I had a microdiscectomy decompression in 2016 and never had relief from pain in my lumbar region. I also herniated again at L4-5 shortly post surgery. Somewhere along the way I developed arachnoiditis which was noted on the mri. I had several epidurals to treat this area, rhizotomy’s and facet injections. I continue in pain and was just wondering what your thoughts were on arachnoiditis. I have been told this is where my pain is coming from. I continue with PT and take Lyrica but nothing seems to really help.
Please let me know your thoughts.
Arachnoiditis can cause local pain but typically causes leg symptoms and many times arachnoiditis is an incidental finding (not generating symptoms). Rhizotomies and facet injections would treat lower back pain (LBP) generated by the facets which has nothing to do with arachnoiditis. This assumes that your LBP is the only symptom and is only facet generated (not typical).
I would start over with a new spine surgeon and obtain new imaging studies (MRI) as you might have something undiagnosed yet to treat.