Comprehensive Care for L4-L5 Disc Issues
L4-L5 disc concerns, such as bulges, herniations, and joint changes, can be addressed effectively through non-invasive care. This segment of the lower back is critical for movement and weight support, making it more vulnerable to changes over time. Managing these concerns early can help maintain mobility and support long-term spinal health. Explore safe, non-surgical methods designed to improve spinal function.
Understanding L4-L5 Spinal Concerns
The L4-L5 region, located near the lower back, supports significant weight and allows for bending and twisting movements. Due to these demands, this area often experiences changes such as disc bulges or herniations. These changes may contribute to lower back challenges or radiating leg discomfort. In some instances, additional factors like bone changes or ligament thickening may further influence spinal function. Identifying and addressing these changes with a supportive care program can aid in improving overall spinal health.
The Role of the Lumbar Spine
The lumbar spine, also known as the lower back, comprises five vertebral bones supported by intervertebral discs. Together with surrounding muscles, joints, and nerves, this region enables dynamic movements while bearing the body’s weight. The L4-L5 spinal segment is particularly significant, as it facilitates 95% of bending at the waist.
Given its vital functions, this segment is prone to degeneration and injuries. Conditions such as herniated discs and stenosis commonly affect the L4-L5 level, necessitating precise care and intervention.
How Spinal Discs Are Damaged
Intervertebral discs consist of two main parts: the outer annulus fibrosus and the inner nucleus pulposus. Repetitive strain, axial loading, or muscular weakness can cause the inner nucleus to protrude through the outer annulus, leading to conditions such as:
- Disc bulge
- Herniated disc
- Prolapsed disc
- Sequestrated or extruded disc
These conditions can compress nerve roots, with severe cases affecting multiple nerves like the L5 and S1 roots. Such compression often triggers debilitating symptoms and may lead to surgery if not addressed through non-invasive means.
Common Disorders Involving L4-L5
Several conditions frequently affect the L4-L5 spinal segment, including:
- Muscular and ligamentous injuries
- Facet joint dysfunction
- Disc bulges or herniations
- Spondylolisthesis
- Spondylosis
- Spinal stenosis
- Foraminal stenosis
Each condition requires tailored care for effective resolution. Understanding these disorders enables individuals to make informed decisions about non-invasive recovery options.
Common Problems Involving the L4-L5 Spinal Segments
The L4-L5 spinal segment plays a crucial role in maintaining mobility and stability in the lower back. Understanding the common conditions affecting this region can help in identifying the cause of discomfort or mobility challenges.
Disorders Associated with the L4-L5 Segment:
- Muscular and Ligamentous Disorders
- Spinal Joint (Facet Joint) Conditions
- Disc Problems: Bulging, Herniated, or Prolapsed Disc (Slip-Disc)
- Spondylolisthesis (Vertebral Slippage)
- Spondylosis (Arthritic Degeneration)
- Spinal Canal Stenosis (Narrowing of the Spinal Canal)
- Foraminal Stenosis (Narrowing of Nerve Exit Points)
Muscle and Ligament Disorders at L4-L5
Muscular and ligamentous issues at the L4-L5 level are commonly associated with damage, wear, or trauma. Ligamentum flavum, a ligament with muscle-like properties, can become damaged or hypertrophied (thickened), compressing nerves and contributing to lower back issues. While age-related degeneration of ligaments and muscles is common, significant discomfort usually arises when these structures are overstressed or injured.
Impact of Ligamentum Flavum Hypertrophy:
- Compression of spinal nerves.
- Reduction of spinal canal space.
- Chronic lower back discomfort and sciatica-like symptoms.
Spinal Joint (Facet) Disorders
Facet joints at L4-L5 are particularly vulnerable due to their constant movement and load-bearing responsibilities. Over time, these joints may develop inflammation or degeneration, leading to conditions like facet hypertrophy (enlargement) and arthritis.
Contributing Factors:
- Prolonged sitting or poor posture.
- Excessive weight-bearing during physical activities.
- Joint instability caused by disc degeneration.
L4-L5 Slip-Disc (Slipped Disc)
A slipped disc at L4-L5 occurs when the spinal disc between the vertebrae deteriorates, bulges, or herniates, pressing against the nerves or spinal cord. The smallest compression of a nerve root at this level can lead to significant complications, including nerve degeneration, weakness, and paralysis.
Potential Causes:
- Repetitive strain or trauma to the lower back.
- Age-related degeneration of the intervertebral disc.
- Poor posture or improper lifting techniques.
Symptoms of a compressed nerve from a slipped disc may include:
- Radiating leg discomfort (sciatica).
- Numbness, tingling, or weakness in the lower limbs.
- Loss of bowel or bladder control in severe cases.
Spondylolisthesis at L4-L5
Spondylolisthesis refers to the forward slippage of one vertebra over another. At L4-L5, it can result from congenital issues, degenerative changes, or trauma. Severity is classified into four grades based on the percentage of vertebral slippage.
Grades of Spondylolisthesis:
- Grade I: Less than 25% slippage.
- Grade II: 25-49% slippage.
- Grade III: 50-74% slippage.
- Grade IV: Over 75% slippage.
Common Co-Conditions:
- Hypertrophy of Ligamentum Flavum: Leads to further spinal canal narrowing.
- Facet Joint Hypertrophy: Enlargement and arthritis in facet joints.
- Disc Degeneration: Weakening and thinning of spinal discs.
- Spinal Canal Stenosis: Progressive narrowing of the spinal canal.
- Foraminal Stenosis: Compression of nerves exiting the spine.
The Impact of L4-L5 Disorders
If left untreated, conditions at the L4-L5 segment can lead to severe complications, including:
- Persistent lower back discomfort and sciatica.
- Loss of motor function in the legs.
- Reproductive or urinary issues.
- Paralysis in advanced cases.
Take Action:
Early intervention with non-invasive care is critical to manage L4-L5 disorders effectively and prevent complications. Contact a spine specialist for a thorough assessment and customized care plan tailored to your condition.
What Is an L4-L5 Spondylosis?
Spondylosis is a broad term encompassing spinal disc and joint conditions that can irritate nerve roots. The L4-L5 spinal segment is particularly vulnerable to spondylosis due to its high mobility and weight-bearing role. While spondylosis can progress silently, its symptoms vary depending on the degree of nerve compression.
Common Symptoms of L4-L5 Spondylosis:
- Mild Spondylosis: Lower back discomfort or stiffness.
- Moderate Spondylosis: Discomfort radiating to the hips, thighs, or legs, and possible tingling or weakness in the legs or feet.
- Severe Spondylosis: Intense discomfort, leg weakness, bowel and bladder dysfunction, erectile issues, or partial paralysis.
The Risks of Spinal Canal Stenosis at L4-L5
Spinal canal stenosis occurs when the spinal canal narrows, reducing space for the spinal cord and nerves. At the L4-L5 level, this is the most common site for canal stenosis in the lower back, leading to significant neurological impairments if left untreated.
Progressive Risks of Canal Stenosis:
- Weakness or paralysis in the lower limbs.
- Loss of bowel and bladder control.
