Lumbar MRI showed N impingement @ L5-S1 & poss surgery'd be microdiscectomy to remove extruded part w/ min recovery. Now symptoms indicate L3-L4 impingement too. How would this change poss surgery/recovery?

Back surgery. You need to ask your surgeon, however if MRI was fairly recent and showed no problems at L3/L4 then answer probably no change. Pain could be from the extruded fragment migrating slightly and/or inflammation. If you were to have additional disc problems at L3/L4 then surgery somewhat lengthened but really shouldn't affect recovery much. .
Include L3-4 too. Surgery could possibly be extended to include L3-4 as well as L5-S1 microdiskectomy; same surgery, just 2 levels rather than 1. Recovery would be slightly more painful, slightly longer, otherwise same plan & prognosis for recovery. Good luck!

Related Questions

I have pain only in my feet. Had MRI of Lumbar shows L5-S1 broad disc buldge and l4-l5. Have had pain for 18+ months. Meds don't help. Surgery?

Foot pain. We should be looking for a source of pain in your distal leg and feet rather than in the spine. You may want to see a specialist in neurology or physiatry or even podiatry. Surgery would only be done to correct an anatomic abnormality that produces symptoms. Read more...
TARSAL TUNNEL? If only in the feet, maybe you have something called "tarsal tunnel syndrome."It's like carpal tunnel in the wrist. A podiatrist can treat this, but will probably need a neurologist who can order a test to see how well the nerve is working. It's called a NCV test. Sincerely, Dr. Latva. Read more...

Pcp & chiro agree I should consider surgery for lower back l3-4 bulge l4-5 herniation l5-s1 bulge. I'm scared what do I need to know and consider?

Ask. Ask for an opinion from a reputable neurosurgeon or ortho that does back surgery. Most bulges are treated medically unless there is nerve damage that might become permanent . With time the disk will dehydrate and diminish in size with decrease of symptoms without surgery. Read more...
Second opinion . While some people do get great relief from back surgery. There is a large population of unhappy people out there who go down a spiral of terrible pain , followed by more survey followed by more pain . Read more...
Back Pain. Glad to hear you saw your doc and a chiro doc. Please continue to consult w/them but consider other modalities. Your pain is real and from a physical situation but goes through your brain. Consider biofeedback, clinical hypnosis (www.asch.net) and search John Sarno, MD, for body-mind approach. Peace and good health. Read more...

I've had 2 back surgeries- a microdiscectomy at L5/S1 & L4/L5. I've got scar tissue & am still in pain. I use TENS, inversion, PT, Neurontin, Norco, Cymbalta, and am trying injections. Any new ideas/tx for me to try? I'm only 23 & I feel like I'm 80.

Adhesiolysis. Cassara 1st NO more surgeries on your back . FInd an Anesthesiologist in your area who will do a minimal risk type of epidural injection BUT without steroids . This injection is called lysis of adhesions or Adhesiolysis with a medicine called "Hyaluronidase". This injection will break up the scar tissue that has entrapped the nerves in your back. It must be performed with physical therapy. Read more...
CBD per rectum. Yes, I have an alternative therapy to propose that is receiving rave reviews. The cannabinoid CBD-patented as a neuroprotectant by the US government in 2003-has amassed research proving it's role in treatment of neuropathic pain.Endoca.com distributes a rectal suppository with 50mg CBD derived from hemp and legal nationwide. Per rectum it offers 8 hours regional relief of pain and costs $6! Read more...