How serious is a L5-S1 disc herniation?
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.
What is the best treatment for L5-S1 disc herniation?
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.
What is a Subarticular disc protrusion?
Subarticular (Lateral Recess or Paracentral): When the disc extrudes between the spinal cord and the foramen (the space through which the nerves exit the spinal canal).
Which nerve is affected in L4-L5 disc herniation?
For example, a typical posterolateral (behind the disc and to the side) lumbar disc herniation at the L4-L5 level often affects the nerve that traverses the L4-L5 level and exits at the L5 level, called the L5 nerve root.
What nerves are affected by L4 L5 S1?
The sacral plexus is formed by the lumbosacral trunk (L4 and L5) and sacral nerves S1, S2, and S3. The main nerves arising from the sacral plexus are the sciatic, posterior femoral cutaneous, and pudendal nerves. The lower part of the sacral plexus is sometimes referred to as the pudendal plexus.
What are the symptoms of L4 L5 nerve damage?
Common symptoms and signs include: Sharp pain, typically felt as a shooting and/or burning feeling that originates in the lower back and travels down the leg in the distribution of a specific nerve, sometimes affecting the foot. Numbness in different parts of the thigh, leg, foot, and/or toes.
Is disc protrusion same as herniation?
Disc protrusion is a type of spinal disc herniation. Disc herniation is a common form of intervertebral disc damage that’s caused by age, natural wear and tear, traumatic accidents (falls, car accidents, sports collisions), overuse or repetitive use injuries, obesity and genetics.
Is disc protrusion worse than herniated disc?
Herniated discs are considered more severe than bulging discs because they put significant pressure on nearby nerves, which can cause intense pain, inflammation and difficulties with movement.
What are the symptoms of a herniated disc at L5 S1?
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, leg feet, or toes. It may also cause numbness, tingling and weakness in thighs, legs, knees, ankles, feet, or toes.
What is a L4/5 bulging disc?
“Sometimes discs may bulge — move out of place — and put pressure on nerves that exit your spine. Symptoms are specific to the level of the bulge. An L4/5 bulging disc puts pressure on your L5 nerve — one of the most common levels where this condition occurs.
What is the pathogenesis of sexual dysfunction in L5-S1 lumbar disc herniation?
Possible pathogenesis of sexual dysfunction in L5-S1 lumbar disc herniation. Sexual dysfunction may be related to damage to the hypogastric nervous plexus. The hypogastric plexus contains efferent pre- and post-ganglionic sympathetic fibers, preganglionic parasympathetic fibers, and visceral afferent pain fibers.
What is L5 S1 disc protrusion?
This is commonly called a disc protrusion, also known as a herniated, slipped, or ruptured disc. Symptoms of L5 S1 Disc Protrusion One symptom of disc protrusion is tingling, numbness, or weakness from the lower back down the leg.
Is left side L5-S1 disc herniation a prolapsed disc?
A 31-year old woman, she has had left side L5-S1 disc herniation; however, it was not prolapsed, only bulging was noted on the lumbar MRI [Figure 4]. Urinary retention and sexual dysfunction were main problems.