- Donald Corenman, MD, DCModeratorJuly 7, 2020 at 1:47 pmPost count: 7569
I wish I could put myself into the mind of your surgeon but I cannot tell you the surgical reasoning. Maybe he felt that only the symptoms you presented with (sounding like exclusively S1) would lead him away from the L4-5 level. As long as you are doing well, that’s what counts!
Dr. CorenmanPLEASE 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.LA_FrankieParticipantJuly 15, 2020 at 9:30 amPost count: 11
I met with the surgeon yesterday for the first time and asked why there was a change in surgical plan. He felt that the disc herniation was so large at S1 and the compression was so severe that repairing that would alleviate most if not all of my symptoms. Also I did not present with any symptoms of L5 compression from the L4/L5 despite what the radiologist report said. He also brought up additional risks with doing another level. He used a tool to feel up to the L4/L5 level to check how much room the nerves had and said it was acceptable. He didn’t feel there was enough crowding of the descending nerves to warrant the additional risks.
When I asked how the L4/L5 bulge affects my rehab going forward he couldn’t say. My body could just adapt to it, the body may absorb some of it, or I may need to address it surgically at some point. He really gave me the standard ANYTHING CAN HAPPEN response.
I guess it’s all in the rear view mirror now. Thank you again for discussing this concern with me. Thought I would tack on this last note.
- You must be logged in to reply to this topic.