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.
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.
L5 spinal nerve provides sensation to the outer side of your lower leg, the upper part of your foot and the space between your first and second toe. This nerve also controls hip, knee, foot and toe movements.
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.
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.
Nonetheless, another study noted that L5/S1 herniation can lead to "bowel dysfunction."
A herniated L5-S1 disc can press and impinge nerves and the spinal cord. This compression can lead to discomfort, aches, and pains in the back, buttocks, hips, thighs, legs feet, or toes. It may also cause numbness, tingling, and weakness in the thighs, legs, knees, ankles, feet, or toes.
L5 radiculopathy is usually associated with numbness down the side of the leg and into the top of the foot. S1 radiculopathy typically results in numbness down the back of the leg into the outside or bottom of the foot. Weakness is another symptom of nerve root compression.
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.
In most cases, symptoms improve and nerve function resumes to normal within 6 to 12 weeks of conservative treatment.
Poor posture, lifting heavy objects, repetitive motions, and even a traumatic injury (such as an auto accident injury) can cause L4 and L5 disc problems. The spinal discs are cushion-like structures located in between the vertebrae. They absorb impact and protect your vertebrae from damage.
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.
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.
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.
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.
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 with a slipped disc in the lumbar region of their spine (lower back) are offered “conservative” treatment, meaning that the treatment does not involve surgery. This mainly involves exercise, relaxation and positioning, painkillers or local anesthetics, and manual and physical therapy.
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.
Referred pain from L4-L5 usually stays within the lower back and is typically felt as a dull ache. The back may also feel stiff. Depending on the type and severity of the underlying cause, the L4-L5 motion segment may cause lumbar radicular pain of the L4 and/or L5 spinal nerves, also called sciatica.