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  • AvatarTom85
    Participant
    Post count: 4

    Hey Dr corenman
    I recently had a microdscetomy and decompression on the l5/S1 on the 7th of November. After 5 months of nerve pain on the right leg the surgery relieved it all. The annular had a 14mm tear with large extrusion favouring the right side now 4 weeks on I have pain in my left glute which for the last two days has been giving me grief. As I have been changing from ice to heat every hour it has given me relief until I walk a distance then pain resurfaces, my question/questions are is inflammation of the nerve root even possible on the opposite and will it settle down with ice / heat and rest and how long does it usually take for surgical inflammation to settle down, also I did a lot of sitting two days leading up probably 6)7 hours in and out of cars / aeroplanes could this cause a flair up or am I expecting to much to soon of the operation and this is part of yhe healing process any help would be awesome

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7629

    Did you have any pain on the left prior to surgery or is this pain new? If your right sided pain was intense, it might have brought your attention to the right and previous less intense left sided pain could have been ignored. Did you have any findings on your left from the preoperative MRI?

    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.
    AvatarTom85
    Participant
    Post count: 4

    Yeah I did a little on the lest side it would come and go,
    Findings.Allignment in lumbosacral is normal on ap and lateral view. There is no sign of any destructive lesion. The Si joints are normal. A very large disc prolapse with extrusion of disc material is seen at the l5s1 level the extrusion projects upwards of the l5s1 level to the right prosteria side of the canal causing impingement of the right s1 nerve root there was no displacement of the S2 root nerve towards prosteria. The base of the lesion is wide measuring 20 mm from side to side. The ap diameter of lesion is 14mm and from superior to inferior measures 19mm. There was some moderate forminal stenosis at the l5s1
    I have little idea what all this means but it’s a lot better now than before just concerned about new pain during my procedure I had a decompression of the nerve root what ever that means I’m.not sure he told me the piece of material was about 12 mm round that was removed also from what I understand the original disc bulge which was identified two months prior to the prolapse was central but favoured the right slightly. I’m still hoping it’s just swelling around the spine causing new symptoms

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7629

    I assume that this MRI reading was prior to your microdisc surgery.

    There is a possibility that a fragment from mid-line migrated to the left during the surgery causing effacement of the left root.

    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.
    AvatarTom85
    Participant
    Post count: 4

    Yeah a month before the surgery thank you for your help the anxiety is killing me this whole thing has been a nightmare will it require a second surgery if this is the cause

    AvatarTom85
    Participant
    Post count: 4

    Could swelling cause this also?

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