L5/S1 | Physiotherapy for a slipped disc during pregnancy

L5/S1

The designation L5/S1 describes the location of a herniated disc in the lumbar spine. The herniated disc lies between the 5th lumbar vertebra and the 1st coccyx vertebra. In the vernacular this type of herniated disc is often called sciatica, since this nerve is also located in this region.

The pain from a herniated disc in the region L5/S1 can be extremely strong, since this area has the greatest weight to bear and is therefore additionally burdened, especially during pregnancy. If the slipped disc then presses on the sciatic nerve, this can be very unpleasant and cause pain that radiates into the legs. The diagnosis of the herniated disc is made by imaging techniques in combination with the existing symptoms.

Especially during pregnancy, the therapy of a herniated disc is somewhat more difficult, since the lower back is exposed to constantly increasing stress. For the pregnant woman it is therefore important to relieve the area as often as possible. At the same time the active therapy and movement should not be stopped, because it keeps the spine flexible and stabilizes it. Whether an operation is advisable due to the special situation is decided by the treating physician.

Slipped disc during pregnancy – still getting pregnant?

The question whether a pregnancy is nevertheless meaningful with a well-known intervertebral disk problem, should be clarified from female patient to female patient individually. No exact statement can be made. Also the position of the herniated disc has an influence on the risk arising from the pregnancy.

For example, a slipped disc in the cervical or thoracic spine is, as expected, less problematic than a slipped disc in the lumbar spine. Due to the hormonal changes and the anatomical changes that accompany pregnancy, the ligaments and tissues in this area become more elastic and softer. The pelvic ring also opens and shifts structures.

The additional weight also results in an increased pressure load on the lumbar spine. All these factors sometimes speak in favor of first treating the herniated disc. Especially during pregnancy, the treatment options are limited. Nevertheless, it is not generally discouraged to become pregnant with known disc problems. Talk to your treating doctor about this topic and inform yourself about the best option for you.