L2-L3 Treatment Of Disc Bulge, Nerve Pain & Slip Disc (2022)

Table Of Contents

  • Have You Been Diagnosed with Slip-Disc At L2-L3?
  • Why Did You Get A Slip-Disc Or Slipped Disc?
  • Why Your Low Back Is Painful Or Easily Hurt?
  • What Are The Common Spinal Issues In Patients With An L2-L3 Disc Problem?
  • Symptoms Of L2-L3 Disc Problem
  • What Are the Most Common Spine Conditions Seen in The Lower Back?
  • How Common Is A Slip-Disc At L2-L3 Spinal Motion Segment?
  • What Should You Do If You Suspect A Slip-Disc?

Holistic L2-L3 treatment through advanced methodology & technology for a disc bulge, nerve pain & slip disc now available at CSC. Our award-winning center offers collaborative treatment with advanced methods of NSD Thrapy® will give you lasting relief from L2-L3 pain. If you suffer from a slipped disc (bulging, herniated, protruded, prolapsed & extruded disc), we can help. Let our experts get you back to healthy, active life.

The L2-L3 spinal segment requires a specialized set of skills and methods for complete recovery with lasting effects. Contact one of our centers near you today.

Have You Been Diagnosed with Slip-Disc At L2-L3?

L2-L3 Treatment Of Disc Bulge, Nerve Pain & Slip Disc (1)

Slip-disc at L2-L3 is descriptive of a spinal disc disorder of the upper lumbar spine. TheFacet L2-L3 disc is about 2 inches above the waist. Problems at the L2-L3 segment of the lumbar spine commonly refer to pain in the spine’s mid or lower portions.

(Video) L3 Herniated Disc/Nerve Root Compression Evaluation

Some may even experience pain in the flanks or the inner parts of their thighs. However, if the L2-L3 slip disc is severe enough, it can cause pain anywhere from the waist down to the toes. In this article, we will provide a brief overview of slip-disc in hopes of providing our patients with the needed information. Please feel free to share this page with friends and family members in need.

The lumbar spine consists of 5 spinal bones named lumbar vertebrae. They are labeled L1 to L5, with L1 being the first vertebra of the lumbar spine and L5 being the bottom-most vertebra in the lumbar spine. The slip-disc incidence in the lower lumbar segments such as L3, L4, and L5 is far more common than in the upper portions of the lumbar spine. There are a few theories that explain the higher incidence of slip-disc in the lower lumbar spine.

Why Did You Get A Slip-Disc Or Slipped Disc?

There are several reasons for a slipped disc in the lumbar spine. We have listed these theories for you below:

  • Poor posture: Poor posture is the leading cause of spinal disc damage, including damage to the L2-L3 segment.
  • Increased discal pressure: Prolonged sitting or excessive bending at the waist leads to increased intradiscal pressure. Increased disc pressure is the leading cause of spinal disc degeneration.
  • Improper lifting: Lifting heavy items or lifting while bending at the waist places excessive stresses along spinal joints and spinal discs, leading to tears and even slippage of spinal discs or spinal bones.
  • Neglect of a minor back issue: Neglecting the so-called normal backache is a leading cause of spinal disc issues.
  • Hereditary predisposition: Congenital issues play a critical role in spinal health. Most common congenital problems that cause spinal disc issues in the lumbar (L1-L2, L2-L3, L3-L4, L4-L, or L5-S1) include scoliosis, lumbarization, sacralization, or pelvic unleveling.
  • Lumbarization: The lumbar or low back has five segments. Lumbarization occurs when there are more than five segments. It results when the first segment of the tailbone (sacrum) takes on the lumbar vertebrae’s characteristics.
  • Sacralization: You have sacralization when you have less than five segments in the low back. In sacralization, the last lumbar section takes on characteristics of the tailbone or sacrum.

Now that we have covered the reasons for pain or slipped disc at the L2-L3 segment, let’s look at why the low back is predisposed to injuries or pain:

Why Your Low Back Is Painful Or Easily Hurt?

