A L4-L5 bulge in the disc can cause sciatic-like symptoms by impinging nerves running down the legs. A pinched nerve can be caused by a slipped disc. A L4–L5
Most importantly, an L4-L5 disc bulge can lead to prolonged pain and other, more serious conditions like spondylolisthesis if you delay treatment. Spondylolisthesis is a condition in which a vertebra shifts or slips, and can cause significant pain that may require surgery to fix.
Treatment with rest, pain medication, spinal injections, and physical therapy is the first step to recovery. Most people improve in 6 weeks and return to normal activity. If symptoms continue, surgery may be recommended.
L2, L3 and L4 spinal nerves provide sensation to the front part of your thigh and inner side of your lower leg. These nerves also control hip and knee muscle movements. 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.
Herniated and bulging disc at the lower back is most common at the L4-L5 segment or level. The L4-L5 is situated at your belt line. It is responsible for 95% of bending and twisting motions involving the waist.
Walking is a gentle form of exercise that has the potential to be beneficial if you have a bulging or herniated spinal disc. We explain why below. Walking isn't too strenuous, which is one reason it tends to be beneficial even with a bulging disc.
Small blood vessels and capillaries in the lower back muscles can become constricted following decreased physical activity, reducing the blood flow to these muscles. Walking allows for more movement in these muscles, allowing these capillaries and blood vessels to open up again.
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.
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. You may need to wear a back brace while your back heals.
L4-5 disk lesion resulting in back pain with bowel, bladder and sexual dysfunction without paraparesis. Spinal Cord.
Treatment of the L4-L5 spinal motion segment typically begins with nonsurgical methods. In cases where the back and/or leg symptoms do not improve with nonsurgical treatments, or in case of certain medical emergencies, surgery may be considered.
In worst-case scenarios, patients can lose feeling in their nerves permanently. This normally leads to what is referred to as saddle anesthesia. It can also lead to loss of control over bowel movements and bladder. In cases where a herniated disc has been untreated for too long, this type of damage can be permanent.
A herniated disc at lumbar segment 4 and 5 (L4-L5) usually causes L5 nerve impingement. In addition to sciatica pain, this type of herniated disc can lead to weakness when raising the big toe and possibly in the ankle, also known as foot drop. Numbness and pain can also be felt on top of the foot.
Over 85% of patients with acute herniated disc symptoms experience relief of symptoms within 6 to 12 weeks without any treatments, and those without radiculopathy symptoms notice an improvement in even less time.
Cauda equina syndrome is a possible complication of L4-L5 spondylolisthesis that presents a high risk of paralysis. The cauda equina is a group of nerves and nerve roots at the lumbar end of the spinal cord.
In the case of an L4-L5 lumbar disc herniation, the lower back pain can radiate to the hip and leg. When you have a herniated disc in the lumbar spine, the pain is not always located in the affected area. In many cases, the patient begins to notice discomfort in areas that are related to each other.
Engaging in high-impact activities: High-impact activities such as running, jumping, and contact sports can exacerbate L5-S1 disc problems. Instead, consider low-impact activities such as walking, swimming, or cycling.
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.
Sit using the correct posture, with your back firmly placed against the chair back. 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.
Deep Tissue Massage: There are more than 100 types of massage, but deep tissue massage is an ideal option if you have a herniated disc because it uses a great deal of pressure to relieve deep muscle tension and spasms, which develop to prevent muscle motion at the affected area.