- Reproductive dysfunction in severe cases.
L4-L5 Foraminal Stenosis
Foraminal stenosis is the narrowing of the nerve exit points (foramina) in the spine. At L4-L5, it often results from:
- Spinal Disc Degeneration: Thinning or bulging discs.
- Facet Hypertrophy: Enlargement of the spinal joints.
- Ligamentum Flavum Hypertrophy: Thickened ligaments compressing nerves.
- Bone Spurs: Growth of arthritic projections (spondylosis).
Symptoms of L4-L5 Foraminal Stenosis:
- Discomfort or radiating sensations in the lower back, hips, and legs.
- Numbness or tingling in the legs and feet.
- Weakness in lower limbs, potentially leading to mobility issues.
Recognizing Symptoms of L4-L5 Spinal Disorders
Patients with L4-L5 issues often experience radiating discomfort from the lower back into the legs. Severe cases, such as a slipped disc, may lead to foot drop, characterized by:
- High Steppage Gait: Exaggerated lifting of the thigh when walking.
- Slapping Gait: Foot strikes the ground with a slapping motion.
Effective Care Options for L4-L5 Conditions
Non-surgical interventions are the gold standard for managing L4-L5 issues, whether acute or chronic. A combination of chiropractic care and physiotherapy provides optimal results by addressing sources of discomfort, correcting alignment, and stabilizing the spine.
Non-Surgical Care Strategies:
- Chiropractic Adjustments: Correcting misalignments using gentle, non-rotatory techniques like the Activator Method.
- Physiotherapy Interventions: Incorporating manual therapy, soft tissue mobilization, and device-based care.
- Spinal Decompression Therapy: Utilizing advanced devices like the RxDecom® to reduce disc pressure and promote healing.
Advanced Care at Chiropractic Specialty Center®
At Chiropractic Specialty Center®, our collaborative chiro-zone and physio-zone offer integrated, non-invasive solutions for L4-L5 conditions. These zones provide targeted rehabilitation, combining expert chiropractic care and physiotherapy with breakthrough technologies like shockwave therapy and high-intensity laser therapy.
By focusing on the root cause of L4-L5 issues, our customized care plans ensure lasting relief without surgery or injections. Contact us today to learn more about our evidence-based approach to non-surgical spine care.
Can Pressure on the Nerves from a Slipped Disc Be Relieved Without Surgery?
Pressure on the nerves caused by bulging, herniated, or extruded lumbar discs, especially at the L4-L5 level, is a significant contributor to lower back and leg discomfort. Commonly, surgical interventions such as Radiofrequency Ablation (RFA) or other minimally invasive spine procedures are used to alleviate nerve pressure. However, these procedures often result in temporary relief and may lead to recurring issues or additional surgeries.
Non-surgical approaches focus on correcting the root cause of nerve impingement by addressing underlying issues in joints, muscles, ligaments, and discs. These conservative measures aim to restore function, reduce discomfort, and prevent further complications.
Are Surgical Procedures Necessary for L4-L5 Conditions?
Minimally invasive spine surgeries, including lumbar fusion, discectomy, and foraminotomy, are often marketed as quick solutions. However, even these carry risks of complications and limited long-term effectiveness. Steroidal injections, another commonly recommended intervention, may provide short-term relief but fail to address the underlying causes.
Instead, conservative care, such as targeted chiropractic and physiotherapy methods, offers a safer and more effective alternative. These treatments aim to restore spinal health naturally without the risks associated with invasive procedures.
Best Non-Surgical Options for L4-L5 Conditions
Comprehensive non-surgical care for L4-L5 conditions includes:
- Spinal Decompression Therapy: Reduces disc pressure and promotes healing.
- Chiropractic Adjustments: Non-rotatory techniques like Activator Methods align the spine safely.
- Advanced Physiotherapy: Techniques such as manual therapy, high-intensity laser therapy, and shockwave therapy.
These holistic approaches aim to fix the root causes, providing lasting relief and preventing recurrence.
Chiropractic Specialty Center®: A Non-Invasive Approach to Spinal Health
Chiropractic Specialty Center® (CSC) emphasizes non-surgical and non-invasive methods for managing spinal and joint concerns. By integrating chiropractic care with physiotherapy, CSC focuses on improving mobility, stability, and function naturally. These approaches are enhanced by advanced technologies such as spinal decompression devices, high-intensity laser technology, and shockwave systems, offering comprehensive support for recovery.
CSC’s care programs are personalized to meet individual needs, prioritizing a patient-centered approach. Techniques include gentle, precise chiropractic adjustments and modern physiotherapy methods designed to promote recovery while maintaining comfort and safety. The collaborative efforts of CSC’s team ensure holistic care that addresses the root causes of spinal and joint challenges.
By combining advanced tools and techniques with tailored care plans, CSC supports long-term spinal health without the risks associated with surgery or invasive procedures. This balanced approach empowers individuals to explore effective solutions for improved well-being.
Lifestyle Recommendations for Spinal and Joint Health
Maintaining healthy habits is key to supporting spinal and joint function. These practical tips can help enhance mobility, reduce stress on the body, and promote overall well-being:
- Prioritize Good Posture: Use ergonomic furniture and avoid slouching to support the spine during daily activities.
- Stay Active: Engage in activities like walking, swimming, or stretching exercises to keep muscles strong and flexible.
- Practice Safe Lifting: Bend at the knees and keep heavy objects close to your body to avoid unnecessary strain.
- Optimize Sleep Habits: Use a firm mattress and a supportive pillow to maintain spinal alignment while resting.
- Stay Hydrated: Proper hydration helps maintain healthy spinal discs and joint function.
- Maintain a Healthy Weight: Managing body weight reduces stress on the spine and joints, preventing wear and tear.
For additional support, non-invasive care programs provided by chiropractors and physiotherapists can further enhance spinal and joint health. These professionals create personalized plans to improve mobility, stability, and overall quality of life.
What is the cost for L4-L5 Slip-Disc treatment?
First and foremost, please accept our apologies for not responding sooner. We don’t know how this comment bypassed our attention. Our L4-L5 or L5-S1 slip-disc treatment charges depend on the procedures provided. However, the type of care you can expect from us is unmatched by others in Malaysia. We offer holistic slipped disc treatment with proven results. Meaning we fix the cause and not just pain relief. Pain relief care is okay, but the pain returns time and again. Therefore, corrective care is the best option. However, restorative care takes effort and requires treatments on advanced spine technology. It will be slightly more expensive per session when compared to standard physiotherapy or chiropractic. But, you will save tons of money in the long term.
Our center’s typical slipped disc treatment takes about 2 to 3 hours and involves up to 9 different procedures. There are no shortcuts to fixing a slipped disc. The costs and prices for treating slip discs depend on the procedure provided. At CSC, we treat slipped disk patients through the integrative methods of chiropractic and physiotherapy. By combining slipped disc chiropractic treatment with physiotherapy and rehabilitation, we leverage the benefits of chiropractic, physiotherapy, and rehabilitation in getting our patients to get better faster with lasting relief.
