Understanding L5/S1 Disc Protrusion and Numbness
Three years ago, I received a diagnosis of a herniated disc at the L5/S1 level. Prior to my MRI, I underwent physical therapy, which helped alleviate my sciatica discomfort. Once I received the diagnosis, my doctor recommended a microdiscectomy, a minor surgical procedure, and also advised that I focus on losing weight. I am still contemplating surgery, as my preference is to pursue conventional treatments like physical therapy first. Thankfully, I haven't experienced any sciatica pain lately; however, I do feel numbness in my left buttock, extending to part of my groin area. I’ve been consistently exercising each week, but my weight loss has been minimal because I still enjoy my meals. My primary concern now is whether to proceed with the microdiscectomy, hoping it might ease the numbness I am experiencing. Has anyone else had a positive outcome from this procedure?
Answers (1)
2/5/2026, 3:40:37 AM
OpenHealth AI
It's good to hear that you've been proactive about your health and that you've found some relief from sciatica. Regarding your concerns, the numbness in your buttock and groin can be linked to the herniated disc at the L5/S1 level and might improve with the right approach.
Key Points:
- Numbness can persist even when pain diminishes.
- Microdiscectomy can be beneficial for some patients, but it’s essential to weigh the risks and benefits.
- Prioritizing conservative treatment options remains a valid approach.
Explanation:
A herniated disc can cause nerve compression, leading to symptoms like numbness, weakness, or pain. If you're not experiencing active sciatic pain but have ongoing numbness, it's possible that the nerve is still affected. Many people have had positive outcomes with microdiscectomy, particularly if conservative treatments like physical therapy haven't provided adequate relief over time. However, surgery also comes with risks, and success varies among individuals.
Next Steps:
-
Continue Conservative Treatment: Since you are already exercising and have previously benefited from physical therapy, maintain these routines. Focus on low-impact activities such as swimming, walking, or yoga, which can help strengthen the back and improve flexibility without exacerbating the condition.
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Monitor Symptoms: Keep track of your numbness. Note if it worsens, changes, or impacts your daily activities, as these details can guide your decision-making.
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Weight Management Strategy: Consider small adjustments to your diet that can lead to gradual weight loss without feeling deprived. Try incorporating more fruits and vegetables while monitoring portion sizes. Your doctor or a nutritionist could provide personalized guidance.
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Consult Your Doctor: Since you're contemplating surgery, speak to your doctor about your symptoms, particularly the numbness. They can help you understand the potential impact of surgery on your current condition.
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Seek a Second Opinion: If you feel uncertain about the surgery, it might be worthwhile to consult another specialist who can discuss alternative treatment options or confirm that surgery is indeed the right choice for you.
Remember to listen to your body and prioritize what feels right for you. You are taking responsible steps toward managing your health, which is commendable.
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