[Donald Corenman, MD, DC]

#35370

You have some scar surrounding the S1 nerve on the left where your prior surgery took place. There are no obvious residual fragments nor recurrent HNP noted. An epidural steroid injection (a TFESI) would be the next step.

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.

[Bikingenjo]

#35371

Thank you for reviewing. I am getting an epidural tomorrow morning – said they have to do the injection from the other side since they removed tissue during the surgery.

I assume development of scar tissue is normal, is there anything abnormal about mine? What can I do to help ‘break it up’?

[Bikingenjo]

#35372

Ah, saw your previous post. Seems like epidural, wait 6 months, then consider finding a skilled surgeon

[Donald Corenman, MD, DC]

#35373

Putting the injection in on the opposite side will have a poorer success rate. Typically, a large volume transforaminal injection on the same side would yield the best success rate (TFESI) without the risk of a dural leak. You might be surprised how effective it is.

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.

[Bikingenjo]

#35374

Thank you, I will suggest that tomorrow.

Sorry to keep pestering, but can you tell me more about my scar tissue? Is the shape, size, location of it abnormal for someone who had a microdiscectomy? Is it cause for concern?

[Donald Corenman, MD, DC]

#35375

Your scar tissue is not unusual or abundant. It is what I would expect.

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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