Gainz411's picture
Gainz411
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+ 6 Anyone else deal with an L4-L5 herniation with L5 nerve compression? Surgery or conservative treatment?

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Hey guys, looking for some feedback from anyone who’s dealt with something similar.

I’ve been dealing with lower back issues for almost 20 years. It comes and goes, but when it flares up it’s absolutely crippling. I work a very physical job, so avoiding lifting and activity isn’t really realistic.

I just had an MRI done last week and these were the findings:

  • L4-L5 (main problem):
    • Broad-based disc bulge with central/right paracentral disc protrusion.
    • Herniation extends inferiorly about 5 mm.
    • Moderate spinal canal stenosis.
    • Compression/mass effect on the descending right L5 nerve root.
    • Mild facet arthropathy.
  • L3-L4:
    • Mild disc bulge.
    • Mild spinal canal narrowing.
    • Moderate bilateral foraminal narrowing.
  • L5-S1:
    • Mild disc bulge.
    • Moderate left foraminal narrowing.
    • Mild facet arthropathy.
  • Mild degenerative changes throughout the lumbar spine.
  • Congenitally short pedicles, which contribute to a narrower spinal canal.
  • Straightening of the lumbar lordosis (likely from muscle spasm).

Symptoms:

  • Right now it’s mostly lower back pain.
  • During most flare-ups, I get pain shooting down my leg (sciatica).
  • Episodes have been recurring for nearly 20 years.
  • When it gets bad, it’s debilitating.
  • I haven’t had foot drop or bowel/bladder issues.

I’m trying to decide between continuing conservative treatment, trying an epidural steroid injection, or consulting with a surgeon about a microdiscectomy.

For those who have dealt with something similar:

  • Did you go the surgery route or avoid it?
  • Did epidural injections help? How long did the relief last?
  • How long was your recovery?
  • If you had a microdiscectomy, were you able to return to heavy physical work?
  • Any regrets either way?

Appreciate any experiences or advice from guys who’ve been through this. I know MRI findings don’t always correlate with symptoms, but after 20 years of dealing with this, I’m trying to figure out the best long-term solution.

Villa52's picture

Its been really informative going through the comments and I appreciate everyone sharing, even for younger guys this shit is better if you prevent it.

I remember my father struggling with immense back pain, 16+ surgeries and it kind of always came back.

Once you get one surgery it feels ur stuck with many more coming your way

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goodfella888's picture

I’ve had 4 lower back surgeries in the last 25 years. All lumbar L4/L5/S1 with combination of discectomy, laminectomy and a partial fusion.

Each time I’d wait a few months hoping time would help while trying all the standard options (pain meds, nerve blocks/meds, epidurals, PT) & never had long term success. I’ve tried massage therapy, acupuncture and bought an inversion table too with little relief.

My primary issues revolved around herniated discs, bone spurs and stenosis (narrowing of spinal column/nerve channels). Quality of life got so bad each time (could barely move/work, play with my kids, etc.) I ended up going under the knife but have always recovered well. I wouldn’t say I regret going through it because it always got to the point where I couldn’t function & had no quality of life. Surgery sucks but it’s always given me my life back. I’m in my 40s & still very active. I definitely have some pain & numbness now and then but no where close to when I was at my lowest points.

I’m just as strong as I was in my 20s but I now avoid heavy DLs and squats and generally anything else that puts too much stress on my lower back.

If you’ve learned to live with it up to this point & things eventually level back to normal I’d try to avoid surgery. While each surgery has helped me, I’m not what anyone would call a success story considering I’ve had 4 of them.

Back pain is a bitch man…I hope everything works out for you and sincerely wishing you the best.

Gainz411's picture

Thanks for taking the time to write all that out. I really appreciate hearing from someone who’s actually been through it. Sounds like you’ve fought this battle for a long time and have tried just about everything before going under the knife.

What really stood out to me was you saying that surgery always gave you your life back, even though it wasn’t something you wanted to do. That’s encouraging to hear. I’ve been dealing with this for almost 20 years myself, and when it flares up it gets absolutely crippling. I’m trying to make the best decision long term and not rush into anything, so hearing real experiences like yours helps.

Glad to hear you’re still active and doing well. Thanks again for sharing your story and for the well wishes. Wishing you continued good health and hopefully no more surgeries.

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shredski's picture

2 years of PT with the use of TB500/bpc-157, and now KLOW have helped me tremendously. Daily hip flexor stretches. The half kneeling psoas stretch and prone press up were big time helps

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Gainz411's picture

I feel like bpc and tb doesn’t do much to help me. I’m one of the people it doesn’t work on lol

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shredski's picture

How are you taking it? I didn’t notice a really significant change until I started take 500mcg of each am and pm

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Gainz411's picture

I went as far as injecting a 10mg at once then daily dosing.i never tried dosing twice a day. I tried sub injections. Im injections. Maybe I felt a little inflammation go down but not a significant amount that made me feel comfortable.

