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.
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’?
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.
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?
