[Donald Corenman, MD, DC]

#33924

Burning sensations are uncommon to occur post-decompression so I would disagree. Your pattern of burning could be from peripheral neuropathy which can be triggered by surgery. See:https://neckandback.com/conditions/peripheral-neuropathy/

Symptoms can improve from 12-18 months post surgery so time will still tell.

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.

[zlwalker]

#33925

Dr. Corenman,

Thanks for your quick reply! I will try to get an appointment with a neurology specialist to see if there’s a more in-depth explanation that I can receive. I will respond back with any new information.

[Donald Corenman, MD, DC]

#33926

Thanks,

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.

[zlwalker]

#33942

Dr. Corenman,

I did receive an MRI on my lumbar region. In terms of symptoms that sparked the MRI, I had the following: 1. Pins and needles in both feet (this did not occur before surgery, so I am guessing I always had it and didn’t notice). 2. Pain in my butt (it never travels down). 3. My tailbone hurts a lot. It is just this weird pain that always sits in my tailbone. I have posted the MRI results below. What is your interpretation of my results and how serious does it seem? I also did not post the results for

There is normal lumbar alignment. The vertebral body heights are
maintained. There is normal marrow signal. Tip of the conus is normal
in position at the upper L1 level.

From T12-L1 to L3-4, there is no significant central spinal or neural
foraminal stenosis. Minimal disc degeneration is present at these
levels with mild facet hypertrophy at L2-3 and L3-4.

L4-5: Disc degeneration with small broad-based central and paracentral
disc protrusion, eccentric to the left, ligamentum flavum thickening,
and facet hypertrophy. There is mild central spinal stenosis with
mild asymmetric narrowing of the lateral recesses, greater on the
left, and mild bilateral neural foraminal stenosis.

L5-S1: Disc degeneration, moderate-sized right paracentral and
subarticular disc protrusion, and facet hypertrophy result in moderate
overall narrowing of the right lateral recess with abutment of the
descending right S1 nerve root. No significant overall central spinal
stenosis. There is mild to moderate right and mild left neural
foraminal stenosis.

The visualized intra-abdominal structures are grossly unremarkable,
further discussed on same day CT.

IMPRESSION:

1. At L5-S1, degenerative changes (including moderate-sized right
paracentral and subarticular disc protrusion) result in moderate right
lateral recess narrowing with abutment of the descending right S1
nerve root which could produce radicular symptoms. Additionally, there
is mild to moderate right and mild left neural foraminal stenosis.

2. At L4-5, degenerative changes (including small central and
paracentral disc protrusion) result in mild central spinal stenosis,
mild bilateral lateral recess narrowing, and mild bilateral neural
foraminal stenosis.

Thanks for all you do!

[zlwalker]

#33943

I also have burning sensations in both my ankles. It doesn’t hurt–it just feels weird.

[Donald Corenman, MD, DC]

#33952

“L5-S1:…moderate-sized right paracentral and subarticular disc protrusion, and facet hypertrophy result in moderate overall narrowing of the right lateral recess with abutment of the descending right S1 nerve root”. I assume this was the MRI prior to your surgery.

This would fit with inability to walk on your toes (heel raise loss) and pain radiating to your right buttocks and down the leg. Bilateral symmetrical foot burning fits better with peripheral neuropathy (discussed previously) and sacral pain is consistent with pudendal neuropathy-not the S1 root compression.

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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