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Doctor insights on: What Does S1 Do

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MildBulgeL5S1&L4L5w/MildIndentationVentralThecalSac. 8wks numbW/pain S1dermatome toe2butt. 2wksSharpPain1"[email protected] LegsWeak w/pain L butt2knee?

MildBulgeL5S1&L4L5w/MildIndentationVentralThecalSac. 8wks numbW/pain S1dermatome toe2butt. 2wksSharpPain1"L&RofMidline@S1 LegsWeak w/pain L butt2knee?

See a specialist: With these symptoms and findings, I suggest you seek the opinion of a board-certified neurosurgeon. They will be able to look at your images and give you a good idea of whether those lesions are causing your symptoms and if surgery is likely to help. Best of luck! ...Read more

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Where is the l2-s1 located?

Where is the l2-s1 located?

Do you mean L5/S1: L5/s1 is the lowest disc, between the 5th lumbar (most people have 5) and the first sacral segment. ...Read more

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What does mean if I have narrowing of disk space in l4-s1 level?

What does mean if I have narrowing of disk space in l4-s1 level?

You are older than: It means you are older than 10 as degenerative changes can be seen as early as 10. Years old and continue as you age. The lowest 2 levels of the spine are the most involved, typically. This is the l4-5 and l5-s1 levels. These are age related changes that are significantly accelerated if you smoke and/or obese. ...Read more

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I will soon be fuse l3-S1. I LOVE rollerblading, but should I give this up or could it be safe for me again some day?

I will soon be fuse l3-S1. I LOVE rollerblading, but should I give this up or could it be safe for me again some day?

Rollerblading: Once healed, through physical therapy post-op and cleared by your surgeon, there should be no reason you cannot return to rollerblading. Just don't fall! In fact, it should be excellent exercise for your repaired lumbar spine. Good luck. ...Read more

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I have degenrative spine l345 s1 I can't move at the end of the day, I'm 40 the pain is there every min of the day! Would a fusion help?

Unlikely: Fusion for spine arthritis results are highly unpredictable. Spine degeneration is ubiquitous beyond the middle ages and there is no way to reliably determine in whom it is wholly responsible for lbp. There are countless other potential causes, contributing factors, and treatments. Doing a fusion without definitively isolated clinically significant pathology is analogous to "shooting blindly.". ...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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What are the symptoms of a bad s1 nerve root?

What are the symptoms of a bad s1 nerve root?

S1 injury: S1 injury would present as pain in the back of the leg, decreased plantar flexion strength (diff standing on tippi-toes) and decreased ankle reflex.
Hope this helps. ...Read more

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What does small posterior bulges L3 through s1 mean?

What does small posterior bulges L3 through s1 mean?

Herniated disc?: Usually bulges are more related to the disc that support the spinal joints to the back, sometimes bulging can affect the spinal cord which can lead to chronic back ache and other complicated symptoms. ...Read more

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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. ...Read more

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Can you tell me what grade 1 anterolisthesis of L5 on s1 indicates?

Can you tell me what grade 1 anterolisthesis of L5 on s1 indicates?

Spondylolisthesis: This refers to a less than 25% slippage of the L5 vertebra in relation to s1. Increasing grades denote worse slippage. ...Read more

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What does it mean to have a sub-acute annular tear at s1 vertebrate?

What does it mean to have a sub-acute annular tear at s1 vertebrate?

Disk injury: Technically is not not a tear of the vertebra (a bone), but the disk between two bones. The outer disk (annulus fibrosis) is made of layers of collagen (a material). Think of them as threads woven in layers. They allow for some flexibility and movement between the bones. With aging and time some of the fibers can tear. If nerve fibers grow into the area, it might be a source of pain. ...Read more

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Degenerative osteophytic lippings with disc space reduction at 1.5-s1 level?

Degenerative osteophytic lippings with disc space reduction at 1.5-s1 level?

A very typical: Imaging finding in males starting in middle age related primarily to just aging changes in the spine that can be accelerated by obesity and smoking. ...Read more

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What does a annular tear at l-5 and grade 1 spondylolisthesis of l-5 at s1 mean?

What does a annular tear at l-5 and grade 1 spondylolisthesis of l-5 at s1 mean?

Depends on symptoms: If these are findings on your MRI hopefully the doctor who ordered it has shown you the pictures and discussed how it could relate to your problems. If not, get a better doctor. The annular tear is a fissure in the outside of the disc. Spondylolisthesis is when 1 vertebrae slips forward or backward on another. Google both terms and you'll get a lot of info. ...Read more

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How long does it take for a L5 / s1 root block injection to start relief of pain?

How long does it take for a L5 / s1 root block injection to start relief of pain?

