Is surgery necessary for L5-S1?

Conditions affecting the L5-S1

S1
S1, also called the sacral base, is the upper and wider end of the triangular-shaped sacrum. S1 consists of a body on the top with wing-shaped bones on either side, called the alae. At the back, the S1 vertebra contains a long bony prominence called the median ridge.
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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.

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How long is recovery from L5 S1 surgery?

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).

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How successful is L5 S1 surgery?

There was an overall 80% fusion rate for all patients who underwent anterior lumbar fusion at L5-S1. Average age was 34 years, with average length of disability from low-back pain of 11 months.

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What is the best treatment for L5 S1?

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.

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Is L5 S1 serious?

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.

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L5-S1 Lumbar Discectomy and Fusion Surgery 3D animation

29 related questions found

Can L5-S1 can be cured?

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.

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How do I get rid of L5-S1?

How Do I Heal My Moderate Herniated Disc at L5-S1?
  1. Avoid the Common Causes. First of all, before back pain can be resolved, the source of the pain must be identified. ...
  2. Bed Rest. ...
  3. Non-Steroidal Anti-Inflammatory Drugs. ...
  4. Perform Healing Exercises. ...
  5. Flex and Extensions.

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Can L5 S1 cause nerve damage?

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.

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Is walking good for L5 S1 herniated disc?

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.

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Can L5 S1 cause bowel problems?

Rule out spine issues

Nonetheless, another study noted that L5/S1 herniation can lead to "bowel dysfunction."

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Can the L5 S1 disc be replaced?

We conclude that L5–S1 motion segment can be preserved with artificial disc replacement in patients with previous long fusion for scoliosis surgery. The real difficulty arises when choosing between disc replacement and extension of fusion. In our patient, the disc replacement has worked well so far.

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Can you bend after L5 S1 fusion?

Avoid Bending, Lifting, and Twisting

If you absolutely have to, be sure to lift by bending your knees, not your back. It follows that you should try to avoid bending, lifting, and twisting with your back muscles at all for the first few weeks after surgery (consult with your surgeon to determine an exact timeline).

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What are symptoms of S1 nerve damage?

S1 NERVE ROOT DAMAGE:

A pinched nerve in the S1 section of the vertebral column usually results in radiating pain down the backside of the leg and into the outside of the foot. This pain can come in the form of numbness, tingling, weakness and shooting.

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How painful is L5 S1 disc herniation?

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.

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What happens after L5 S1?

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.

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How do you know if you need back surgery?

3 Signs You Might Be a Candidate for Back Surgery
  1. Sign #1: Pain That Doesn't Go Away.
  2. Sign #2: The Pain Radiates to Your Arms and Legs.
  3. Sign #3: Severe Symptoms and Trauma.

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How should I sit with L5 S1 pain?

A standing desk is a great option, but if you must sit, rest your spine firmly against the chair back, sit up straight, and don't slouch (which strains the spinal ligaments and aggravates a herniated disc). Your knees should be level with your hips, or slightly above the hips if you're seated at a desk.

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How should I sleep with L5 S1 pain?

Sleep on your back with a pillow under your knees

For some people, sleeping on their back may be the best position to relieve back pain: Lay flat on your back. Place a pillow underneath your knees and keep your spine neutral.

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What should I avoid with a L5-S1 herniated disc?

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.

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Can L5 cause paralysis?

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.

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Which nerves are affected by L5-S1?

The two nerves most commonly pinched in the lower back are L5 (lumbar 5) and S1 (sacral 1).
  • Pinched nerve at L5. 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. ...
  • Pinched nerve at S1.

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Can an MRI show nerve damage?

Does an MRI scan show nerve damage? A neurological examination can diagnose nerve damage, but an MRI scan can pinpoint it. It's crucial to get tested if symptoms worsen to avoid any permanent nerve damage.

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What does degenerative changes at L5 S1 mean?

The phrase "degenerative changes" in the spine refers to osteoarthritis of the spine. Osteoarthritis is the most common form of arthritis. Doctors may also refer to it as degenerative arthritis or degenerative joint disease. Osteoarthritis in the spine most commonly occurs in the neck and lower back.

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What causes L5 S1 disc degeneration?

Degeneration occurs because of age-related wear-and-tear on a spinal disc, and may be accelerated by injury, health and lifestyle factors, and possibly by genetic predisposition to joint pain or musculoskeletal disorders. Degenerative disc disease rarely starts from a major trauma such as a car accident.

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