L5-S1 hernia and degeneration of disk

    
      Re: L5-S1 hernia and degeneration of disk
    


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Posted by CCF Neurosurgery MD on October 14, 1997 at 14:23:59:

In Reply to: L5-S1 hernia and degeneration of disk posted by Ralph on October 12, 1997 at 18:53:37:

: Hello, I have recently been diagnosed via x-ray and MRI that my disk at L5-S1 is degenerating and is herniated and protruding "alot" to the right side. My Physician is taking an initial conservative approach, physical therapy and Naprosyn for a month, then we'll see what's next. My wife has the greatest concerns that the therapy could do more harm than good if the wrong techniques are used. Would ultra-sound actually destroy a degenerative disk faster than normal? And what types of treatment should actually be avoided, if any? And, what about surgery regarding the hernia and/or the degeneration; should I be comfortable with the prospect or avoid it like the plague? I'm a 45 year old, slightly over-weight Police Officer who still needs a good back.....Thanks
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Dear Ralph,

Herniated discs in the lumbar region are common.  L5-S1 discs usually present
with pain in the calf and bottom of the foot.  A larger disc may cause weakness
in the calf.  They are diagnosed via MRI or CT myelogram.  

In the acute setting, a conservative approach to a herniated disc is warranted.
Disc material is mostly water and this will often be reabsorbed by the body,
taking the pressure off the nerve roots.  Physical therapy and ultrasound
treatments are reasonable, along with antiinflammatory medication (Naprosyn).
Your body will tell you when you are doing therapy that is too aggressive.
If the pain and/or weakness does not go away, surgery is considered.  

Surgery involves a small incision in the lower back.  The protruding disc is
removed after a small amount of vertebra is taken to gain exposure.  Most
people are on their feet later the same day and go home the next day.  Recovery
time takes about three months, but patients should take it easy for at least
six weeks.  This is routine surgery for the neurosurgeon.

In the long run you should be careful about lifting heavy objects, and possibly
shed a few pounds if you are carrying too many.

Good luck.