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press1's picture

For BPC to really work you have to be using it I feel for a couple of months minimum - its a compound that takes a while to work given how it works in the target site. It works by targeting areas of inflammation in the body and then by increasing the number of tiny veins in that area increasing the delivery of amino acids and other key recovery nutrients. You have to appreciate that those little veins are not going to be grown overnight - but instead over a number of weeks and months.

shredski's picture

Try KLOW man the KPV does really well at reducing inflammation

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Gainz411's picture

I have 2 vials of it in my refrigerator. I took 1 vial last month. Didn’t feel much of a change so stopped. Maybe I’ll just run both vials back to back and see what happens. Thanks for the advice, brother.

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-Infidel-'s picture

Daily back stretches help me immensely.. https://www.youtube.com/watch?v=jbwg8Ya5q1o

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Gainz411's picture

I’m definitely gonna try this out! Only 7 mins isn’t bad.

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randomdude's picture

Almost the exact same as my low back for 10 years now. Bulged and degenerative discs from my S1 to L3.

Steroid shots help but only work for so long. They can help get over a bad flare up. Best way to deal with it is work on flexibility and avoid triggers. That being said sometimes you can’t avoid it. I’ll have flare ups that last a few weeks and have no idea what the fuck I did.

The back doctor I saw 10 years ago recommended avoiding surgery as long as possible. He said I may never need it if I learn to live around it.

Lifting changes I made include no or very light deads, benching with my feet up, all horizontal rows are chest supported, Hatfield squats. Most importantly listening to my low back when it’s telling me “don’t you fucking do it”.

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Gainz411's picture

Thanks for the advice. My flexibility is horrible lol. I do the diamond Dallas page stretches every morning for 15 mins. I still can’t touch my toes lmao.

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CHIMAIRA75's picture

I've had 3 diskectomy (however you spell it) in the same location, L5-S1. Has back issues with it for years and only broke down for the first surgery when my cord started to become impinged. Painful as shit! Recovery wise, I managed to get into the best shape of my life afterwards. I think it was because the surgeons told me I'd NEVER do heavy construction again, I'd NEVER lift weights again, that I felt the need to prove them wrong. Anyhow, the bottom line is that it's totally doable! Just can't be a puss. Gotta push yourself through it. Most of us as bodybuilders, powerlifters, whatever, we know our bodies rather well. Just have to listen to it brother. But what you don't have to do, is me told you can't when you one hundred percent can!
As far as epidurals go, don't waste your time. Just another way to overcharge your insurance. I can't speak for anyone else, but it did nothing for me.
Honestly, the thing that helped me the most, I had a neurologist that took pity on me and gave me cortisone injections right up my lumbar at almost every level. Small injections, but they worked for a little bit at least.
I've found that what we do in the gym, lifting staying in shape, being active... By far the best thing you can do for yourself. When you lay down and let it get to you, you are doomed to a life of it. I'll NEVER stop moving!

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press1's picture

Great to hear from you My Dear Buddy!!! You sound well and I Hope life is good Smile Good

Slim0983's picture

L4-L5 is where my wife was having issues with disc degeneration and a bulging disc, for years she was getting epidurals and every time it was effective for a shorter period at first she would get a year of releif then 9 months and then 6 until eventually she was only getting maybe 1-2 months of relief and finally her primary sent her a orthopedic surgeon that specialized in spinal surgery and he suggested doing a nerve ablation first because it is less invasive and he likes starting with the least invasive route first. He said if they did surgery it would be a spacer because there wasn't enough degeneration to need total replacement, he said if the degeneration continued after the spacer at some point down the road fusion or total disc replacement would be required, with her only being 37 he suggested the nerve ablation to not start the clock on surgery and future revisions that would be required. It has been life changing for her, she went from being on medical leave at least once a month and in so much pain sometimes I would have to dress her and carry her to the bathroom to being able to live a completely normal life and go to the gym 4 days a week. There are certain lifts she can't go heavy on because the disc damage is still there, the nerves that send the pain signal that it hurts have been destroyed from the ablation so she just doesn't feel the pain. She will eventually need surgery but for now killing the nerves that we're being pinched so she doesn't feel the pain has given her her life back.

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birdman77's picture

Hey. First off sorry you’re dealing with this. L4/l5 injury are why I had to stop competing and basically stop lifting for 15 years. I had some epidurals at first and they were helpful, but I was trying to keep lifting, and honestly I had to stop (lifting and the epidurals). I recall pissing myself once from an epidural. So there’s that. And I had a cane for a bit as a 21 year old. Really sucked.