Nowadays, back pain is a common occurrence. Pain in the low back means that one or more tissues or structures in the lower back are not working correctly. While there are many reasons, poor sitting posture ranks as the number one causative issue. A poor sitting posture places enormous stress on joints, muscles, ligaments, and discs (disk) of your spine. A habitual poor sitting posture is the leading cause of premature degenerative changes and slipped discs. The primary reasons argued as causes are many. In general, the back is predisposed to damage, and pain is related to the spine’s supportive functions. We have listed some of them below:

(Video) Neurological Evaluation Of The Lumbar Nerve Roots - Everything You Need To Know - Dr. Nabil Ebraheim

  1. Load-bearing: The lumbar spine is the most weight-bearing of all spinal segments Mobility: Lower back portions of your spine allow for bending, twisting, and tilting backward.
  2. Center of the body: The low back or the lumbar spine is at the center of your body. It connects the upper body and lower body through the trunk and lumbar spine.
  3. Shearing force: Another argument is that an increased shearing force at the lower segments of the lumbar spine is due to the lordotic curvature.

Therefore, the lower lumbar spinal discs are more prone to injury with the upper body’s weight on these segments.

What Are The Common Spinal Issues In Patients With An L2-L3 Disc Problem?

We have listed the most common conditions reported on MRI films of patients that have L2-L3 spinal disc issues below:

  • Degenerative changes within the spinal disc known as desiccated or degenerated disc
  • A bulging disc (early stage of a slipped disc)
  • Protruded, prolapsed, herniated, or extruded spinal disc (slipped disc)
  • Hypertrophy of Ligamentum flavum, a leading cause of spinal canal stenosis or shrinkage
  • Facet hypertrophy, facet degenerations, or facet arthritis (degenerative and arthritic changes in spinal joints)
  • Facet inflammation (swelling within spinal joints), a leading cause of back pain
  • Canal Stenosis (shrinkage of the canal that houses the spinal cord or the thecal sac)
  • Foraminal Stenosis (narrowing of the openings between two spinal bones), causing nerve impingements or nerve root compression
  • Nerve root compression (when the exiting spinal nerves get compressed from a slipped disc, arthritic or thickening of ligaments that surrounds a joint)

Patients may also see some of the following condition reported on their MRI:

  1. Spondylosis: A combination of generative changes, slipped disc, and arthritis
  2. Spondylolisthesis grades 1-4: These are forward slippage of spinal bones. Grade I (one) is a slight slippage. Complete or severe slippage is a Grade IV (four)
  3. Modic changes: These are vertebral degenerative changes that result from injury or inherited or congenital issues. These changes are reported as Modic I, II, or III

These are the most widely recognized MRI readings if there should arise an occurrence of an L2-L3 disc. Symptoms are dependent on the severity of nerve compressions. However, some individuals present with moderate nerve compression but yet still live pain-free.

Symptoms Of L2-L3 Disc Problem

The primary symptom includes back pain. You may also experience pain, weakness, numbness, tingling, or burning sensations in front of your thigh. The second lumbar nerve originates from the L2-L3 interspace. It controls the upper portions of your low back, thighbone, and the muscles at the thigh’s front. Good examples of muscles controlled by the l2-l3 nerve are the Quadratus lumborum and Iliopsoas muscle.

Both of these muscles are in charge of keeping you in an upright posture. Pain, numbness, tingling, or burning sensations are common when the l2-l3 nerves are compressed, irritated, or damaged. Also, internal organs can malfunction when problems occur at the L2-L3 spinal segment. For example, problems in the upper lumbar spine can result in back pain, leg pain, leg weakness, leg tingling (numbness), constipation, colitis, and diarrhea.

(Video) Degenerative Disc Disease, Herniated & Bulging Discs L1, L2 L3 L4 L5 S1- Best Simple Exercise

L2-L3 Facet Hypertrophy & Facet Mediated Pain

Facet mediated pain at L2- L3 results from degenerative changes in spinal joints. It is a condition in which the spinal joint is the sole contributor to the aches and pains you feel in your back. Facet hypertrophy, which results from thickening and degenerative changes of spinal joints, is a leading cause of facet mediated pain.

