Tagged: extremis pain
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I had a laminectomy/discectomy Nov 2015 on L5-S1. A week ago today, I was in the yard and all of a sudden a horrible pain came on. It was pain like I had before surgery, but 100x worse. Since then, I have only been able to walk with a walker, have lower back pain, tingling and numbness down both legs and into my feet. I had an mri on Monday and just got my results:
1. Degenerative changes since my last surgery (disc was already degenerative before surgery)
2. Scar tissue from surgery
3. Nerve compression
4. Bulging disc again at L5-S1.I am going to have a CT myelogram next week and steroid injections (didn’t help last time before surgery). I have horrible pain all of the time and it feels like bone is rubbing on bone. I was just wanting to get your opinion on all of this and what you think would be the best treatment option?
The MRI impression does not use modifier words (mild, moderate, severe) to describe your recurrent disc herniation. By your description, you have a recurrent herniation and this must be quite large. The need for a walker generally means that you must lean forward to open your canal to gain some relief.
I am unclear why you need a CT myelogram as the MRI is normally enough to diagnose this disorder. Based upon your pain (called “extremis”), you could be a candidate for another microdiscectomy and sooner than later.
Dr. Corenman
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. 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. -
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