I still have the same foot pain as before surgery. Thank you for your answers and your advice. You must be logged in to reply to this topic. Post-Surgery Inflammation Shortly after a discectomy or a less invasive microdiscectomy is completed, you may not immediately notice any pain until the anesthesia wears off. Yes, a swollen nerve can mimic the same, but less severe pain from the herniated disc. For example, your surgeon may perform a lumbar microdiscectomy to remove the herniated portionof a lumbar discin your lower back. . Finally, seroma formation can occur. Even though the nerve is injured at the spine, it feels like the pain is coming from the . Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015, Pain Management After Microdiscectomy Surgery, Microdiscectomy Spine Surgery: Risks, Complications, and Success Rates, Microdiscectomy Surgery Video: A Spine Surgeon Explains the Procedure, nonsteroidal anti-inflammatory drugs (NSAIDs), Postoperative Care for Lumbar Microdiscectomy Surgery, Lumbar Microdiscectomy Recovery: Discharge to 14 Days, Lumbar Microdiscectomy Recovery: Weeks 2 to 6, Lumbar Microdiscectomy Recovery: Weeks 6 to 12, What Causes Buttock Muscle Pain and How to Relieve it, Piriformis Syndrome: When the Symptoms Indicate a Medical Emergency, Massage to Reduce Buttock Muscle Pain from Piriformis Syndrome, Suffering from Lumbar Spinal Stenosis? In a large-scale study, 95 percent of Barricaid patients didnt undergo a reoperation due to reherniation in a 2-year study timeframe. Exercise about a half-dozen times daily for six weeks or more after surgery. You will beaskedto keep theareaclean and to cover it while bathing or showering. A gradual return to more low impact activities is encouraged. Marc J. Levine, MD 1 Hamilton Health Place, Suite 101 Hamilton, NJ 08690 Phone: 609-917-7720 I am still having burning pins and needles in my ankle and lower leg even though the nerve is no compressed. However, there can be limitations to L4-L5 surgery as it is one of the lowest weight-bearing discs of the body. Work hardening is a specialty in physical therapy so you might contact a specialist to see if they can help you. Did I understand that correctly? Could it be that the nerve is just waking up and healing? 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. Obtain Long Term Pain Relief. procedure may eventually be discussed and recommended. After 6 months of phyiscal therapy and epidural steroid injections I opted for surgery which was done 4 weeks ago. You can expect your back to feel stiff or sore after surgery. Risks and side effects. The pain was constant burning at the left pelvic region, with sharp shooting pain in the left leg. I have not spoken with him since right before my surgery that a.m. in the operating room. Obviously, I need to do a fresh MRI with gadolinum to discover whats truly happening. 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. One reason for continued pain even after a discectomy could be a misdiagnosis. The risk of falling is too great and I'd hate to damage what good has already been done. FAQs About Minimally Invasive Spinal Surgery, The Benefits of Minimally Invasive Spine Surgery. 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? Sometimes, the pain localises solely to one or both buttocks. I had a discectomy done in 2000..I had a severe herniation in lower level (L4/L5)..the discectomy helped, but I went back to work too soon, over did it, and ended up having to get it fusedIt ended up, bone on bone, so they fused itI had the same symptoms as you, with the pain in my butt after surgery..it was so bad, I could hardly take it..my doc put me on a 5 day dose pack of steroids, and boy o boy did it workit sounds to me like you definitely have the foot drop thing going onfoot drop develops from the nerve being pinched in your back, cutting off the mobility in the lower leg and footI had it so bad, that I was tripping, and falling alotthe classic test to do to see if you have foot drop is to stand up against a wall, feet, legs, butt, back, shoulders touching the wallonce flush against the wall raise the front of your feet, keeping your heels on the groundtry to get the front of your feet as high as you can, keeping your heels on the groundMy doc did this test with me, and my right foot went up, but the left stayed on the floor..he told me that my case of foot drop was the worst he had ever seenfortunately, after the fusion, it came back, and now It's back 100%some people aren't so fortunateit does however take time to come back..some cases up to a yearyou have to be patientI really think you have the symptoms of foot drop..has your doc mentioned this to you/and or explained it?the tingling is from nerve pinchingthat nerve is super pissed off, hence the pain and tinglingmake sure you mention to your doc the oral steroids..if I were a betting woman, I bet that would relieve your pain, and reduce the swelling of the nerveplease keep me posted, and good luck with itif you don't have one already, I suggest using a cane to walk around