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If I lived in the US, I would certainly choose you to be my doctor. 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? Sometimes this is a temporary condition as the nerve root or roots take time to heal. Did your little test and can just barely get my toes off the floor on my left foot. Areherniationafter microdiscectomymay occur in the immediate postoperative period, a few weeks to few months after the surgery, orwithinyears following the surgery. 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. (pain radiating down the back of the leg) after total discectomy, another discmay have become herniated. Using small surgical tools, your surgeon will create a tiny incision and move aside the muscles and nerve root. Long-Distance Consults & Medical Legal: 888-888-5310, Request a Diagnostic or Surgical Second Opinion. Usually, patients are discharged either the same day or the day after their surgery. ITs sitting that brings it on. The most common reason to have a microdiscectomy is to alleviate nerve pain that has not resolved within a reas. The first month after my microdiscectomy was pretty much all about recovering from the surgery itself. It takes time for this swelling to reduce as noted before. During the initial 2 weeks after a microdiscectomy surgery, the pain is most intense. Ive been reading through many of these questions and respons 38 year old male, 5'8 165 pounds. See Medications for Back Pain and Neck Pain. is a fellowship trained, board certified orthopedic surgeon who has been practicing since 1999 and specializes in complex spinal treatment. However, there can be limitations to L4-L5 surgery as it is one of the lowest weight-bearing discs of the body. Minimize your risk forreherniationby not smoking, watching your weight, and eating a balanced, back-healthy diet. The foot drop thing is exactly what isgoing on. For editorial comments and questions, you can reach Dr. Bergin via email. Unfortunately, even with a well-done surgery, the patient may develop similar symptoms due to inherent problems with his or her 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. 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. If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. Christopher J. Bergin, M.D. It is our goal to provide the highest level of care and service to our patients. There is close to 10 cm line in my right buttock that is tender to the touch. Dr. Bergin has a special interest in medical research and maintains membership in the Scoliosis Research Society. Now considered the gold standard treatment forremovingherniated lumbar disc tissue, a microdiscectomy procedure is an ultra-precise method that requires only atinyincisioncausing minimal disruption to surrounding healthy tissue. Herniation can occur due to back injuries, undue spinal stress from heavy lifting or participation in sports, and even the normal aging process as the spinal discs dry out and become more brittle, forcing a disc's outer membrane to crack and its inner core material to ooze out. 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. This is actually a very common occurrence but typically does not cause symptoms. His nurse PT followed-up with me after surgery and was the one to release me to come home from hospital. Ideally, after an L4-L5 matrix microdiscectomy, you should get pain relief. Post-op pain after spine surgery is to be expected in small amounts. Your browser is out of date. 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. Good night. outpatient procedure thats performed underanesthesia. version of the surgerythatcan be performed on various parts of the spine. As fellowship-trained physicians with over50 years of experiencetreating spinal conditions, we offer patient recommendations for treatment, including conservative care, non-operativetreatment, and sophisticated, customized surgical solutions. Another reason that the pain could be continuing is because of an unsuccessful surgery, which is a risk one takes before undergoing the procedure. Sciatica is a pain condition caused by compression of the spinal nerve. 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. 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. Based onfollow-upstudies, recurrent lumbar disc herniation only occurs inroughly 10%ofallmicrodiscectomy patients. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. I am happy to tell you that the buttock pain reported before has significantly subsided. Sciatica pain starting 3 weeks after discectomy. 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. Spinal discectomy surgery is a minimally invasive keyhole procedure in which a surgeon removes all or part of a disc in the patients spine. If your doctor prescribesmedicationfor you to help with pain or inflammation,take it asprescribed. If this service is not available, try to do activities at home that mimic your daily work schedule to develop muscular conditioning and a reserve for the initial days at work. Yes, a swollen nerve can mimic the same, but less severe pain from the herniated disc. If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. The Affected Nerve Root May Need Some Time to Heal, The Initial Diagnosis Might Have Been Incorrect. Dr. Cross notes that SI joints normally move less than 1 millimeter. For full benefit/risk information, please visit. 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. Your doctor made a 1- to 2-inch cut (incision) in the skin over the spine. I thank you from the bottom of my heart for your answers. You must be logged in to reply to this topic. 