8 months Post Op Still Experiencing Sciatica & Fasciculations In Calfs

///8 months Post Op Still Experiencing Sciatica & Fasciculations In Calfs
8 months Post Op Still Experiencing Sciatica & Fasciculations In Calfs
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  • Avatarjep4
    Participant
    Post count: 2

    Dr. Corenman,

    I had a surgery November 7 2018.

    Procedures Performed:
    1. Bilateral L4-L5 excision of extradural epidural lipomatosis.
    2. Bilateral L4-L5 interlaminar laminotomy, medial facetectomy, and foraminotomy with central to lateral decompression.
    3. L4-L5 cauterization of exuberant epidural vasculature.
    4. Left L4-L5 microsurgical diskectomy under direct visualization.
    5. Intraoperative utilization of microscope and microsurgical techniques.
    6. Utilization and interpretation of intraoperative fluoroscopy.
    ‘Furthermore, we identified 3 huge traversing epidural veins dorsal to the
    exiting nerve root which crossed over the exiting nerve root and
    over the traversing nerve root. We cauterized these vessels.’

    My surgeon is saying that I may have chronic nerve damage which is causing the sciatic pain and fasciculations in my calfs “that I waited too long to have the surgery.”
    Back pain is because L4/5 disc is degenerative.

    Had MRI 3 weeks ago showed nothing touching the nerve.
    I had bi-lateral epidural @ L5 3 weeks ago caused more issues

    Is this abnormal to have these symptoms this many months post-op?
    What would you recommend next?

    Kind Regards,

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6840

    How do the current symptoms compare with the pre-operative symptoms? Are they the same but more or less intense, different or are there new symptoms? Try and be specific with the comparison. How is your activity status since surgery. Can you do things you couldn’t do before or are you more limited?

    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.
    Avatarjep4
    Participant
    Post count: 2

    Dr. Thank you for replying.
    The current symptoms are less in-terms sciatica but still get flair ups on both legs. Mostly the left side which was the main culprit pre-surgery. Calf twitching is the same if not more intense since surgery, my calfs will cramp up as well for days.
    I work with a very high-end PT who works with a lot pro athletes- we were progressing nicely until I tried some impact drills in June as well as I tried to hit golf balls in early June – in turn both incedences caused flare ups on both sides of my legs. Pre-surgery I was doing high end activities with my PT just couldn’t get running/ impact & swinging a golf club / rotation.

    Should I be further a long in my recovery at this point almost 9 months post-op. Should I be running and swing golf clubs pain free as well should twitching & cramping in calfs be gone.

    What do you suggest Doctor Corenman?

    Many Thanks- PS – Dr. Philippon operated on my hips three times in 2006, 2007 & 2009

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6840

    You need to be more specific regarding your symptoms. Please review this: https://neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-lower-back-and-leg-pain/ and report back.

    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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