Viewing 6 posts - 1 through 6 (of 9 total)
  • Author
    Posts
  • apostolos
    Participant
    Post count: 13

    Good Morning Dr Corenmann,
    i need desperately an answer to my problem.In 2003 i had a fenestration discectomy on l5-s1.Six months after
    the surgery i had an mri that showed scar tissue formation surrounding the s1 nerve root.i wanted to ask,
    sccar tissue is stuck on the nerve root or the root can move through it? scar tissue shrinks over time?body dissolves scar tissue.is it possible for me to have back and leg pain 20 years after from scar tissue?

    Thank you very much.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You added this “and something i forgot to ask.Pain from scar tissue ends one day? As chronic pain we mean a lifelong pain”? You also added “scar tissue shrinks over time?body dissolves scar tissue”.

    I assume you are having continuous leg and buttocks pain and not central lower back pain (which can have a different cause). Epidural scar tissue can cause symptoms by squeezing the root and binding it down (nerves typically move 1/2 inch with leg motion). However, it is not the only cause of failed decompression surgery. If the internals of the nerve root (the fascicles) are damaged by the herniation or bone spur, it does not matter how much scar tissue remains and unfortunately, there is no test that can determine if internal damage is present.

    That is why revision decompression of a scarred root has about a 50% success rate of “some improvement”.
    No-scar does not melt away but symptoms can sometimes improve over time.

    Dr. Corenman

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    You added this “and something i forgot to ask.Pain from scar tissue ends one day? As chronic pain we mean a lifelong pain”? You also added “scar tissue shrinks over time?body dissolves scar tissue”.

    I assume you are having continuous leg and buttocks pain and not central lower back pain (which can have a different cause). Epidural scar tissue can cause symptoms by squeezing the root and binding it down (nerves typically move 1/2 inch with leg motion). However, it is not the only cause of failed decompression surgery. If the internals of the nerve root (the fascicles) are damaged by the herniation or bone spur, it does not matter how much scar tissue remains and unfortunately, there is no test that can determine if internal damage is present.

    That is why revision decompression of a scarred root has about a 50% success rate of “some improvement”.
    No-scar does not melt away but symptoms can sometimes improve over time.

    Dr. Corenman

    apostolos
    Participant
    Post count: 13

    good morning Dr Corenmann and happy new year,
    I have no leg or low back pain but scar tissue surrounds my s1 nerve and it is attached on the intervertebral disc and the thecal sac on the right side .Scar tissue is among the disc ,the thecal sac and the s1 nerve root that surrounds.This can cause pain in the future?L5-S1 disc has completely disappeared and the L5-S1 space has isolated disc resorption.
    thank you very much.

    apostolos
    Participant
    Post count: 13

    In addition,
    How can i test (laseque-like tests) that this condition of scar tissue does not create any problem?
    thank you very much.

    apostolos
    Participant
    Post count: 13

    is it possible scar tissue to drag pieces of intervevertebral disc remainders into the spinal canal?When disc dessicates completely annulus fibrosus disappear because of cell death?

Viewing 6 posts - 1 through 6 (of 9 total)
  • You must be logged in to reply to this topic.