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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: 8468

    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

    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: 8468

    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

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