Doctor insights on:
Treatment For Bulging Disc L4 L5
Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more
It could be: Is that the only level involved. Are other levels also damaged. You could first consider prolotherapy to stabilize the back with out surgery. Can always do surgery. Visit www.Getprolo.Com or www.Aaomed.Org for info on prolotherapy and to find a doctor to help you and give you another opinion. ...Read more
Is mild disiccation and mild bulg at l4 l5 painful and mild bilateral l3 l4 and l4 l5 neural formaminal stenosis painful and what is treatment ?
No. yes maybe: The dessication and mild bulge are quite common and rarely cause symptoms. The foraminal stenosis is of more concern. This will cause pain if the stenosis is tight enough. ...Read more
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Depends on the: Problem. A number of disorders, e.g., spondylolisthesis, slipped disk, fracture, arthritis, hla b-27 related disease, spina bifida oculta, metastatic tumor etc can affect l4-5 region. Treatment would depend on the disease affecting a particular person. ...Read moreSee 2 more doctor answers
Back Pain Options: This back pain as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read moreSee 4 more doctor answers
See your doctor: The doctor who ordered the scan which showed the disc herniations should be able to give advice regarding the next steps. Any numbness or weakness associated with the sciatica should be worked up by a neurosurgeon, who may recommend conservative management including injections, endoscopic or minimally invasive discectomy, laminectomy etc depending on the findings. ...Read moreSee 2 more doctor answers
My l4 l5 discs have small bulge without significant compression. L5 S1 has reduced disc space and bilateral sacrelization of L5. What should I do?
Nothing: Research has shown that the findings on imaging studies do not correlate all the time with patient symptoms. If you have no problems then don't worry about it. If you have back pain, it is more likely to be associated with muscle strain than the bulging disc. Sacralization is common on of no real signficance. ...Read more
Seeking non-surgical treatment options for adolescent bilateral grade 3 spondylolysis (pars defects) with herniated l5-s1 disc?
Options: Congenital variety genetic origin occuring in 6% us population in particularly in certain high level athletes like swimmers, gymnasts, pitchers, football linemen to name a few. Most treated non operatively including associated with herniated disc with bracing, physical therapy & medication and activity modification. Epidural steroid injections can also be considered with 90% treated nonop. ...Read moreSee 1 more doctor answer
5 mm anterolisthesis of L5 on s1, discogenic disease at l4-l5 and l5-s1, arthritic changes of the facets joints at l4l5, l5-s1, mild flattening L4 l2?
Degenerative Disease: What you are describing are arthritic changes in the lumbar spine, what question are you asking, as I am unclear as to what you want to ask! ...Read more
What are permanent treatment options for lumbar disc diseases, like disc dehydration, bulging, and tear?
Fusion at L3 L4 lateral herni at L5 moderate bulge l5s1 mild bilat neural foraminal exit stenos should L4 L5 s1 all be fused at this point ? Help pl
Surgical risks: It sounds like you have chronic back pain, and that surgery(ies) have not been helpful. The problem with MRI scans of the spine is that they are good at identifying structural changes but do not let us know what is causing the pain. The changes you note on the MRI are common age associated changes. I suggest you see a physical medicine & rehab doctor (non-surgeon) who specializes in the spine. ...Read more
Medial branch block: Mbb stands for medial branch block. The medial branch is a small branch of the spinal nerves that supplies sensation to the facet joints, which are the joints in the back of the spine. L4 and L5 refer to the specific spinal nerves in the lower back (lumbar spine). Likely this procedure would be performed for somebody with pain due to facet joint arthritis at l5-s1 on both sides (bilateral). ...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
Got MRI report, broad based dic bulge l4, l5. Facet hypertrophy l4, L5 and l5, s1. What are treatment options? 3mths pain, no improvment w/pt or st shot
Complex answer: Best way to reduce back pain is to be as light as you can (optimal weight) be as fit as you can (high level of fitness with good core muscle strength) and don't smoke. The intermittent use of anti-inflammatory medications will help as well. If the epidural was not effective the injection can be placed in the facet joint or the disc. The pain generator needs to be found. ...Read moreSee 1 more doctor answer
C5-6, C6-7 spondylosis, bone spur. Conservative treatments for 2 years. No relief. Daily neck n shoulder pain. No weakness. Surgery only option?
L5s1 laminoforaminotomy aug 2012.Recent MRI shows L5 s1 disc herniation. Scar tissue abutting s1 nerve root neural cysts. Is another surgery an opt?
Yes, but....: Having another surgery is an option, but you should try conservative treatment like physical therapy first if you are having pain. Every time that you have surgery, you create more scar tissue. Before proceeding with surgery again, you should get a second opinion from another neurosurgeon or orthopedist. ...Read more
Awful low back pain. Gets difficult to walk, sit, and stand. 1 week. H/o scoliosis, bulging disc l4-l5. What's causing it? Why is it so debilitating?
Acute lumbar Syndrom: Most likely you had an acute lumbar syndrome characterized by muscle spasm. The this really depends on whether it be the bulging disc or something else is causing. Usually the rest can help. If you are still in such pain, please see your doctor as soon as possible. ...Read moreSee 1 more doctor answer
I have herniated disc and bulging disc L4 L5 L5 s1 i had a snrb done and nothing is working does this mean surgery ? I have trouble walking too
Please see below: Herniated disc can be a generic term and not necessarily symptomatic unless it causes nerve root compression. In this case its most important to be able to correlate your symptoms with the specific nerve root impingement. It may be that the symptomatic nerve root has not been injected yet. Even if you don't respond to an epidural, a discectomy that can be done minimally invasively can help you. ...Read moreSee 2 more doctor answers
F 43 back pain for many yrs recent CT scan shows serious bulging disc L4 L5.dad die from wt multi myloma.what are the chance having bone cancer?
