Both prescription and over-the-counter (OTC) medications are used to help relieve pain from L4-L5. Typically, non-steroidal anti-inflammatory drugs (NSAIDs) are usually tried first. For more severe pain, opioids, tramadol, and/or corticosteroids may be used. Physical therapy.
Over-the-counter (OTC) medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) are usually tried first for pain stemming from L5-S1. For more severe pain, prescription medication, such as opioids, tramadol, and/or corticosteroids may be used. Physical therapy.
In most cases, symptoms improve and nerve function resumes to normal within 6 to 12 weeks of conservative treatment.
Self care: In most cases, the pain from a herniated disc will get better within a couple days and completely resolve in 4 to 6 weeks. Restricting your activity, ice/heat therapy, and taking over the counter medications will help your recovery.
The optimal sleeping position for a herniated disc is on your back. Lying on your back keeps your spine in a neutral position so you have less chance of pinching the nerve. For added comfort, nestle a small pillow or rolled-up towel under your knees and lower back.
Vertebral and disc pain from L5-S1 may occur suddenly following an injury or gradually develop over a period of time. Typically, a dull ache or sharp pain may be felt in the lower back. Discogenic pain is typically worsened by prolonged sitting, standing in one place, and repetitive lifting and bending activities.
A pinched L5 nerve root usually results in radiating pain in the foot. This pain can come in the form of numbness, tingling, weakness and shooting and is commonly felt in the big toe, inside of the foot, top of the foot and ankle.
Regardless of the cause, an L4-L5 spinal segment is treatable without surgery or injection. The key to recovery is accurate diagnosis followed by corrective treatments that focus on the problem's root cause.
The L5 vertebra is the final section of the lumbar spine (at least, it is for most people). Injury to the L5 spinal nerve bundle can cause numbness and weakness in the legs, but the extent of these symptoms can vary from case to case.
Sciatica from the L5 nerve root spreads over the buttock, posterolateral part of the thigh, posterolateral part of the leg, passes over the instep and ends at the big toe.
Types of exercise to avoid
Weight lifting exercises that involve this movement can be, for example, bent over rows using dumbbells, deadlifts, squats or lunges. If you're not receiving any treatment for your back pain, it's important to stop doing these exercises until you've sought help.
Generally speaking—as long as they're performed correctly—core and back exercises are beneficial for bulging discs, as are activities like walking, elliptical exercise, swimming, and riding a stationary or regular bike.
Skip movements that involve significant axial loading on the lower back, such as squats and leg presses. Avoid toe-touches, sit-ups, and yoga poses that worsen the pain and lead to significant bending of the back.
It is proper to sit up straight without slouching. When you slump, you put extra pressure on the discs in the spine and can aggravate your herniated disc. Additionally, you want to ensure your knees are level with your hips. Your hips should be slightly above your knees if you sit at a desk.
How serious is a L5-S1 Disc Herniation? Disc herniation is a serious condition that can cause pain, numbness, and weakness. If the herniated disc presses on the spinal cord or nerves, it can cause more severe symptoms such as bowel or bladder control loss, paralysis, or difficulty walking.
Symptoms of an L5-S1 pinched nerve include pain, stiffness, numbness, tingling, and weakness. Nerve pain is described as having burning, sharp, or throbbing like-symptoms that travel to the lower limbs giving patients sciatica-like pain.
If you're experiencing back pain when sitting, your impulse may be to lie down and then try to slowly progress back to sitting, says Dr. Atlas. But this is the wrong approach. You should lie down to relieve the pain, but the goal should be not to return to sitting, but rather to regain your ability to stand and move.
The best sleeping position for lower back pain is on your side with a partial bend in the knees. View Source . Keeping the knees bent helps balance the body and reduces pressure on the lumbar spine. Many people find it helpful to put a small pillow between their knees to make this position more comfortable.
Sit with a back support (such as a rolled-up towel) at the curve of your back. Keep your hips and knees at a right angle. (Use a foot rest or stool if necessary.) Your legs should not be crossed and your feet should be flat on the floor.