Doctor insights on:
What Does S1 Do
MildBulgeL5S1&L4L5w/MildIndentationVentralThecalSac. 8wks numbW/pain S1dermatome toe2butt. 2wksSharpPain1"[email protected] LegsWeak w/pain L butt2knee?
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
What can I do if my s1 vertabrae is not fused. I've had 2 nerve blocks and no relief. Where do I go from here?
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 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
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
Not sure what you: Are asking. Please resubmit with a specific question. ...Read more
Spondylolisthesis: This refers to a less than 25% slippage of the L5 vertebra in relation to s1. Increasing grades denote worse slippage. ...Read more
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
Nothing: It does not have any bearing as to any issues. ...Read more
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
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
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
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
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
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
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
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
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
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
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?
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?
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
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
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
Postoperative: Usually within 10 days for wound check then 6-8 weeks, then 3-6 months depending on recovery. ...Read more
Slight displacement: Slight displacement of the bones on each other. If not mobile, unlikely to cause problems. ...Read more
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
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
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