Jan/1040
L4 L5 Herniated Disk
The L4 L5 herniated disk is the most common type of herniated disk injury. This herniated disk pain is in the lowest part of the back. If you find that most of your discomfort is in your lower back, butt, and legs you most likely have a herniated disc L5 L4. Depending on the level of disc injury, you may require surgery or just undergo back pain treatment. If you think that you are suffering from a pinched nerve, it is important to have as much information as possible so that you can understand your herniated disk symptoms and treatment options.
What Is an L4 L5 Herniated Disk?
An L4 L5 herniated disc is a painful issue that is caused by the inner core of the disc. The disc will displace, moving and causing discomfort to the spinal cord. The displacement will actually move to the spinal nerve root creating a situation known as a pinched nerve. A pinched nerve in this area can cause pain and numbness in the lower back, butt, legs, and feet.
L4 L5 Herniated Disc Symptoms
It is important to understand the symptoms before you talk with your doctor. Some of the most common L4 L5 herniated disc symptoms include the usual pain and numbness in the lower back. This pain and numbness may also move to the lower body including the butt, legs, and feet. While some may feel intense pain, others may feel a slight backache. Fatigue and muscle weakness can also result from constant pain and numbness.
L4 L5 Herniated Disc Treatment
There are types of L4 L5 herniated disc treatment to consider. While some will take on herniated disc surgery, others will be able to improve their quality of life through physical therapy, chiropractic therapy, pain medication, epidural shots, and core strengthening exercises. Keeping your body active will actually help decrease pain in the back. It will help keep your muscles loose and prevent your discs from locking up. Resting too long in a stationary position can increase pain and numbness. Herniated Disc Treatment
Finding the Right Exercises
There are several types of L4 L5 herniated disc exercises that are catered to the specific pain of different individuals. Talk to your doctor and physical therapist about the proper exercises to perform. Physical therapy exercises will target the L4 L5 section without overworking the back. Taking on exercises before consulting a professional may cause your condition to worsen. The exercises they teach you will be focused on strengthening your core muscles and taking away any comnpression from your spine. An example of an exercise to avoid would be heavy weight squats. This exercises will cause unnecessary compression to your spine and can further cause injury to your back. Swimming is an excellent form of exercise if you have access to a pool. Swimming will eliminate any compression on your spine by keeping you free floating and strengthening your entire body.
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Recent Posts
- Chiropractor Bruised My Spine
- Exercise and Diet for Herniated Disc
- Sarapin Injection in Thoracic Spine
- Epidural Injection L4 L5
- First Day of Exercise in Over a Year
- Post Epidural Injection Results – 11 Days
- Epidural Injection in L5 S1
- Herniated Neck Disk Treatment
- Herniated Neck Disk
- Back Herniated Disk
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- Cervical Spine (6)
- Lumbar Spine (10)
- Thoracic Spine (6)
- Uncategorized (2)
11:33 AM on December 5th, 2011
I am an Semi-pro-am snowboarder living in SLC. Last winter i over shot a jump and jard my back. knew i did something to it but wasnt sure. i had severe chronic leg, butt and thigh pain. was only able to sit for 20 minutes at a time. i started working out and doing lots of stretches hoping i would be able to recover. While up in Oregon, snowboarding on mt. hood i compressed and herniated my L4,L5 badly. could not do anything other than lay on the floor in terrible pain for about 3 weeks. Could not sleep, walk, or sit. Just lay. after months of chiropractics i met with a surgeon and had an MRI and he said the only option was a discectomy. Imediately after the surgery i felt 100% relief. and started the process to recovery.. i still am not back on the slopes but am hoping to get out to ride next week… GOOD LUCK TO THOSE WITH DISC ISSUES!!! I RECOMEND SURGERY IF IT MUST BE DONE. HOPE I DONT WONT WIND BACK UP IN THE O.R…… GOD BLESS.
