leg discomfort while sitting and laying on bed.

Tagged: chronic radiculopathy

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tankarmun9
Participant

April 29, 2015 at 12:10 pm

Post count: 5

#19243

Hi,

I had a discectomy twice in year 2014 at the L5S1 level. One in August and the last one in October 2014.

Currently I have having buttock pain, leg pulling and tightness while I sit and laying on bed. Walking and standing I don’t feel the pain.

After the surgery I had pain relief and my leg strength is getting better. About December 2014 the leg discomfort began while sitting and laying on bed began and is getting worse now.

When i had follow up with my surgeon in January 2015 my surgeon order another MRI scan and NCV/EMG/SSEP.

The NCV/SSEP/EMG shows normal. MRI shows granulation tissue with no re herniated.

After my discectomy and rhizolysis in October 2014 I continue with my physiotherapy and hydrotherapy. My parents bought me cycling bike and track mill for me. i have been using those equipment everyday with the tens unit and I am depending on the pain medications.

I lost my Job due to this issue.

I have tried many alternative treatment such as physiotherapy, hydrotherapy,Pens under pain management doctor, acupuncture by neurologist but all failed. My surgeon prescribed me with many pain medications such as ultracet 2 tab 3 times a day, neurontin 3tab 3 times a day 300mg, Arcoxia 120mg ones daily, targin, myonal 3 tab 3 times. Lignopad.

For supplements for nerve are neurobion and methycobal.

I am from Malaysia.

My neurosurgeon close my file and doesn’t know what is wrong to me, due to funds issue he refer me to a government hospital under orthopedic surgeon. From The MRI my surgeon says is normal just white patches.

The orthopedic surgeon suggested me to tried Ayurveda treatment and acupuncture.

Do you have any patients who successful manage their pain with Ayurveda treatment?

What is causing the discomfort while not moving after back surgery and is getting worse? Is it the scarring causes the problem?

Today my leg discomfort while not moving is getting worse. My leg strength is much better.

I am only 23 and I am not sleeping very well because of the leg discomfort.

I can’t sit even for 5 minutes and I can’t go college to study. I love travelling but i can’t do it now.

tankarmun9
Participant

April 29, 2015 at 12:22 pm

Post count: 5

#19247

After taking the pain medication during day time the pain is less and I feel numbness. When the pain comes back and intense of the pain over powered the numbness, The worse pain appears during the night. off and on my left calf twitches too.

Lastest MRI in January is L4L5 level central bulging disc indent the ventral theca sac. Previous surgery discectomy at L5S1 via hemilaminotomy. Granulation tissue.

My parents are worried for me and I am worried too because I am only 23 and young. I want to goes back to university to study pharmacy. My dream is to be a pharmacist.

I don’t want to depend on pain killers.

Looking forward for your reply.
Thanks.

Donald Corenman, MD, DC
Moderator

April 30, 2015 at 6:10 am

Post count: 8660

#19254

You might have one of three problems, chronic radiculopathy (see website), recurrent compression or adhesions. The first problem is one of internal nerve injury. The nerve’s internal workings were damaged by the compression of the herniation and you will have to learn to live with these symptoms. Hopefully, the symptoms will improve over time.

The second is recurrent compression. I would assume that you had both a neurosurgeon and radiologist look over your films. Sometimes, extruded fragments can “hide” on the images and a careful look can reveal a small fragment. After any spine surgery, scar tissue forms and these small fragments can cause havoc.

If you have adhesions, there are times that a neurolysis (freeing the nerve from these adhesions) can be effective but the success rate is more in the 50-60% category.

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.

tankarmun9
Participant

May 2, 2015 at 9:40 am

Post count: 5

#19328

Your meaning is the success rate of neurolysis is 50 to 60%. I had rhizolysis done too. What is the difference between neurolysis and rhizolysis? What is epidural lysis procedure? Will epidural lysis and neurolysis is temporary pain relief or is it a permanent pain relief.

What my surgeon says there is scar tissue but not much that I had before my 2nd surgery.

tankarmun9
Participant

June 14, 2015 at 8:43 am

Post count: 5

#19959

Hi.

I am still having Leg pain while sitting and laying on bed. In the morning the pain is minor and manageable. About afternoon leg pain will increase and its worse during the night.

I had EMG/NCV done and test show normal. Is it possible to have leg pain with normal results.

I had discectomy 8 months ago. I had leg pain after 1 year already.

Before i had discectomy I was totally bedridden and on wheel chair due to the severe muscle weakness. After the surgery my i had physio and my leg strength improve a lot. Currently my leg strength is almost back to it full strength.

Main problem now nerve pain, tight and pulling sensation and tightness. Sometimes i feeling like someone is tearing my leg after sitting for too long. Sometimes I get those calf twitching.
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Donald Corenman, MD, DC

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81 reviews

Eric S

Sep 26, 2021

by Eric S on Donald Corenman, MD, DC

Successful pars repair at 46 years old

Back in November of 2018 (at 46 years old) I came from Vancouver BC to have a pars repair done with Dr. Donald Corenman at the Steadman Clinic in Vail Colorado. I'm finally posting this review nearly three years later in late 2021. The reason I waited so long was I wanted to know the final result before I posted my review. Unfortunately in that time Dr. Corenman has retired. Nevertheless, I want to post this review of Dr. Corenman and his staff at the Steadman Clinic in their excellent treatment of my L5 pars interarticularis.

