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  • Shadley100
    Post count: 1

    In April 2006 I had a right sided L5/S1 open microdiscectomy. The surgery was successful until July 2019 when I started with bilateral leg pain upon standing straight, this has progressed to pain on sitting and laying flat. The MRI shows a diffuse central disc bulge at L4/L5 which looks like it has hernaitaed both sides and impacts both the traversing L5 nerve roots, there is also moderate stenosis due to this disc and thickened ligament, also noted was post surgery changes at S1 worth a bone spur but no reherniation. I have received an epidural steroid injection which has settled things a bit. I also have a flattened lumbar spine which was only mentioned in passing in the radiologists report. I walk pitched forward due to pain. My surgeon would like to try a keyhole decompression if things don’t improve. I have not seen anything online showing a disc that appears to herninate in two places either side of a central bulge and wondered what the prognosis would be with this. Concerned with multiple surgeries but unable to work at the moment.

    Donald Corenman, MD, DC
    Post count: 8465

    I just worked on a gentleman last night with a bilateral herniation causing central stenosis so it is not uncommon. Your pitch forward is common antalgic maneuver to accommodate this stenosis. A “keyhole” decompression, if performed on both sides would work for this disorder. Don’t worry about multiple surgeries at different levels.

    Dr. Corenman

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