1 Leg and Buttock Pain After Spinal Fusion Surgery. My health is my most important concern, will just have to see how things go. If you or a loved one suffer from backor neckpain,call The Spine Center today at, once per month - call 847-628-8147 to confirm, Anterior Cervical Discectomy and Fusion (ACDF), Total Disc Arthroplasty & Total Disc Replacement, Non-operative Treatment of Idiopathic Scoliosis, Treatment of Degenerative Spondylolisthesis. The disc may press on the spinal nerves and cause pain and numbness in the buttock and leg. I am extremely grateful for the opportunity to have an answer to my question from you. The best way to avoid pain and other issues after surgery is to choose a procedure that has minimal risk. In the weeks following your procedure, contact your surgeon right away if your numbness or pain increases significantly. All me back pain was home as soon as Hey All. The patient reported a new pain experience on the left buttock that started insidiously two weeks after discharge. Usually, the first signs of healing appear within the first 2-4 weeks after the procedure, and after 12 weeks, the patient should be able to return to everyday life. The two year anniversary of my microdiscectomy recently passed and I thought I should write an update on the long term effects of a microdiscectomy! is 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. Aspineinjury mayalsolead torecurrent disc herniation, such asthosecaused byrigorous sports activities or motor vehicle accidents. Intense pain is common in the days following a laminectomy. One possibility is the surgeon could have accidentally missed a piece of bone, or a particle of the herniated disk. All rights reserved. Hold the press-up position for 2 seconds, and then slowly lower back down to the starting position. You may need oral steroids. Microdiscectomy is surgery to remove part or all of a bulging or damaged (herniated) disc in the lower spine. C7-T1 Post operative pain - Neurology Pain Around Belly Button | 10 Belly . You can clean the incisionsitewith a towel, but care must be taken to prevent the surgical tape from coming off. 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. You will beaskedto keep theareaclean and to cover it while bathing or showering. Limit ice or heat therapy applications to 15 or 20 minutes at a time, with at least 2 hours of rest in between, to optimize tissue response between applications. These can include: blood loss. Repeat the exercise for 10 to 15 repetitions. This website is the stand out source for me. The doctor put surgical tools through the . Contact sports, heavy lifting, and other strenuous activities may still be avoided. The great thing is that there is NO pain in my back!!!! If you are tempted to do so, ask a friend or family member todo the heavy-lifting foryou instead. 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. When lifting heavy objects, keep yourback straight and use your knees to lift rather than your back. Be sure to check in with your healthcare provider before starting this exercise to ensure it is safe for you to do after your lumbar laminectomy and discectomy surgery. You can develop a seroma (a collection of fluid post-operatively) that temporarily will partially compress the nerve after surgery. What causes reherniation after microdiscectomy surgery? We have asolidcommitment to excellence in diagnosing and treating spinal injuries and conditions spanning all age groups. This should improve in the weeks after surgery. The most common is inflammation. Althougha minimally invasive procedureisoften considered the best practice for dealing with damaged spinal tissue, no surgery is completely without risk. If you find yourself not needing to take pain medication, you should be able to operate a motor vehicle within a week of surgery. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. Still, because lower back pain can be the result of other problems apart from a bulging and/or herniated disc, it may persist after the surgery. Could this new pain be a sign of a still existing compression, or is the nerve just saying hello, I am alive? Started neurontin this week. "Research has shown that microdiscectomy has a success rate as high as 90 percent in alleviating nerve pressure and eliminating pain," Dr. Liu says. Maintaining spinal mobility is key to the healing process. Talk to a physical therapist about "gentle exercises" to perform during the early postoperative period. In severe cases, patients may also have less control of bladder or bowel function control. an infection in . 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. With our numerous combined years of experience, we are confident we can design the optimal pain management plan to address your individual needs. Scar tissue forms with all surgeries, but it sometimes becomes an issue if it forms around a nerve root. Depending on theindividual, every microdiscectomy recovery proceeds slightly differently. Weeks 4 and 5 I started noticing improvement. Piriformis syndrome after lumbar spine surgery was defined as persistent or newly developed sciatica after surgery, sciatic notch tenderness and induced sciatica, and positive Freiberg sign. Same as you, the right foot is fine. Your body naturally wants to rest during this period, as pain and fatigue are at their highest. If your doctor prescribesmedicationfor you to help with pain or inflammation,take it as. Exercise about a half-dozen times daily for six weeks or more after surgery. Could it be that the nerve is just waking up and healing? by your doctor. These differences may be due to compression at another site or a nerve root tethering to epidural fibrosis. 