I fractured my pars at age 42 back in 2014 when rolling on the gym floor, and was denied treatment by the Canadian healthcare system, probably due to my age. First my GP told me there was no surgical option for a pars defect, which was quite incorrect! I tried to live with it, but the symptoms worsened (periodic random spine slippage and weeks of resultant pain after just bending over to tie my shoe, so I eventually learned to mostly squat and hardly bend). When I finally consulted with Canadian spine surgeons, I was told they believed my pars defect had been congenital (since birth). This was absurd, considering I had done extreme martial arts (including jiu jitsu) for years prior, as well as 5 years of reinforcing steel full time in my 20s, probably the hardest job on the back you can find. No pars defect like mine would possibly have allowed this--ergo it was impossible that I had had the defect since birth. I did however have an asymptomatic congenital spina bifida occulta that made me more susceptible to a pars fracture. In 2014 in one instant, I went from having the strongest back people I knew said they'd ever seen, to being unable to safely bend over and tie my shoe without a non-negligible risk of my spine slipping randomly (which would lead to weeks of pain after each occurrence). This was due to the unilateral L5 pars defect, otherwise known as spondylolysis. It was when lying in pain on the floor 4 years later after maybe the 6th spine slippage event post injury, that I had had enough, and resolved to have surgery. If Canada's "universal health care" said no, I would make lemonade from lemons, and find the very best surgeon in the world at pars repairs. That was Dr. Donald Corenman. Dr. Corenman back in 2018 ran a website https://neckandback.com/ that dedicated many pages to the science of every aspect of pars repairs, from eligibility (good discs on MRI), to best surgical techniques (minimal open compared to minimally invasive), best imaging to use (i.e., O-Arm with Stealth imaging vs. older fluoroscopy), the ideal amount of BMP to use and why not use too much or too little, and much more, all to do with pars repairs, pages upon pages of his site just on the pars, with scientific references and his own extensive expert opinion. As a health research statistician, I was very impressed with this. It was in stark contrast to the websites of other spine surgeons which barely gave the pars a word or two, focusing almost exclusively on fusions. I had found the best surgeon in the world for pars repairs, and so after Dr. Corenman personally screened my MRI to ensure my discs were healthy, I booked the surgery.

Being 46 years old at the time of surgery in 2018, with a 4-year-old pars fracture from 2014 combined with a congenital SBO meant my pars fragment was somewhat atrophied, but it was "very solid", said Dr. Corenman in the operative report. Nevertheless, it was challenging with two things to fix, the pars and SBO, and OR time was around 4 hours. Recovery over the following months was guided by a very clear "Spine binder" from the Steadman Clinic with strict rules of "no BLT" (no bending, lifting or twisting), and illustrated physiotherapy guidelines. They even warned patients to avoid fish oil supplements, which could excessively dampen inflammation and hence slow bone healing. They answered many questions I had during months of recovery, with responses coming from the very supportive Lori Fugate (then director of Dr. Corenman's practice), and Ehrich Bean (then physician's assistant at the practice), as well as a couple calls with Dr. Corenman himself after two of the CT scans. Ehrich Bean offered great advice for taking the spine binder conservatively due to the nature of pars repairs vs. fusions. The final post-op CT scan I had was a couple weeks ago at 34 months post-op, and Dr. Corenman had retired, but I got a very positive and informative call from Eric Strauch (current PA at the Steadman Clinic under Dr. Corenman's replacement there, and who had also worked with Dr. Corenman previously). The staff at the Steadman Clinic were extremely supportive all the way through the process. I should mention, the local Canadian spine surgeon did offer me very good post-operative support including antibiotics as needed to deal with a mild surface incision-site infection early on, booking numerous x-rays when I felt something was amiss, as well as booking all four of my post-op CT scans. I am very grateful for that support also.

My final result shows plenty of solid bone across the pars and a healed SBO, with my vertebral body now a solid bone ring instead of being broken at two places as it was pre-op. Does my spine hold up in the real world? You bet! I have recently dug and moved several yards of dirt and sand and gravel by myself (shovel and wheelbarrow!) to fix our water main, pulled roots from the yard, moved several "portable" (these are HUGE) air conditioners up several flights of stairs my myself, and lifted weights. I now run 2 miles (3.2 KM) several times weekly with a hard 100 meter dash in the middle. I bend deeply before each run I go on, with no spine slippage. My spine feels amazing. I can bend over to do exercise, or real word tasks, with no risk of spine slippage.

My sincere thanks to God, Dr. Donald Corenman, Lori Fugate, Ehrich Bean, Eric Strauch, and the Steadman Clinic, as well as the Canadian spine surgeon who offered me excellent post-operative care back in Canada. You have all given me a new lease on life.

Sincerely,
Eric S

Robert S

May 11, 2021

by Robert S on Donald Corenman, MD, DC

Back Fusion Surgery

I had my entire lumbar spine fused in November of 2018. I had scoliosis , with pinched nerves that were so painful I could hardly walk - and standing for more than a few minutes was impossible. Even sitting was painful.
The fusion surgery produced immediate relief! And the recovery was much easier than I expected.
To this day I can do all the activities I love from hiking, to standing in a stream fly fishing to riding my bike long distances - or just walking down the street with my wife.
Kudos to Dr. Corenman and his staff, (including the two Erics) for taking such good care of me!

Leslie R

Jul 9, 2020

by Leslie R on Donald Corenman, MD, DC

TLIF

I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. I highly recommend Dr. Corenman and the Steadman Clinic.

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