Like other bulging discs, an L5-S1 disc bulge can be treated with a number of noninvasive conservative treatment options including chiropractic care and physical therapy.
Cauda equina syndrome may occur at L5-S1 due to an injury to the cauda equina nerves that descend from the spinal cord. This syndrome is a medical emergency and typically causes severe pain, weakness, numbness, and/or tingling in the groin, genital region, and/or both legs.
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.
A herniated disc at lumbar segment 5 and sacral segment 1 (L5-S1) usually causes S1 nerve impingement. In addition to sciatica, this type of herniated disc can lead to weakness when standing on the toes. Numbness and pain can radiate down into the sole of the foot and the outside of the foot.
A syndrome in L5-S1 disc herniation with sexual and sphincter dysfunction without pain and muscle weakness was noted. We think that it is crucial for neurosurgeons to early realise that paralysis of the sphincter and sexual dysfunction are possible in patients with lumbar L5-S1 disc disease.
The lumbosacral joint, also called L5-S1, is a term used to describe a part of the spine. L5-S1 is the exact spot where the lumbar spine ends and the sacral spine begins. The lumbosacral joint is the joint that connects these bones.
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.
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.
Better alternatives are sleeping on your side or back. Side-sleepers can place a pillow between the knees to relieve any stress in the hips, or elevate their legs on a pillow. You can also slip a rolled-up towel between your waist and the mattress as you sleep on your side.
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.
Disc bulges are not permanent. The disc is a fluid filled structure and therefore has the capacity to heal, resolve and be re-absorbed.
Most (80-90%) cases involving bulging or herniated discs will heal within 2-4 months. This of course depends on the severity of the injury, as well as your age and overall health. An important difference is that a herniated disc is a permanent injury that usually results in chronic, recurring pain.
He explains that it's best to be up about as much as possible; complete bed rest for a herniated disc is not recommended. Many patients with a slipped disc find that sleeping in a recliner chair is most comfortable.
You can expect your back to feel stiff or sore after surgery. This should improve in the weeks after surgery. You may have relief from your symptoms right away, or you may get better over days or weeks. In the weeks after your surgery, it may be hard to sit or stand in one position for very long.
A herniated L5/S1 disc will cause a sharp, aching pain in the lower back. It can feel tender and akin to spasm. Sciatica: The most common cause is a herniated L5/S1 disc. Sciatica refers to the sensation of pain that runs down the back side of the leg.
It will take about 4 to 6 weeks for you to reach your expected level of mobility and function (this will depend on the severity of your condition and symptoms before the operation).
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.
Rule out spine issues
Nonetheless, another study noted that L5/S1 herniation can lead to "bowel dysfunction."
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 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.
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.