with..I used one, and it helped me so much..especially with the foot dropkeep me posted.. to our patients, deliveredwith integrity and honesty in a cohesive, family-like environment. Prescription non-compliance can cause side effects and other consequences that place your health and wellbeing at risk. please update to most recent version. Get Veritas Health Newsletters delivered to your inbox. For patients experiencing nerve pain from a herniated or bulging vertebral disc, significant weakness and numbness can result in the legs and buttock areas that correspond with the pinched nerve. The symptoms of disc herniation include radicular pain radiating in the thighs and the legs. To alleviate any concerns you might have, your surgeonwillcover any potential complicationsbeforethe procedure. Although the surgery itself ismuch less invasive thantraditionalprocedures,a long-termmicrodiscectomy success ratedependson followingyourdoctorsspecific recoveryinstructions. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. By using this Site you agree to the following, By using this Site you agree to the following, Postoperative alif fusion pain in back of both legs, I have severe left hip and groin pain after a fusion. If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. We have a strong commitment to excellence in diagnosis and treatment of spinal injuries and conditions spanning all age groups. There can still be chances of symptoms despite a successful surgery due to the body mechanics. While it is hoped that any accompanying back pain . so i received the microdiscectomy on march 12 of last year. Usually, patients are discharged either the same day or the day after their surgery. Book an appointment with our board-certified orthopedists at Comprehensive Spine Institute by calling (727) 300-2537. The best wayfor them to diagnose the problem isthrough physical examination findings correlated with imaging studies (MRI, CT scan, X-rays, etc.). 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. Abstract. This seroma should resolve in 2-3 months. Tagged:leg symptoms after a lumbar microdiscectomy. Stopping halfway because you are feeling better, or quitting early on for other reasons, could result in a relapse of pain that causes you to need additional medical treatment. While conservative, nonsurgical therapies may provide relief for some, other individuals dont have substantial improvement from physical therapy or activity modification. However, if leg pain continues after 2 or 3 months, talk to your doctor or surgeon.The Initial Diagnosis Might Have Been IncorrectAccording to Spine Health, the top reason for leg pain after a microdiscectomy or similar decompression procedure is an incorrect initial diagnosis. If you are tempted to do so, ask a friend or family member todo the heavy-lifting foryou instead. These patients may benefit from a minimally invasive surgery called microdiscectomy, which is considered the gold standard surgical treatment for disc herniation. 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. We have asolidcommitment to excellence in diagnosing and treating spinal injuries and conditions spanning all age groups. Fit and muscular. Instead, take up walking, swimming, or another low-impact form of exercise. AtTheSpine Center, were dedicated to providing you with high quality, personalized back and neck care. The doctor willthenonlyremovethe damaged portion of the disc. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. 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 you have any questions, your doctor or physical therapist can provideinsighton what you should be doing. Ususally, movement of the low back reproduces pain in the buttock. Some pain in the back or buttock region post-op is completely normal. This problem is often resolved with physical therapy, although minor surgery may be needed in some situations. If the drainage fluid is thin, watery, and pinkish red, there is likely nothing to be . 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. 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 . This can take days to weeks. A microdiscectomy that does NOT make your pain go away is called Failed Back Surgery Syndrome (FBSS) by The World Health Organization. I have a sitting job, 3 hours total commuting per day. Lumbar discectomy is a type of surgery to fix a disc in the lower back. 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. "Endoscopic microdiscectomy is the modern approach to repair herniated discs," Dr. Liu states. A herniated disk can irritate or press on nearby nerves. ligamentum buckling or hypertrophy in cervical spine. All rights reserved. It results from the inflammation of the sciatic nerve in your lower back. Ive been reading through many of these questions and respons 38 year old male, 5'8 165 pounds. 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. Removing partor alloftheoffendingdischelpsaddress pain, numbness, weakness, balance issues, or mobility problems. 