buttock nerve pain post microdiscectomy

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Viewing 5 posts - 13 through 17 (of 17 total)
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  • tine01
    Participant
    Post count: 8

    What is the usual dosage of the steriod? My leg pain is still persistent, pain scale of 2-4. It is relieved with tramadol but when the medicine subsides, I still feel the pain. I keeps me worried.

    Cristine

    Dr. Corenman
    Moderator
    Post count: 5825

    It does take time for root swelling to be relieved. When oral steroid is necessary, I give my patients 4mg Decadron twice a day for 5 days.

    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.
    If this forum has helped you, please let Dr. Corenman know!

    tine01
    Participant
    Post count: 8

    Thank you for your response. One last thing. How would I differentiate reherniation to just nervw irritation? My guess is that my s1 nerve is irritated given the numbness and pain I am experiencing. I am prayimg for more improvement this coming week.

    Thanks.

    Cristine

    tine01
    Participant
    Post count: 8

    Just a follow-up question, My leg pain usually starts on my buttocks down to my calf, this is happening 9 days, with different varrying pain scale a day, sometimes its 1-2 only on none, sometimes it is 4-5 and the last day it is 6 (just once), startef oral steriod for two days and it seems to help with the pain. I informed my surgeon and he doesn’t even alarmed with it, since I am just 2-3 weeks post-op. Do I need another MRI? When I am not in pain I can walk without ease. My leg weakness started after surgery. According to my rehsb doctor I have slight difficulty duting toe raise.

    Thanks.

    Cristine

    • This reply was modified 6 days ago by  tine01.
    Dr. Corenman
    Moderator
    Post count: 5825

    Recurrent herniations typically cause a significant increase of pain after a simple activity but not always. A small recurrent HNP can cause slight increase of symptoms. In my practice, if there is a large increase in symptoms, a new MRI is ordered. If there is continued “irritation”, then oral steroids are used along with PT. If symptoms do not improve, a new MRI is ordered. I think it is just as common to have a seroma (collection of post-operative fluids) that irritate the nerve as a recurrent HNP in patients who have slight increased symptoms. Even though this seroma will eventually resorb away, on occasion, a patient will elect to have an aspiration to remove the seroma more quickly.

    Leg weakness is another subject altogether. If you have had leg weakness that is new after surgery, a new MRI is 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.
    If this forum has helped you, please let Dr. Corenman know!

Viewing 5 posts - 13 through 17 (of 17 total)

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