We are incredibly transparent with costs of care and pricing. As such, we have published specific pages that explain costs and treatment prices for all procedures provided in our centers. Feel free to compare our costs, fees, and prices with competing centers for the same procedures. By comparing our prices to competing centers, you will see that Chiropractic SPecialty Certner® (CSC) has the lowest treatment costs in Malaysia. Please visit one of the two pages mentioned below to revive the costs of care for physiotherapy and chiropractic:
Treatment prices for physiotherapy
Cost of care for chiropractic and chiropractic prices in Malaysia
We have more than fifteen years of clinical experience treating slipped discs. In short, you can expect the best when you visit us. Those that choose shortcuts are doing an injustice to their patients.
My MRI shows my intervertebral disc heights at:
L1-L2 at 11 mm
L2-L3 at 7.2mm
L3-L4 at 1mm
L4-L5 at 6.8mm
L5-S1 at 13 mm.
I can walk up to one minute. I have been suffering from this problem for the last 20 years. Please suggest what I should do now. I am residing in India.
Dear Raghubir,
I suspect you have severe spinal canal stenosis from multilevel spinal disc, spinal joint, and ligamentous issues combined. From what i understand, there are no effective non-surgical treatment options in India for patients with degenerative disc disease, bulging discs, or herniated discs that cause spinal canal stenosis. Moreover, there is nothing that I can tell you that you could do to make it feel better.
would be best to have advanced non-surgical spine care, preferably through NSD Therapy® methods combining chiropractic and physiotherapy. In India, many claim to be a chiropractor without having a chiropractic degree from an accredited Univiserty. Alternatively, you can visit our center in Kuala Lumpur, Malaysia. FOr more information, please WhatsApp us when ready.
Hi Do they have this care in San Diego and do they take Anthem bluecross Medicare
Dear Kathy,
We are currently in Malaysia, but we hope to one day be in the United States.
Hi Mychiro,
Do you need an MRI to get treatment for the l4-l5 slip disc? My case is severe; how many sessions and how long will it take to complete the treatment? I really appreciate any help you can provide.
Dear Aiman,
Slipped Discs (bulging discs, herniated discs, protruding discs, prolapsed discs, extruded discs, and fragmented discs) are dangerous conditions needing targeted treatments. MRI assessments provide the best diagnostic measure of the severity. It is impossible to assess a slipped disc adequately or slipped disc without thoroughly assessing the MRI images. Corrective care must target the damaged disc. MRI enables insights that x-ray or general exams fail to provide. In short, YES; we need MRI imaging to provide corrective care.
The length of care depends on many factors that will be too long to cover here. However, to provide a ballpark figure, it would be safe to assume one would need 30-35 sessions of NSD Therapy® for moderate or severe spinal disc cases. Please keep in mind that some may require less or more.
I welcome you to contact our center at 03-2093 1000 for more information about our treatment plans or schedule a one-on-one consultation with our chiropractor today. I hope this helped.
Your Relief Team
My problem is related to a disc issue causing sciatica pain that I believe is coming from L1-L2, L3-L4.and L5-S1.
Dear Dhoni,
Sciatica arises when the lower back nerve impingement or compressed. The compression can result from bone spurs, slipped discs, ligamentous or muscle issues. To recover, you will need to have the root cause identified and corrected. We have treated thousands of patients with sciatic issues without the need for medication, injections, or surgery. Our integrative methods of care combine chiropractic and physiotherapy. Moreover, the care we provide for sciatica patients is enriched with advanced therapy devices such as RxDecom, High-Intensity Laser Therapy, shockwave therapy, in addition to general physiotherapy and chiropractic therapy devices. Learn more about our sciatica treatment by calling us on 03 2093 1000.
Hi sir
My name is Dinakar, and I am 48yr old. I have problems with L4 and L5 slip disks issue. My surgeon recommends another spine surgery. My last spine surgery was in 1997 for the same problem. Please suggest what I do, my financial condition is awful, I lose my job when—Covid 2nd wave. Please suggest me.
Thanks and regards
Dinakar
Dear Mr. Dinakar,
Thanks for posting a question. Spine surgery should always be the last option, as they often fail or need further surgical interventions.f It is not uncommon for a person to have more than one surgical intervention. Some have even had two or more spine surgeries and still live with pain.
As far as your current condition, I would encourage you to seek conservative measures before your second surgery. The first step is to thoroughly assess your spine to see how our methods can help. We will need to review your previous MRI and X-ray scan as well.
I understand your plight with financial issues; however, patients who experience back pains after having surgery require attentive care. As such, there is little that you can do to solve the problem. In short, you need focused treatments that focus on damaged tissues for lasting relief. Should you need our help, please contact our office on 03 2093 1000.
I greatly appreciate your help with my spinal injuries I have herniated disc. How can I access you?
Dear Jerusha< We have helped thousands recover from a herniated disc without surgery or injections. Our advanced methodology, combined with breakthrough spine technology, can help. We have an award-wing team of physiotherapists and Malaysia’s best chiropractor to help patients like you. Please feel free to contact our center via WhatsApp for additional information.
We look forward to hearing from you soon.
I am suffering from an L4-L5 spinal stenosis and have a foot drop in my left leg, with neurogenic claudication. Please tell me what I can do. I am from India।
Thank you for reaching out about your condition involving L4-L5 spinal stenosis and the associated foot drop in your left leg, along with neurogenic claudication. This is a complex issue but one that we frequently address with considerable success through a tailored approach to rehabilitation.
Spinal canal stenosis, especially at the L4-L5 and L5-S1 levels, can result from various factors, including hypertrophy of the facet joints, thickening of the ligamentum flavum, spinal disc bulges, degenerative arthritis, and occasionally spondylolisthesis. These factors often occur simultaneously and contribute to the narrowing of the spinal canal, which in turn causes the symptoms you are experiencing.
Treatment Options: Our clinic specializes in non-surgical treatments that are highly effective for conditions like yours. These include:
• Non-rotatory Chiropractic Care: Specifically tailored for spinal canal stenosis to relieve pressure without aggressive manipulation.
• Spinal Decompression Therapy: This method gently stretches the spine, which can help relieve pressure on compressed nerve roots and reduce symptoms of stenosis.
• Physiotherapy: Customized therapies by specialized machines and hands-on physiotherapy designed to repair damaged tissue and stabilize the lower back and pelvis.
• Rehabilitation: Integrative approaches that focus on long-term health and pain management.
Regarding Neurogenic Claudication: This condition, characterized by pain and cramping in the legs due to spinal stenosis, can significantly benefit from our specialized methods. Our therapies are designed to improve blood flow, reduce nerve irritation, and enhance mobility, which can alleviate the symptoms of claudication.
If you want to learn more about how our treatments can specifically help with your spinal stenosis and associated symptoms, or if you wish to schedule a consultation, please contact us via WhatsApp at +(60)17-269-1873. We understand your challenges, and our goal is to help you achieve better health and improved quality of life without the need for invasive procedures.We look forward to the opportunity to assist you.
Best regards,
I have an L4 L5 and L5 S1 disc disease, can you help?