Facet mediated pain is treatable and recoverable without surgery or injections. However, some surgeons may recommend steroidal injections and radiofrequency ablation. Radiofrequency ablation is a minimally invasive spine surgery designed to destroy and kill the pain sensing nerve in your spinal joints. Incidentally, this pain sensing nerve in your spinal joint is called the medial branch nerve.

The medial branch nerve senses pain and controls ligaments and spine stabilizing muscles known as the multifidus muscles. In short, radiofrequency ablation or RFA surgery may lead to damage to your spinal muscles, destabilizing the entire spine. Therefore, we encourage a non-invasive approach to facet mediated pain caused by facet hypertrophy. The best alternative to spinal joint surgical procedures or steroidal injections is a combination of chiropractic and physiotherapy. Learn more about your non-invasive options when you visit a Chiropractic Specialty Center® near you before going through radiofrequency ablation surgery.

What Are the Most Common Spine Conditions Seen in The Lower Back?

Back pain is common. Everyone will develop some degree of back pain in life. Because of its general nature, sufferers often neglect or dismiss mild back pain. However, continued or recurrent backaches or pain can lead to significant health issues. Therefore, take our advice and do not neglect your pain.

Moreover, back pain is the leading cause of disability. The most common site of back pain is the lower back. Daily stresses and poor posture is the leading cause of back discomfort. In addition, the lower back or the lumbar spine is a common site for:

  • Bones spurs in spinal bones or joint (bone spurs at spinal joints is referred to as facet hypertrophy or facet arthritis)
  • Subluxations (misalignments of spinal bones at L2-L3 resulting in pinched nerves),
  • Spinal disc degenerative changes,
  • Hypertrophy of ligamentum flavum
  • Spinal disc bulge & disc herniations
  • Extruded spinal discs (extrusions),
  • Fragmentation (fragmented spinal discs)
  • Spinal canal stenosis

Conservative treatment is your best option for an L2-L3 spinal segment issue. Many who suffer from chronic back pain opt for spine surgery. Spine surgery provides hopes of relieving some of the symptoms. Yes, it can alleviate some of the symptoms, but never all of your pain.

(Video) How to Fix a Bulging Disc in Your Lower Back | RELIEF IN SECONDS!

Fact-Finding research published in the Ohio State Workers’ compensation database found spinal fusion (spine surgery) failed to provide lasting relief for 75% of the operated patients. In addition, at 2-years post-surgery (after surgery), some 40% of patients still relied on painkillers to alleviate the pain. So, take our advice and opt for our conservative treatment before you even consider spine surgery.

How Common Is A Slip-Disc At L2-L3 Spinal Motion Segment?

Slip-disc at L2-L3 level is less common than those at L3-L4, L4-L5, and L5-S1, but when it is present, it may have a misleading clinical picture that doesn’t fit into any of the categories. In addition, if the slip-disc at L2/L3 level is very severe, it may also compress the L4, L5, and S1 (first sacral segment or tailbone).

Compression of the L4, L5, and S1 nerve may result in low back pain, buttock pain, thigh pain, leg pain, sensory changes that affect the lower limbs, and weaknesses in the lower leg. However, the presenting symptoms may not follow any of the dermatomal or myotomal distribution patterns. In addition, the deep tendon reflex may be hypersensitive or less reactive, which may be misleading when a healthcare practitioner concludes the differential diagnosis.

The femoral nerve stretch test may be positive when a patient presents with slip-disc at the L2-L3 level. The primary nerve innervation for the femoral nerve comes from L2, L3, and L4. Slip-disc at the L2-L3 level should be able to reproduce the pain, numbness, or tingling sensation at the front and outer side of the thigh or in the inguinal region. Weakness or atrophy of the quadriceps muscles or tibialis anterior may be present too. MRI of the lumbar spine can show the severity of the slip-disc and the segments involved. It can also reveal if there is any compression of the nerve roots.

