max_prattParticipantJune 8, 2020 at 4:41 amPost count: 2
Hello Dr. Corenman,
I am 43 years old male and I had a microdiscectomy surgery 3 weeks ago on l4-l5. The hernia was in the middle part and they removed the problematic part. I was extremely relieved for 2 weeks, there was no nerve pain. Then I drove 3.5 hours on a vibrating road and the back pain and sciatica pain returned. This was last week. My doctor gave me Cabral and told me to rest. Then the back pain diminished in 2 days resting.
However, the pain in buttock and legs stays. It does not diminish, but does not increase, either. Also, it is alternating; one day my left hurt, but the following day, the my right leg hurt. There is no pain while laying down, small pain while sitting, but I cannot stand or walk for couple of minutes. I feel a bit depressed.
Is this pain permanent? Shall I go to a different neurosurgeon for an alternative opinion? Should I take MRI? Should I go to physiotherapist? What kind of exercise can give me some relief?
Many thanks in advance for your advice.max_prattParticipantJune 8, 2020 at 8:32 amPost count: 2
To add, I also have FMF which is an autoinflammatory disease. Not that I have an attack now or recently, I wanted to add. Could this pain be just an inflammation?Donald Corenman, MD, DCModeratorJune 8, 2020 at 10:44 amPost count: 8652
Vibration exposure, especially a 3 1/2 hour dose can be detrimental to healing and can induce inflammation. I think the first step I would consider would be an oral steroid and a physical therapy trial. If no relief or only temporary relief, then a new MRI would be in order.
Dr. CorenmanPLEASE 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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