Dear Sanchita,
Thanks for posting a question. Our center is the premier non-surgical treatment center for neck pain, back pain, sciatica, and slipped disc. Our advanced mythologies and specialized therapy devices have helped thousands recover. I am confident that we can do the same for you. Watch this short video on our slipped disc treatment. It will help you understand how we treat patients with disc disorders. Should you wish to set an appointment for your initial consultation, please call our main center at 03 2093 1000. We have several centers in the Klang Valley.
Hope this helps
I have a problem with my L4 L5. I now experience nerve pain due to spinal nerve compression in my left leg. Can this be helped?
Dear Sham,
Chiropractic Specialty Center® is Malaysia’s premier non-surgical spine and joint center. The most common cause of pain, numbness, tingling, and weakness in the legs is nerve compressions at L4-L5 or L5-S1. Slipped discs such as bulging, protruded, prolapsed, herniated, and extruded discs are the leading causes of back and leg pain that cause sciatica-like symptoms. Our methods of treating leg pain slipped discs, and back pain is through advanced evidence-based practices of chiropractic combined with physiotherapy. Our clinical team’s chiropractic and physiotherapy treatment include sophisticated therapy devices targeting the root causes of back and leg pains, including sciatica and sciatica-like nerve symptoms.
I have the same symptoms. My doctor is requesting surgery because I have done a one-month recovery program, and my leg pain has lasted almost two years. Could you provide me with advice if I provide my MRI result?
Dear Eric,
I am sorry, but I do not provide consultation or review medical records of patients in pain for diagnosis and treatment advice. However, I would happily assess you in my office if you book an appointment. This is the best way to eliminate mistakes and provide the best non-surgical options; please WhatsApp our center to book a consultation.
Compression L3 and L4 and L5
Thank you for sharing your concerns about compression at your spine’s L3, L4, and L5 levels. This condition can lead to discomfort and other symptoms affecting your lower back and legs.
At CSC, we recommend consulting with one of our experienced chiropractors who specializes in holistic, non-invasive treatments. These methods are designed to alleviate your symptoms effectively while addressing the root cause of the compression. Our approach includes targeted physical therapy, personalized rehabilitation plans, and advanced non-surgical techniques, providing comprehensive spine care that aims for a faster recovery with lasting benefits.
To manage your condition effectively:
• Schedule a Consultation: Discuss your symptoms in detail with our chiropractic team to get a tailored treatment plan.
• Engage with CS’s Customized chiropractic, spinal decompression, flexion-distraction therapy, physiotherapy, and rehabilitation to repair damaged tissue, strengthen supportive muscles, and enhance spinal health through personalized exercises.
• Adopt Healthy Lifestyle Adjustments: Make ergonomic improvements and lifestyle changes to support your spine health.
Please feel free to WhatsApp us for more information at (60)17-269-1873 or to schedule an appointment. We’re here to help you achieve optimal health and improve your quality of life.
Best regards
Would you know anyone you can refer me to in Southern California, USA?
Dear Barbara,
Unfortunately, we are not aware of anyone in California that offers comprehensive and integrative methods of spine care through chiropractic and physical therapy. I encourage you to call some center in the neighborhood and ask if they provide comprehensive physical therapy combined with chiropractic.
I have a problem with L3-L4, l-l5, and L5-S1. The spinal canal dimensions are 9.3 and 9.8 mm, respectively, with the most recent MRI. I have undergone three sitting of Chiropractic, but the problem is not resolved. Further, the chiropractor asked for guidance from Neurosurgeon. I have radiating pain in the buttock, thigh, and right leg when walking. I could walk for 4 KM without pain in the past, but now everything has changed. Also, at present, I am undergoing IFT in a physiotherapy center.
Please advise what to do?
Dear Mr. Vijay,
Thanks for posting your question. L3-L4 and L4-L5 problems are common back-related issues that impact millions. Based on what you have related, you also suffer from spinal canal stenosis. And as such, there may be additional findings present in your MRI assessment. Other issues such as facet hypertrophy and ligamentum flavum hypertrophies are expected when the L3-L4 and L4-L5 spinal segments cause canal stenosis.
Also, you mentioned that you had received chiropractic treatment and IFT (electrotherapy) from a physiotherapy center. Chiropractic treatment alone will not make much of a difference with this level of damage. And IFT as a standalone therapy is a waste of time.
To recover, you will require focused therapies that incorporate chiropractic treatment spinal disc methods combined with slipped-disc-specific physiotherapy methods.
At Chiropractic Specialty Center®, we provide NSD Therapy®. NSD Therapy® services is the most advanced form of non-surgical spine care, specific to patients like you. I am a chiropractor who has treated patients like you successfully for over 25-years, and I am confident that we can provide you with the precision treatment needed to help your recovery.
Please get in touch with our main center on 03 2093 1000 or WhatsApp us to schedule a detailed assessment or for more information about our methods of care. Please ask to be seen by Dr. Yama (that’s me).
I hope this helped.
I have an L3-L4 right paracentral disc protrusion with severe stenosis of the right lateral recesses. Is this treatable without surgery?
Dear Mohammad,
Thanks for posting a question, and please forgive us for replying to you late. An L3-L4 disc protrusion is treatable without surgery. NSD Therapy® is the best non-surgical method of care. It incorporates disc-specific chiropractic, physiotherapy, and rehabilitation methods during the same session. Treatments are personalized to the needs of patients and non-painful. Over the years, we have helped thousands recover with a 95% success rate. Contact us today for more information about the best chiropractic and top-rated physiotherapy treatment you can get from a slipped disc. You may call or WhatsApp us when ready. I hope this helped.
My question. I’m 71 years old with heart and kidney disease. My L4 vertebra is hanging over the L5. The neurosurgeon says spine surgery with nuts, bolts & plates is needed. I have rejected the surgical option for now.
What is the long-term outcome if nothing is done? Will I be a handle pain for now
Just how will it affect me other than pain over the long term?
I can handle the pain for now; please advise. How will it affect me other than pain over the long term?
Dear Trish,
Please forgive us for not replying sooner. From your description, it appears that you have a spondylolisthesis. Spondylolisthesis is a congenital or developmental disorder of the spine that leads to a forward displacement of a spinal bone. In general, there are two types; stable and unstable.
Unstable spondylolisthesis is prone to progression and can rapidly progress through the four stages. Condition is graded based on severity, ranging from grade 1 to 4. A grade-1 describes an instance where the forward slippage ranges from 0 to 24%. A 25-49% slippage is classified as a grade-2. Grade 3 is 50-74%, and grade 4 is an instance where the slippage is more than 75%.
Here are some helpful links:
https://www.mychiro.com.my/articles/spondylolisthesis/
https://www.mychiro.com.my/conditions/sciatica-spondylolisthesis/
https://www.chiropractic-in-malaysia.com/blog/spondylolisthesis-spondylolysis-treatment-kl
Developmental forms of spondylolisthesis are entirely due to degenerative changes or premature wear and tear. In all cases, spondylolisthesis presents with slipped discs (bulging or herniated discs), hypertrophy of facets (degenerative arthritis of spinal joints), and hypertrophy of ligamentum flavum. The combined effects cause shrinkage of the spinal canal and impingement of nerves.
