Hernia L5 S1 is called the following: the letter “L” denotes “lumbar” or “lumbar”, and the letter “S” denotes “sacrum” or “sacral.” Thus, the hernia is indicated between the fifth in the lower back and the first vertebra in the sacrum, respectively. If you are sure that you have a herniated disk L5 S1, then the treatment does not need to be postponed.
It is the lumbar spine in most cases that becomes the site of a herniated disk. The reason for this is the maximum load on the lower back. It accounts for all the weight and center of gravity of a person (he is two fingers below the navel). In addition to the loads, the spine in this section has a rather large amplitude of movements, it is one of the most mobile.
The most common is a herniated disc l5 s1. In these intervertebral discs, the load is maximal and, as a result, they almost never “rest”. Even in the supine position of a person, they are constantly loaded.
People rarely think about how heavy the lumbar region is. Because of this misunderstanding, we often do everything to ensure that the disks surrender. What is the only role in this lift cargo back. And if a vertebral hernia occurs, surgery may become a necessity. But we, as a rule, lift heavy loads incorrectly.
Herniated disk L5-S1 – what are the reasons for its formation?
Herniated discs in the lumbosacral spine at the l5 s1 level occur in almost half the cases. Herniated disc of the intervertebral l5 s1 arises precisely in this section due to the huge axial load. It may result in both increased intradiscal pressure and damage to the annulus.
In addition, in the lumbar region, the anterior longitudinal ligament, which strengthens the fibrous ring and prevents shears, is better reinforced than the posterior ligament, which tends to become thinner closer to level s1, which is why hernia occurs.
The causes of hernias are vast, but, as a rule, they follow osteochondrosis. As a result of the destruction, the pulpous core of the disk loses water, and then the damping properties. Loses an acceptable amount of nutrients and a fibrous ring, which results in the destruction of its structure.
Since the load on the spine does not become less, and the core has lost its cushioning properties, pressure on the walls of the ring begins, leading to the appearance of protrusion. If you do not pay attention to the disease at this stage, then after a while the rupture of the fibrous ring will still happen, forming a hernia.
The appearance of the disease may be due to metabolic disorders. The problem comes from the fact that the disks are not provided with their own network of blood vessels – it receives the necessary substances by diffusion from neighboring tissues. When the necessary loads are absent, diffusion simply does not occur in sufficient quantities and the disk “starves”.
Coffee and cigarettes do not allow the blood to become saturated with oxygen and impair blood circulation – this deprives the spine of vital elements. Irregular eating harms the spine for the same reasons.
How does L5-S1 hernia appear?
As a rule, the manifested disease manifests itself as a local pain in the affected area, which is only exacerbated by movement. There are cases when the pain reaches the gluteal region or gives in the leg through the surface of the thigh.
Sometimes there is a violation of sensitivity in the area affected by the squeezed nerve root. Hence, the reason for the appearance of a feeling of numbness in the foot, the lack of reflexes on the leg. It may even change sensitivity.
Herniated disk l5 s1 can cause weakness in the big toe or buttocks. There is a feeling of goosebumps and tingling in the legs, and with prolonged sitting the toes can become completely numb. Pain may occur in the knee or ankle. Very often a hernia leads to pain in several places at once, which leads to the layering of symptoms on each other.
Also, the most frequent symptoms are considered constant or intermittent pain in the lower back and sacrum. Increased pain is observed when lifting weights, hypothermia, or other causes. These pains are like burning with irradiation in the strangulated spine. Originating in the hip joint, this pain can reach the foot on the back of the thighs. Another obvious sign of a hernia is the so-called “cough push”. A sharp pain in the leg affects a sneezing or coughing person.
Please note that the above symptoms relate to the standard course of the disease – depending on the individual characteristics of the patient’s body, the sensations can change. And in no case can not engage in treatment on their own. Only a specialist can provide professional assistance by identifying the disease and prescribing appropriate treatment.
Is it possible to recover without surgery?
If you already know that you have a hernia l5 s1, then surgery may not be necessary. It is very important not to miss the moment when it is possible to render help in a conservative way, avoiding surgical intervention with all the unpleasant consequences.
If you consult a specialist in a timely manner, you can prevent hernia from progressing, preventing all sorts of complications. The purpose of this treatment is to eliminate the pain that causes discomfort, restraining movement. This is possible through the creation of a muscular corset, performing specially selected therapeutic exercises, balancing the surfaces of the joints in the musculoskeletal system.
Get rid of a hernia in time – modern medicine is able to relieve you of it by means of anesthesia or surgery. Before agreeing to an operation, at least try to finish the course of conservative treatment and if it does not help, decide on the possibility of surgery.
And do not be discouraged ahead of time. Those who have postponed a vertebral hernia surgery have only positive feedback: there is enough treatment for gymnastics, which has already been proven in most cases. In particular, more than half of patients after three months feel significant improvements, and after another three months more than 90 percent recover. Only in isolated cases, the use of surgical intervention is necessary.
How is hernia L5-S1 treated without pills?
First of all, the patient is prescribed bed rest and anti-inflammatory drugs. At this stage, it is necessary to stop the pain syndrome and reduce inflammation. As a result, compression of the nerve roots can disappear altogether, which will lead to the disappearance of the pain syndrome.
When the pain syndrome disappears, physiotherapy procedures, various massages and gymnastics will begin. In addition to these methods, a lot of new ones appear, but far from always they can have the stated effect – more often they turn out to be simply useless.
Physical therapy is prescribed to achieve stabilization of the spine and release of pinched nerve roots. In addition, it strengthens the muscles of the abdomen and back. Most likely, you will first need to perform slow bends and squats. The best option would be to perform them with resistance, as provided for by the Yulin’s Swing simulator. It is used at any stage of the disease. Those who begin to train on it from the very beginning of the development of the disease, most likely will not fall on the operating table. In addition to the Swing Yulina should abandon cigarettes and alcohol. In this case, the next attack may not be repeated until twenty years.
What operation do?
Treatment of a herniated disk l5 s1 is surgically considered an extreme measure, and most doctors try to prevent it. It is recommended to be operated only when the pain syndrome cannot be smoothed for a long time, or when the disease begins to seriously affect the performance of the internal organs. This can occur when a herniated l5 s1 intervertebral disk, or when a sequestered hernia of the l5 s1 disk has developed.
Methods of surgical treatment are developing along the way to mitigate the operating injury. The reason for this was that after the operation the muscles do not have time to recover, the metabolism is disturbed, the muscular corset stops performing its functions to the necessary extent.
From here a new hernia or a recurrence of an old disease may develop. For this reason, microdiscectomy is used today – an operation with multiple magnification. This allows you to significantly reduce the size of the injury, thereby reducing the risk of recurrence to a minimum.
The advantage of surgical treatment is that rapid anesthesia: the very next day the patient feels a significant reduction in pain – the discomfort remains only in the postoperative wound site. In the case of conservative therapy, this effect is achieved within a year.
In addition, by removing an intervertebral hernia, the patient gets rid of pain for many years, when with conservative treatment it is necessary several times a year to deal with attacks of exacerbation of pain, which over the years only intensifies and becomes longer.
Do not self-medicate. Consult with your doctor!