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  • Avatarzzab
    Participant
    Post count: 7

    Thanks Doc! Last question. I just want to make sure I understand this correctly. Are you saying the nerve irritation can also cause other symptoms such as minor low back aches, not just sciatic symptoms

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7626

    Yes

    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.
    Avatarzzab
    Participant
    Post count: 7

    Hi Doctor,

    It’s been 5 weeks since my operation and I am happy to report the opposite side pain I was having has pretty much gone away. Also the sciatica on my left side has improved. Now I only feel light traces maybe a few times a day, sometimes none at all.

    However, it seems like as soon as my opposite side pain disappeared, I started having some pain right around the location of the incision site. I hadn’t had pain here since the first two weeks after the operation. The pain isn’t too intense, maybe 3/10 and it feels the worst when sitting for prolonged times. It doesn’t feel like surface pain either although I still have a bit of swelling. I’m still at the point where my back is kind of achy after sitting all day although I get up every 20 minutes and mix in short 2 minute walks and standing.

    1) Is the pain I am now having around the incision site any cause for concern? I know the nerve pain can take months to resolve but does the same go for general low back achenes/pain. 2) How long does it typically take a patient to feel 100% after a microdiscecotmy? As in they can sit all day, take long walks and basically live life without limitations and have no pain. My surgeon said it would take 6 months to feel 100%. Do you agree?

    • This reply was modified 2 months ago by Avatarzzab.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7626

    Minor incision pain can linger for 3-6 months in some individuals so nothing at this point to be concerned about. Some patients feel 100% right after surgery but most do take about 4-6 months to feel that way.

    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.
    Avatarzzab
    Participant
    Post count: 7

    Hi Doctor,

    Today marks 12 weeks since my L4/L5 microdiscetomy. Overall I am feeling pretty good but had a question regarding some nerve sensations I am still having. After about the 8 week mark the numbness, opposite side pain and little tweaks and twinges seemed to go away. The only remaining issue I had was first thing in morning while still in bed, I could feel my left side nerve root upon first waking up. I would only feel this while still in bed stretching my legs out and rolling around but as soon as I got out of bed I wouldn’t feel it for the rest of the day. Pain wise it didn’t hurt or anything, nothing like the sciatica sensations I had prior to surgery. Weeks 9-11 this feeling finally went away until this past week.

    I went for a 1 hour walk through some nature trails, roughly 2 miles this past Saturday and since then this nerve sensation I was feeling in the mornings has come back. It has even stayed with me upon waking up and even for a few hours into the morning. Again, it doesn’t really hurt and does not affect my daily activities, it’s just a bit noticeable. My rehab has been three 10 minute walks a day so this 1 hour walk was by the far the farthest I pushed myself in a long time.

    Do you think this is just nerve inflammation from the long walk and will fade as I continue to heal? If so should I expect this to full subside over the next 3 months? If it was a re herniation would the pain likely be much more severe?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7626

    Your symptoms are not atypical. The root can be sensitive for about 6 months so activity aggravation can occur. You can ask your surgeon to see if he or she will approve of NSAIDs or even a short course of oral steroids. Or you can just wait it out. You would know if you had a recurrent herniation and use much different modifying words (“miserable, difficult, impairing”).

    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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