Hi, I am new to the forum, I suffered gunshot injury to my left buttocks and I have a footdrop, numbness on the foot and on the parts distal to the nerve Its been 6months of physical therapy. This can take days to weeks. Repeat the exercise for 10 to 15 repetitions. Dr. Cross notes that SI joints normally move less than 1 millimeter. Also, other tests, such as the slump test and straight leg raise, are positive for pain in the buttock. Diskectomy works best for treating pain that travels down the arms or legs from a compressed nerve. "Research has shown that microdiscectomy has a success rate as high as 90 percent in alleviating nerve pressure and eliminating pain," Dr. Liu says. My sciatic nerve was crushed and I have been unable to walk and have been in constant agonizing pain for six months. 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. Same as you, the right foot is fine. Contact: Orthopedic and Spine Institute. Thanks for the response. You stated that you went back to work too soon-what time frame are you speaking of? While most people who experience sciatica will not require surgery, if all other treatments . Vic1979. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. Standing, walking, swimming wasn't a big issue, however sitting down was . Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. muscle, ligament, or nerve damage. after undergoing a lumbar microdiscectomy procedure. Living with a pinched nerve causing both leg and buttock pain can be agonizing. Hold the press-up position for 2 seconds, and then slowly lower back down to the starting position. In this case, the source of the pain will continue since the direct cause of the issue was not pinpointed properly. 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. A lumbar microdiscectomy surgery is typically performed to alleviate the symptoms and signs of sciatica in the lower back and leg caused by a lumbar disc herniation. trained physicians with over 50 years of experience, treating spinal conditions, we offer patient recommendations for treatment,including conservative care, non-operative treatment, and sophisticated, customized surgical solutions. Can;t wait until Monday a.m. to call his office again. All me back pain was home as soon as Hey All. You can develop a seroma (a collection of fluid post-operatively) that temporarily will partially compress the nerve after surgery. Oh and also, before surgery, I did have right side thigh pain, but not for long, as I decided surgery was my best option pretty soon, so I guess it didnt have time to develop. 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. Get Veritas Health Newsletters delivered to your inbox. Additionally, he is very active in the Global Spine Outreach, an international initiative that provides treatment for Cali, Colombia children with spinal deformities. I am aware it might not be a positive test, but I was just wondering whether it meant anything. I, also, had a discectomy done due to a severe herniation in lower L4/L5. Within 24 hours of surgery, you should be up and moving around. Its not painful. Yet another reason why a patient may experience pain in their lumbar region is reherniation after laminectomy. Similarly, a thinned-out and stretched- out annulus place the patient at higher risk for reherniation, along with a wide incision of the annulus during surgery. The doctor willthenonlyremovethe damaged portion of the disc. However, if you have lingering pain for days after your doctor told you it should be subsiding or the pain is getting worse, you should letthemknow. This problem is often resolved with physical therapy, although minor surgery may be needed in some situations. A burning sensation after spine surgery can be the direct result of these muscles and ligaments repairing themselves during the healing process. The disc may press on the spinal nerves and cause pain and numbness in the buttock and leg. If you try to work through the pain, you could be causing yourself more harm than good and risking recurrence of herniation." In some cases, areherniationmightpresent in the form of back pain up to two years after a microdiscectomy. The best wayfor them to diagnose the problem isthrough physical examination findings correlated with imaging studies (MRI, CT scan, X-rays, etc.). 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. AtTheSpine Center, were dedicated to providing you with high quality, personalized back and neck care. Discectomy surgery requires your surgeon to make a small incision and navigate carefully around the muscles and nerves of the spine in order to reach the spinal disc (s) in need of removal. There was an immediate relief to my back pain. It depends upon the caliber, velocity, distance from the muzzle and the path of the bullet. Otarbo Home Search Home Search buttock pain after microdiscectomy (2022) June 9, 2022 . Is there a way to increase my physical fitness before work, so that the chance of having pain during the workday stays minimal? Although weakness has improved, pain and burning sensation has also reduced, I cannot stil lift my foot from the ankle or make a single twist or movement of my toes.. No dorsiflexion or plantar flexion, MRI results revealed thickened edematuos(10mm) sciatic nerve plexus on the left side with grade 1 muscle edema within the gluteus maximus, sub acute denervation muscle changes in the form of combination of athropy /fatty replacement along the territory of the injured sciatic nerve, During therapy, when The (EMS) machine pads are placed on myL5region using interrupted currents, my muscles contract and my foot is lifted up but when faradic current is set It doesnt contract, what could this mean? Called my surgeons office, spoke with nurse, seemed to care less-pain getting worse-follow-up appointment not until four more days!!! See Medications for Back Pain and Neck Pain. any