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It's not always easy to precisely diagnose the symptoms related to nerve irritation around the spine. You can develop a seroma (a collection of fluid post-operatively) that temporarily will partially compress the nerve after surgery. Additionally, he is very active in the Global Spine Outreach, an international initiative that provides treatment for Cali, Colombia children with spinal deformities. Is this straight leg testof any relevance for determining whether its a reherniation or not? Thankfully, escalation of symptoms is rather uncommon and does not need to be addressed with most patients. Scar tissue forms with all surgeries, but it sometimes becomes an issue if it forms around a nerve root. ITs sitting that brings it on. Good night. Galvanic current has long duration impulses selections that can be used to stimulate dennervated muscles. Is Minimally Invasive Spine Surgery Right for You? What follows is a snapshot of life after a microdiscectomy, along with common microdiscectomy recovery mistakes that everypostoperativepatient should avoid. Called my surgeons office, spoke with nurse, seemed to care less-pain getting worse-follow-up appointment not until four more days!!! These stretches performed too aggressively will piss off the nerve. Burning sensations can also be the result of nerve issues in the spine. During this surgery, your surgeon removes your damaged disk to relieve pressure on your nerves. I, for sure, do not want to have a fusion-I have heard from others what a night-mare that procedure is. Thats going to be almost 12 hours on my feet a day. You can expect your back to feel stiff or sore after surgery. When lifting heavy objects, keep yourback straight and use your knees to lift rather than your back. Before surgery, I couldnt do this without there being a sharp, stabbing pain in my back, when lifting either leg, especially on the right side. Intermittent or continuous back painthat occurswith and without movement, Pain with coughing, sneezing,or bearing down, Radiating pain from the back or buttock down into the leg or foot, Numbness and tingling in the leg or foot, accompaniedbyweakness in the legsand, reduced reflexes in the knee or ankle region, Reherniationdoes not occur with total discectomy because the entire disc has already been removed. Standing, walking, swimming wasn't a big issue, however sitting down was . PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. But what if you start experiencing long-lasting pain that persists for weeks and months after your surgery? Even though most lumbar microdiscectomies are done on an outpatient basis, complications could dictate that you remain in the hospital for up to 72 hours. The diagnostic process including imaging, nerve conduction studies, musculoskeletal examination coupled with provocation maneuvers, palpation, and the musculoskeletal differential diagnosis of buttock pain is illustrated . Christopher J. Bergin, M.D. my doctor recommended surgery. This review, with the help of a case study, provides a detailed account of the possible biopsychosocial risk factors underlying piriformis muscle syndrome, post discectomy. Why Seek a Second Opinion Before Your Spine Surgery? How long ago did you have your surgery? "Endoscopic microdiscectomy is the modern approach to repair herniated discs," Dr. Liu states. Avoid lifting heavy objects until you are fully recovered and given the O.K. However, there can be limitations to L4-L5 surgery as it is one of the lowest weight-bearing discs of the body. If you are tempted to do so, ask a friend or family member todo the heavy-lifting foryou instead. The doctor took out pieces of bone that were squeezing the spinal cord and nerves. !he read all of my issue and details and his replies really helped me in decidingi am now confident about my decision and i now totally understand the procedure thanks to the in-depth information providedthank you ever so much ! Since you are only four weeks out and better than prior to surgery, the nerve is probably still swollen. The nerve root when decompressed, can swell. Incision Drainage Issues. https://neckandback.com/conditions/peripheral-nerve-anatomy-neck/. Sometimes this is a temporary condition as the nerve root or roots take time to heal. All I feel is the tightness in my hamstrings, no stabbing pain like before. What would cause movement-releated pain that is otherwise completely gone in some situations (like standing up straight) but another obstacle that is touching / disturbing the nerve? I endorse any activity that reduces symptoms and does not cause rebound increase of symptoms later that evening. Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Your Recovery Microdiscectomy is surgery to remove part or all of a bulging or damaged (herniated) disc in the lower spine. Contact: Orthopedic and Spine Institute. So I can move my chin to my chest further, for example. Book an appointment with our board-certified orthopedists at Comprehensive Spine Institute by calling (727) 300-2537. To get the full experience of this website, Sleeping on your stomach or flat on your back puts significant stress on your spine. I do daily stretches, one of them being lifting legs straight while lying down. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. If you have any questions about the Barricaid treatment or how to get access to Barricaid, ask your doctor or contact us at 844-288-7474. In this case, the source of the pain will continue since the direct cause of the issue was not pinpointed properly. A lumbar laminectomy is surgery to ease pressure on the spinal cord and nerves of the lower spine. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books. In the case of recurrent back pain accompanied bysciatica(pain radiating down the back of the leg) after total discectomy, another discmay have become herniated. On occasion, after activity, this fluid pocket can expand and cause pressure symptoms. Usually, the restrictions after lumbar discectomy involve avoiding twisting the spine, especially while lifting heavy things. If it's similar or slightly improved to your pre-op pain, then I wouldn't panic. The doctor willthenonlyremovethe damaged portion of the disc. Epidurals x3, PT 4 mos, some relief, but constant foot pain and numbness continued Microdiscectomy 6/6/03 9/5/03 still have foot pain and numbness but recovered fine from surgery 1/19/04 I am 7 mos post op. Hi guys, Exactly 1 week ago I had a microdiscectomy on l4/l5 to remove s herniated disc crushing my spinal cord. Although most patients enjoy noticeable pain relief immediately following the surgery, nerve recovery after a lumbar discectomy is dependent on a variety of factors. Thanks for the response. This is usually done when there is leg or arm pain that radiates from the spine, caused by compression of the nerve. Re-herniation can occur and can happen to 10% of individuals who have a herniation (no matter if surgery occurred or not). My health is my most important concern, will just have to see how things go. The explanation and descriptions are easy to follow and so helpful in understanding the a variety of conditions covered.Thank you Dr Corenmen for providing such a valuable directory of information. by your doctor. Now I can do it pain-free. I haven't worked since the end of May and my time from work that I have available to remain off work and not lose my job is getting real close. Note:Reherniationdoes not occur with total discectomy because the entire disc has already been removed. In the weeks following your procedure, contact your surgeon right away if your numbness or pain increases significantly. Immediately following the surgery, she developed severe pain in her right foot; 3 months later, she underwent an additional decompressive procedure. . The bones help protect the cord . Our surgeries have the shortest operating times, least risk, and quickest recovery periods of any available spine surgery. Dr. Liu also suggests that patients continue the herniated disc surgery recovery process by walking short distances during the first couple weeks after surgery and gradually building endurance until they can walk two to three miles a day. If the nerve is still irritated or swollen, there can still be pain present, greater on the side of the prior herniation. 1.2 Inflammation of the membranes that surround the nerves of the spinal cord. If I lived in the US, I would certainly choose you to be my doctor. It is one of the most common spinal surgeries performed to alleviate back and leg pain, offering 90 to 95% of patients who undergo the procedure of significant pain relief. Buttock pain after a minimally invasive keyhole discectomy procedure is most often nerve-related. Your browser is out of date. This type of postoperative pain is commonly called failed back surgery syndrome because you've swapped out one type of pain for another. There was an immediate relief to my back pain. !he read all of my issue and details and his replies really helped me in decidingi am now confident about my decision and i now totally understand the procedure thanks to the in-depth information providedthank you ever so much ! About 2 weeks after lumbar microdiscectomy, most patients begin to experience significantly less pain and higher energy level. Any activity (like walking) can stretch the root. i was so confused and lost about which procedure i should treat my back pain with.Dr.Corenman is just so kind to make time from his schedule to help me :')! 1999-2023 Veritas Health, LLC. The nerve root when decompressed, can swell. Have experienced some problems with my left leg that wasn't experiencing before surgery - numb, pins & needles, walk with a gate - seems to be getting better, however, the butt pain is killing me? Mild to severe pain in the lower back or buttock area, Feelings of numbness or tingling in the leg or foot, (nerve pain often radiating down the leg), When you are experiencing any of these warning signs onan ongoingbasis,its best to.