Reassuring: Your MRI is an excellent test to reassure you that there is nothing seriously wrong, like cancer. Multiple Myeloma is a cancer that affects older adults and it is not known to run in families. Your bulging disc does not usually need surgery. You should do well with rehabilitation for your weakness and pain. An EMG test (see a Physiatrist for this) may guide your care and progress. ...Read more
Slight disc bulge at l4/l5. Treatment needed? Will traction make disc go back in? Or just back exercises will do?
Integrative care: A herniated disc can cause back pain as well as foot pain by physically pressing on the nerves that travel to the foot and by irritating them through the extrusion of pro-inflammatory disc materials. Physical therapy and other conservative measures, including medication management, are considered first line treatment. If these fail, your physician may recommend epidural steroid injections. ...Read moreSee 2 more doctor answers
I have bulging disc at l4/l5 (based on mri) and pain in back and left leg. What can I do to put it back, to fix it and what shouldn't do? Thank you!
Wait a few days: Oftentimes, such pain goes away on its own after several days to several weeks. Studies show that those who have surgery on average are no better off after two years than those who don't. . If its unbearable or worsening, then see a doctor. Physical therapy can help in the short term, but best to just take it easy and don't lie down more than for sleeping, as it can make it worse. ...Read moreSee 1 more doctor answer
Is it really rare for l5-s1 bulging disc / minor herniation to slip back to its place compared to l4-l5?
First, discs don't : "Slip" back into place but the majority resolve just fine over time 90% without any surgery. If one were to do a follow up MRI from the first one over a 6 month period, 60+% chance of noting the disc resorted or shrink in size . Also, disc bulges are normal findings on imaging studies of the spine and even significant disc herniations can get better without surgery. ...Read moreSee 1 more doctor answer
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 someone explain the effect extension has on a moderate bulging disc w/ mod degeneration at l4-5 and l5-s1?
Complicated...but: There have been lots of studies that show mckenzie exercises help reduce pain but have no (or negligible) effect on bulging discs. They do not reduce recurrences of back pain and little functional benefit. But, i still recommend them for certain patients. See a spine specialist! ...Read moreSee 1 more doctor answer
I have been diagnosed with bulging disc in L4 and herniated disc in l5. I also suffer from utis at least every other month...What should I do?
UTIs not related: First, check with a urologist on UTI & frequency as not related to back issues. In terms of a disc bulge, they are normal findings. Even herniated discs can occur in asymptomatic people. For back health, you need to exercise regularly, particularly core exercise & cardiovascular regimens. Watch your weight & don't smoke. Make sure you have good vitamin d and calcium intake as well. ...Read more
I have pain in my arm, and am wondering if i need to get into the doctor.. I have a bulging disc between my L4 and l5...Was off of work for almost 3 weeks with it. I am back to work now and was overcompensating so now i pulled something in my top left sho
C4/5 disc?: I presume you meant c4 and c5. The disc herniation at this site can cause shoulder pain and weakness. If you are having increasing pain, weakness and numbness, please see a neurosurgeon soon. If you are having trouble walking or balancing, i recommend urgent evaluation. ...Read moreSee 1 more doctor answer
I have l4-l5 bulging disc. My cat puke on my bed. Sudden horrible low back pain, changing sheets. Am i feeling the disc? What could it be?
Spine Injury: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist. ...Read moreSee 1 more doctor answer
I just found out that I have Disc degeneration and posterior bulging disc at the L4/L5. I have had a spinal fusion at the L5/S1. what does this mean?
Depends: It depends on why the MRI was ordered and what symptoms and signs exist on the examination. It could be incidental or it could explain alot - without having more history it's impossible to tell. However, given that you have had an MRI, and your physician ordered it, you should ask your health care provider to go over it with you for an assessment. ...Read more
I have a fusion at l4-l5 with instramentation. An MRI in 2010 confirmed i had a bulging disc at s1 where I have pain. A new MRI & cat scan was ordere?
Consult your Spine: Surgeon. It is a common to have increased stress at the spinal segment above and below a fusion, with resultant acceleration of degeneration of these segments. However because you see these on xray/mri doesn't mean it is causing any symptoms. A well-trained spine specialist in your area will help you identify the pain generator, which might have nothing to do with the bulging disc you described. ...Read more
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?
My MRI states that I have 2 bulging disc at L3-4 and L5-S1 and moderate spinal stenosis at L4-5 narrowing the thecal sac to 8.7 mm. What does it mean?
Non-specific: 24y female has reported unilateral sciatica 4 weeks post-delivery & MRI shows "spinal canal stenosis" L-4/5 & "disc bulges" lumbar regions. MRI report does not explain symptoms; disc bulges oft seen in asymptomatic people. More likely birthing injured pelvic sacroiliac joint, now hyper mobile & impinging presacral plexus. Was excessive trendelenberg posture forced while had epidural anesthesia? ...Read more
I've had lumbar spine surgery 4yrs ago.... L4 L5 S1 and now after the surgery I have a bulging disc directly on the nerve. What can I do for pain?
L5-S1 annular tear, bulging disc at L4-L5 & L5-S1, could this cause vaginal/rectal pain/numbness & frequent urination? Tested neg for urinary infectio
Unlikely: It is unlikely that the low back issues would cause these symptoms. You should address this question to the doctor who ordered the tests. ...Read more
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
- Talk to a doctor live online for free
- L4 l5 bulging disc
- L4 and l5 bulging discs
- Exercises for bulging disc l4 l5
- Ask a doctor a question free online
- Exercises for bulging discs l4 l5
- Treatment for l4 l5 disc compression
- L4 l5 disc protrusion treatment
- Bulging disc l5 s1 treatment
- Talk to a neurologist online