L2-L3 Treatment Of Disc Bulge, Nerve Pain & Slip Disc (2)What Should You Do If You Suspect A Slip-Disc?

If you suspect a herniated disc in the lumbar (slipped disc or slip-disc), visit a CSC center today for holistic, non-invasive treatments! Chiropractic Specialty Center® has the best non-surgical & non-invasive clinical teams for accurate diagnosis and holistic treatment of slip-discs.

Our care methods are superior to others, as we targeted every aspect of a spinal disc issue. In short, the procedures you get from us will lead to faster and longer-lasting improvements. In addition, in our center, only the best clinical physiotherapists and expert chiropractors in KL will render care simultaneously through advanced technology that others do not have in Malaysia.

(Video) Top 3 Medically Proven Exercises for Herniated Disc or Pinched Nerve

NSD Therapy® is the best and most sophisticated non-surgical treatment for slip-disc. NSD Therapy is the most holistic method of spinal decompression therapy. It incorporates the best clinical practices of physiotherapy, chiropractic, and rehabilitation. Best of all, the care you receive is painless. Please don’t settle for less; our proven therapy methods for the L2-L3 slip-disc or a slipped disc at any other level of the spine are unmatched.

Contact us now for holistic L2-L3 treatment of disc bulge, nerve pain & slip disc through advanced methods of NSD Therapy® for Lasting relief today!

FAQs

How is L3 nerve pain treated? ›

Spinal nerve pain from L3 may be treated with steroid injections in the epidural space or into the L3-L4 facet joint. Risks of these injection procedures include hematoma, bleeding, and/or nerve damage.

What nerves are affected by L2 L3? ›

L2, L3 and L4 spinal nerves provide sensation to the front part of your thigh and inner side of your lower leg. These nerves also control hip and knee muscle movements.

What are the symptoms of L2 L3 nerve damage? ›

Pain, numbness, tingling, or burning sensations are common when the l2-l3 nerves are compressed, irritated, or damaged. Also, internal organs can malfunction when problems occur at the L2-L3 spinal segment.

Where is L2 and L3 on your spine? ›

The lumbar spine makes up the the lower end of the spinal column. It consists of 5 lumbar vertebra that are numbered 1 through 5 from top to bottom i.e. L1, L2, L3, L4, and L5. The L5 vertebra is connected to the top of the sacrum (named the S1 segment) through an intervertebral disc.

What does L3 nerve do? ›

L3-L4 Pinched Nerve: The L3 nerve root is responsible for the quadriceps femoris muscles, located on the front of the thigh and helps extend, or straighten, the knee.

What is L2 and L3? ›

Commonly known as L2/L3 device or multi-layer switch (L2 = Ethernet, L3 = IP). To simply put it, an L3 switch is a combination of an Ethernet switch and IP router.

Can L3 cause hip pain? ›

It is suggested that impingement of the higher lumbar spinal nerve roots (L1–L3) can cause pain in the dermatomal distribution surrounding the hip.

Where is L2 on my spine? ›

Located just below the L1, the L2 vertebra is the second vertebra in your lumbar, or lower back, region. It's among the largest of the bones in your spinal column, which gets wider as it goes lower.

Can disc bulge be cured permanently? ›

Disc bulges are not permanent. The disc is a fluid filled structure and therefore has the capacity to heal, resolve and be re-absorbed.

When is surgery needed for bulging disc? ›

Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.

Is physiotherapy good for bulging disc? ›

How does Physiotherapy help with bulged discs? Physiotherapy can be very effective in relieving the pain and other symptoms associated with herniated discs. Techniques such as neural gliding, joint mobilisation and dry needling are all known to be effective in treating this condition.

Where is L3 nerve pain? ›

When the L3 spinal nerve is involved, the following symptoms may occur: Sharp pain, typically felt as a shooting and/or burning feeling that may occur in the thigh and/or inner part of the leg. Numbness in the thigh and/or inner part of the leg.