advise? Usually, the restrictions after lumbar discectomy involve avoiding twisting the spine, especially while lifting heavy things. Its been 4 months post surgery, but my pain status varies and fluctuates day to day. https://neckandback.com/conditions/peripheral-nerve-anatomy-neck/. I received 2 spinal injections to try to calm the inflamation and nothing worked. Stronger painkillers, such as opioids, are typically used in combination with nonsteroidal anti-inflammatory drugs (NSAIDs). C7-T1 Post operative pain - Neurology Pain Around Belly Button | 10 Belly . The doctor took out pieces of bone that were squeezing the spinal cord and nerves. I highly recommend Dr. Corenman and the Steadman Clinic. Although its important to take it easy and rest, you need to maintain some level of activity at home. Acute pain is more likely the result of recurrent disc herniation following a shift in weight distribution across the vertebral levels. 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. Depending on theindividual, every microdiscectomy recovery proceeds slightly differently. Could this new pain be a sign of a still existing compression, or is the nerve just saying hello, I am alive? It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. version of the surgerythatcan be performed on various parts of the spine. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. Galvanic current has long duration impulses selections that can be used to stimulate dennervated muscles. For instance, if a herniated disc was irritating a nerve for a while before your surgery, it could take a few weeks or more for the affected part of the nerve to fully heal and recover. Research has established that the SI joint is the source of pain in nearly half of patients who experience new or continued low back pain after fusion surgery. This pain is really a "pain in the butt." One more thing gritch..DON'T OVER DO IT!! The Affected Nerve Root May Need Some Time to HealOne reason your leg may still hurt after microdiscectomy surgery is because of the way compression can affect nerve roots. Recognizing any of these conditions requires a repeat MRI with gadolinium. Pain from a spinal stenosis may be resolved with decompression surgery. Endoscopic Spine Surgeon Dr. Kaixuan Liu Offers Tips to Speed the Recovery Process after a Microdiscectomy. I endorse any activity that reduces symptoms and does not cause rebound increase of symptoms later that evening. These conditions will typically not resolve on their own, and will require additional treatment potentially an additional surgical procedure. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. The pain was constant burning at the left pelvic region, with sharp shooting pain in the left leg. The symptoms of disc herniation include radicular pain radiating in the thighs and the legs. If you have any questions, your doctor or physical therapist can provideinsighton what you should be doing. Learn More and Watch Our Video on Microdiscectomy for Herniated Discs. During a microdiscectomy procedure, the surgeonuses a microscope and laser toremovepart of the nucleus pulposus through a small incision (less than 2 inches). The bones help protect the cord . Next Page: A microdiscectomy is a fairly common type of spine surgery, and its one that often produces beneficial results, including a noticeable decrease in discomfort. Our physicians serve as innovators in technology, actively participate in national and international research studies, and areatthe forefront of medical knowledge. Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Nonsteroidal anti-inflammatory drugs (NSAIDs). But what if you start experiencing long-lasting pain that persists for weeks and months after your surgery? Below are a few reason why leg pain may . Work hardening is a specialty in physical therapy so you might contact a specialist to see if they can help you. Recovering from surgery to correct a herniated spinal disc is no time to sit "back" and relax. The loss of this pain after surgery is a good indicator that the nerve is relative free of compression. The butt pain is as bad, if not worse than, the original pain I was having in my lower back. FAQs About Minimally Invasive Spinal Surgery, The Benefits of Minimally Invasive Spine Surgery. For instance, if a herniated disc was irritating a nerve for a while before your surgery, it could take a few weeks or more for the affected part of the nerve to fully heal and recover. If your doctor prescribesmedicationfor you to help with pain or inflammation,take it asprescribed. An MRI will be able to determine if this is your cause of pain. Based onfollow-upstudies, recurrent lumbar disc herniation only occurs inroughly 10%ofallmicrodiscectomy patients. If you need spine surgery, consider an Inspired Spine procedure. I had a microdiscectomy>microdiscectomy close to 7 weeks ago. So I can move my chin to my chest further, for example. I am happy to tell you that the buttock pain reported before has significantly subsided. Most patients are gradually weaned off opioids over a period of 1 to 2 weeks. Buttock pain after a minimally invasive keyhole discectomy procedure is most often nerve-related. His nurse PT followed-up with me after surgery and was the one to release me to come home from hospital. outpatient procedure thats performed underanesthesia. 