The main issue with spondylolisthesis is that it is a progressive condition. You don’t have to have surgery to stabilize it or to get rid of the pain. You must treat it as early as possible to avoid severe pain or disability.
How bad can it get?
Spondylolisthesis can become quite unbearable and may lead to disability, including paralysis.
Are there any alternatives to surgery for spondylolisthesis?
If you have spondylolisthesis, a conservative course of action is your first step. However, conservative care or treatment must be precise and personalized to each patient with spondylolisthesis.
What types of treatment or activities should to avoid?
You should avoid any bending or twisting movements. Do not do Yoga or Mckenzie exertion exercises.
Can chiropractic help patients with spondylolisthesis?
Chiropractic is excellent for patients with spondylolisthesis. However, it must be through either the Activator methods or Thompson.s. Try to combine your chiropractic treatment with physiotherapy (physical therapy) during the same session for the best results.
Here is a helpful link on chiropractic treatment techniques:
https://www.mychiro.com.my/articles/gonstead-diversified-and-activator/
https://www.yourchiro.com.my/blog/chiropractic-technique/
Avoid the rotatory methods of chiropractic, including the Diversified and Gonstead methods. I hope this helps, do contact us on 03 2093 1000 or Whatsapp us at +(60)17 269 1873 for more information.
What do you recommend? What should one do if surgical fusion fails? For example, what to do for persistent pain after spine surgery that fussed the L4 and L5 with bars, plates, and screws?
Dear Tammie,
We apologize for not getting back to you soon enough. Spine surgery is not a cure. Spinal fusion is an aggressive surgical intervention using screws, rods, and plates to fuse segments. Contrary to common belief, fusion surgeries at L4-L5 will not cure the pain or condition. According to published research that reviewed the success rate of spine fusion in over 1,400 patients, 74% of patients will have residual pain.
Once the spine is fussed, there is no further surgical intervention. However, that doesn’t mean that there is nothing that you can do! To eliminate the pain, you need precision treatments by our chiropractors and physiotherapists. Post-surgical pain, especially those resulting from fusion, needs specialized skill sets and advanced therapy devices. Patients with failed spine surgery or post-surgical pain must avoid any therapy or exercise that twists or bends the spine. Yoga, twisting, or turning at the waist is destructive and harmful.
If you live in Malaysia or if you can visit our Chiropractic Specialty Center® in Kuala Lumpur, we can help.
I am 51 years. After recovering from covid, I had severe pain in my back while walking and standing. I was advised to rest. My MRI report says I have L4-L5 listesis (spondylolisthesis). I am on medication and light exercises. Pain persists. Please advice.
Dear Arindam,
Listheisis means slippage, which is commonly caused by spondylolisthesis. Spondylolisthesis is a spinal condition where one vertebra slips forward or backward relative to the adjacent vertebrae. This can lead to compression of the nerves and spinal cord, resulting in back pain, muscle weakness, and numbness or tingling in the legs. Various factors, including degenerative changes, trauma, or genetic predisposition, can cause spondylolisthesis. The best treatment option for spondylolisthesis is NSD Therapy® combined with spondylolisthesis-specific methods of chiropractic and physiotherapy.
Unfortunately, there is little I can tell you online that would make a difference. I need to assess you and review your MRIs in detail before I can help. Please WhatsApp my office if you wish for me to assess you
My MRI shows my intervertebral disc heights at:
• L1-at 11 mm
• L2-at 9.4mm
• L3- at 1mm
• L4-at 7.4mm
• L5-at 9.9 mm
I can walk up to one minute. I have been suffering from this problem for the last 2 months. Please suggest what I should do now. I am residing in India.
Thank you for reaching out and sharing the details from your MRI. Based on the measurements you’ve provided, it appears you are experiencing significant spinal challenges, particularly with the very narrow disc space at L3, which measures only 1mm. This condition indicates severe spinal canal stenosis, which can lead to serious complications such as difficulty walking, foot drop, and potentially even cauda equina syndrome.
Given the severity of your condition, especially if the measurement at L3 is accurate, surgical intervention might be necessary to prevent further deterioration and alleviate the symptoms. However, there are conservative treatment options that could also be considered, particularly if you are looking for non-surgical alternatives.
At our center in Kuala Lumpur, we specialize in a comprehensive approach to spine care that includes advanced non-surgical treatments. These treatments are not commonly available in India, where the practice of chiropractic care might differ significantly. It’s important to note that in India, individuals offering chiropractic services might not be formally trained or certified as chiropractors from an accredited chiropractic university, which is essential for ensuring safe and effective care.
Our treatments include:
• Non-Surgical Spinal Decompression: Utilizes a decompression table to gently stretch the spine, which can help alleviate pressure on the compressed nerves.
• Physiotherapy: Customized exercises and modalities to strengthen spinal support and increase mobility.
• Chiropractic Adjustments: Performed by certified chiropractors who are trained to safely adjust the spine and improve alignment.
If you plan to visit Kuala Lumpur, I would be more than happy to assess your condition in person and discuss how we can help manage your symptoms conservatively. If you’re seeking chiropractic care in India, please ensure that the practitioner has a legitimate degree in chiropractic from a recognized institution.
For further information or to schedule an appointment at our Kuala Lumpur center, please feel free to contact us. Your health is of utmost importance, and we are here to provide the highest standard of care.
Dear Dr Yama Zafer,
I am 65 years old and have just finished reading your detailed post on L4 L5 S1 disc herniation. Thanks for the beautiful elaboration. I have had mild to, at times, severe lower back pain on the left that runs into the left hip joint. My pain started about 6-7 months ago and I have a bit of side leaning to the right while walking.
However, for the last month, I have been having severe pain in the left hip joint radiating down to the left foot. Now standing and walking causes unbearable pain. A Recent MRI showed:
• L4-S1: An L4-L5 disc bulge with posterior-central disc extrusion and inferior migration causes severe spinal canal and bilateral neural foraminal stenosis (severe). The migrated components measure 6.5mm and impinge on the bilateral traversing nerve roots more on the left.
• L5-S1: A mild disc bulge causes mild spinal canal and bilateral moderate neural foraminal stenosis without impingement of nerve roots.
I would be highly thankful if you could kindly suggest a remedy.
Regards,
Brijesh Kumar
Dear Brijesh Kumar,
Thank you for reaching out and for your kind words about the L4 L5 S1 disc herniation post. Your detailed description of your symptoms and MRI results helps greatly in understanding the severity of your condition.
The MRI findings indicate significant issues at the L4-L5 level with a disc bulge and posterior-central disc extrusion that has migrated, causing severe spinal canal and bilateral neural foraminal stenosis. This condition is indeed serious, especially given the impingement on the bilateral traversing nerve roots, more so on the left, which correlates with the severe pain you are experiencing radiating from the hip to the foot.
At our center, we specialize in non-surgical treatments that are specifically designed to address severe spinal conditions like yours without exacerbating the issue. Here’s what we can offer:
• Chiropractic Care: Our chiropractic treatments are disc-specific and avoid general manipulations that could stress the disc further, such as Diversified and Gonstead methods that involve side-posture treatments. Instead, we use techniques that safely manage disc herniations without twisting or rotating the spine.