Block: I am presuming you are asking about an epidural steroid injection of L5-S1. Usually, the steroid begins to work in about 2-3 days. He block is usually done with a small amount of local anesthetic which may give a few hours of immediate relief. ...Read more

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Can you tell me what "pars defects at L5 with 4-5mm anterolisthesis of L5 on s1" mean?

Can you tell me what "pars defects at L5 with 4-5mm anterolisthesis of L5 on s1" mean?

Chronic fractures: A part of the L5 vertebral body, the pars articularis, has fractured on both sides and because of this the L5 vertebral body has been able to move forward in relation to s1, which is located directly below L5 (see picture). These fractures are most often chronic and its possible may have been present even since childhood. ...Read more

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What does Grade 1 anterolisthesis of L5 on S1 secondary to bilateral pars defects mean?

Spondylolisthesis: Isthmic spondylolisthesis is another term for what you are describing. Basically one of the vertebrae is shifted foreword over the other. What has caused this condition in your case is a "defect" if the pars interarticularis, which usually stabilizes the spine. This condition can be associated with back and leg pain and difficulty standing or walking for long periods. Many treaent options. ...Read more

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My s1 vertebrae is not fused. I've had 2 nerve blocks and no relief. What should I do next?

Re-operate?: When a fusion surgery fails, you need to carefully reevaluate the potential causes. Then, with persistent pain, re-operation is often indicated. This has to be done very very carefully and often with a different approach to make sure it fuses correctly. This is a complex problem and is worth a second opinion or evaluation at a tertiary referral center. ...Read more

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Focal protrusion post L at l5s1 approx the trans left S1 n.root. Nsurg says nothing can b done?

Focal protrusion post L at l5s1 approx the trans left S1 n.root. Nsurg says nothing can b done?

Nothing can be done?: You have an answer. To get a different answer will require asking somebody else. Having had prior spinal fusion may be a significant consideration in your case. More information is needed. Lumbar spine x-rays with flexion / extension views might reveal excessive motion above or below the level of fusion contributing to the neurologic problem. (spondylolisthesis)
www. Healthtap. Com/drericweisman ...Read more

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After l5-s1 fusion I continue w/ the same diag. L5-s1 herniation, why can't it be surgically corrected?

Scalpel not answer: Surgery is not always the answer. And for back problems, there is increasing data to say that is truly the case. Excercise and rehab have been shown to be very good treatments for back pain. Having been previously fused, it may not even be possible to get to the disk again. ...Read more

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How can a grade4cystecele b fixed I have fusedL5/S1 and scs ALL 5 docs so far won't fix it I don't know wat to do?

How can a grade4cystecele b fixed I have fusedL5/S1 and scs ALL 5 docs so far won't fix it I don't know wat to do?

Have you tried: Have you tried pesserys, a devise that can be inserted into the pelvic vault and removed as needed to help hold the prolapse material back into the pelvic vault. ...Read more

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Hi, I'm Niru and recently I've diagnosed with spondylolithesis L5/S1, I just want to know how bad is my condition?

Hi, I'm Niru and recently I've diagnosed with spondylolithesis L5/S1, I just want to know how bad is my condition?

It's quite common: And how "bad" it is depends entirely on your symptoms and the degree of spondylolisthesis.
You should consult with the doctor who ordered the study to determine what treatment may be indicated.
For almost any mechanical back pain, keeping up an exercise regimen (as tolerated) is important. Good luck! ...Read more

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After L5-S1 PLIF will I be able to proceed with normal physical activities or will I forever have to be careful and think about my back?

Normal: At least theoretically, once your L5-S1 level is solidly fused, it will become the strongest level in your back and as such there are no specific activity restrictions after a solid fusion. You would certainly want to discuss the specifics of your individual case with your surgeon. ...Read more

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If L5 disc was herniated would it cause L5 and s1 nerve symptoms or just l5? Would L5 and SI both have to be herniated to cause those symptoms?

If L5 disc was herniated would it cause L5 and s1 nerve symptoms or just l5? Would L5 and SI both have to be herniated to cause those symptoms?

Believe it not---: Herniated L5/S1 disc could cause root symptoms of L5 but not S1, S1 but not L5 (more unlikely), L5 & S1 (common), L4 & L5 (tough but not impossible), or NO symptoms (unusual). With your pain symptoms shooting down the leg an L5 nerve root compression is virtually a gimme. To know if S1 or L4 are affected needs an exam.

Wanna talk? Www. Healthtap. Com/drsaghafi ...Read more

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I herniated l5-s1 years ago. I am suddenly getting the same pain that is intermittent. I didn't lift anything heavy. Could it be herniated again?