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? If that treatment is not effective, depending upon symptom severity, I will order an MRI. As with any form of surgery, laminectomy carries a risk of some side effects. A herniated disc may cause pressure on a nerve, resulting in intense pain in the buttocks and hip area and radiating pain, numbness, and weakness in the leg, a condition called sciatica. Fifteen cases were diagnosed as piriformis syndrome. Numbness and tingling in the leg, however, may take up to a year to resolve. It is a matter of time before the swelling recedes and the root feels better. Can't wait to try the steroid pack. At The Spine Center, were dedicated to providing you with high-quality, personalized back and neck care. Thank you very much for your reply. My health is my most important concern, will just have to see how things go. You may need oral steroids. PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. This could signal another, more serious issue. If it's worse than before your operation, I would ring your surgeon for advice. If it's similar or slightly improved to your pre-op pain, then I wouldn't panic. Is this straight leg testof any relevance for determining whether its a reherniation or not? If the entire disc is being removed, discectomies are typically coupled with a fusion procedure (in which the adjacent vertebrae are fused together for stability) or a disc replacement procedure (in which an artificial disc is placed in the spine). Spinal discs are gel-filled capsules located between the spine's bony vertebrae. Tagged:leg symptoms after a lumbar microdiscectomy. Ive been reading through many of these questions and respons 38 year old male, 5'8 165 pounds. Although it isnt very large, the incision site will probably be covered with surgical tape strips and will take about 10 to 14 days to heal. There is close to 10 cm line in my right buttock that is tender to the touch. I sincerely thank you for your helpful advice. Once you start experiencing recurring back pain,your surgeonmustdetermine if the pain is being caused byreherniationor an acute flare-up. 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 . I had to have at least 2 courses of them to quell nerve irritation post micro-D. The patient reported a new pain experience on the left buttock that started insidiously two weeks after discharge. 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. Any activity that causes the leg to bend at the hip (hip flexion) with the leg straight (no bent knee), will stretch the sciatic nerve and the hamstring muscle at the same time. These can include: blood loss. One reason for continued pain even after a discectomy could be a misdiagnosis. And although recovery from lumbar microdiscectomy is quicker and less painful than more invasive types of back surgery, youwillstill need to take some precautions. These symptoms might be annoying but dont pay too much attention to them as these paresthesias tend to go away over time. Immediately following the surgery, she developed severe pain in her right foot; 3 months later, she underwent an additional decompressive procedure. Post-op pain after spine surgery is to be expected in small amounts. In fact, in many situations, it's often possible to treat or manage lingering leg pain following a microdiscectomy with nonsurgical techniques. Before a new MRI is ordered, I will give the patient an oral steroid to reduce inflammation. Microdiscectomy is usually very effective at treating leg pain, with about a 90% success rate in relieving pain in the leg and/or buttocks. The surgery was a success in a way that my buttocks pain is much less severe now. The nerve root when decompressed, can swell. Obtain Long Term Pain Relief. We strive tooffer services to our patientsthat are efficient and professional, deliveredwith integrity and honesty in a cohesive, family-like environment. Discectomy surgery requires your surgeon to make a small incision and navigate carefully around the muscles and nerves of the spine in order to reach the spinal disc(s) in need of removal. I, for sure, do not want to have a fusion-I have heard from others what a night-mare that procedure is. 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. Since you are only four weeks out and better than prior to surgery, the nerve is probably still swollen. Peekawho is right..you probably need a dose pack of steroids..I had the same problem after my discectomy..they put me on a dose pack, and after the first pill, the pain in my butt and down my leg went away..hang in there..my surgeon explained it this way"the reason you are experiencing that pain, is because the nerve that has been pressed on by the disc for so long, is extremely "pissed off" and needs time to cool down.."it did finally cool down, with the help of the steroidsYes, be firm with the officegood luck..did you have foot drop?..if so, how severe?..and has it improved? 2 days after my surgery my pain came back full throttle and worse than before. Scar tissue forms with all surgeries, but it sometimes becomes an issue if it forms around a nerve root. If youhave diabetes, practice good blood glucose management. While conservative, nonsurgical therapies may provide relief for some, other individuals dont have substantial improvement from physical therapy or activity modification. Microdiscectomy is aminimally invasiveoutpatient procedure thats performed underanesthesia. We strive toofferefficient and professionalservicesto our patients, deliveredwith integrity and honesty in a cohesive, family-like environment. A discectomy,sometimes called apercutaneous discectomyorlumbar discectomy, involvesremoving the herniated portion of the intervertebral disc (the nucleus pulposus)that is pressing on thenerve or spinal cord. I want to write about my lifestyle, pain levels, routine, and how things are generally going two years after my microdiscectomy. This should improve in the weeks after surgery. Leg pain is definitely secondary to problems in back because there is a spinal cord from brain to the tail tip which gives branches to the legs and arms at d. Prescription non-compliance can cause side effects and other consequences that place your health and wellbeing at risk. However, some patients may have lingering leg painone of the classic symptoms associated with spinal nerve irritationafter. Viewing 6 posts - 1 through 6 (of 74 total). Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation. 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. Thank you for choosing Dr. Corenman as your healthcare provider. However, some patients may have lingering leg painone of the classic symptoms associated with spinal nerve irritationafter microdiscectomy surgery. A microdiscectomy is aminimally invasiveversion of the surgerythatcan be performed on various parts of the spine. 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. my L5 / S1 disc herniation mainly lead to severe left-side buttocks pain when stretching the nerve. In the meantime, I hope you dont mind me asking another question. They prevent vertebrae from rubbing together and help maintain spine flexibility. Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation. Thankfully, only minor complicationsusuallyresult fromalumbarmicrodiscectomy. Doc agrees it is probably permanent nerve damage. I am going back to work in roughly 10 days. As a patient, knowing the telltale signs ofreherniationafter microdiscectomy surgery will help ensurethat you get the care you deserve. During the initial 2 weeks after a microdiscectomy surgery, the pain is most intense. so i received the microdiscectomy on march 12 of last year. Here are some of the mistakes that you will want to avoid whileconvalescing after amicrodiscectomyprocedure: Youre going to be a little sore while initially recovering from surgery, and that is perfectly normal. Marc J. Levine, MD 1 Hamilton Health Place, Suite 101 Hamilton, NJ 08690 Phone: 609-917-7720 Disc degeneration and herniation are common back problems leading to surgery. The doctor willthenonlyremovethe damaged portion of the disc. It is our goal to provide the highest level of care and service to our patients. Theymay alsorecommenda diagnostic nerve root injection in cases whenan initialclinical diagnosis isnot evident. When lifting heavy objects, keep yourback straight and use your knees to lift rather than your back. by your doctor. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON. Endoscopic microdiscectomy is usually performed in the lumbar (lower) region of the back after the failure of more conservative therapeutic measures, such as light exercise, medications, hot or cold compresses, physical therapy, spinal manipulation, and epidural injections, to relieve the nerve pain of a herniated disc, according to Dr. Liu. Our physicians serve as innovators in technology,actively participate in national and international research studies,and are on the forefront of medical knowledge. I found this: faradic current having short pulse duration cannot be used to stimulate dennervated muscles as dennervated muscles require pulses of longer duration for having its effects. If you or a loved one suffer from backor neckpain, call The Spine Center today at(847) 628-8147toschedule a consultation. Results: Successful lumbar decompression or discectomy and absence of distal foraminal entrapment was . 1.4 Recombinant human bone morphogenetic protein-2. Diskectomy is surgery to remove the damaged part of a disk in the spine that has its soft center pushing out through the tough outer lining. IV pain medication is stronger than oral but you obviously can not be on an IV drip outside of the hospital without some prearranged licensed care. Its not extreme. The patients may complain of symptoms similar to the original complaints of disc herniation. Spinal intervertebral discs are the bodys shock absorbers, allowing the back to be strong, highly flexible, and resilient. One reason your leg may still hurt after microdiscectomy surgery is because of the way compression can affect nerve roots. Book an appointment with our board-certified orthopedists at Comprehensive Spine Institute by calling (727) 300-2537. 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. A new treatment, Barricaid, which is a bone-anchored device proven to reduce reherniations, was specifically designed to close the large hole often left in the spinal disc after microdiscectomy. In general, the postoperative period includes the same patient experiences. Amicrodiscectomyis a procedure used to remove all or part of a herniated disc when damaged discs are causing pain, numbness, and weakness ina patientslegs and back. This is usually done when there is leg or arm pain that radiates from the spine, caused by compression of the nerve. When discectomy is performed, improvement in LRP is observed due to spinal nerve irritation. Microdiscectomy, also called microdecompression, is a minimally invasive spinal surgery where your surgeon removes a part of the herniated disc to relieve pressure on the spinal nerves. If you are tempted to do so, ask a friend or family member todo the heavy-lifting foryou instead. As fellowship-trained physicians with over 50 years of experiencetreating spinal conditions, we offer patient recommendations for treatment,including conservative care, non-operative treatment, and sophisticated, customized surgical solutions. In addition to those resulting directly from the surgery itself or a spine injury, these lifestyle choices can increase ones likelihood for reherniation after microdiscectomy: As you can see, patient compliance plays a major role in ensuring ahealthier, more completerecoveryafter undergoing a lumbar microdiscectomy procedure. No, my doctor has not spoken with me about any of the things you have educated me about. 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. While rare, this can happen within the surgical site where the microdiscectomy was performed. Important Facts & Symptoms to Know Spinal stenosis is a condition in which the spinal canal narrows, placing pressure on the nerves that travel Correcting Your Posture & Protecting Your Spine It's no secret that good posture is important for our overall health.
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