Tagged: Symptoms after a microdiscectomy
tine01ParticipantFebruary 11, 2018 at 1:11 pmPost count: 11
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.
CristineDonald Corenman, MD, DCModeratorFebruary 11, 2018 at 3:03 pmPost count: 6457
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. 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.If this forum has helped you, please let Dr. Corenman know!tine01ParticipantFebruary 12, 2018 at 12:24 amPost count: 11
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.
Cristinetine01ParticipantFebruary 13, 2018 at 12:37 pmPost count: 11
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.
Donald Corenman, MD, DCModeratorFebruary 18, 2018 at 1:16 pmPost count: 6457
- This reply was modified 10 months ago by tine01.
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. 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.If this forum has helped you, please let Dr. Corenman know!De316ParticipantMarch 12, 2018 at 7:49 amPost count: 1
I am a few days away from being 4 weeks post-op from microdiscectomy at L4-L5. The first two weeks post-op I felt great. Went back for a re-check, was released to drive and given modified physical activity restrictions. Three days later, I went to an appointment, met friends for lunch, and as I was walking to my car, I had a lot of pain in my hip and calf. I figured it was just time for some ibuprofen, but that did not help at all. Went to a convenient store on the way home and didn’t think I would make it back to my car. I was doing a shuffle-hop to walk at all. I spent the next two days in bed, face down, getting up only if it was necessary. I was unable to walk w/o pushing a chair as a walker. On the third day, I was doing much better—able to be up and around and about 50% improvement in pain. Later that evening, I scooted over on my bed, got a “zing” in my back and down my leg and was back to square one. The next day, my doctor called in a Medrol Dose Pack which did not significantly improve my symptoms. I finished that two days ago and, now, he has me on Neurontin. He says it’s too early to think this is anything other than rebound inflammation—-that he is trying to make me comfortable and after 5 weeks, if it’s still not getting better, we will repeat MRI. Meanwhile, I am worse off than I was before the surgery. What are your thoughts? BTW, thank you for this forum as it has at least helped me to be patient and stay positive throughout this ordeal.
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