• Spinal Decompression Therapy: This non-invasive therapy gently stretches the spine, which can help relieve pressure on the affected discs and nerve
• High-Intensity Laser Therapy: This therapy helps reduce inflammation and pain at a cellular level, promoting faster healing.
• Manual Soft Tissue Manipulation: Focused on improving mobility and alleviating tension in the muscles and connective tissues surrounding the affected area.
• Physiotherapy: Tailored exercises and treatments that strengthen the supporting musculature and improve overall spinal health, carefully designed to avoid any positions that may worsen the condition, such as the cobra pose or McKenzie exercises.
Given the complexity of your condition, a personalized, comprehensive approach is essential. I strongly recommend scheduling a consultation at our center where we can assess your specific needs and develop a detailed treatment plan. We have had considerable success treating similar and even more severe conditions, and we are confident we can help alleviate your symptoms and improve your quality of life.
Please contact us via WhatsApp at +6017-269-1873 to schedule an appointment or to discuss your condition further. We are here to provide the care you need and ensure a thorough understanding of all available treatment options.Looking forward to the opportunity to assist you on your path to recovery.
Warm regards
I’m 26 years old, and I’m suffering from disc bulge lumber and cervical spine. What can be done, and is this a condition you can help with?
Dear Adil,
Thank you for reaching out about your concerns with disc bulges in both your lumbar and cervical spine. At your age, addressing these issues proactively is crucial to manage symptoms and prevent further progression.
Disc bulges can lead to discomfort and limitations, but many individuals experience significant improvement with the right approach. At our center, we specialize in non-surgical care designed to target the root causes, repair damaged tissue, and alleviate the pain and other symptoms associated with disc bulges. Our approach includes:
You will need focused chiropractic and physiotherapy combined with rehabilitation, interactively targeting the damaged spinal discs. The chiropractic and physiotherapy care you receive must be highly peroslazied and non-rotatory. In other words, you should never have your back twisted, roasted, popped, or cracked if you have a slipped disc (bulging or herniated discs). In chiropractic and physiotherapy, there are alternative deviance-based methods, precisely for patients with disc issues, and we are highly efficient in them.
These treatments, combined with lifestyle modifications and regular follow-ups, have helped many of our patients lead a more comfortable life. Each treatment plan is customized based on individual assessments, ensuring that you receive the most effective care suited to your specific needs.
If you are interested in learning more about how we can help you, or if you wish to schedule an appointment, please WhatsApp us at +(60)17-269-1873. We are here to assist you in managing your condition and improving your overall spine health.
Best regards,
Hello,
I have shooting pain on both sides down to my feet. MRI was done and now I need help. Could you please provide an interpretation of the following MRI report? Is it indicative of a good or bad condition? Additionally, what steps should I take if the MRI report indicates a problematic condition?
General MRI Findings:
T10-11: Mild disc bulge. Non-compressive posterolateral ligamenta flava thickening.
T11-12: Mild disc bulge. Normal cord and spinal canal.
T12-L1: Mild disc bulge. Normal conus and spinal canal.
L1-2: Diffuse disc bulge. Normal spinal canal.
L2-3: Diffuse disc bulge. Mild neuroforaminal narrowing. Patent L2 exiting roots and DRG. Capacious central canal and lateral recesses.
L3-4: Diffuse disc bulge. Mild neuroforaminal narrowing. Patent L3 exiting roots and DRG. Capacious central canal and lateral recesses.
L4-5: Diffuse protrusion. Severe neuroforaminal narrowing. L4 exiting roots and DRG are impinged bilaterally.
L5-S1: Diffuse protrusion. Severe neuroforaminal narrowing. L5 exiting roots and DRG are impinged bilaterally.
Regards,
Fadzlee
Hello Fadzlee,
Thank you for reaching out and sharing the details of your MRI report. Based on the findings you’ve provided, it appears that you are experiencing significant spinal issues that are contributing to the shooting pain down both sides to your feet. Here’s a detailed interpretation of your MRI findings and recommendations for next steps.
MRI Report Interpretation:
Your MRI shows several levels of disc bulging from T10-L1, which are mild and do not seem to be compressing the spinal cord or nerve roots significantly. These mild bulges might not be the primary cause of your severe symptoms but could contribute to discomfort.
At the levels L4-5 and L5-S1, there are more concerning findings:
Diffuse Protrusions with Severe Neuroforaminal Narrowing: This condition is where the nerve passages at the sides of the vertebrae (foramina) are severely narrowed due to bulging discs. This narrowing is impinging, or compressing, the nerve roots (L4 and L5 exiting roots and DRG – Dorsal Root Ganglia) on both sides. This impingement is likely the primary cause of the shooting pain you are experiencing in your legs.
Evaluating the Condition:
• Severity: The conditions at L4-L5 and L5-S1 can be considered serious due to the bilateral impingement of nerves. This typically results in significant pain, numbness, or weakness extending down the legs, which matches the symptoms you describe.
• Good or Bad: The overall condition could be deemed problematic due to the presence of nerve impingements, which require careful management to prevent further damage and alleviate symptoms.
Recommended Steps:
• Consultation with one of our chiropractors in Kuala Lumpur: It’s crucial to have a consultation and follow-up with one of our chiropractors as we provide non-surgical options. Spine specialists, such as orthopaedic and neurosurgeons, may recommend surgery. However, based on what you have mentioned, your condition will most likely respond favourably to our methods of spinal disc rehabilitation through chiropractic, physiotherapy, and rehabilitation. Over the last three decades, I have treated thousands of patients with L4-L5 and L5-S1 issues, the majority of whom never recovered fully without the need for spine surgery. I encourage our methods as it is the most comprehensive spine care given by chiropractors and physiotherapists during the same session.
• Consideration of Surgery: If conservative treatments do not alleviate the symptoms and the nerve impingement is severe, surgical options like a decompression surgery or a discectomy might be considered to relieve the pressure on the nerves.
• Lifestyle Adjustments: Modify activities that exacerbate the pain and consider ergonomic adjustments to reduce strain on your spine during daily activities.
Long-Term Management:
Managing a condition with severe neuroforaminal narrowing requires a comprehensive approach. I recommend our integrative rehabilitative approach over what others may recommend. If you follow our recommendation, long-term management should be favourable as well.
If you would like to schedule an appointment with me or one of our other chiropractors, please WhatsApp our main center at +(6017-269-1873; I hope this helps.
Last 30 days I have been suffering from Lower back pain.
Here are the impressions of my lumbar MRI:
• Straightening of lumbar spine noted.
• Anterior marginal osteophytes at all levels.
• Disc desiccation was noted at L4-L5 levels.
• L4-L5: Large postero-central disc protrusion causing marked compression in the central canal
• and left lateral recess.
• Visualized vertebrae are normal in height, alignment, MR morphology, outline and signal
• intensity.
• The yellow ligament is normal in thickness.
• Facet joints are normally visualized.
• Conus medullaris is normal in position and signal intensity pattern.
