An L4-L5 disc bulge or slip-disc (slipped disc) pinches and leads to serious health issues, including impotence, reproduction issues, infertility, loss of bowel and bladder control, or paralysis in one or both legs.
Most cases of L5-S1 disc herniation can be treated with conservative measures such as rest, ice, and heat. Chiropractic care, physical therapy, and pain medication can also be helpful.
Conditions affecting the L5-S1 spinal motion segment are usually treated with nonsurgical methods. If the lower back and/or leg symptoms worsen or do not improve despite these treatments, or in case of certain medical emergencies, such as tumors or cauda equina syndrome, surgery may be recommended.
Bladder incontinence can occur because of a bulging disc compressing the nerves that control the bladder. In this case, seek emergency medical help immediately. Upper back pain radiating to the stomach or chest may be a symptom of a mid-spine bulging disc. Muscle spasms may also occur with any bulging disc.
L5 symptoms include pain in lower back and/or pain in the outside of lower leg, down to toes, which may include numbness, weakness and tingling.
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.
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.
In nearly all cases, surgeons can remove just the protruding portion of the disk. Rarely, the entire disk must be removed. In these cases, the vertebrae might need to be fused with a bone graft. To allow the process of bone fusion, which takes months, metal hardware is placed in the spine to provide spinal stability.
L5 NERVE ROOT DAMAGE
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.
Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.
On average, most cases of disc herniation resolve between two to twelve weeks following injury. Since many cases improve within two to three weeks following injury, physical therapy is not recommended until three weeks after the onset of symptoms.
Most people improve in 6 weeks and return to normal activity. If symptoms continue, surgery may be recommended.
1) Side-lying position: This sleeping position is achieved by lying on your side with a pillow between your legs. It will help keep your spine aligned and take pressure off your herniated disc. 2) Back-lying position: When you sleep on your back, using a pillow under your knees is vital to keep your spine in alignment.
Nonetheless, another study noted that L5/S1 herniation can lead to "bowel dysfunction."
Chiropractic is a preferred treatment option for many people with bulging and herniated discs because it is a non-invasive process and does not require drugs or injections. Once you have reached your diagnosis, you and your chiropractor can work hand in hand to look for the best way to treat your condition.
We think that large, extruded L5-S1 disc herniations may affect the superior hypogastric plexus or pre-sacral nerve which is situated anterior to the last lumbar vertebra, the middle sacral artery, the lumbosacral intervertebral disc.
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.
Injuries to spinal cord in the five lumbar vertebra (L-1 through L-5) generally results in some loss of function in the hips and legs, but do not affect the functionality of the upper body.
In summary, someone with a disc herniation should at all times avoid any heavy lifting, any sudden pressure on the back, or repetitive strenuous activities when recovering from a herniated disc. All exercises that cause pain, or feel as though they are making the pain worse, should be avoided.
There are a few common conditions that L5-S1 surgery treats. You may be a candidate for this disc replacement procedure if you live with any of the following spinal problems: Herniated disc with back and leg pain. Disc degeneration: your spinal discs have worn out, broken down, or been pushed out of place.
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.
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.
Rest. Most often 1-2 days of strict bed rest will calm severe back pain. Bed rest should not exceed 48 hours. Once you are back into your daily routine, you should take frequent rest breaks throughout the day- but avoid sitting for long periods of time.
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.