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  • Donald Corenman
    Keymaster
    April 23, 2011 at 1:42 am
    Post count: 52
    #4493

    This question comes from YouTube User:

    Well, after more then a month of pain in the back leg, I did the IRM and found out that a have a “Grosse Hernie Discale” a big one in the l5-s1, the Dr ordered me to stay home, sleeping, for 10 days of relaxation, with medicaments and injections. Its the fifth day now and the thing is that I’m not feeling any pain now, just from sleeping too much I guess, is that normal! I mean I heard that this should be the most painful kind of disk… should I make some exercise now or no?

    Donald Corenman, MD, DC
    Moderator
    April 23, 2011 at 2:54 am
    Post count: 8459
    #4500

    The MRI to my understanding revealed a large herniated disc at L5-S1. I assume that the physician ordered an epidural injection and between that and some rest, your pain disappeared. That is very good. Make sure you have no motor weakness as can happen with a large herniated disc compressing the S1 root. Can you stand on one leg (the leg that is affected) and lift up your heel 10 times without significant fatigue? This tests the gastroc-soleus muscle (calf muscle). If you are not sure about weakness, perform the same maneuver on the “good leg” to compare.

    If you notice weakness, bring this to your surgeon’s attention. It is my opinion that if there is weakness present, the nerve will need to be decompressed surgically. If there is no weakness- so much the better. Only 30% of herniated discs need to be surgically removed. Expect about 4-6 months for full recovery.

    Dr. Corenman

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