Doctor insights on:
Xray Result Lumbarized S1
What is the cause of my heavy legs, severe pain in my legs and weakness. My X-ray result, it says I have lumbar s1 vertebrae. Thank you?
Irrelevant: Heavy legs occur independently of whether you have 4, 5, or 6 lumbar vertebrae. What counts is what is the state of the spinal cord and the nerves going from the cord to the legs. Aside from a competent neurological exam, an MRI scan is much better diagnostically than an x-ray. ...Read more
Greetings! I would like to ask about m xray result: Loss of lumbar lordosis L5 seen sacralized Spna bifida L5 L5-S1 is narrowed Disc prolapse L5-S1?
Combination of issue: Some of the back issues are congenital, some due to injury or wear and tear. None seems surgical, and your symptoms can respond to conservative therapy. ...Read more
My xray result showed minimal lumbar spondylosis L5-S1 with mild disc space narrowing and endplate sclerosis and small ventral osteophytes. Meaning?
Meaning?: Presumably you didn't just wander into a radiology department & made an impulse purchase. Your doctor ordered the x-ray for a reason. What was it? The x-ray isn't the patient; you are. It has no "meaning" by itself. Your doctor is ethically obliged to interpret the test AS IT APPLIES TO YOU. Please repost & include what your doctor told you; or, if you haven't asked him/her, please state why not. ...Read more
X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis?
Worn down: L5-S1 is the lowest motion segment in the spine. The MRI shows that level has become "worn down" leading to degeneration of the disc and the facet joints, sclerosis, and a slight slippage (retro listless) of one vertebrae on the other. Don't hesitate to be seen. Many good treatment options available. ...Read more
X ray result were lumbarized s1, dextroscoliosis of lumbar spine. Can I able to fix my spine? What are treatment/preventions?
Incomplete info: Spinal changes are most common during rapid growth periods like adolescence. After linear growth stops, little change is expected. You have not provided any info about the amount of scoliosis, whether it is typical or due to deformed vertebrae. At least 10% of the normal population have some scoliosis that requires no treatment. When you submit questions here, the more data yo submit, the better ...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
I have pain in lower back. X-Ray reports Lumbar lordosis reduced. Minimal reduction in L4-L5 & L5-S1 disc space. Pl advice cause, medicine, exercise.
Low back pain is one of the most common complaints in medicine and the findings on your xray are seen in patients with NO BACK pain as often as those with pain. The most important advice I can give you is EXERCISE! STRENGTHEN THOSE BACK MUSCLES and you will feel better. Your Primary Care Provider can provide you with these exercises Goods Luck Be Well!
Hope this helps
Dr Z ...Read more
X-ray rprt "loss of lumbar curvature", MRI rprt"l5-s1 disc show posterior central annulus protrusion causing subtle impingement on thecal sac"?
I'm 22. X-ray shows spina bifida s1. I do not have a defect on my skin. I have lower back pain. I get the pain also right after workout. What can I do?
Time for a checkup!: Spina Bifida may occur without any skin or neurologic complications. However, if your symptoms are severe or getting worse (progressive) then a complete orthopaedic evaluation is necessary. This may also include a CT or MRI scan of your back. In the meantime, you should cut back on the length or intensity of your workout to see if that may be a key factor in your symptoms. ...Read more
Pelvic xray revealed, "narrowing of L5 s1 disc space". What does this mean? Could this be causing lower back/pelvic pain?
Nothing 2 worry over: This is very common. Indicates a bit of wear and tear (we all get this). Many people have back pain and many people have disk degeneration—the two groups may overlap but rarely is cause & effect proven. The degeneration is there to stay. The back pain may come & go, is treated with PT, steroids, muscle relaxants, and maybe chiropractic. Surgery is rarely indicated, especially in the short run. ...Read more
Xray revealed narrowing of L5 s1 disc space. Doc said this does not explain pelvic and lower back pain. Insists on blood test instead of mri. Odd?
Deoends: Pelvic pain can but is uncommonly referred from the lumbar spine. Disc space narrowing is very common. Your age makes it more likely there might be another cause to consider which is why the recommended blood work. Thus far I would tend to agree with your doctors work up. The plan could change if the blood work comes back normal. ...Read more
I have foot, lower back pain, sometimes mild painto my scrotum. Xray result shows normal spine. Urinalysis normal except for many calcium oxalate.?
I have pain in my back. Got my x ray. ; L5 s1 space is reduced. What precaution shud I take. What medicine shud I take? Which exercise?
Mild DJD of spine!: You should strength core muscles. Gravity inversion might help. But just becuase the l5/s1 space is reduced, does not mean it is the "pain generator." certainly it rarely translates to pain in an older person! You may have sacroiliitis, iliolumbar ligament sydrome, and other myofascial issues. Take Naproxen (otc) 2 tabs two x per day. See how that does! ...Read more
Lumbar MRI results. L4-L5 and L5-S1 references the mid sagitall dimension of thecal sac as 14 MM at each level. IS THAT A NORMAL MEASUREMENT?
Yes, that: Is within the normal range.Get a more detailed answer ›
29y female. Mri results Lumbar- discogenic disease/protrusion L5-S1. Low Lumbar facet arthropathy. Cervical- bulging c6-7 Can trauma cause this?
The lumbar: Changes are degenerative/arthritic in nature. It is possible that these changes were initiated by a prior traumatic event, but in the vast majority of cases, there is no identifiable inciting factor. The same holds true for the cervical bulge. ...Read more
Severe back pain x5 days that is getting worse. Paun started after lumbar puncture 12/24. Ct result= 3mm bulge l5-s1 & hydronephrosis r kidney larger than left. W/ worsening pain at what point do I go back to see my dr?
Now.: This may not be true back pain with those findings seen in terms of the kidney and the ureter with the hydronephrosis. It could be referred pain from an obstructing kidney stone or other issue. You need to get this worked up further with your doctor possibly including further tests like an ivp or intravenous pyleogram. ...Read more
OMT by DO for upper back pain today. He also adjusted sacrum & hip. Fusion L4-S1 in Feb. Could this cause problems w/fusion? He didn't look @ x-ray.
Radiologist: a fluoroscopy for epidural spinal injections for back pain (l5-s1). It's about the same radiation exposure for me as one chest X-ray?
Not Exactly True: Depends on how long the procedure takes. Typically most epidural injections take about 15-20 sec of fluoroscopy time, that is in order of 10x less than typical chest x-ray. Now if injection takes longer than one minute (60 sec) of fluoroscopy time than you will be close for exposure. That's a lot of flouro for this injection! ...Read more
I had an MRI done on my lower back. Results show L5-S1 radiculopathy and right brachial plexopathy. What does that mean, and what can be done for it?
Radiologist: In cases like this I recommend that your physician sit down with the radiologist and review the images while describing your symptoms to the radiologist. Radiculopathy May be caused by a bulging disk or vertebral arthritic spur. Brachial plexopathy affects the upper extremity rather than the low back. The radiologist may recommend additional studies or referral to other specialists for evaluation ...Read more
Is it possible by discipline and persistence to return to a good level of flexibility after a L4-S1 lumbar fusion?
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
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
Spine X ray report reads as 'Early degenerative decease vs significance' of L5/s1. What does this mean?
?????: Sorry, you need to reread the report and post it more accurately. For example, "disease" instead of "decease" and "vs significance" makes no sense. Check your spelling and wording carefully. ...Read more
Xray Report = 6 mm anterior listhesis of L5 on S1; evidence of spondylolysis defect at L5 level; severe interspace narrowing L5-S1." I'm in pain!
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
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 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
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