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S1 Nerve Root Compression Evaluation with Paul Marquis PT
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- čas přidán 23. 09. 2018
- In today's video I break down the evaluation for an S1 nerve root compression. I talk about the common signs and symptoms and pearls from experience.
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My 16y/o daughter just had an mri, she was complaining of sever hip pain, with left outside of foot numbness and the back of her leg is numb as well. Turns out the pain in not actually in her hip. She has a slipped disc that is blocking that S1 nerve also another protrusion of another disc that is not hitting a nerve, that they can see. No we have to go to a spinal doctor to see how to fix this. She had been living with this for 5 months now...her pain level is pretty bad at times. It is safe that it takes so long to get help. All doctors want to do is check for this, check for that, then x-ray, which never shows anything, then last resort is an MRI. Now we wait another month and a half just to see another doctor. As much as we get charged this is really unacceptable. 16 and having to deal with this non sense. So I hope if u are watching this tryin to find some relief for u or a loved one, I hope you find it sooner than what it is taking us.
I like to call this, running you through the cash register. For each doctor you go to, they want to get as many co-pays out of you as possible. Once they can't find the issue, they push you along to another doctor. If you go to a neurologist, you will most definitely be run through the cash register.
I agree! They have been giving me the runaround for 12 years, I’ll try for a year to get things done and then just give up. This year I’m demanding a microdiscetomy! Such BS!
Hi. And how is your daughter? Is everything ok?
@@peny1981 her surgery did what it was supposed to do. She immediately regained feeling in leg and foot after surgery. She is still working on strength training tho.
@@mrslovelygoodman1 glad to hear your daughter is healed, please share what type of surgery she had. I've been suffering with the same symptoms and spent 2022 in multiple specialist visits and still no clear solution.
Been having this pain in my left foot, calf and leg since about August 2021. Have had hard time walking, hiking, sitting, standing etc. I'm 41 years old and in otherwise good health. Thought perhaps it was plantar fasciitis, went to podiatrist, got orthotics and no improvement. Went to Physical Therapist with no relief. Went to neurologist and she administered an EMG scan of all the nerves in my left leg. Sure enough she discovered a signal problem in the nerve off my S1. She believes it's pinched/compressed. Now I'm pushing to get an MRI to determine if I have a slipped, bulging disc, or some other issue. The pain in my foot, calf, leg and now lower back aren't dissipating, and I need my life back!
I see these scenarios weekly. Yes! MRI your back. Find the source and target that. Best of luck!
I have the same issue, with same EMG results, I also had an MRI, which shows I have multiple disc bulges 2/3mm of the lower spine. Did the PT and orthotics even plantar fasciitis injections as I had originally thought was that. Long story short, I suffer from Radiculopathy and have nerve root compression but nothing has relieved my symptoms. Will have to see if Surgery would be my next choice. Have you found a solution?
Sounds exactly like what I'm going through with L5 and S1. I just received a steroid injection, but I trying some exercises that should target the S1.
@@TrollinOn22sHow r u 😊
I have S1 nerve root compression abd l have to say the physiotherapists has been wonderful at diagnosing this isse which was confirmed on MRI. I am very appreciative that l live in the UK and we don't have to pay. I will be getting a nerve root block at somepoint , although l am a little nervous on the procedure. Dreads needles!
Thanks for sharing! Best of luck to you!
God when he raised that leg at the end I nearly died. I can't get mine very high without pain.
Sciatica pain in the calf foot ankle hurts most
How do you get numbness to go away from an S1 injury and how to you regain normal strength back in the foot and calf after an S1 injury or compression?
Did you get any solution on this?
@@Lucky_0217 I did
@@drejack7 I’m Having the same symptoms, did yours ever correct? And if so what did you do
@@user-sj9yn4ml3q it did correct and now I'm back to normal. I started doing back bends with my hands in waist and bending backwards with a few seconds hold. Then I did some back bends laying stomach flat on the floor and pushing my upper torso up with my hands. Basically a push up with legs staying on the floor and only my upper torso lifting. Do these daily and you should have relief. You will notice everything starting to correct itself gradually. Stay consistent with doing it. You can even lean up against a counter and bend backwards. All of this back bending takes pressure off the disc and allows it to heal and in doing so will bring feeling back to the foot and lower leg. Hope this helps you out, it did wonders for me.
Hey sorry for the short reply. Read my comment listed below. If your having this issue hopefully my comment helps
How long does it take to recover your strength to stand on tippy toes normally?