7:50 PM on January 26th, 2012
hey slc local i got the same thing goin on right now been livin in tahoe for a while and was even in hood this summer jus wondering bout the surgery because i been goin to pt for a few weeks now seems to be gettin better but not sure if i can ride yet and i wanna get back on my board asap how long did you do pt for before you decided to get the surgery? get at me if you ever check this thing
3:10 AM on November 30th, 2011
i have recently injured my back L4 L5 (2mths) and the pain is the worst i have felt as its got control of my sciatic nerve, cant walk, stand, the 1st 5 weeks i struggled to get to work everyday, i had to get up 3 hrs earlier so so i could move, i did the injury at work and i have had the last 2 weeks off under work cover, but the pain just does not let up, all they have done is sent me to physio after the 1st 4 weeks of me complaining, what do i do? where do i go? im 36yo and i feel like a old man as i am totally limited to life, i.m still waiting on to see a back specialist but in the mean time they are hounding me to get back to work , as bad as it sounds, no one understands wht this is like, until u got it or get it?
11:18 AM on December 2nd, 2011
I feel for you all with back pain. I suffered for years until I had a discectomy. then feel down stairs, re-herniating it. Had 2nd discectomy. Physical Therapy re-herniated it (after 1 week). Then I went through a year of trying all non-surgical treatments. Non worked. Then I walked into my surgeon’s office, crying, barely able to move at all. He said “It’s time for fusion.”. That is a last resort. But if your back is herniated enough, a discectomy is worth it. The fusion, however, was like being hit by a Mac truck. But after 2 discectomies, I had no choice. Univ of Penn hospital has the best doctors. If non-surgical treatments do not work, you may need to tell your doctor, it’s time for surgery. I am pain free. And was pain free after the discectomies, until things happened. But the surgeries did work.
4:38 PM on October 26th, 2011
I have some of the problems that have been stated on here by other people, but the main problem I am having is my injury happened at work and is a federal workmans comp case and now after 8 months of steriod treatments and other treatments haven’t had any relief and the claims adjuster started denying the claim because they feel it was a sprain. I know what a sprain is and it doesn’t last 8 months while on light duty. The state I live in doesn’t have the Doctors I need to see and is very frustrated with the care I have received. I got tried of taking narcotics and made the mistake of quiting them cold turkey and went through withdrawals on top of the pain and limited movement I now have. I feel for everyone having to deal with this pain and lack of life it has created. I’m 31 and lead a very active life until this happened. I played and coached hockey and was an avid outdoorsman. It has even played hell with my relationship with my wife but that probelm improved when I finally broke down and told her I need her and her help and that I can’t do most of the things I use to. Good Luck to everyone and hopefully you all get the care you need and I will post with when I get new info.
10:30 PM on November 3rd, 2011
Andrew- did you have an MRI?
4:08 PM on October 24th, 2011
I had all the symptoms and was lied to about the MRIs taken from the beginning , made up medical reports as they pleased , was it racial profiling , the injury was on 07-18-97 , I told them about all they symptoms and they played dumb on me , like I was talking like an alien .Lost motor nerves few times and still they let me drive ,did good for almost 2 years then came back over night , then good for few month , then back again and still ongoing pain, can someone tell me about nerve pain and muscle pain , it is 2 defferent from one another ? When I say I have nerve pain ,doc put down muscle pain.
9:24 PM on October 5th, 2011
My father has the same problem. Dr. Bhojraj in India is Asias biggest spine surgeon. We plan to get him operated soon
9:26 PM on October 5th, 2011
My father fell unconscious today morning. Does this happen? He has a slip disc between l4 and l5. does that connect with the brain? Was unsciousness related to this spinal L4-5 problem ? as we checked his BP and it was perfectly fine so i am worried that the pressed nerve is creating the orpblem or not.
1:25 AM on September 30th, 2011
I had problem in backbone L4/L5 18 months before.Isaw to orthopedic specialist.But couldnot get relief yet. Icould not step fwd one step.Now i which specialist concern .Please guide me.Can i take treatment in appollo hosp bbsr,neurospecialist ?
4:19 AM on August 22nd, 2011
Degenerative Spondylolisthesis is very difficult to treat, and it can be very unstable. The results do not surprise me. However, two years is not a long time. We need to see how they are doing in five or ten years. Sciatica and herniated discs are another story. I know first hand there are nonsurgical methods that have a really good success rate with certain patients. And, for some patients surgery is just not an option at all. In addition, doctors need to consider emotional and nutritional components. They say you could pull 10 people off the street and six of them would show herniated discs. Of those six, maybe one or two have symptoms. We must consider everything.
