What nerve is affected in L5 S1 herniation?

S1 at the L5/S1 level, a disc herniation centrally into the canal would compress the S1 nerve, resulting in weakness of ankle plantar flexion (gastrocnemius muscle).

What does abutment of nerve roots mean?

When the herniated disc simply touches, or is against the spinal cord, leaving space behind the spinal cord, the result is a cord abutment. The difference is dramatic in symptomatology and necessity for treatment, where the cord compression is a much more serious condition, often necessitating surgery.

What can happen if spinal stenosis is left untreated?

It occurs from spinal stenosis that causes pressure on the spinal cord. If untreated, this can lead to significant and permanent nerve damage including paralysis and death. Symptoms may affect your gait and balance, dexterity, grip strength and bowel or bladder function.

Is spinal cord compression an emergency?

Spinal cord compression or cauda equina syndrome (compression of nerve bundle in lower spine) is a medical emergency. Call your healthcare provider or go to the emergency room if you have: Sudden loss of bowel or bladder control. Severe or increasing numbness between your legs, inner thighs, or back of your legs.

What are symptoms of S1 nerve damage?

This syndrome is a medical emergency and typically causes severe pain, weakness, numbness, and/or tingling in the groin, genital region, and/or both legs. There may also be loss of bowel and/or bladder control.

Does nerve root abutment require surgery?

Nerve root compression can range from mild to severe. Mild nerve root compression may not require surgical treatment and may be appropriately treated with medications and other conservative measures.

Can spinal stenosis shorten your life?

Answer: Yes, you do have to live with it for the rest of your life. However, many patients with spinal stenosis live life in the absence of pain or with minimal symptoms.