leg pain

leg pain
Viewing 6 posts - 1 through 6 (of 19 total)
  • Author
    Posts
  • AvatarQrkr0730
    Participant
    Post count: 10

    Dr,

    I had a microdiscectomy done in April of this year. I was successful in its own way and I went back to work in July. I was given the o.k. by my surgeon to start weights again. I went in over a week period for 3 30 minute workout and after the third workout my sciatica started up again. I now have a muscle spasm in my left buttock. I have major anxiety as I do not want another microdiscectomy or another type of surgery. Have been doing my PT exercises as well. What to do next? I have and appointment in 9 days with my surgeon. I’m as a loss.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7069

    The recurrence of symptoms is somewhat concerning but nerve roots can be sensitive for up to a year or more. If you were my patient and your examination was not too concerning, I would give you an oral steroid to reduce root swelling.

    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.
    AvatarWcsherwo1
    Participant
    Post count: 8

    Can you please explain what you mean by concerning. So If I have an oral steroid should my symptoms go away? I do not want another surgery

    • This reply was modified 4 weeks ago by Avatar Wcsherwo1.
    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7069

    “Concerning” would be increased tension noted on a straight leg raise test, increased sensory deficit on a pinwheel test, motor weakness and comparison of intensity or change in symptom provocation. Oral steroids reduce inflammation which is required to cause nerve root irritability so this medication can help.

    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.
    AvatarWcsherwo1
    Participant
    Post count: 8

    Do you think I will need to have more surgery? My leg pain is very intense. I do not want to do any treatment options that will only mask the symptoms I want to get to the root cause. Why wasn’t that done before?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7069

    I can’t comment on the whys in your treatment but if the intensity of pain has significantly risen and an oral steroid does not help, ask your surgeon for an answer as to why the pain has intolerably increased. If you need a “root cause” answer, a new MRI would be helpful.

    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.
Viewing 6 posts - 1 through 6 (of 19 total)

You must be logged in to reply to this topic.