L5 S1 disc bulge and degenarative disc changes at l5 s1

///L5 S1 disc bulge and degenarative disc changes at l5 s1
L5 S1 disc bulge and degenarative disc changes at l5 s1
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  • Yakubraj
    Participant
    Post count: 3

    Dear sir,
    I aged 30 undergone l5s1 laminectomy last year September.
    After surgery iam experiencincing the same pain right from the 10th day after the surgery.
    I asked doctor about that, he said that it will heal after medication but iam getting pain.
    I consulted to another neurosurgeon and he suggested to take MRI.
    MRI Report shows:
    * L5 S1 paracentral disc bulge with anterior thecal sac compression and right lateral recess narrowing.

    * L3 L4 disc bulge with anterior thecal sac indentation.

    * Disc degenarative changes at L5S1

    So by seeing this doctor are suggested to go for another surgery.

    iam afraid of another surgery .

    Please sir I beg u to tell the solution for my problem .
    Thanking u sir

    Donald Corenman, MD, DC
    Moderator
    Post count: 6700

    The first operation was I assume a microdiscectomy. Either you have a recurrent herniation or a fragment was somehow missed from the initial surgery. If your pain is significant enough (as it was leading to the first operation) or you have motor weakness (calf muscle), then you would need another microdiscectomy.

    If you have no motor weakness, you could consider an epidural steroid injection.

    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.
    Yakubraj
    Participant
    Post count: 3

    Thanks u doctor.

    Dear sir,
    I went l5 s1 laminectomy surgery in September 2018 almost 8 months.

    Can i now bend and lift weights?

    Bend and work since my job is bend and work.

    Donald Corenman, MD, DC
    Moderator
    Post count: 6700

    The position of greatest stress on a disc is bend, load, twist (BLT). I would advise against dead lifts, squats and cleans. Don’t load your back when you rotate at the waist. See: https://neckandback.com/treatments/conservative-treatment-mechanical-lower-back-disorders/ to understand the mechanics of protecting your back.

    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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