How can I stop nerve pain in my back? ›

Home-based remedies
  1. Activity modification. You may find that certain seated positions or activities that cause you to twist or lift make your pinched nerve worse. ...
  2. Ice and heat. Applying ice or heat for 20 minutes a few times a day may reduce pain and muscle spasms. ...
  3. Frequent movement. ...
  4. Sleeping position modifications.

Is nerve damage painful? ›

Nerve damage doesn't just cause pain. It may also cause numbness that may prevent you from feeling pain when it matters. People with nerve damage sometimes injure themselves without realizing it.

What are the symptoms of L2 L3 disc herniation? ›

L2-L3 Herniation: The L2 nerve root is responsible for the iliopsoas muscles. A disc herniation at this level may cause weakness in an iliopsoas muscle, which may cause difficulty while walking up the stairs and/or pain that radiates into the front of the thigh.

What are the symptoms of L2 nerve root compression? ›

For example, if you have a bulging disc between the 2nd and 3rd lumbar vertebra (L2-L3), and it pinches the L2 nerve root, you may experience back pain with aching, burning or shooting pain, numbness and tingling in the thigh, sometimes going down into the lower leg or foot.

Where does L1 and L2 cause pain? ›

L1 or L2 symptoms include pain in lower back and groin area and/or pain that radiate to upper front and inside of thigh. L3 or L4 symptoms include pain in lower back and /or pain that radiates to the quadriceps in the front of the thigh.

How do you test for L3 nerve roots? ›

L3 Nerve Root Compression Evaluation with Paul Marquis PT

Can L3 cause knee pain? ›

L3 radiculopathy

A lumbar herniated disc or lumbar spinal stenosis that causes compression of the L3 nerve root in your mid-back region may cause knee pain and weakness. You may also experience pain in the front of your thigh, side of your hip, and the groin region.

What happens if you break your L3? ›

What Are the Symptoms of an L3 Injury? This is the middle vertebra of the lumbar spine, and the first vertebra to not contain a section of the spinal cord. Common symptoms of an L3 lumbar spinal injury include weakness, numbness, and loss of flexibility in the legs, hips, and/or groin.

What is the difference between L1 L2 and L3 support? ›

L1 Technical Support

Your pre-sale support emails and support chats will be addressed by Level 1 technicians. When compared with L2 and L3 level techs, technical knowledge of L1 techs is limited. They typically deal with problems that can be fixed by the control panels themselves. (Direct Admin etc, cPanel, Plesk).

What is L2 L3 protocol development? ›

This training involved the testing & Development of protocols or programs which are used in devices like: routers, switches, PCs, modems etc. protocols are used for communication between different layers of OSI models.

What is L2 and L3 header? ›

IP Header. LAN switching. Layer 2 switch does switching and filtering based on MAC address. Layer 3 switch uses IP address.

What does a neurologist do for back pain? ›

A neurologist specializes in treating nerves in the brain and spine. This doctor also has the tools available to assess back pain like an x-Ray and MRI. However, neurologists can go a step further. Using tools like an EMG, the neurologist can check nerve health and muscle weakness with fantastic detail.

Will drinking water help sciatica? ›

For example, if you weigh 200 pounds, you should be consuming 100 fluid ounces of water daily. And getting rid of sciatica pain makes this no different. If you're wearing a mask or you workout, you need to drink even more water than this. Aim for 75-100 percent of your weight in fluid ounces of water.

What nerve causes hip pain? ›

Entrapment of the sciatic, pudendal nerves, obturator, femoral and lateral femoral cutaneous are potential causes of hip pain.

What is L2 in the body? ›

The L2 vertebra is the second lumbar spinal vertebra in the human body. Along with the other vertebrae, it makes up the spinal column, which supports the upper half of the human body.

What happens when you break L2? ›

If you have a fracture below the L1-L2 (first and second vertebrae in the lumbar spine), you won't have a spinal cord injury, but it's still possible to injure the nerves. Your back also has muscles, ligaments, tendons, and blood vessels.