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. Dont stand forextended periodswithout putting one foot up on something and alternating feet every few minutes. A reherniation after microdiscectomy may occur in the immediate postoperative period, a few weeks to few months after the surgery, or within years following the surgery. Nerve tingling or paresthesias are common post nerve decompression. I have nerve issues in the lumbar and my spine doc is in denial - advice? 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. Most postoperative patients with herniated lumbar disc complained of lower leg radiating pain (LRP), referred buttock pain (RBP), and low back pain (LBP). It is our goal to provide the highest level of care and service to our patients. For example, acetaminophen is in many common drugs, including cold medicines, which could lead to an overdose if labels are not read. I have not spoken with him since right before my surgery that a.m. in the operating room. so i received the microdiscectomy on march 12 of last year. Barricaid is FDA-approved for sale in the U.S. Barricaid is not available in Europe.For complete risk-benefit information:barricaid.com/instructions-for-use, Potential Reasons for Lingering Leg Pain Following a Microdiscectomy, A microdiscectomy is a fairly common type of spine surgery, and its one that often produces beneficial results, including a noticeable decrease in discomfort. "Because the procedure is minimally invasive, it results in less tissue destruction and leaves fewer reasons to restrict a patient's activities following surgery and a quicker discectomy recovery.". Although its important to take it easy and rest, you need to maintain some level of activity at home. This type of postoperative pain is commonly called failed back surgery syndrome because you've swapped out one type of pain for another. Study design: A single-center retrospective study. Anyways, this newly developed, post-surgical buttock pain hasnt resolved even after 2 weeks. Endoscopic Spine Surgeon Dr. Kaixuan Liu Offers Tips to Speed the Recovery Process after a Microdiscectomy. "The bottom line: use common senseeverything in moderation. The nerve root when decompressed, can swell. 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. 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. During the physical exam,your surgeonmay look for pain during specific movementsand performa power/sensory examination of your lower extremities. Understanding why this might be normal would be really helpful to keep going without loosing hope. Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Its not extreme. Before a new MRI is ordered, I will give the patient an oral steroid to reduce inflammation. A herniated disk can irritate or press on nearby nerves. please update to most recent version. is surgery that creates space by removing the lamina, the back part of the vertebrae that covers your spinal cord. Yet another reason why a patient may experience pain in their lumbar region is reherniation after laminectomy. Sleeping properly is highly recommended as it is key to rest and tissue recovery. Most patients are gradually weaned off opioids over a period of 1 to 2 weeks. 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. The bones help protect the cord . The best wayfor them to diagnose the problem isthrough physical examination findings correlated with imaging studies (MRI, CT scan, X-rays, etc.). A burning sensation after spine surgery can be the direct result of these muscles and ligaments repairing themselves during the healing process. For example, the incomplete removal of herniated disc material or inadequate closure of a significant gap in the annulus may lead to reherniation. . with afellowship-trainedorthopedic surgeon. However, if the pain persists or gets worse over time, there might be some other issue at play, such as apinched nerveor sciatica pain. I sincerely thank you for your helpful advice. Called my surgeons office, spoke with nurse, seemed to care less-pain getting worse-follow-up appointment not until four more days!!! This is called recurrent disk herniation. Right after your procedure, any numbness will likely not be any cause for concern. 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. However, long-term LBP due to degenerative changes in the disc may occur postoperatively . This could signal another, more serious issue. prescribed. Did I herniated my disc again by starting to walk and even drive too soon after the surgery -- the next day? You stated that you went back to work too soon-what time frame are you speaking of? To get the full experience of this website, Tagged:leg symptoms after a lumbar microdiscectomy. As a patient, knowing the telltale signs ofreherniationafter microdiscectomy surgery will help ensurethat you get the care you deserve. , the top reason for leg pain after a microdiscectomy or similar decompression procedure is an incorrect initial diagnosis. If youhave diabetes, practice good blood glucose management. This problem is often resolved with physical therapy, although minor surgery may be needed in some situations. 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 :')! While it is hoped that any accompanying back pain . They can perform the surgery in a couple of ways: An open diskectomy is done with a cut in your back .