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2009-09-15 10:25 PM

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Subject: L5 S1 herniation
Been struggling with a L5 S1 herniation, started with total lock up of lower leg, recovered to the point of mild pain in leg and can't quite straigten my leg with out doscomfort....6 weeks now, slow recovery with no activity at all.  No shots, just 25mg NSIADS, 2 a day.

Has anyone recovered from this with out surgery?

Any advise appriciated....


2009-09-16 5:43 AM
in reply to: #2408830

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Cecilia
Subject: RE: L5 S1 herniation
I've got a L4L5 herniation that was diagnosed in April. Since then I have been working on strengthening my core. I swim and bike as much as I can, cut back on running to 2 or 3 day a week and do AB Ripper (P90X) three times a week. My main pain issue was sitting for an extended period of time and the pain was focused in the lower buttock area. My herniation is minor, but I was really suffering back in April. I am doing much better now.
2009-09-16 7:48 AM
in reply to: #2408830

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Charleston, SC
Subject: RE: L5 S1 herniation

Unfortunately I have experience with this;  L5 also.  I tried chiropractic for about two years, had two MRIs and of course Doctor wanted to operate; but I’m was a little concerned about operating slow close to all the nerves in the spine. So I did not have surgery, took about two of the of pain pills that were prescribed but I couldn’t handle them so stopped.

Bottom line I stopped running and biking, still tried to swim with the pain.  Some times I could barely walk the block or cut the grass. 

Fast forward 15 years back still hurts, have to be real careful with movements and lifting.  The good news I decided to focus on core strength and weight loss, basically I’m trying to do everything I can to avoid surgery.  Starting walking longer, then little running, then a little more.  Weight started coming off.  Running more miles, joined a Boot Camp program run by Citadel Marines, lost 30 pound (I’m 5’8, now 160lbs), ramped up running and swimming, but real careful/cautious on the bike.

Signed up for HIM Augusta end of this month and signed up for IM Louisville in 2010.  My goal is to finish Augusta and if I’m careful and train correctly will try to qualify for Kona at Louisville. 

When I started Tris in the 80s’ I was very competitive and finished well up in the standings (even got a second overall), got very depressed when the back went out and thought I would never get to Kona (the Goal).  Now I see there is hope, might not be as fast anymore, but I’m out there.

Research carefully any options for treatment and success rates.  Make the decision you can live with.  There is recent research that shows the disks repair themselves over time, but not 100% repair. That might be my case, my pain is constant, but 50%-80% less then I used to chronically experience.

Hang in there.

 

Mike

2009-09-16 7:51 AM
in reply to: #2408830

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Subject: RE: L5 S1 herniation
I had the same L5-S1 disc with a small herniation.  Also a L4-L5 bulge.  It was pressing on the sciatic nerve and causing me a great deal of pain down my leg.

Dr wanted to do surgery.  I went to my chiropractor and they did spinal decompression.  Basically it's like "the rack" where they slowly stretch the spine out causing the disk to "suck" back in.  I find it quite relaxing and often fall asleep while on the table (30-40 min session)

It took probably 10 weeks of sessions 3 times a week (then 2, now 1) but after 8 months of pain it is now almost 100% gone.  I am back to running and biking.  I'd say I saw some results after only 3 weeks.

There is always a possibility it may pop back out but if you are careful and strengthen the back muscles in that area you can go forever w/o surgery.

Edited by TriRSquared 2009-09-16 7:52 AM
2009-09-16 8:04 AM
in reply to: #2408830

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Subject: RE: L5 S1 herniation

This certainly won't "cure" you, but it may help manage the pain and discomfort: Pain Free by Pete Egoscue.

It's an interesting read about how our lifestyle (sedentary at work, intense and repetitive in our sports) affects proper alignment and while your shoulder may hurt, it's likely your hips causing the problem, and if you don't fix the hips, you'll never fix the shoulder. Anyway, you can get the book online or at the bookstore, read through it, try some of the exercises (he calls them e-cises) for your particular situation. I think if you stick with it (i.e., every day), you may get some relief.

The only reason I recommend it is I have personally had great success with managing my occasional nagging pains, and others I have recommended it to have seen results. However, I haven't specifically recommended the book to anyone with such a severe issue as yours.

Worth a shot, anyway (and inexpensive).

2009-09-17 1:24 AM
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2009-09-17 8:44 AM
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Subject: RE: L5 S1 herniation
gvey - 2009-09-17 2:24 AM Surgery isn't the boogeyman that you may think.  If you have pain down your leg, it's probably going to take surgery to fix the problem. 


I'm not against the surgery (no one WANTS it of course) but I disagree with this statement.  I had VERY bad pain down my leg to my toes and have gotten rid of the pain using the methods described above.