• Visualized soft tissues are normal in signal intensity.
• Bilateral sacroiliac joints show normal hyperintense signals, suggesting maintained joint
• spaces.
• The spinal Canal diameter is as follows:
• L1/2-10.5 mm, L2/3- 9.5 mm, L3/4-8.0 mm, L4/5-3 .5 mm and at L5/S1-11.0 mm.
Kindly guide my present condition
I am 43 years old with back pain. It all start during off-road traveling 30 days ago. Could this be due to a slipped disc and if so what can be done?
Dear Gangadhara,
Firstly, we sincerely apologize for the delay in responding to your query posted in December. We strive to provide timely and helpful replies, but unfortunately, we missed your important question. We appreciate your patience and value your interaction with our blog.
Based on your MRI findings, it appears you have several challenges in your lower back, particularly the large postero-central disc protrusion at the L4-L5 level, which is causing significant compression in the central canal and affecting the left lateral recess. This compression can contribute to your lower back pain and may also impact nerve function.
Key MRI Impressions:
• Straightening of the lumbar spine and anterior marginal osteophytes suggest some degree of spinal degeneration and stiffness.
• Disc desiccation at L4-L5 indicates that the disc has lost hydration, which can reduce its ability to cushion the vertebrae.
• The narrowing of the spinal canal at L4-L5 (3.5 mm) is particularly concerning as it signifies severe spinal stenosis at this level, which can compress the spinal cord and nerves.
Managing conditions like yours involves a comprehensive and conservative approach, especially since certain movements and therapies could exacerbate your condition. It is crucial to avoid bending, twisting, or any extension exercises such as the cobra pose or McKenzie back exercises. These activities could further reduce the size of the spinal canal, increasing compression and pain.
What We Offer at CSC:
At Chiropractic Specialty Center®, we provide a blend of integrative methods combining the expertise of chiropractors and physiotherapists. Our approach includes:
• Decompression Therapy: To gently stretch the spine and relieve pressure.
• Ultrasound Therapy: To promote tissue healing.
• Spinercise Rehabilitation: To strengthen the spine safely.
• Flexion-Distraction Therapy: To increase spinal motion without stress.
• Laser Therapy: For pain relief and inflammation reduction.
• Manual Physiotherapy Procedures: For targeted physical rehabilitation.
• Non-rotatory Chiropractic Treatments: Using safe techniques like the SOT, Activator Methods, or Thompson Technique, avoiding any rotational spinal manipulations that could harm your condition.
Personalization of therapy is key to effectively managing and potentially improving your condition without the need for invasive procedures.
I strongly recommend booking an appointment for a thorough assessment at our center. We can then discuss in detail how our targeted, evidence-based conservative care can address your specific needs and help manage your symptoms. Please contact us via WhatsApp at +6017-269-1873 to schedule your visit. Looking forward to helping you regain comfort and improve your spinal health.
Hi,
What does this mean? L4-L5 is the seat of a right lateral protrusion.
Hello,
Thank you for reaching out with your question about your diagnosis. The phrase “L4-L5 is the seat of a right lateral protrusion” refers to a condition in your lower back, specifically between the fourth and fifth lumbar vertebrae. Here, “lateral protrusion” indicates that the disc material is bulging out towards the right side of your spine.
This bulging can pressure or irritate the nearby nerves, potentially causing pain, numbness, or weakness in the lower back, hip, or leg on the right side. It’s important to address this condition to prevent further discomfort or more severe issues.
If you’re experiencing any related symptoms or would like a more detailed explanation and personalized advice on managing this condition, please do not hesitate to reach out. You can contact us via WhatsApp at +6017-269-1873 for a consultation or more information on our chiropractic, physiotherapy, and rehabilitation options.
Hi!
I am 20 years old. And I am suffering from an L4-L5 disc bulge. It was diagnosed last August -September period. I underwent physiotherapy. It’s fine. But sometimes the pain triggers again and causes my left leg to pain harder. What should I do? The doctor prefers surgery, which I don’t want to.
Dear Vaishnavi,
Thank you for reaching out and sharing your concerns about your L4-L5 disc issue. I understand your hesitation regarding surgery, especially at your young age of 20. It’s important to explore all non-surgical options that can provide lasting relief and address the root cause of your pain.
At CSC, we specialize in managing conditions like yours through a combination of chiropractic care, focused physiotherapy, and comprehensive rehabilitation. These plans are designed to not only alleviate pain but also to strengthen your spine and prevent future episodes. Given that the pain sometimes triggers and affects your leg, it suggests that the disc issue may be impacting nearby nerves.
A bulging disc, often referred to in medical terms as a protrusion, prolapse, herniation, extrusion, or fragmentation, describes various stages where the disc material extends beyond its usual boundaries. This can occur without symptoms, but pain arises when the disc material begins to press on spinal nerves. Your description suggests that the disc may not just be bulging but could be herniating, which requires targeted intervention to prevent worsening.
We strongly believe that surgery should be a last resort, especially for someone as young as you are. Our experienced team of chiropractors and physiotherapists can provide a thorough assessment and work with you to create a personalized plan focused on non-invasive recovery methods.
I invite you to visit our center for a consultation where we can discuss your condition in more detail and explore the best treatment options. Please contact us at +6017-269-1873 to schedule your appointment. We’re here to help you understand your condition better and guide you towards lasting relief.
Can you call me for a appointment
Certainly! Please contact us on our main office’s WhatsApp line at +6016-269-1870 to schedule your appointment. We look forward to hearing from you and are here to assist you at your convenience. Thank you!
My L4 and L5 vertebrae are rubbing on the nerves. My spinal disc has degeneration and bulging. I’m in physical therapy for the discs for my current condition which may have resulted from a previous injury where my pelvis was crushed in a car accident. I’m in a lot of pain, feeling pain in my back. Leg and toes. I’m m also trying to lose weight to take pressure off the nerves in my lower back. Are there any other therapies or procedures that I can do to slow down my deterioration?
Dear Natalie,
Managing pain from conditions like spinal disc degeneration and nerve compression can be challenging, but it sounds like you’re already taking positive steps with physical therapy and weight management. Here are some additional therapies and strategies, including a specific chiropractic method that might help slow down deterioration and alleviate your symptoms:
Spinal Decompression Therapy: This non-surgical treatment uses a traction table or similar device to gently stretch the spine, relieving pressure on the discs and nerves, which can reduce pain and promote healing of damaged discs.
Aquatic Therapy: Also known as hydrotherapy, this involves using the resistance and buoyancy of water to help relieve pain, improve mobility, and strengthen muscles without putting stress on the spine.
Acupuncture: Some find relief through acupuncture, which involves inserting thin needles into specific points on the body to stimulate the nervous system and enhance natural painkillers.
Anti-Inflammatory Diet: Consuming foods that reduce inflammation, such as those rich in omega-3 fatty acids and various fruits and vegetables, might help alleviate some pain.
