Viewing 6 posts - 43 through 48 (of 55 total)
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  • Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    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
    Participant
    Post count: 31

    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
    Moderator
    Post count: 8660

    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
    Participant
    Post count: 31

    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
    Participant
    Post count: 31

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

    Donald Corenman, MD, DC
    Moderator
    Post count: 8660

    “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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