Hoping someone can help here i was in a car accident last february and was in intense pain and eventually went to hospital to be told i had s1 Nerve root compression i have been on tramadol/ codeine and tbh it does nothing it helps for 2 hours max and then im in pain again , doctors have said the pain will probably be permanent as nerve damage sometimes remains permanent and its getting worse , even when i go to bed its terrible moving around or standing up or driving or sitting my pain is so bad i dont know what else to do anymore i have tried exercises and its not doing anything for me the pain seems to be getting worse , even when i sneeze , cough , laugh its terrible im at my wits end with the pain . Any hints or help?
My MRI shows a S1 nerve compression on the right side. A 9 mm disc extrusion L5-S1. I only have localized pain in my right buttock. Nothing in my leg or past the knee. Is it possible my pain is coming from somewhere else?
@jliu2488 Omg I have the exact same thing on the left side (also 9mm L5-S1 disc herniation) and only feel pain in the left glute!!! Are you better now? How long did it take and what did you do if you don’t mind me asking?
@@lydia5164 yes, 1.5 Years later I am pain free. I honestly think it was just time and continuing to do PT. I also tried everything and I think eventually after I was more active after Covid I was able to get pain free from exercise. Glad I didn’t submit to surgery! Good luck!
@@jliu2488thanks! I’m doing PT exercises everyday. I’m a professional athlete (circus artist) so I’m not sure whether i need to 100% stop what I’m doing and focus on rehab or push through :/ did you avoid any aggravating activities?
@@lydia5164 I would recommend the book Back Mechanic. Basically you gotta avoid activities that elicit the pain symptoms and unfortunately that may be some of the exercises you’re doing. But overall you should keep being as active as up can and strengthening your core and muscles
What would you suggest to relieve this pain? I was recommended microdiscectomy, but I’d like to clean up my diet and my gut and try physical therapy alongside medication before committing to surgery.
That is very reasonable Brandon as long as you do not have a lot of weakness associated with this. Best of luck!
Wow fantastic!!
Help! My wife just gave birth and once the epidural wore off she still has numbness on the edge and sole of her left foot only, everything else of her body has sensation expect the edge and sole. Including the top part of her foot she can feel that, she can move her foot up and side to side. She feels no pain anywhere just simply numbness which makes walking for her difficult. Our baby is 4 days old and I’m hoping that her foot will go back to normal.
Neurologist said is S1 nerve irritation but we want to know if it’ll got back to normal she’s had no injuries what’s so ever no pain she’s helathy but this happened after she got epidural and gave birth 4 days ago. Someone please respond and help 🙏🏻🙏🏻
If there is no pain or weakness then this should get better. Could take several months though.
I also have suffering from this since last 7 months, I can't transfer my weight on my right ankle and also I have numbness in back of my right thigh, what can I do to cure this
Can u have a nerve affected with only shooting pain on the exterior lower leg and burning sensation as symptomes ? No lost of feeling or lost of mobility/strenght...?
Hi everyone knows the symptoms and tests .. kindly upload a video with solutions for it .. help people if you know anything about solutions for it
Hi Arvin, Unfortunately, not all treatments for this are "cookie cutter". I like to do gentle nerve gliding along with a full series of core stabalization ex's.
czcams.com/video/tr88uGR5w80/video.html
I've such bad burning sensation in both feet the palm of them what is that
Hi Doc - 6 months out and the outside of my foot is still numb. Any suggestions on how I can support it heal? Really appreciated. Been a long journey so far.
Hi Aiden, have been to therapy for this. Sometimes it can continue to be numb because of nerve gliding issues. Also, it can take up to a year to resolve. Best of luck!
I was just diagnosed with this and man it does sure suck.. I'm only 18
How are you doing man? I just found out the same.
@@Socal.exposures Turned out my physical therapist misdiagnosed me and I actually have a minor herniation in my Disc. Still sucks
@@greatness260 awww nooo. So what treatment options do you have? My backs been hurting for two months.
@@Socal.exposures My doctor suggested an Epidural injection and not surgery because its so minor. It still is super uncomfortable though
Thank you. I have S1 nerve damage due to a tumor in my spine. It caused both of my calves to atrophy to almost nothing. I cannot get on my tippy toes at all.
but, r u ok to day?
@@Nickker4 I’m okay thank you for asking :) it’s a work in progress.
@@HeyChanda i'm going through that now since may 2020. l5-s1 compression too. walmart work. pandemic. busy busy..
@@HeyChanda was tumor cancerous ?