11:32 PM on July 26th, 2011
right now i think i have the same problem i can’t walk on my right leg use a walker but i was reading about the stem cell do anyone know about this treatment it says it requires no sugery want to know more about this my problems just started this month
11:30 PM on July 26th, 2011
right now i think i have the same problem i can walk on my right leg use a walker but i was reading about the stem cell do anyone know about this treatment the say it requires no sugery want to know more about this my problems just started this month
9:40 AM on July 19th, 2011
I had posted comments about Laser Spine Institute but I am retracting that comment. I am sorry that I hadn’t researched it more before posting but I have come up with very negative comments and law suits about them and don’t recommend them. I still think the laser non invasive procedure is good but need to find a better source.
6:07 PM on July 16th, 2011
Thank you for all of your comments. I am both glad and sad that I am not alone. Thanks suzanne, as I was thinking of doing the decompression. I havent started PT, but is seems thats next. I did the epi shots, helped but after 9 months the pain in my back and legs has returned. Hope all of you find relief, especially Dean.
2:08 PM on July 16th, 2011
hi I am new to this herniated disk between L4 and L5. I am a big fan of researching everything for my health and I came across the Laser Spine Institute they do endoscopic surgery no general and is minimually invasive. so far all research is looking good. They will look at your MRI for free to see if they can help you. Alot of testimoniala that look legit. check out the website several locations in the country. I am sending my MRI out so I am hoping for good luck. I saw on testimonals people walking off the operating table and the next day in very little pain what do you have to lose but some pain.
9:37 AM on July 19th, 2011
I had left a comment about trying Laser Spine Institute and I am retracting during my research have come up with some very negative feedback about them and don’t recommend them at all. I do still like the idea of the laser approach to be less invasive but not thru this place they have law suits pending. Sorry should have looked more before my post.
8:29 AM on August 7th, 2011
Lasier Spine inst. sounds good but went to a seminar and they want $17,300. up front for what they call a facility charge. I don’t think so!!!!!
1:30 AM on June 1st, 2011
I am suffering with lumbar problem since 2 years. L4, L5 disk bulging. let me know proper treatment for this to cure permanently i am 55 and employee working.
5:12 AM on May 26th, 2011
I have just come back from seeing a spinal surgeon i have really constant bad pain in my left leg and lower back my MRI scan revealed a narrowing around the nerve exit in my lower back but he said we are not going to do anything because you look quite mobile which i do but that doesn’t do anything for the pain i was really upset with him i feel after working over 30 years i have been thrown on the rubbish heap
now all i have to look forward to is pain everyday and physio appointments Thanks NHS for all your help NOT
4:45 PM on June 2nd, 2011
Not true. Search for another doc. I have the same problem and then some as you and thought this is what I would have to live with for the next 50 years of my life? The Sciatica was so painful, I couldn’t walk let alone just do life. It took SEVEN doctors before I finally found one that would help me. He is so great, too. I did have to go through some painful stuff to get to where I am now, but have begun P.T. and look forward to getting better after 5 months assigned bed rest. Also, I researched some stretching books and a great book is Healing Back Pain Naturally. I wish you luck. You should not have to suffer if you do your part. ;D
2:43 AM on July 11th, 2011
my pain doc. has prescibed subutex. I am 39 and have swelleing, knots on both sides of L4-L5, and they are compressed. I live with pain 24/7. the subutex does not kill the pain but it does take the edge off so i can work. I also can not do anything on weekends. If i do i will have to miss work and with one income to try and support a familiy of four is Extremly difficult to the least. I do find it does help. I will say it is better than the morphine and methadone that i was taking at the same time. I am not saying that my pain is worse than anybody else’s but people who have back pain can understand. people who do not will never understand. it is not a broken arm oh i can see your in pain i can see your cast. i get oh you are to young to have a compressed disk you are faking. sorry got side tracked. Subutex works O.K. for me. thier is a generic version thank God it is pricy.
3:55 PM on March 31st, 2011
i see not many have added to this sight since i was here last. hope everyone is doing better or like me worse i hope not
10:06 PM on March 31st, 2011
A lot of people have been commenting on the home page. Maybe you can offer them some advice. I hope things are moving in the right direction, regarding your situation.
