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  • roja
    Member
    Post count: 1

    I AM 38 YEARS OLD FEMALE LIVING IN CHENNAI (INDIA). SUFFERING WITH LOWER BACK PAIN FOR THE PAST 14 YEARS. IN 2005 I HAD UNDERGONE A SURGERY DIAGNOSIED SAYING L4-L5 LEFT SIDE LUMBAR DISC PROLAPSE WITH OPERATIVE PROCEDURE ON L4-L5 LEFT SIDE MICRODISCETOMY. BEFORE THAT OPERATION LEFT LEG NERVES USE TO GET COMPRESSED/TIGHT OFTENLY. THAT PROBLEM WAS LESS AFTER THAT OPERATION. THE PAIN DID NOT VANISH AND DUE TO UNBEARABLE PAIN AGAIN IN 2009 GOT DIAGNOISED AS LUMBAR DISC PROLAPSE IN L5-S1, (LEFT NERVE ROOT COMPRESSION.) HAD AN SURGERY OF L5-S1 MICRODISECTOMY. POST OPERATION ALSO THE PAIN HASENT COME DOWN. WHEN I WENT FOR A REVIEW FOR POST OPERATION COMPLAINING THAT THE PAIN HASEN’T GONE, AN SPINE X RAY WAS TAKEN AND THE SPINE SPECIALIST TOLD ME THE REASON THAT THERE WAS NO INSTABILITY, NARROWED IVD SPACE OF L5-S1 DUE TO WHICH THE PAIN IS AGGREVATING. HE AGAIN ASKED ME TO UNDERGO AN SURGERY TO INCREASE THE SPACE BETWEEN THE DISC BY PLACING SOME TITANIUM METAL.CLIB(NOT KNOWN TECHNICALLY). I WAS JUST RECOVERING FROM THE POST OPERATION DURING THAT PERIOD AND I WAS AFRAID AND I DIDNT CONSULT HIM AGAIN. PRESENTLY I AM SUFFERING WITH LOWER BACK PAIN, ENTIRE LEFT LEG, NECK, HAND JOINTS SWELLING AND NOT ABLE TO DO ANY HOUSE HOLD WORK.PLEASE ADVISE ME WITH PROPER MEDICAL ADVICE OR WHERE SHOULD I CONSULT OR SHOULD I COMPULSARILY UNDERGO ANOTHER SURGERY. IF SO WHO IS THE BEST. 14 YEARS SUFFERING WITH SEVERE BACK PAIN IS LIKE HAVING A KNIFE STABBED AT THE BACK. I AM LIVING IN HELL WITH THIS PAIN. PLEASE ADVICE ME & ALSO GIVE ME THE ESTIMATED COST FOR THE TREATMENT.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8408

    You report lower back pain for 14 years. I assume that this is pain in the center of your lower back as if this pain radiates to one side (sacroiliac joint or buttocks), this may have different implications.

    6 years ago you underwent a microdiscectomy at left L4-5 for a disc herniation and new onset left leg pain. This procedure relieved a percentage of your leg pain. I assume the surgery did not help your back pain.

    Your pain returned. I assume this was return of left leg pain and the lower back pain did not change. You had a new left-sided herniation at the level below (L5-S1). You underwent another microdiscectomy at this new level and the results were not good. Your pain in the left leg is unchanged.

    A return visit to the surgeon revealed “no instability” but a significantly narrowed L5-S1 disc space. This surgeon (same one as before?) then placed a titanium spacer in that disc space. This sounds like an attempt at a fusion but I cannot be sure.

    You now are left with lower back and left leg pain that is disabling.

    The diagnostic possibilities include a new disc herniation at the L4-5 level, a pseudoarthrosis at the “fusion level”, foraminal stenosis, lateral recess stenosis, implant stenosis, chronic radiculopathy, aggravation of degenerative disc disease at L4-5, arachnoiditis and infection. See website for explanations of these disorders.

    Before you look for whatever the costs of treatment are, you need to have the correct diagnosis. A new consultation would be required by a different set of eyes.

    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.
    Jyotirmai
    Member
    Post count: 15

    Can u pls.let us know abt the surgeon. I am also proposed for microdisectomy….

    Donald Corenman, MD, DC
    Moderator
    Post count: 8408

    You give me no information about your diagnosis and why you are proposed for a microdisectomy. I can not help you without further information.

    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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