@@RS-sx6ne benign 🙏🏽
Ok fine, but what’s the treatment? Surgery? Microdiscectomy laminectomy etc? I had a laminectomy and in time was able to completely eliminate symptoms on right side.
The purpose of this particular video was to explain the evaluation. Always try to treat it conservatively first but surgery is indicated when there are red flags and failure of conservative treatment.
@@OrthoEvalPalWhat are the red flags?
@@kas106 bladder and/or bowel dysfunction, unsteady gait, weakness on both sides
Sudden weight loss
Hello dr I have l5 s1 but I have pain on both legs and no pain in my back ..how that please
That is not uncommon. Just the way the disc or spurs may be pushing on the nerves leaving your back.
Might there be a remedy?
Hi Mike, Yes there is. Could be PT, surgery and many other treatments. They all vary by individual situations.
Ortho EVAL Pal With Paul Marquis
If I could give you a brief description of my diagnosis.
Been experiencing this for a while now, 4-5 years.
My Primary Doctor was not that supportive when I mentioned an MRI, so I just lived with it.
I started getting extreme cramping in my left side of my back along with radiating pain down my left leg.
After 5 visits to the ER, I was given Tramadol which helped with the cramping but not with sciatica. Prior to all of this I did p/t for 6 weeks.
Making a long story short, I got the MRI and then saw the pain Doctor and this is what he did.
Immediately he put me on Meloxicam, which helped with the cramping. The MRI saw normal findings with exception of the L5 S1 which showed the disc impeding the sciatic nerve. An epidural injection was scheduled and I’ve been pain free for a week now. Honestly, it has changed my
life. My question is, what will happen with this chronic condition moving forward? Will it return back to the way it was once the medicine wears off? When will the medicine wear off? I am aware of procedure that removes the disc. Should i assume that PT works for some conditions, but not for all? Thank you for your time.....
@@OrthoEvalPal hello mine is different, my three right toes and no pain at all and feeling weak on that right foot. Sometimes on my right middle. fingers, and little pain on my neck.
Any treatment for this type of problem?
Hi Harsh, Yes there is. Could be PT, surgery and many other treatments. They all vary by individual situations.
I had a very serious back injury. After surgery I was all on my own. I was studying many things and was carefully doing cardio and wheight lifting. I failed the S1 Nerve Root test on left leg :(
I achieved many great results and improved my health, but the left leg's calf muscules never grow and I can't stand on tip toes on that leg. I want to do something and saving money, but I don't know for what yet. Maybe there is some therapy that can help me or it is most likely a permament s1 nerve root damage?
Hi buddy , any progress yet ?
update?
I have S1 nerve damage with a dropped foot. Can't stand on toes, can barley lift foot off ground. Help!!!!
You should probably see a healthcare provider. Get an MRI and possibly see a neurosurgeon.
Any updates? Hope you're well
Ive been having coordination problems(feels like floors are moving) i just found out i have a disc bulge/extrusion in L5/S1 do you know what i can do to improve it?
did it resolve ?
@@mirajaveri7827 its improved with prolotherapy in neck but I think the low back I'd worsening things
@@matthaines8136 do you have weakness as well.
@@mirajaveri7827 yeah wondering if it's pots
I have S1 nerve damage, my calf muscle atrophied and I cant get i to work better after surgery, I am hitting the gym but dont see any real progress, Help!!
Same! My calves are just loose skin no muscle.. have you tried a tens unit?
@@HeyChanda yes, didnt help
@@neurolover8889 oh no! Hope you get better
What surgery did you do
@@CALISLIMSHORTS interlaminectomy
Hi doctor. I do not suffer from the problem of foot drop, but I cannot stand on the tip of my right toe, which led to a limp due to the pressure of the herniated disc on the nerve in S1. What is the solution or treatment for this problem, and what is the treatment and recovery method?
Hey buddy I'm also suffering the same did you get any cure for that if yes please share it
omg exactly the same happened to me.
Did you find the solution?
@@marvintapia9061 did you find the solution?
?
Hello sir, I met an accident which damaged my right leg femur along with s1 nerve as told by doctor. Doctors did surgery and my s1 nerve was fixed 3 weeks ago but i have developed intense inflammation and pain in my right foot. So doctor prescribed me medicines and bed rest and told that the pain will increase as the nerve will recover. Can you help me with the pain? I want to reduce the pain at home. Is there any way it can be done?
You need to discuss with your Dr. Sometimes a steroid taper helps but has to be prescribed by your Dr.
Cheating out of the picture,?😳 Why would anyone "cheat?"
That fellow looks too young, healthy and in shape to have L5 root compression.