theshow561MemberDecember 30, 2011 at 11:05 amPost count: 2
HAD back pain for several years a mri reveal a bulge disk ..my doctor want to do a lumbar laminotomy…i have tried physical therphy,,accunpture,shots ,the shots gave me so relief for a short time ,,,but the pain came back,,tingling down the right leg more than left ,more pain on my right buttock than my left buttock,,pain goes all the way to the feet….my doctor say this can be done on a out -patient and last about 45 minutes procedure,,…….what do you think of this procedure ???,,,the problem at S1,,L5,,,WILL THIS PROCEDURE help me ,,am at the point do this surgery but still have a little doubt….pain medicine help some but i want to get off it,,,,i want to be myself again pain free,,,,is this lumbar lamintomy my answer to my pain problems???Donald Corenman, MD, DCModeratorDecember 30, 2011 at 12:47 pmPost count: 8436
A lumbar laminectomy is designed to decompress nerve roots but not relieve lower back pain. We need to define what lower back pain is. Lower back pain is generated from degenerative discs and degenerative facets. Low back pain is located in the small of the back in the midline.
Nerve pain typically radiates into the buttocks and down the thighs- sometimes to the feet depending upon the nerves involved. Nerve pain caused by stenosis (narrowing of the spinal canal or foramen) normally is induced by standing and walking and relieved by sitting or bending forward. Does your pain fit that pattern?
Also, it is unusual to have stenosis at L5-S1. It is much more common to have it at L4-5 but L5-S1 is possible. Will a decompression at L5-S1 relieve your symptoms? It is hard to say but the guidelines above will give you some idea of what should be seen in a stenosis situation.
Dr. Corenmantheshow561MemberDecember 30, 2011 at 9:26 pmPost count: 2
doctor u ask me was my pain in the center of the back???the answer is no,,severe pain on the left buttock mainly some on the left i have to sleep on my left side.so with the location of the pain so u saying my problem is a nerve pain problem my doctor did mention a narrow of a space caqnnot remember the medical term use but he shown me a narrowing space on the mriDonald Corenman, MD, DCModeratorDecember 31, 2011 at 3:04 amPost count: 8436
If you have buttocks and leg pain and that pain is associated with a compressed nerve, then the surgeon’s suggestion of a decompression makes sense. If you or the surgeon wants to have further proof, then a selective nerve root block can be performed to numb that nerve and temporarily reduce the pain (see website).
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