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  • singh
    Member
    Post count: 3

    i am just wondering i had surgery on 19/11/2011 approximate 4 months ago . unfortunately i had to come overseas so i can not really consult my surgeon any more. i am wondering about a bit of pain which is still going through my left sciatica nerve… is it usual in these kind of cases ..?? and what to sort of diet you would recommend for quick recovery and my last question is , should i go for a M.R.I test to clear my doubts ..???
    thanks a lot Dr.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8379

    I assume you underwent a microdiscectomy of L5-S1 to relieve pressure on the S1 nerve. How severe was the pain initially and how is it now?

    Having pain after a decompression surgery is not uncommon. The nerve was presumably significantly compressed and surgery relieved the pressure. The nerve still has to heal and that can take some time (up to one year).

    Diet generally does not help heal the nerve (unless you are deficient in Vitamin B or C). What can help is the use of NSAIDs. If you can tolerate this class of medication and don’t develop gastritis from them, the use of NSAIDs can be helpful to relieve the inflammation.

    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.
    singh
    Member
    Post count: 3

    thank you very much Dr. i am really satisfied with your answer.

    The pain before surgery was severe but it is tolerable at the moment.

    Dr. i could not really understand the NSAIDs medication if you can explain a bit more of that i would really appreciate that.

    and the last thing i want to ask is that i did not bend my waist after surgery(4 months) is it safe to bend.(e.g pick up pen from floor by bending or should i sit first then pick the pen which i usual do at the moment) what sort of exercise you would recommend or any book which does have all this info about exercises…???

    thanks once again Dr. Corenman

    Donald Corenman, MD, DC
    Moderator
    Post count: 8379

    NSAIDs are non-steroidal anti-inflammatories. The most common one is Ibuprofin (Motrin) but there are other over-the-counter NSAIDs.

    If you are 4 months out from surgery in my office, you are generally back to whatever activities you want. The BLT position (bend, twist, lift) is the one position to avoid (see website video). If you have not undertaken a rehabilitation program as of yet, consider that your next step.

    It sounds like you had a reasonable result from surgery. The nerve swelling can take up to a year to resolve.

    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.
    singh
    Member
    Post count: 3

    thanks Dr. once again you have cleared 80% of doubts.

    i am wondering if you can recommend me a book or any tutorial for rehabilitation program that would be great .

    unfortunately i lost my job due this long break i am thinking to derive a courier van Dr. is it safe to do so . and one more question , at the moment i am sleeping on carpet which is really hard surface does it really matter or i can sleep on soft mattress…..

    thanks for clearing my doubts about NSAIDs i have found a drug in Australia which has got ibuprofen ..

    thanks Dr. god bless you. :)

    Donald Corenman, MD, DC
    Moderator
    Post count: 8379

    I cannot answer what you can or cannot do as I have never seen you as a patient and never evaluated you. I can say that a general Pilates rehabilitation exercise program may be beneficial for you.

    Good Luck

    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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