Viewing 6 posts - 67 through 72 (of 74 total)
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  • Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Epidural fibrosis by itself can cause nerve root pain along with internal injury to the fascicles of the root (chronic radiculopathy) and recurrent herniation.

    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.
    seb_nied
    Participant
    Post count: 24

    Hi George,
    how do you feel, any update on your condition?

    seb_nied
    Participant
    Post count: 24

    Hello again Doctor,
    Just an update on my situation.
    I opted for not having the revision microdiscectomy in the end, as during the last month and especially during the last few weeks my leg symptoms have improved significantly.
    The leg discomfort is still there but not so bothering anymore.
    What is causing me issues since the last week is some increased back pain mostly localized on my multifidus muscle (both sides on the upper lumbar area) and centrally on the lower lumbar area (probably on the L5-S1 disk). This is coming up with prolonged sitting and standing and I think has increased as I started doing more sport activity since the last few weeks. Activity like physio and short walking usually releaves the pain as long as it’s not too much.
    When I say sport activity I limit myself to a 1-hour bike ride every second day and physio exercises mostly everyday.
    I also noticed some occasional strange feeling on my non operated side around the hip and buttock. Nothing extreme nor bothering for now, just coming and going once every one or two days.
    So here I am, planning to give some time to my body to settle down until June and based on my symptoms decide what to do.
    My doctor told me if my back pain persists and continues to be debilitating after few months we may want to try facet joints injections, facet joint denervation and finally consider fusion. If the leg pain will be still the problem then he proposed an endoscopic microdiscectomy.
    What do you think Doctor?
    Regards,
    Sebastian

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Your lower back pain could be from the disc, the facets or even the herniation. Facet blocks are a good way to go and RFA if the blocks are positive. If the back pain persists, fusion is not a bad choice.

    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.
    Angypellz
    Participant
    Post count: 7

    Hey pal, week 11. Although my pain has drastically improved, I still feel like I am a little behind. I just started PT. I have completed 5 sessions so far but I still have like nerve pain jn my buttox. And it gets little more substantial towards to end of the day after about 13k steps.

    If my pain is at a 3 at its highest, do you think I’m on the right track. Also, how do you feel about nerve gliding?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8656

    Nerve glides also known as nerve “flossing” are the repetitive motion of the straight leg test (SLR). This is hip flexion with a straight knee (knee extension). Since the sciatic nerve attaches to the foot and travels around the back of the pelvis like a cable in a pulley, the SLR motion stretches the nerve. This action prevents adhesions after a decompression surgery from clinging and binding down the root. However, if the root is swollen and then stretched too far, radiculopathy symptoms can become worse.

    This is the “art” of medicine and therapy. How far to stretch the root without “pissing it off”. Sometimes, the symptom aggravation is delayed by 12 hours so feedback from therapy is not direct.

    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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