To this day I’ll be ok for many months and then put a dish in a cabinet (or something seemingly harmless like that) and the movement will somehow cause a week or more of can’t get out of bed level pain. Spasms that would make anybody yell.

It’s been so long since I’ve had scans I don’t recall the exact verbiage but one was ruptured and the other bulging with I think they called it stenosis (?).

The most helpful thing I did was ashtanga yoga about two years after the injury. I did this almost daily at a studio for a summer. It sucked getting scrawny (albeit conventionally attractive to many), but honestly to this day I’ve never had such a pain free life.

Speaking of these days I now lift again but go heavy on absolutely nothing and try to emphasize the half hour or so of daily cardio more than anything. The yoga calls to me like the vegetables I’m supposed to eat- I know it would do me lots of good, but haven’t done it in years.

I hope you find relief!

And never had $ or insurance good enough to consider surgical route. Have rarely if never met anyone happy they did it though.

Oh and now I have degenerative disc disease elsewhere in my spine. Can definitely still get a good pump without needing to be the strongest dude in the gym.

After thought: I’m no expert but the ashtanga specifically was helpful because they didn’t let me do a pose until I could properly do the elementary ones that precede it in the sequence. So I couldn’t fuck myself up worse in other words.

Khandum's picture

I had a bulging disk in my L5-S1 and the bulge was clipping my sciatic nerve, which was making it inflamed, so I had pain ripping down my right leg. That shit took me out of work for two months, got on short term disability from it. The pain in the first month was so bad I couldn’t even sleep at night. I also did get the foot sag, I was limping and my foot was kind of dragging with each step. I had to pretty much stay seated or laying down all day for the first few weeks. In the entire time of my two months out of work I also had to do PT 3 times a week as well. I was gonna get a SNRB done for the epidural, but for some reason the pain clinic canceled my appointment over insurance related issues. I said fuck it and just went back to work, cause after chilling for two months I felt much better, and I was also very very excited to just train again.

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Gainz411's picture

Thanks for sharing your experience. Makes me feel if others can rebound and still be successful regardless of their injuries I can do it too.

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press1's picture

So did yours end up healing without surgery mate?

Khandum's picture

Yeah I did, no surgery. Im scared to get surgery on my back. It’s a very complicated part of your body and most people come out of surgery needing another one. I’m not fixed and this issue most likely will come back again at some point in time. I just try to be very careful when it comes to my lower back, so my herniation doesn’t inflame my sciatic nerve again. I tried training legs a few weeks ago, but it felt to early cause on the leg extension machine I felt pulling in my lower back with every rep, and after I did that exercise my right hamstring was super tight and aching from it. So now I have legs on a do not touch for now protocol.

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press1's picture

I know another guy who no longer comes on here and he had similar issues in that area, he had the surgery and it went on virtually all day. I think there was a chance he may never walk again too but never heard back from him till this day.

With us guys its ALWAYS one of the following: Lower Back Herniation/Bulging Discs, Torn Pec, Torn Rotator Cuff, Hernia or Torn Bicep.

INJURIES SUCK ASS MATE.

Khandum's picture

Yeah 2025 was the hernia year, 2026 was the year of bulging disk / sciatica. I’m hoping and praying the rest of this year and 2027 I stay golden. Not only that, but I move throughout my day, and in the gym much smarter than I did before.

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Gainz411's picture

I took this week off the gym. Went back today for the first time. I haven’t missed 2 straight days from the gym in over 2 years. Felt like shit not working out. I had an Cortizone Steorid injection Friday but it did shit for me lol. I follow up with the pain management doc, Tuesday. I can’t afford to take off work 2 months to heal. I missed 2 months of work last year cause of kidney cancer. I’m still in pain but heavily drugging myself lol.

Did pt help you? I feel like it does nothing for me but cause me more pain. I live in one of the biggest cities in the country, one would think there would be good physical therapy here but it’s shit.

I’m thinking of doing the epidural injection and figuring out what to do in the future.

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Khandum's picture

Yeah I’d for that epidural shot bro, and yeah the PT felt like a huge waste of time to me also, it also made me feel worse after every session.

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birdman77's picture

I’ll chime in since I just tried pt for a different spine injury (although I’ve had decades of trouble with l4/l5 too): pt made my pain way worse and felt like an enormous waste of time. Seemed designed for people who don’t or otherwise already don’t want to move a lot anyway.

press1's picture

I know a man who has had major back surgery on here, see if he can shed some light on this @Jimmy1048

Gainz411's picture

Thanks for sharing

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