Viewing 6 posts - 13 through 18 (of 32 total)
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  • Avatarzzab
    Participant
    Post count: 18

    Hi Dr. Corenman was hoping I wouldn’t have to write you again but I had a mishap this past Saturday and wanted to get your thoughts on what I am feeling. First I want to give you a brief recap on my recovery. Today I am 4 months post op on my L4/L5 (left leg). Recovery had been going well up to this point. I basically had no back pain the entire recovery but some lingering nerve pain that had finally subsided two weeks ago. Past two weeks I felt pretty close to 100%. I am very well read in the teachings of Professor Stuart McGill and have a solid understanding of spine biomechanics and know how to move in all aspects without putting my spine in flexation or extension. Since the 6 week mark I have been rehabbing with one of Stuart McGills practitioners so my weekly rehab program has been very calculated. My current rehab has me doing roughly 1 hour of core work a day and 30 minutes of walking so my capacity is fairly well built at this point.

    Fast forward to Saturday. I went on a nature trail hike my with girlfriend and ended up standing on top of a fallen tree that was about 2ft from the ground. I tried walking across the tree but quickly lost my balance and landed straight up on my feet but the compression from the landing did a number on my back. The impact caused a feeling in my back I hadn’t felt before and within a few minutes the area around my shin became hot and numb. It was not sciatica per se, just heat and numbness. I was able to finish the walk and do my rehab for that day but my back felt off. Sunday I didn’t really have back pain but did have more heat and numbness around my shin.

    Monday was my big scare as when I woke up I felt sore on both sides of my hips. Other than the first few weeks after surgery, I had yet to wake up in the morning with any back pain. The pain was fairy equal on both sides of my hips even though surgery was on my left side. This morning I woke up with less numbness and heat in my shin and it lasted about 2 minutes. Currently the pain around my hips is gone but my spine just feels compressed and tight right now, although overall I do feel better this morning than I did yesterday but did take an Advil before bed. I can still walk, sit, stand no problem but I obviously don’t feel as good as I did before Saturday.

    Scientifically what do you think is going on? Did I likely compress my disc and it is just irritated or could this be a possible reherniation? I thought the annulus scars over after 8 weeks or so I would hope that a straight fall compression wouldn’t be enough to reherniate.

    • This reply was modified 3 weeks ago by Avatarzzab.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7686

    You did compress your disc with more force than you’ve been accustomed to and probably caused some annular torque which “makes you feel sick in the back”. I assume your symptoms have improved and are starting to feel better now. You might try an oral steroid to see if this is inflammation driven. If the radiation of symptoms continue and don’t fade over time, a new MRI might be warranted.

    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: 18

    Hi Dr. Coreman thanks for the response! You nailed it…I definitely have a “sick in the back feeling”. I had a similar feeling the first day I started my core rehab 6 weeks after my surgery but this went away after a few days of my body getting accustomed to the core work. While I am still in pain it does seem like my symptoms have diminished a bit since Saturday. I am currently taking advil every 4-5 hours and that pretty much keeps the symptoms away.

    If it was just an annular torque does that decrease the likelihood of possible reherniation? Mechanically can annular torque cause a disc to reherniate? Also if it was an annular torque what is a standard timeframe for ones symptoms to resolve?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7686

    Reherniations can occur without nerve compression but if you herniated a substantial mass of disc, you would know it with pain in your buttocks or leg after a day or two. It should take about 4-6 weeks for an annular tear to clear in most cases.

    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: 18

    Hey doc just wanted to give you a quick update and get your thoughts on how I am feeling. 9 days since I slipped off the tree and on day 5 of a Medrol pack. Each day seems to have improved a bit but turned a corner pain wise yesterday and felt probably 80/90% of my previous self all day Sunday. No pain in the butt or anything like that just a tad achy in the lower back.

    Would you say this greatly reduces the likelihood of reherniation given how I felt yesterday or could the Medrol jut be masking my true symptoms? Also how long does Medrol reduce inflammation? Curious when I expect to see a spike in pain once it exists my body.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7686

    You will have a good baseline of how you really consider symptoms about 2-3 days after the steroid is completed. I think it is unlikely that you reherniated a large fragment.

    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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