Donald Corenman, MD, DC
Moderator
Post count: 8378

A typical disc herniation at L5-S1 will injure the S1 nerve which innervates the calf muscles (Gastroc and Soleus) as well as the gluteus maximus. This means that you will have weakness getting up on your toes (heel raises) and weakness of extending your hip. These weakness are more pronounced ascending and especially descending stairs. The act of muscle shortening (actively moving a joint instead of weighting an already locked joint) makes it much more difficult to get up on your toes vs. holding a locked ankle joint (“I can’t lift up to my toes on my right side, but I can stand on my toes (once I get up with help)”.

The good news it is 10 months since surgery and it can take up to 18 months to know the final healing results. Yes-PT is still important as you can strengthen the currently functioning muscle fibers to take over for the non-functioning ones. I’ll again point out 2 articles to read.

https://neckandback.com/conditions/how-muscles-recover-from-nerve-injuries/
https://neckandback.com/conditions/peripheral-nerve-anatomy/

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.