Life after L4/L5 Microdiscectomy

Tagged: microdiscectomy

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BCalvert
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June 30, 2020 at 11:34 am

Post count: 4

#32714

Hi Dr. Corenman. I wanted first to thank you for your forums. They have been a great help. As you can see from the title I am post OP microdiscectomy 18 weeks. For the most part I am doing great. I had immediate relief from my ruptured herniated disc and was glad I did the surgery. Pre surgery I was unable to sleep, move or able to stand without my right hip pushed out. It was terrible. After surgery, I was GREAT for about 8-9 weeks. Then I started to get some nerve and general pain and discomfort. Your forums helped me to relax and just keep plugging away. Doing home PT and stopping if I get a flare up and getting back at it when I feel good. My pain level really never has gone above 3-4. Usually around a 1-3, if pain at all. I would say I am still very cautious taking it best I can. The general pain I get often is not related to my nerve pain but my hips and tightness of my Piriformis and hamstrings etc. Probably 65% general pain in back and other and 35% nerve pain flare ups. But that is getting better each week

This all got me to thinking I should request and read my x-ray, CT and MRI reports pre surgery. My question with all of this based on what I read and will post below in the MRI report, do you think my pain I feel now could be related to the other issues I still have in my back and hips. On L3-L4 or L5-S1. And how should I be treating exercise and such with what it says also. Sorry if that is confusing I am having trouble articulating what I am thinking. See below:

XRay Report:

5 views of lumbar spine demonstrate no acute fracture or dislocation. Mild spurring in the
intervertebral disc space of L3-4 disc consistent mild degenerative disc disease. There is
anatomic alignment of lumbar vertebral bodies.
IMPRESSION:
Mild degenerative disc disease mainly at L3-4

Study: HIP RIGHT 2-3 VIEWS W/O PELVIS
Clinical history: Right hip pain
Frontal and oblique images of the hip demonstrate no acute fracture, dislocation or
destructive bony lesion. Very mild osteophytic spurring is identified indicating mild
osteoarthritis.
IMPRESSION:
Mild osteoarthritis right hip

MRI Report Pre OP:

L3-4: There is a diffuse disc bulge of the annulus fibrosis measuring approximately 2 mm AP dimension which encroaches upon the anterior surface of the thecal sac. Central Annular tear is noted. Minimal facet joint degenerate changes are noted with thickening of the ligamentum flavum. Together with posterior epidural lipomatosis a minimal degree of central canal stenosis is noted. No significant foraminal stenosis is evident.

L4-L5: There is a central/right paracentral disc herniation of the protrusion type measuring approximately 5mm AP dimension significantly encroaches upon the right anterior aspect of the thecal sac. Disc material courses inferiorly with the central canal. Associated annular tear is noted. Together with mild facet joint degenerate changes and ligamentum flavum hypertrophy there is a moderate to severe degree of central canal stenosis. Not significant foraminal stenosis is evident.

L5-S1: There is a diffuse disc bulge of the annulus fibrosis measuring approximately 2 mm AP dimension which minimally encroaches upon the anterior surface of the thecal sac. No significant foraminal stenosis is evident. Minimal bilateral facet joint degenerate changes are evident.

CONCLUSION: 1. Straightening of the normal lumbar lordosis is noted consistent with muscle spasm. Subtle dextroscoliosis of the lumbar spine is noted. 2. Multilevel intervertebral disc pathology is present at L3-L4, L4-L5, and L5-S1 most prominently at L4-L5.

Can you decipher this in relation to future possible problems and pain now that the 5mm protrusion was removed successfully?

Thank you in advance for your help.
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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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