Buttocks Pain After L4/L5, L5/S1 two level microdiscectomy

///Buttocks Pain After L4/L5, L5/S1 two level microdiscectomy
Buttocks Pain After L4/L5, L5/S1 two level microdiscectomy
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  • AvatarAgon234
    Participant
    Post count: 2

    Dr Corenman.

    First I want to thank you for having a forum to ask questions.

    I am living in Russia and just had this operation done at one of the State Hospitals. I fell the nerve pain gone however the muscles in my buttocks now have a lot of pain when I am walking. It is not a radiating pain as down the sciatic nerve but seems centralized to my upper buttocks. I had the operation on May 15. Since there aren’t any English speakers around a full understanding of what might happening isn’t really given.

    I am wondering if this muscle pain might be from the nerve surgery or just the muscles being tired from having to accommodate to more support of my body. Any insight you could provide would be greatly appreciated.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6907

    You note your buttocks pain with standing/walking but don’t note if it is only one side or both sides. What side is the buttocks pain on or is it both sides? Is pain equally distributed or is it more on one side? What side was the herniation and I will assume the decompression was only on one side? What symptoms did you have before the surgery and how have they changed?

    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.
    AvatarAgon234
    Participant
    Post count: 2

    I will try and answer your questions as best as possible. Thank you for responding. It’s really scary when you can’t communicate with the people taking care of you without Google Translate.

    What side is the buttocks pain on or is it both sides?

    It’s on both sides when I lay down the pain is on the bottom of the buttocks like where the buttocks and the hip connect. I am guessing from stretching when laying down. Maybe nerve pain.

    When walking the pain is in the top of the buttocks like towards the tailbone. It isn’t an excruciating pain but more like a feeling of pressure that slowly builds up and up as I walk.

    Is pain equally distributed or is it more on one side?

    The pain is pretty equally distributed between both types of pain the upper and lower.

    What side was the herniation and I will assume the decompression was only on one side?

    Actually this is the part where the doctor says it’s really rare. My L5/S1 was protruding to my right side where I had numbness all the way down to the toes. The skin sensation was still fine. I had lost reflexes and was only mobile for about 5 minutes before the pain was too much after the epidurals.

    My L4/L5 hernia protrusion was to the left side and would cause sciatica pain depending on my movements down the buttocks and thigh. There was no numbness with this side. The L5/S1 herniation was significantly bigger than the L4/L5.

    What symptoms did you have before the surgery and how have they changed?

    Before the surgery I had numbness from the buttocks to the toes with pain development after walking on my right side. On my left side it would be sciatic pain in the buttocks to about half way down the thigh depending on movement. I also had numbness on the right side of my genitals.

    After surgery there are some steps I can take without any pain. However after about 25 ft the pain stars to develop in the upper part of my buttocks. This pain grows gradually more with each step once it starts.

    When laying down depending on my position I can feel pain in the area of the lower buttocks to the thigh. It is pretty severe but not debilitating pain. I also have some numbness now in both sides of my genitals. Before the surgery only the right side of my genitals had numbness.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6907

    I am still unclear as to what surgery you had, Did you have bilateral surgery (both left and right at left L4-5 and L5-S1 right or did you only have the right L5-S1 level operated on?

    A new MRI might be helpful if you can get your Russian surgeon to agree. I’m sorry but I don’t know the Russian system so can’t help you on suggestions to get a new MRI.

    You might ask your surgeon to give you an oral steroid. I use dexamethasone 4mg 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.
     
    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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