We have asolidcommitment to excellence in diagnosing and treating spinal injuries and conditions spanning all age groups. During the physical exam,your surgeonmay look for pain during specific movementsand performa power/sensory examination of your lower extremities. You must be logged in to reply to this topic. Some days, there's lesser pain and soreness. All me back pain was home as soon as Hey All. This article explains some of the potential reasons this may be the case. Pain that develops gradually after back surgery is suggestive of scar tissue impinging or tethering the spinal nerves that innervate the lower back and legs. is surgery that creates space by removing the lamina, the back part of the vertebrae that covers your spinal cord. Additionally, he is very active in the Global Spine Outreach, an international initiative that provides treatment for Cali, Colombia children with spinal deformities. I have not spoken with him since right before my surgery that a.m. in the operating room. If your doctor prescribesmedicationfor you to help with pain or inflammation,take it asprescribed. Diskectomy works best for treating pain that travels down the arms or legs from a compressed nerve. When the root swells, some return of symptoms can be expected. You may need oral steroids. Results: Successful lumbar decompression or discectomy and absence of distal foraminal entrapment was . The patient reported pain radiating in multiple trajectories but on clinical assessment had no specific dermatomal distribution. I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation. This is actually a very common occurrence but typically does not cause symptoms. I endorse any activity that reduces symptoms and does not cause rebound increase of symptoms later that evening. Its not uncommon for patients to return to work about two weeks post-surgery, although others may needan entiremonth ofhealing. Once those visits start, its imperativeto see your physical therapy all the way through. I received 2 spinal injections to try to calm the inflamation and nothing worked. Althougha minimally invasive procedureisoften considered the best practice for dealing with damaged spinal tissue, no surgery is completely without risk. Here are somereherniation-prevention tips for microdiscectomy patients: At The Spine Center, were dedicated to providing you with high-quality, personalized back and neck care. Usually, patients are discharged either the same day or the day after their surgery. Stronger painkillers, such as opioids, are typically used in combination with nonsteroidal anti-inflammatory drugs (NSAIDs). If it's similar or slightly improved to your pre-op pain, then I wouldn't panic. I, also, had a discectomy done due to a severe herniation in lower L4/L5. Before using any new medications or going back to old medications, it is important to check with the doctor or pharmacist to reduce the risk of adverse drug interactions or serious side effects. Good night. 2 weeks post-surgery, most patients are completely off opioids but may continue taking other pain medications, such as: While taking medications, it is important to follow directions on the label (or instructions provided by a doctor) to reduce the risk of adverse reactions or an overdose. This seroma should resolve in 2-3 months. In the worst cases, they may also have to go in there and reconstruct discs that have been degenerating, or they may be helping your back to straighten out a little better than it would have otherwise. Viewing 6 posts - 1 through 6 (of 74 total). I, for sure, do not want to have a fusion-I have heard from others what a night-mare that procedure is. As with any form of surgery, laminectomy carries a risk of some side effects. Finally, seroma formation can occur. No, my doctor has not spoken with me about any of the things you have educated me about. Additionally, he is very active in the Global Spine Outreach, an international initiative that provides treatment for Cali, Colombia children with spinal deformities. Get Veritas Health Newsletters delivered to your inbox. Your surgeon will start with conservative treatment options in the form of pain medications, physical therapy, and activity modification. While pain medications may not be needed by 4 to 6 weeks after lumbar microdiscectomy surgery, some patients may need to continue with pain medications for much longer. prescribed. Immediately following the surgery, she developed severe pain in her right foot; 3 months later, she underwent an additional decompressive procedure. Was able to walk longer, and had almost no pain, except for the incision site stiffness. Laminectomyis surgery that creates space by removing the lamina, the back part of the vertebrae that covers your spinal cord. Start taking short walks around the house or the yard; climb stairs if you can do so without pain. In some cases, areherniationmightpresent in the form of back pain up to two years after a microdiscectomy. Surgery went well. I am going back to work in roughly 10 days. You can expect your back to feel stiff or sore after surgery. Scar tissue forms with all surgeries, but it sometimes becomes an issue if it forms around a nerve root. Jogging isnot recommendedwhen you havedisc herniation. In this case, the source of the pain will continue since the direct cause of the issue was not pinpointed properly. A thin towel or t-shirt may be used as a barrier between the heat/ice source and the skin to avoid direct skin injury. Its not extreme. Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Its not painful. He refers to a study, published July 2017 in the journal, BMC Musculoskeletal Disorders, which indicated that patients who did not limit their activities during the healing process actually returned to work sooner than those who adhered to specific restrictions. Prescription non-compliance can cause side effects and other consequences that place your health and wellbeing at risk. For example after: Lumbar discectomy - The disc is not as strong after back surgery and it is possible for new piece of disc to break off, herniate and pinch the sciatic nerve. This compression is most often the result of a herniated lumbar disc. Sometimes this is a temporary condition as the nerve root or roots take time to heal. 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. Did I herniated my disc again by starting to walk and even drive too soon after the surgery -- the next day? Did I understand that correctly? to our patients, deliveredwith integrity and honesty in a cohesive, family-like environment. If you or a loved one suffer from backor neckpain, call The Spine Center today at(847) 628-8147toschedule a consultation. The current used is determined based upon the nerve injury. Sleeping on your stomach or flat on your back puts significant stress on your spine. And although recovery from lumbar microdiscectomy is quicker and less painful than more invasive types of back surgery, youwillstill need to take some precautions. Galvanic current has long duration impulses selections that can be used to stimulate dennervated muscles. In this article, we are going to walk through the potential causes of buttock pain after spinal discectomy surgery. Recovering from surgery to correct a herniated spinal disc is no time to sit "back" and relax. If you have any questions about the Barricaid treatment or how to get access to Barricaid, ask your doctor or contact us at. It depends upon the caliber, velocity, distance from the muzzle and the path of the bullet. Adjacent segment syndrome (also known as . One more thing gritch..DON'T OVER DO IT!! They can perform the surgery in a couple of ways: An open diskectomy is done with a cut in your back . If youhave diabetes, practice good blood glucose management. Although symptoms are varied andcanbecome more severe with movement, they typically include: When you are experiencing any of these warning signs onan ongoingbasis,its best toschedule an evaluationwith afellowship-trainedorthopedic surgeon. Contact us today with any questions about these surgeries, or find a surgeon near you who is trained in Inspired Spine methods. The pain was constant burning at the left pelvic region, with sharp shooting pain in the left leg. AtTheSpine Center, were dedicated to providing you with high quality, personalized back and neck care. Its just a sort of sensitivity I havent had since the surgery. Disc degeneration and herniation are common back problems leading to surgery. thank you, I truly appreciate your answer. Avoid lifting heavy objects until you are fully recovered and given the O.K. These can include: blood loss. Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation. The symptoms of disc herniation include radicular pain radiating in the thighs and the legs. While conservative, nonsurgical therapies may provide relief for some, other individuals dont have substantial improvement from physical therapy or activity modification. Other than swimming, exercise and two hour-long walks a day, I have been spending most of my time in bed for the rest of the day. Started neurontin this week. For example, your surgeon may perform a lumbar microdiscectomy to remove the herniated portionof a lumbar discin your lower back. One possible source of this type of secondary nerve irritation is piriformis syndrome, which refers to issues with a muscle deep within the buttocks called the piriformis muscle. Using small surgical tools, your surgeon will create a tiny incision and move aside the muscles and nerve root. Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Nonsteroidal anti-inflammatory drugs (NSAIDs). muscle, ligament, or nerve damage. For the average patient, there are no permanent restrictions after a microdiscectomy. If you or a loved one suffer from backor neckpain,call The Spine Center today at(847) 628-8147toschedule a consultation. Can;t wait until Monday a.m. to call his office again. A burning sensation after spine surgery can be the direct result of these muscles and ligaments repairing themselves during the healing process. You will be fatigued the first couple of days until you develop stamina.