[ Follow Ups ] [ Post Followup ] [ Neurology and Neurosurgery Forum ] [ FAQ ]
Posted by CCF Neurosurgery MD on December 02, 1997 at 10:11:03:
In Reply to: Lumbar disc herniation (L5-S1) posted by Tom on December 01, 1997 at 17:49:05:
: Due to weight lifting incident I have herniated L5-S1. I am 38yo WM. In good phsycial shape.. workout 4-5 days / week.
This herniation was verified by MRI. One MD wanted to do surgery. But i went to a Physical Therapist, and thru the therapy exercise
which consisted mainly of stretching... i did fine!.. now 6 mos later.. i am having similar symptoms. following heavy aeroibic (class) activity
Is this a recurrent problem? I have heard it is. and can i just rework the PT exercises.. or does there come a time when I will and should have surgery.
I have heard that there can be complications with surgery.. neurologically, scar tissue. etc.. so i dont want to have surgery.
will it be a chronic problem that i can live with w/o surgery?
i have heard the standard of care for surgery is only with intractable pain, loss of bowel or bladder control, or
gerneralized muscle weakness.. I have non of those...
my PT is willing to work with me on this thru stretching.. is this enough
Im anxious and scared as u can tell!
Herniated lumbar discs are common. Symptoms include pain, numbness and weakness
in a particular distribution of the leg, depending on the level of the disc.
One may encounter bowel and bladder incontinence if the herniation is severe,
though this is unusual. Herniated discs can be caused or exacerbated by
weightlifting or excessive straining.
Much of the material in an acute herniated disc is composed of water. If left
alone, the body will resorb much of the water from the protruding disc. For
this reason, many acute discs are simply observed with bedrest and pain medication.
Quite often the protruding disc will shrink enough to take pressure off the
nerve roots, relieving the pain.
Surgery is considered for disc herniation when pain persists beyond a period
of conservative therapy, usually about 4-8 weeks. Often the issue of lost
productivity at work becomes a factor pushing surgery. More severe disc herniations
causing bowel and bladder incontinence require urgent decompression for optimal
Your symptoms seem to be related to activity. Surgery is always an option,
but the best thing you could do now is to rest. Vigorous aerobics can aggravate
a disc and possibly cause further herniation. Take it easy for a while and
reasses the situation. If you must work out, use lesser weights with higher
repetitions. Talk to your surgeon and see if he doesn't agree.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.