It's possible that it may come back one day and I may opt for the surgery but right now I have no pain and did not have surgery.  I figure giving non-surgical options a shot first is always preferable IMHO.
2009-09-18 2:57 PM
in reply to: #2408830

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Subject: RE: L5 S1 herniation
2007 i had L4 and L5 fixed. I did not run for 2 months. I still have numbness in my left foot but no pain at all now. I just make sure i dont lift very heavy things and make sure to stay active. I do a lot of back exercises to maintain the strength in my back. Dont be afraid of surgery, make sure you take very good care of it your back till it completely heals.
2009-09-18 3:25 PM
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Subject: RE: L5 S1 herniation
TriRSquared - 2009-09-17 8:44 AM
gvey - 2009-09-17 2:24 AM Surgery isn't the boogeyman that you may think.  If you have pain down your leg, it's probably going to take surgery to fix the problem. 


I'm not against the surgery (no one WANTS it of course) but I disagree with this statement.  I had VERY bad pain down my leg to my toes and have gotten rid of the pain using the methods described above.

It's possible that it may come back one day and I may opt for the surgery but right now I have no pain and did not have surgery.  I figure giving non-surgical options a shot first is always preferable IMHO.


I agree with TriRSquared on this.  I had horrific sciatica shooting down my right leg...pain so bad, it literally felt like my skin was being ripped off of the bone.  Now let me preface this, by saying...I did not have a herniation that caused my sciatica.  Mine was caused from severe spinal stenosis due to a vertebral slippage at L5/S1...so, very different from a herniation...yet the result was the same...LOTS of nerve pain down the leg.   I cured my sciatica completely, with daily use of an inversion table...which is a form of decompression therapy, only you do it in the comfort of your own home.   I was pain-free within 3 months...and a second MRI confirmed that the stenosis was gone.  Inversion tables are not for everyone, especially those that might have blood pressure issues, or cannot tolerate being in an inverted position.  I only needed to invert for no more than 4-5 minutes a day, to get results.   I'd check with your doctor to see if it might be an option for you. 
2009-09-18 10:54 PM
in reply to: #2408830

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Subject: RE: L5 S1 herniation
I successfully treat a lot of people that have lumbar disc herniations with decompression therapy in my clinic.  I certainly recommend looking into it.  My advice to anyone in this situation is don't be afraid to explore ALL your options; chiropractic, decompression, epidural injections, physical therapy,surgery, etc.  they all have their place depending on your individual situation.  However, remember that the more aggressive you get, the less you can take back...meaning consider starting with the most conservative options and go forward.  If the conservative methods work first...GREAT, you avoid further invasive procedures (and their risks).  If they don't, then you can go into the more invasive procedures without second guessing yourself ("should I have tried XXX first?")  Ultimately, you are the decision maker so get as many professional opinions that you need.

One other note, a previous post recommended an inversion table for treatment of a herniated disc as an alternative to clinical decompression therapy.  this is actually not an appropriate recommendation for this condition.  While it works well for some, inversion tables actually often create very severe adverse reaction in many people herniated discs.  Decompression therapy is an application of mechanized intermittent traction using low weight and specific table assistance.  These elements are crucial to avoiding the negative reaction that is often stimulated by sustained traction achieved on inversion tables.  This is also why they no longer use traction for low back problems in the hospitals like they used to in the 70s and 80s.  I have more information about this on my website:

http://www.northhillschiropractic.com/chiro/index.php?option=com_content&task=view&id=13&Itemid=51

If you would like help finding a reliable doctor in your area to talk to about this treatment just send me a PM.
2009-09-18 11:26 PM
in reply to: #2408830

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Subject: RE: L5 S1 herniation
My herniations (I have 3) are all in the thorax region.  One doctor did epidural injections and I was pain free for 2 weeks.  She never explained that it was a series of 3 injections.  Fast forward 6 years and the pain sometimes felt like a knot in my back that would sometimes go right through the breastbone.  A new doctor did the whole series (boy that Xanax makes me loopy!) and so far, pain free for a month now. 

Before, I would just want to sit with a heating pad on my back and watch tv.  Now, I get home, eat dinner and most nights either ride or swim.  I used to force myself to excersize.  Now I actually look forward to it. (Lately, I've started getting bored if I don't!)


2009-09-21 7:47 PM
in reply to: #2408830

Subject: RE: L5 S1 herniation
Thanks to all for the advise...

Going into week 7 now and did first pool session, all good and appear to be healing.

Wil continue with conservative treatments for a few more weeks and see how I go before considering surgery.

Will miss the NZ summer series, but hope to be back into it next year!

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