12:40 AM on April 4th, 2011
Dean-
I hope you are feeling at least some relief and the Dr. Has prescribed you something to help control your pain. It’s important to understand the difference between dependence and addiction. I don’t pretend to be a doctor, but I do know as an individual with chronic pain like everyone else here, pain medication has saved my family life, my job, and I’m sure a lot of friends. Your bodies natural reaction when it has a sudden change in “routine” is always negative. Stopping pain medication is different for everyone, but I liken it to suddenly stopping drinking coffee. Of course it sucks for the first couple days, and it’s painful, and you wish you could just stop and grab a Starbucks. But you don’t go and break into the Starbucks to get a coffee right? Prescription meds are similar. Don’t be afraid to control your pain, and therefore control your life. Do some research on dependence and addiction. No reason to live miserably while the docs try to find a solution for you!
1:10 PM on April 12th, 2011
Hola,yo despues de seis meses de dolor y agotando todos los tratamientos de mi hernia L4 L5 S1,,decidi operarme puesto que el dolor no remitia,despues de la operacion he estado seis dias sin dolor,pero noto de hace dos dias unas molestias en el gemelo subieno un poco hacia el muslo,no se si sera noramal,el lunes voy a quitar grapas de la espalda,procurare ir con cuidado,e intentar hacer vida mas o menos normal.
“Hi, I after six months of pain and exhausted all my hernia treatments L4 L5 S1, I decided to have surgery because the pain did not subside, after the operation have been six days without pain, but two days ago I notice some discomfort in twin uploading a little to the thigh, not whether it will be poor chance on Monday I will remove staples from the back, I try to be careful, and try to make life more or less normal.”
8:35 AM on January 8th, 2011
I have had an L5-S1 problem for awhile. I find my right leg to be extreamly weak also. When sitting I can raise my left leg fine. My right leg stops mid point and shakes – guess my running days are over. Dotor said my pain is not bad enough for surgery and just take NSAID (aleave, etc…) So basically I trade my liver to be able to work.
It is a strage feeling to think “raise your leg” then look down and see it not responding.
11:49 PM on February 8th, 2011
I have the same problem with not being able to use my right leg properly. glad im not alone.i have issues with L4-L5+S1 now, too. just found great site today…im going to try some of this and feel encouraged by some positive outlook…www.drbookspan.com Let me know if anyone else has any other info. to help. im only 38 and have had issues for 20 years now..i LOVE to run and be very active.i havent been able to run for 2 years now.. This has limited my life tremendously :0(
1:09 PM on December 28th, 2010
I began my fight with low back pain about 5 years ago after herniating the disc between L4&L5. I have been to every specialist, had years of physical therapy, two rounds of steroid injections, have a chiropractic adjustment about once a week, ultimately had a laminectomy and fusion and am now preparing to go down the path of a diet change. This is a very helpful article and from my experience there is no single answer for anyone experiencing this problem. All I will add is that you need to try every avenue possible before making the decision for surgery. I had mine 21 months ago and although I no longer need a cane to walk, I still have a considerable amount of pain. Chiropractic helps considerably and so do NSAIDs and Tramadol. It isn’t the situation I would have hoped for after all I have been through, but at least I can work and continue to support myself.
6:17 PM on January 9th, 2011
Hi, i was very interested in reading your comment. I have had very bad back pain to the point were it makes my eyes water with the pain when i move suddenly or starighten up from sitting down too long, or especially when i sneeze. Iam on the wiating list for a cordial epidural and there has been talk about a spinal fusion which i really want to avoid if possible. My MRI scab just shows a black area where my L4 disc should be and a bulge on the side of it. I also degenerative disc disease and mild arthritus in my spine whcih my consultant says i am fairly young t have. I am 36. I have been active, sporty and a dancer all my life and am struggling with the fact that i can’t even walk up the stiars without pain some days. I would be interested in hearing how old other people are.
I love walking and am ok as long as i then don’t want to sit down (its at a certain point when i bend down or up that the pain is excruitiating). I had some physio but he said that as my core muscles are strong anyway there was not much he could do for me.
I really want to do some form of excersize …. i have been advised Pilates is bad for me … any suggestions ?
