ParnianParticipantJuly 3, 2021 at 11:54 amPost count: 2
Hello Dr. Corenman,
Indeed, I had L5s1 disc herniation/left sided. I had microdiscectomy one week ago and since then I had no change in my left leg pain and numbness as well as a little bit numbness in my right leg (everything was the same as pre-surgery)
I panicked after the surgery and my surgeon asked for a new regular MRI (no injection) in the second day, checked and said it is all good.
Now after one week I even have more severe pain in my calfs, thights and feet in both legs and also have one-second shooting pain maybe twice in an hour in my feet including the same pre-op numbness in the toes.
Dr. May I ask your opinion? Do you think this increased pain could be only inflammation or something is happening since mri has not shown reherniation. What do you suggest at this point?
Thank you so much for your time.Donald Corenman, MD, DCModeratorJuly 4, 2021 at 8:51 pmPost count: 8468
Similar or increased pain after a microdiscectomy is unusual but not unheard of. I’m glad that you had a new MRI. Please obtain the radiological report and cut/paste it here (without names). If there is no recurrent herniation or seroma (fluid collection), possibly an oral steroid can be effective to reduce pain. The report here is important.
Dr. CorenmanParnianParticipantJuly 22, 2021 at 8:04 amPost count: 2
Hello again Dr. Corenman,
I received the MRI report that I took one day after my surgery. It says:
L5 S1 disc: laminectomy is noted and percutaneous catheter is present at operation site without evidence of any significant fuid collection at this time.
Indeed, it has been 4 weeks from my surgery. And I have leg pain right after the surgery for 2 weeks. The third week I was pain free and again fhe forth week I have pain. ( my leg pain level was 4 out of 10 beforw the surgwry and after the surgery when there is, is 3-4. Also, I did not have any medication and pain killer except the first ten days).
Dr, I would be thankful if I could know your opinion.
I take rest and walk every two hour for 5-15 minutes.
Thank you so much for everything.Donald Corenman, MD, DCModeratorJuly 27, 2021 at 11:10 amPost count: 8468
Nerve decompression requires some root manipulation which can “trigger” an inflammatory response. An oral steroid could be quite helpful at this point. It is good to know there is no seroma or recurrent herniation.
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