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  • Mango
    Member
    Post count: 4

    Hi I am new here but not new to spine issues I have had three surgeries One in 1995 Lam at L5-S1 with great success until four years ago now with DDD four levels. Herniation L4-L5 2009 surgery Micro Disc re herniation six months later. I have seen several Spine Docs lots of suggestions ADR replacement to four level fusion and fusing S-I joint. I had surgery June 2011 with decompression,Two Coflex implants at L4-L5 and L5-S1 now still low back pain Left leg weak and lots of numbness? Currently taking Lyrica and celebrex seems to help me get along.
    The last surgeon i visited suggested to remove the implants and to do a fusion at two levels I asked about the other levels above the fusion witch are not great and his reply was ” yes we may have to do those in the future”

    Mango

    Donald Corenman, MD, DC
    Moderator
    Post count: 8460

    You have to coorrelate symptoms with pathology to understand what needs to be addressed. See the section under “How to describe symptoms” to explain what problems you are having.

    The coflex device is a good idea but it is not effective for many pathologies. Used in the wrong circumstances, it does not work. Even in the correct circumstances, it can erode into the bone or create a change in center of rotation and create new pain.

    Dr. Corenman

    Mango
    Member
    Post count: 4

    Hello

    Thanks for the reply.

    Back pain 80% leg pain left side 20% Pain is worse in the morning, Stiff better with movement and Celebrex pain level 7 Some times I am crooked to the left with extreme pain shooting, stabbing in the lower back with increased leg and foot numbness.hot shower Ice and rest helps.
    My pain levels increase with activity, walking for 1//2 mile in OK any longer and my left leg does not work as well?
    Back Pain 7 VAS
    Left leg pain 3 VAS
    Right leg pain 1-2 VAS
    Left leg weak, left heal numb sometimes burning,tingling, outside of foot burning that come and goes.Cannot stand on toes.
    Right leg cannot walk on heal foot drop since L4-L5 herniation seems to slowly get better.
    My pain is 24-7 with flair ups to a pain level of 9 rest and Drugs with ice helps me manage.
    MRI results 12-5-2012 L2 to L4 broad base disc buldge, endplate spuring… .There is some enhancing scar anterior to the thecal sac at L4-L5 and adjacent to the left side of the thecal sac and arround the left S1 nerve root at L5[S1…
    Groin has some tingling that come and goes?

    Occupational Restrictions I have not been involved in construction since my injury, now driving a school bus two hours in the am and two hours in the pm this is good on most days, but some days it can be very painful! No longer able to exercise, play sports, ride my bikes, hike,climb, ski, etc I am 53 and have a 13 year old son that I need to be involved with in activity this has been the most fustrating

    Treatments, “Been there done that” PT for two years three times a week some help, Message, accupuncture, Chiropractor, Yoga, Pilates,
    ETC all with no help some minor relief.

    Can you help me/
    Thank You for this great site and information

    Gil
    Jackson Wyoming

    Donald Corenman, MD, DC
    Moderator
    Post count: 8460

    The Coflex implant is not designed for the treatment of lower back pain. It is a device that sits between the spinous processes and induces flexion of the vertebra. Flexion of the spine will load the discs. If the back pain is generated from the discs (as it typically is), then this device will increase the load on the discs and increase lower back pain.

    You have concerning weakness of both the L5 and the S1 motor groups (see section under “nerve injuries and recovery” on the website for further explanation. What you need is a back pain workup from a thorough spine surgeon who can also explain why you have weakness.

    Dr. Corenman

    Mango
    Member
    Post count: 4

    Hi DR Corenman

    Because of the travel distance would you consider doing the spine work up? I could send you my latest MRI, XRays, CTscan etc… and start this process before i can make the journey to Vail?

    Thank You

    Gil Denis

    Jackson WY

    Donald Corenman, MD, DC
    Moderator
    Post count: 8460

    I have a program for long distance consults that is currently free but in the next month will require a fee. You can call 888 888-5310 for more information.

    Dr. Corenman

Viewing 6 posts - 1 through 6 (of 7 total)
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