Herniated disc: Could be! There are possibly other causes, but the symptoms could be from the same level/problem. Have yourself evaluated by a professional and perhaps advanced imaging studies need to be done to clarify the diagnosis. Best of luck! ...Read more

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I had a fusion L4-S1 in 2/14 which did not fuse - no growth. I then had L3-S1 fused in 12/14. Do u suspect I will need 2B off work longer this time?

I had a fusion L4-S1 in 2/14 which did not fuse - no growth. I then had L3-S1 fused in 12/14. Do u suspect I will need 2B off work longer this time?

Off work: I would think if you have a sedentary occupation you should be able to go back to work 4 to 6 weeks after surgery but please use your surgeon as the final decider of this ...Read more

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Dr. Wrote "possible bilateral S1 root lesions. Clinical correlation recommended." What does he mean? Dr. has retired and I do not have access to him.

Dr. Wrote "possible bilateral S1 root lesions. Clinical correlation recommended." What does he mean? Dr. has retired and I do not have access to him.

Pinched nerve: What the radiologist is referring to is the area on your spine at the level of the 1st sacral nerve (where your lumbar spine and the sacrum join) and there is probably some narrowing at this spot which may be inconclusive - no definite problem seen, so he is saying it needs to be correlated with your symptoms. If there are no symptoms/pain at this level, then these findings may not be a problem. ...Read more

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What is the treatment for grade1 anterolisthesis of L5 on S1?

Varies: It really is based on symptoms. If symptoms are mild, no treatment necessarily needed. If increased back or leg pain or difficulty walking, the progressively more involved options include medications, therapy, chiropractic, interventional pain managemt; or in severe cases that fail non- operative care: surgery. ...Read more

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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. ...Read more

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Do they do kyphoplasty on l5- s1?

Do they do kyphoplasty on l5- s1?

Yes: Kyphoplasty can be performed at l5. A sacroplasty can be performed for a sacral fracture. Same procedure, just slightly different technique. Check out kyphon. Com. ...Read more

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How do you treat an L5/S1 annular tear?

How do you treat an L5/S1 annular tear?

Non operatively: .Start by avoiding prolonged positioning & any repetitive twist or bend maneuvers. If you had physical therapy, resume those exercises. Use of otc medication will help control symptoms. Cardiovascular workouts may help except for rowing & maybe running. If you did not have physical therapy, you may want to get a session to learn back core exercises. ...Read more

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How can you solve l5-s1 disc bulged problem?

How can you solve l5-s1 disc bulged problem?

What is the problem?: It really depends on what your symptoms are. If you're experiencing back pain, it's important to look for other possible pain generators aside from the l5-s1 disc bulge. Regardless, core strengthening may help slow the progression. ...Read more

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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. ...Read more

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Appropriate follow-up time after l5-s1 laminotomy is?

Appropriate follow-up time after l5-s1 laminotomy is?

Postoperative: Usually within 10 days for wound check then 6-8 weeks, then 3-6 months depending on recovery. ...Read more

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What is minimal retrolisthesis of the L5 with respect to s1?

Slight displacement: Slight displacement of the bones on each other. If not mobile, unlikely to cause problems. ...Read more

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Grade 1 to 2 spondylolisthesis and more in l5-s1, what to do?

Brace: Spondylolisthesis is the slipping of one vertebra over another. The symptoms and degree of slippage is usually what determines the treatment. If a grade 1-2 and no symptoms one does not need to treta it much but if with pain then bracing for a while and gradual physical therapy to strengthen the spinal muscles may be needed. In more advanced degrees surgery (spinal fusion) may be needed, ...Read more

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I have occult spina bifida of s1? What problems over lifetime?

I have occult spina bifida of s1? What problems over lifetime?

Probably not much: Spina bifida oculta is often an x-ray finding that causes no major symptoms. However spina bifida can cause symptoms such as weakness of the legs and bladder problems and occasionally a characteristic loss of the sensation in the so called 'saddle' area. ...Read more

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What does minimal retrolisthesis of L5 with respect to s1 mean?

Slip-n-slide: It means instead of in the "straight" line the spinal vertebrae should be stacked in, the L5 vertebra is slid back "minimally" compared to where it should sit based on the position of the s1 vertebra. This happens here commonly, and is graded, because in some folks, when severe, can cause nerve impingement issues. ...Read more

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L5-S1:What does 2mm retrolisthesis; nonneurally compressive mean?

L5-S1:What does 2mm retrolisthesis; nonneurally compressive mean?

Spine issue: The bones of the spinal column (vertebra) are not properly lined up. A retrolithesis means that one vertebra is pushed back a little bit. The back of each vertebra has an up and down opening. The spinal cord passes through this opening. "Non neurally compressive" means that while one of the vertebra is out of position, it isn't pushing on the spinal cord. ...Read more