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. Talk to a physical therapist about "gentle exercises" to perform during the early postoperative period. I had already decided to play it safe and use a cane. I received 2 spinal injections to try to calm the inflamation and nothing worked. "Research has shown that microdiscectomy has a success rate as high as 90 percent in alleviating nerve pressure and eliminating pain," Dr. Liu says. For the average patient, there are no permanent restrictions after a microdiscectomy. Recovery may not take place but read this to understand the type of nerve damage that can occur and how muscles recover from this injury. Microdiscectomy is an advanced surgical technique that is much less invasive. I swam close to an hour and a half (with pauses in between, obviously) and afterwards I felt amazing, the nerve pain was reduced by a half. Why Seek a Second Opinion Before Your Spine Surgery? If those dont do the trick, an epidural steroid injection may also begivento manage the symptoms. Before going home,someone will instruct youon how to care for the incision site, along with activities to avoid. Resume driving when you can turn your head and look over your shoulder without pain. A lumbarmicrodiscectomymay become necessarywhen a herniated lumber disc affects one side of the body. Will let you kow how things go. All I feel is the tightness in my hamstrings, no stabbing pain like before. 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. I thank you from the bottom of my heart for your answers. During the physical exam,your surgeonmay look for pain during specific movementsand performa power/sensory examination of your lower extremities. This website is the stand out source for me. Otarbo Home Search Home Search buttock pain after microdiscectomy (2022) June 9, 2022 . 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. Ifback and leg pain from disc problemsreturnafter surgery, your surgeon will need to determine where the pain is coming from and take the necessary steps totreat the problem. Also known as spinal decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves and is typically performed on patients with severe symptoms or those with symptoms that are worsening dramatically. Thats going to be almost 12 hours on my feet a day. 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. Patients with a large hole in the outer ring of the disc are more than twice as likely to reherniate after surgery. Following microdiscectomy surgery, patients may undergo a physical therapy program for stretching, increased strength, mobility and aerobic conditioning to prevent recurrent back pain or disc herniation. 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. Regarding your situation, I think pain is normal after a microdiscectomy. Nerve tingling or paresthesias are common post nerve decompression. Had microdiscectomy L 4/5 on 08/13/09. You may not have a high pain tolerance but you do have a high pain medication relief level. Disc degeneration and herniation are common back problems leading to surgery. Below are a few reason why leg pain may . I will keep going with my phyisical therapy, perform gentle stretches additionally and contact my surgeon again if things havent improved after 12 weeks? Could this be a reherniation? Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. If you try to work through the pain, you could be causing yourself more harm than good and risking recurrence of herniation." This website is the stand out source for me. The most common reason to have a microdiscectomy is to alleviate nerve pain that has not resolved within a reas. You must be logged in to reply to this topic. If I lived in the US, I would certainly choose you to be my doctor. 2 days after my surgery my pain came back full throttle and worse than before. I had l4/l5 discectomy 25 days ago, because I suffered from lower back pain that quickly was replaced by a persistant almost daily sciatica for almost 4 months. During the initial 2 weeks after a microdiscectomy surgery, the pain is most intense. The disc may press on the spinal nerves and cause pain and numbness in the buttock and leg. 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. Sciatica is the type of pain that originates in your lower back and typically radiates down one or both of your legs. Anyways, this newly developed, post-surgical buttock pain hasnt resolved even after 2 weeks. The movements you notice that increase symptoms all stretch the nerve root so this would be expected for 4-12 weeks. What follows is a snapshot of life after a microdiscectomy, along with common microdiscectomy recovery mistakes that everypostoperativepatient should avoid. Since you are only four weeks out and better than prior to surgery, the nerve is probably still swollen. 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. When that happens, patients may experience symptoms that arevery much likethe original complaints of disc herniation. Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation.

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