Chiropractic Care – Activator Method: This gentle, non-invasive technique uses a hand-held device to deliver precise, controlled thrusts to specific areas, without the need for twisting or forceful manipulation. It’s especially suitable if you have concerns about exacerbating disc and joint issues. This method minimizes discomfort and maximizes the effectiveness of the adjustment, making it a safe option for those with delicate conditions.
Regular Exercise and Stretching: Gentle exercises that strengthen the core and lower back can support spinal health and reduce nerve pressure.
Pain Management Clinics: These offer comprehensive approaches to pain management, including physical therapy and more targeted interventions, depending on the severity of your condition.
Discuss any new therapies with your healthcare provider to ensure they’re suitable for your health needs, and consider consulting with a specialist trained in the Activator Method for targeted, safe chiropractic care.
Hi my mother aged 62 generally complains for excessive leg pain (especially calf muscles ). MRI Lumbar spine Scan has given following impression (1) Mild Lumbar Spondylolysis (2) Minimal Scoliosis of spine towards right side(3) L3 l4 disc minimal bulge indenting thecal sac and bilateral traversing nerve roots (4) L4-5 disc moderate diffuse bulge compressing thecal sac stenosing bilateral leteral recesses& neural foraminae with impingement of bilateral traversing nerve roots.
Neuro surgeon advises for surgery to relieve nerves , can you please suggest any non surgical options and chances of success of non surgical options . patient is based in Bangalore . Any right doctor or practitioner of non surgical therapies in Bangalore is highly desirable
Dear Ranjit,
It sounds like your mother is dealing with several spine-related issues, which can indeed be quite painful and impact quality of life. At CSC, we specialize in non-surgical options that could potentially help manage and alleviate her symptoms. Here’s an overview of what we offer and how these might benefit her:
Non-Rotatory Chiropractic Care: This type of chiropractic care avoids twisting the spine, which is particularly important given your mother’s conditions like scoliosis and disc issues. It focuses on gentle techniques that align the spine and relieve pressure on the nerves.
Physiotherapy: This includes a range of therapies through machines and hands-on care including exercises, stretching, and strength training designed to improve mobility, strengthen the muscles supporting the spine, and decrease pain. For your mother, specific exercises can be tailored not to exacerbate her scoliosis and spondylolysis.
Spinal Decompression Therapy: This therapy uses a traction table or similar motorized device to stretch the spine. This can help relieve back and leg symptoms by taking pressure off compressed discs and nerves (like those affecting your mother at the L3-L4 and L4-L5 levels).
Rehabilitation: Comprehensive rehabilitation programs aim to improve overall strength and function, which can help stabilize her spine and reduce the symptoms of spondylolysis and the effects of scoliosis. Rehabilitation can also aid in recovery from or prevention of further deterioration due to her disc issues.
The success of Non-Surgical Options
The success of non-surgical care varies based on individual conditions, the severity of the issues, the therapy center, and how the patient’s body responds to treatment. Many patients find significant relief from combinations of these therapies, especially if surgeries are considered high-risk or if patients prefer less invasive approaches. It’s also important to start these treatments under the guidance of skilled practitioners who can adjust therapies as needed.
Finding the Right Practitioner in Bangalore
Although I don’t have access to browse specific practitioners in Bangalore, I would recommend seeking out a reputable clinic that offers a multidisciplinary approach. Look for centers that specialize in non-surgical spine care and have a team that includes chiropractors, physiotherapists, and possibly specialists in spinal decompression. Checking patient reviews and asking for referrals from her current healthcare providers or local medical associations can also help in choosing the right clinic.
Addressing the root causes of her symptoms through these non-surgical therapies has a good chance of improving her condition and reducing the need for surgical intervention. It’s important to have a thorough assessment by non-surgical specialists who can develop a personalized treatment plan tailored to her specific needs.
I just found out my boyfriend has L4-L5; there is no spinal canal stenosis or narrowing and there is a Small bulging disc at L5-S1; I would love to be informed more by anyone who can give me some details on the do’s and don’t he will need to help him prevent worsening. Much appreciated!!
Dear Sabrina,
It’s great that you’re seeking information to support your boyfriend! Here’s a simplified explanation of his condition and some general advice on managing it:
L4-L5; No Spinal Canal Stenosis or Narrowing: This indicates that at the segment between the fourth and fifth lumbar vertebrae, there is no significant narrowing of the central canal where the spinal cord travels. This is good news because it means there’s less risk of nerve compression in that particular area, which can cause pain or mobility issues.
Small Bulging Disc at L5-S1: This refers to a slight disc protrusion between the fifth lumbar vertebra and the first sacral segment. While labeled as small, it can still cause discomfort or pain if it presses on nearby nerves.
Do’s and Don’ts for Managing the Condition:
Do:
Maintain good posture: Keeping the spine properly aligned can help prevent additional stress on the affected discs.
Stay active: Regular exercise, especially activities that strengthen the core and back muscles, can support the spine. Swimming, walking, and yoga are often recommended.
Use proper lifting techniques: Bend at the knees and keep the back straight when lifting objects to avoid strain.
Stay hydrated: Drinking plenty of water helps keep the discs hydrated and healthy.
Don’t:
Engage in high-impact activities: Sports or exercises that involve jarring or heavy impacts can aggravate the condition.
Lift heavy objects improperly: This can put more pressure on the discs and spine.
Sit for prolonged periods: Frequent breaks to stretch and move around are important if he has a sedentary job or lifestyle.
Ignore pain: If he experiences increased discomfort or new symptoms, consulting a healthcare provider is crucial.
Overall, maintaining a healthy lifestyle with regular exercise and good ergonomics can greatly help manage and prevent the worsening of a bulging disc.
It might also be helpful to consult with a chiropractor, your doctor, or a PT who can provide personalized guidance and therapy plans.
What does L4-L5 failure of a right lateroforaminal herniation mean? what does C5-C6 is the site of a median protrusion mean?
What does L4-L5 is the site of a right lateral herniation mean?
Dear Carla,
Here’s a straightforward explanation for the terms mentioned in the question:
L4-L5 Failure of a Right Lateroforaminal Herniation: This term refers to a specific type of herniation at the lower back, between the fourth and fifth lumbar vertebrae. “Lateroforaminal” means the herniation is happening toward the side and near the opening where nerves exit the spine, which can cause pain or discomfort typically on one side of the body. “Failure” here might refer to the herniation not responding to treatments or getting worse, but it’s a bit unusual to see “failure” used in this context without additional explanation.
C5-C6 is the Site of a Median Protrusion: This refers to a herniation in the neck area, specifically between the fifth and sixth cervical vertebrae. “Median” means the herniation is centrally located and might be pushing directly towards the spinal canal, which can affect the spinal cord and potentially cause symptoms like pain, numbness, or weakness in the arms or shoulders.
L4-L5 is the Site of a Right Lateral Herniation: Similar to the first explanation but clarified here, this is about a herniation also at the lower back, but “lateral” means explicitly it is protruding toward the side. This can impact the nerves on that side, possibly causing pain or numbness in the leg or hip on the right side.
Understanding these terms can help you discuss treatment options more effectively with your healthcare providers. If you have these conditions, it’s essential to consult with a specialist who can offer tailored advice and care plans. I hope this helps.