Thanks
8:10 PM on December 20th, 2010
well i have been to my doc and can’t lift right or left leg now and doc said can’t understand why the legs are so weak. the new mri shows still the herniated disc at l 4 and l 5 with ostteoarthritis and ddd and spine spurs. but the neuro doc said that should not cause the weakness so sending me to a neurologist. sure hope they can find and fix this problem soon. i get tired of my legs giving away on me and making jokes like well for my next trick because this really scares me. i sure hope that i do not get sent to another doc hope this one can find the problem i was fine until i woke up in this pain and lost the ability to lift my legs and i am still working as i can not afford to just quit my job too young to retire and too old to keep this up… just like alot of people out there. and , i don’t feel any better so i keep trying ….. it’s just my legs don’t do what my brain is saying …this is just the strangest thing i have ever gone through in my life as i thought i was strong and healthy . although for about a year before i felt a tight band feeling in my right leg but now it seems that my left leg has a mind of its own too being very stuborn as my right leg. and not knowing when they are going to buckle out from under me and one day a few months ago before i realized how bad my legs were i was running to get my phone and fell right on my face these legs just have a mind of there own . not a good feeling at all has anyone had this problem and how id the doc find it. and if i touch my left knee the worse burning stabbing pain runs up my thigh on the side the doc said he did not know of a reason for this to happen.i hope this neurologlist can find my problem and fix it soon.in my test my arms have strenght but fingers get a numb feeling causing me to drop what ever i am holding. but have strenght in hands too just my legs have lost all strenght and forget stairs i can’t even step up on a curb. this is the strangest feeling not to be able to do what i never thought of before now i look for way’s to go into stores and fear going out now. and when the doc doesn’t know how can i tell family and friends why i walk strange can’t get out of a chair or sofa without holding on to something and pulling up with my arms.and don’t even like to try to explain to my doc i have the worst panic attacks cause my pain gets so bad i can’t bare it.and i have kidney stones now don’t have to run to er they don’t seem so bad now after the pain i feel in my legs.this has made me stronger in some ways even though i am weaker in the old legs… it has made me stop and smell the roses. that is for sure!!!i don’t take pain meds as i see it would be easy to get hooked on them as the pain would make me want to keep taking them. and that is what i told my doc and he said it is easy to get hooked and i don’t want that but feel like begging for them sometimes i just want the doc’s to fix me and get the problem taken care of not covered up.i really don’t know how much longer i can deal with this i am at my witts end. no sleep since sept. and working i am tired and in such a fog now. has anyone had this kind of thing and how long does it take a doc i have dealed with this since sept. i am running out of hope and my and mind can not deal much longer.down and out of hope!!!
12:18 AM on February 16th, 2011
to Dean:
Have you had an MRI of your brain? I ask because I had your symptoms and my neurologist wanted to rule out MS. Luckily, I don’t have MS, but the MRI showed my severe herniation in the L4/L5, spinal stenosis and degeneration…I tried to avoid surgery for a few months, but walking was really painful, and then I needed a cane, and then a walker and then I couldn’t walk! Imagine a 35 year old with a walker! A trip to the ER resulted in another MRI which determined that the nerves were at risk of some irreversible damage. My surgery was a year ago, this month.
I’m better now, still have nerve pain and infrequent foot drops, but traveling in a car or sitting/standing for too long can be painful. Doing better with weight loss, warm water pool therapy and yoga.
Now on to my second concern for you- With your injuries you should be on lifting restrictions! There is a great chance that your injuries are work related. You may be eligible for some short term disability benefits to give you the paid time off that you need as well as workers compensation to help cover your medical expenses. I woudl encourage you to talk with your HR person right away and if you don’t get anywhere, to contact your County Ombudsman for assistance in filing a claim.
I am so sorry to hear of the abuses and violations that you have been subjected to by “professionals.”
I hope that you have already received the supports that you need.
8:35 PM on March 1st, 2011
Dean, its been a while since your posting but..Just curious if you have been tested for Lyme disease?..if not, you really should….i speak from experience..
