The most common levels for a herniated disc are L4-5 and L5-S1. The onset of symptoms is characterized by a sharp, burning, stabbing pain radiating down the posterior or lateral aspect of the leg, to below the knee. Pain is generally superficial and localized, and is often associated with numbness or tingling.
An L5-S1 disc herniation from a car accident is a very common and serious injury. It can cause permanent pain and disability. Sometimes surgery is required to prevent spinal cord damage and to alleviate chronic pain.
L5-S1 Disc Bulge Symptoms
The symptoms experienced in the lower back can be terribly painful. Pain from L5-S1 might occur suddenly or develop gradually over time. Common symptoms of L5-S1 disc bulge can be as follows: A sharp, burning, stabbing, or shooting pain in the buttock, thigh, leg, foot, or toes.
Discs that become herniated usually are in an early stage of degeneration. The spinal canal has limited space, which is inadequate for the spinal nerve and the displaced herniated disc fragment. Due to this displacement, the disc presses on spinal nerves, often producing pain, which may be severe.
Compression or inflammation of the L5 and/or S1 spinal nerve root may cause radiculopathy symptoms or sciatica, characterized by: Pain, generally felt as a sharp, shooting, and/or searing feeling in the buttock, thigh, leg, foot, and/or toes. Numbness in the foot and/or toes.
Generally, you want to avoid exercises that bend your L5-S1 joint forward or twist it out of alignment. The following exercises are not helpful, and should be avoided: deadlifts, contact sports, sit-ups, hamstring stretches, twisting exercises, golf, running, and any exercise that causes you pain.
Treatment of L5-S1 usually begins with: Medication. 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.
Of the three types of herniated discs, sequestered herniation is often the most severe. It occurs when the nucleus erupts out of the outer layer of the disc. The ruptured disc material can migrate to different locations along the spinal canal and become trapped.
Herniated discs can cause debilitating pain that radiates down the legs. Due to the severity of the severity of the pain, your mobility can be impacted and you may not be able to stand or sit in the same position for long periods. The numbness and tingling can impact your ability to function as well.
Most people should feel much better 12 weeks after a herniated L5/S1 disc. However, many don't. Many people don't realize this. Taking ACTION is the key to herniated disc recovery.
The typical recovery time for an L5-S1 disc bulge ranges from four to six weeks or so.
Your Recovery
It may take 4 to 6 weeks to get back to doing simple activities, such as light housework. It may take 6 months to a year for your back to get better completely. You may need to wear a back brace while your back heals. And your doctor may have you go to physiotherapy.
Consider the following results: In one study 53 patients were followed for an average of 20 months after fusion surgery. In those patients with normal MRIs prior to surgery, only 50 % were improved after surgery.
Epidural steroid injections have become a mainstay of treatment for herniated discs and back pain caused by the L5-S1 disc (2). This is where the doctor takes a needle and guides it using real-time x-ray guidance into the area between the disc and the spinal nerve.
Conclusions: Surgeons should recognize that lateral inclination of S1 pedicle screws can cause L5 nerve root injury, which may require reinsertion of the screw, especially in cases where insertion is difficult because of overlapping surrounding muscle or bony tissue.
Daily walks are an excellent way to exercise with a herniated disc, without putting additional strain on your spine and causing painful symptoms to flare up.
In about a week, most patients are able to return to work; those with very physical jobs will need to wait until they have fully recovered, however. Full recovery usually occurs in about 8 weeks, and at that time patients can go about all their normal physical activities with no restrictions.
Most people are able to work with a herniated disc but if the pain gets too severe you may have to take time off until the pain, numbness and tingling resolve. That may take up to six weeks.
According to research cited by Harvard Health, about 10 percent of patients with herniated disc issues require surgery after six weeks. Similar research suggests that 90 percent of the time, surgery is not necessary for a herniated disc.
The most common levels for a herniated disc are L4-5 and L5-S1. The onset of symptoms is characterized by a sharp, burning, stabbing pain radiating down the posterior or lateral aspect of the leg, to below the knee. Pain is generally superficial and localized, and is often associated with numbness or tingling.
Compared with a bulging disk, a herniated disk is more likely to cause pain because it generally protrudes farther and is more likely to irritate nerve roots. The irritation can be from compression of the nerve or, much more commonly, the herniation causes a painful inflammation of the nerve root.
What difference does it make if it's sciatica or a herniated disc? First off, sciatica, for the most part, is very curable and with proper treatment, patients return to normal in fairly short order. However, herniated discs are often a permanent condition which can affect every area of your life.
3) Fetal Position: When you suffer from a herniated disc, this is often the most comfortable position to sleep in. Fetal position is achieved by lying on your side with your knees pulled up to your chest. The position takes the pressure off your spine and allows you to get a good night's sleep.
Sit with the Right Posture
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.
The L5 nerve supplies the nerves to the muscles that raise the foot and big toe, and consequently, impingement of this nerve may lead to weakness in these muscles. Numbness for L5 runs over the top of the foot. Pinched nerve at S1.