Viewing 6 posts - 1 through 6 (of 16 total)
  • Author
    Posts
  • Jeremyg09
    Participant
    Post count: 5

    Hello Dr. Corenmen,

    In 2013 I had a tdr at l5-s1 my surgeon used a prodisc 2-L. After the surgery I had relief from pain in my back and down my leg for about 3 months. After this I have gone down hill since 2013 with pain increasing over time. The pain is in my back and down my left leg but the pain at the disc site is far worse then my leg. The best way to describe the pain is that it feels as if I have a constant broken bone that throbs with pain non stop. If you were to touch the area where the AD is it caused an extreme sharp pain followed by an even worse throbbing pain. I’ve been diagnosed with failed back surgery syndrome due to the disc it’s self causing pain. Recently I’ve been told that the disc it’s self is failing. In what way I am not sure at this point. When I move a certain way you can here a mechanical popping and clicking noise coming from the disc location, I feel a very sharp pain when this occurs. I’ve been informed recently that the artificial disc can never be removed from the l5-s1 location due to several high risk including death. So my questions are
    Before the questions a quick run down of what has been done to try to relieve pain.
    Epidural injection from l2-l5-s1
    I’ve had about 15 of these procedures performed since 2013 they all made the pain worse.
    Facet blocks left and right l2 to l5-s1. Again made pain worse at l5-s1.
    Burned the nerves on left and right side from l2 to l5-s1. This helped my leg pain only. Again making the pain worse at disc location.
    It seems as if any time they would begin injecting the pain would become horrible and it seemed to irritate the disc area that already was extremely inflamed and this irritation would last some times up to 3 months before dieing down to my normal pain level. This pain would force me to stay in bed every day all day for 3 months until it let up.

    1. Can removing the disc have high risk consequences?
    2. How can a prodisc fail like this?
    3. If the disc is causing pain what can be done about it?
    4. If the disc is having mechanical failures and can not be removed is there a way to fuse the artificial disc or create some kind of cage around the disc to stabilize and relieve pressure?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    Unfortunately, you are generally correct in most of your assumptions. I don’t advocate artificial disc replacement (ADR) in the lumbar spine due to problems when these devices fail.

    The removal of this prosthesis requires a revisit to the front of the spine. The iliac veins are the real problem as these veins have paper-thin walls and can be adhered to the scar that forms off the bone. Trying to mobilize these vein walls can cause a tear (can be very serious) and sometimes they cannot be mobilized enough to clear the removal of the ADR.

    All artificial discs can fail as they are mechanical devices and the metal surface of the ADR rests on the bone of the vertebral endplate. Either through endplate fracture or through simple wear and tear of metal on plastic components, the device can become maligned or painful. Since removal can be dangerous or even life-threatening, most of us do not attempt to remove these devices.

    The general solution to a painful ADR is a posterior fusion with rods and screws to stop motion of the painful device. It is not a perfect solution but many patients obtain some relief with this procedure.

    Dr. Corenman

    Jeremyg09
    Participant
    Post count: 5

    Well with this option at least I would have it, instead of being told there is nothing that could be done. Thank you for taking the time to read and respond to my questions. You have been very helpful.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    Please keep us informed of your progress.

    Dr. Corenman

    Jeremyg09
    Participant
    Post count: 5

    Hello doctor. Any advice on who I should see about a surgery they could do to reinforce the disc and prevent it from moving? I’m in am extreme amount of pain and can’t go on like this ,Uchiha longer. Imy going insane.

    Jeremyg09
    Participant
    Post count: 5

    Hello doctor. Any advice on who I should see about a surgery they could do to reinforce the disc and prevent it from moving? I’m in am extreme amount of pain and can’t go on like this ,Uchiha longer. Imy going insane.

Viewing 6 posts - 1 through 6 (of 16 total)
  • You must be logged in to reply to this topic.