How do you test for L3 nerve roots? ›

L3 Nerve Root Compression Evaluation with Paul Marquis PT

Can L3 cause hip pain? ›

It is suggested that impingement of the higher lumbar spinal nerve roots (L1–L3) can cause pain in the dermatomal distribution surrounding the hip.

Where is your L3 located? ›

The third bone down in your lumbar, or lower back area, the L3 is the central bone in this region. Like the other lumbar vertebrae, this bone carries a substantial role in bearing the weight of your torso.

How long does it take to recover from L3 L4 surgery? ›

You'll be encouraged to walk and move around the day after surgery and it's likely you'll be discharged 1 to 4 days afterwards. It will take about 4 to 6 weeks for you to reach your expected level of mobility and function (this will depend on the severity of your condition and symptoms before the operation).

What are the symptoms of L2 nerve root compression? ›

For example, if you have a bulging disc between the 2nd and 3rd lumbar vertebra (L2-L3), and it pinches the L2 nerve root, you may experience back pain with aching, burning or shooting pain, numbness and tingling in the thigh, sometimes going down into the lower leg or foot.

How do you test for L2 nerve roots? ›

Examination of L2 to S1 Nerve Roots - YouTube

How do you test L2? ›

How to test the Myotomes of the Lower Limb (L2-S2) - YouTube

What pain does L2 cause? ›

L2-L3 Herniation: The L2 nerve root is responsible for the iliopsoas muscles. A disc herniation at this level may cause weakness in an iliopsoas muscle, which may cause difficulty while walking up the stairs and/or pain that radiates into the front of the thigh.

What is L2 and L3? ›

Commonly known as L2/L3 device or multi-layer switch (L2 = Ethernet, L3 = IP). To simply put it, an L3 switch is a combination of an Ethernet switch and IP router.

Where is the L2 located in the spine? ›

Located just below the L1, the L2 vertebra is the second vertebra in your lumbar, or lower back, region. It's among the largest of the bones in your spinal column, which gets wider as it goes lower.

Where does L1 and L2 cause pain? ›

L1 or L2 symptoms include pain in lower back and groin area and/or pain that radiate to upper front and inside of thigh. L3 or L4 symptoms include pain in lower back and /or pain that radiates to the quadriceps in the front of the thigh.

What muscles are innervated by L3? ›

Third lumbar nerve

They may be innervated with L3 as single origin, or be innervated partly by L3 and partly by other spinal nerves. The muscles are: quadratus lumborum (partly) iliopsoas (partly)

What happens if you break your L3? ›

What Are the Symptoms of an L3 Injury? This is the middle vertebra of the lumbar spine, and the first vertebra to not contain a section of the spinal cord. Common symptoms of an L3 lumbar spinal injury include weakness, numbness, and loss of flexibility in the legs, hips, and/or groin.

When is surgery needed for bulging disc? ›

Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.

Will nerve pain go away after back surgery? ›

Pain is normal in the weeks following back surgery, as tissues heal, nerves regain normal function, and inflammation decreases. However, some people may have pain beyond the three to six month period that is considered a normal healing time.

How successful is lower back surgery? ›

After a spine fusion surgery, it takes 3 to 12 months to return to most normal daily activities, and the success rate in terms of pain relief is probably between 70% and 90%, depending on the condition the spine surgery is treating.

Videos

1. Degenerative Disc Disease L2 L3 L4 L5 S1 Exercises -Prone Reverse Flyes
(Dr. Michael C Remy)
2. बिना Surgery Slip Disc ठीक करें | No Surgery L3, L4, L5, S1 मिनटों में देखें असर | Dr Raghav
(NATIONAL KHABAR)
3. Herniated Disc L2 L3 Decompression Stretch
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4. 'Bulging discs' Causes, Symptoms, and Treatment Options
(Axis Spine Center)
5. How to Fix A Bulging Disc -No surgery
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6. L3 L4 Herniated Disc Evaluation
(Ortho EVAL Pal With Paul Marquis PT)

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