4:30 PM on March 10th, 2011
it has been a long hall for me and a long time since i have posted anything.i still have herniated disk at l4 and l5 along with ostoarthritis and ddd now i am told i have pn in both arms and both legs… my neuro and neurologist hasn’t done one thing for me and if you remember this started in sept 2010 now it is march 2011 last week went back for appointment and they did a vers test and eeg. wont know the results until i go back april 6th. i am just fed up with testing. i have had 3 mris no sign of ms. but can’t walk up steps or onto a curb. i still fall all both groups of doctors say. just be careful it will not hurt you to work… i have to lift heavy things on my job daily and i drop everything and i fall alot. i am getting ready to go out of town 250 miles away to see if i can get medical help. as all my mris did not show ms… i went from no reflex in knees to over active reflex now back to no reflex….i did not ask for pain meds but wasn’t offered any either but the pain from peripheral neuropathy is very painful w/ all my back pain.i just want a straight answer and if they can not help just say so. these tests are really breaking my wallet.along with all the doctor appointments to two different groups.i don’t think they know what they are doing. and talked to a lawyer and can’t get disability w/ just medical test the doctor has to write a letter they will not. get this i can not stand on my tip toes or my heels can’t stoop down and my leg froze up almost wrecked because couldn’t move my legs used my hands to move my leg to break and pushed with all my might. stopped just in time from running into the back of a car.and i can’t get disability.if there is a hump in the road walking in parking lots… i fall i even trip over my own toes. what is disability…. does anyone know? i have worked since 1970 never lay out… i think i have a good reason to… but i don’t ever miss all my doctor appointments are after hours of my work.i have bills to pay . can’t miss but can’t keep this up either. what is a person to do?if i take off for this one day and drive this far and get the same treatment… i just give up. because i feel i wont be able to walk or use my arms much longer and i know it is dangerous for me to drive this far and fear i won’t make it there and back home.i am at the very end of my rope…
3:12 AM on November 9th, 2010
these are very good articles id experianced a situation a long while back from
a car accident thogh its nothing like what ive seen explained in these articles
it seat me back for a while to speak of loss of work time and the freedom of my movement for a while and then extensive trips to my local back docter then working my way back up to my normal self and i do say it was no picnic to be honest about it took me close to a year and a half too get back to normal and then i was still slow at getting around for a while after that……..
6:32 PM on November 7th, 2010
well it has been since sept with the pain from my heriated disc at l4 and l5 still have no reflex and still have atrophy and went to my primary doc and she is sending me to a nero surgeon. she said this isn’t good. my doc isn’t happy with the way i have been treated by the ortoped doc. my appointment is nov 16 th. my doc say’s not to work but the ortho peds say work i am hanging in and working until i see the nero doc. the only difference i can no longer lift my right leg. my work said i am fired if i take time off. not much longer now. just hope i don’t have damage beyond repair. hope no one else ever has to go through this just to get to the right doc.and i am still lifting and it hurts but need my job.
12:53 PM on October 20th, 2010
for a month i have had the worse pain to the point i am having such bad panic attacks from the pain. but my doctor said i can work and it kills my back lifting 100 lbs every 30 mins it is safe the doc says but my leg jerks and can’t make it stop. i have atrophy and no reflex in the right leg. it is AT L4 AND L5 DOC SAYS JUST KEEP WORKING AND IT WILL STOP IN A FEW MONTHS WISH THE DOC HAD MY PAIN.I JUST CAN’T KEEP THIS UP MUCH LONGER. i read about how the doctors give shots in the back to help with the pain my doctor said that is for cry babies well i would like to stop the pain the root nerve is bad pain
1:13 AM on October 23rd, 2010
I would definitely suggest seeing a new doctor. Nerve damage isn’t something to fool around with. By continuing to compress your spine, you could be doing serious damage. The shot is suppose to reduce the bulge/herniation and give some release off the nerve.
5:17 PM on May 7th, 2010
Excellent topics, I like this. I found this online that, I know Arkansas Spinal Care Conway, AR their commitment to their patients has led them to using the DRX spinal decompression equipment for low back pain.
10:53 AM on March 17th, 2011
to the chiropractor conway ar
DRX spinal decompression is a waste of money-my husband was smoothly talked into this treatment by a chiro AND NOW HE CAN’T WALK AT ALL. My husband has spinal stenosis with the L4 and L5 deg. We had to pay up front $6K – I could have bought a used car for that. My husband went 3 X week for this DRX treatement for 4 months – then I put a stopped to it since he got worst and ended up in the hospital with new problems as a result of the DRX treatement.