My condition after 6 months of post discectomy L4/L5 surgery

Tagged: HNP discectomy, recovery, spine

Viewing 3 posts - 1 through 3 (of 3 total)

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Mohsin
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June 28, 2018 at 3:53 am

Post count: 3

#28638

Hi I am Mohsin Afsar and 23 years old, I had my discectomy surgery of L4/L5 on 9 January 2018. I am sharing my experience of post surgery and recovery here so that others can get benefit from it. It includes from all the symptom of my post surgery and my recovering story. It is bit longer but worth reading.

DURING FIRST 2 WEEKS: Soon after surgery pain was gone, I was too much happy that such a long lasting pain was gone and I am back into my life. But things became more challenging which I haven’t thought about it. The first week after surgery was much painful because of pain in the incision area, I was hardly able to move, stand and sit. New symptoms of recovery just began which includes hip burning, pinching, pain in calf, extreme back weakness and pain while sleeping. During first 2-3 weeks I was hardly able to sleep because of irritation pain of surgery and nerve disturbance. Gradually I was experiencing some new symptoms which made me in tension about my health but later my surgeon told that its all part of the recovery.

4 WEEKS LATER: After four weeks I just experience that my back has became too much weakened which shows some hard time while laying down or sleeping. Gradually it started to rise and I went to my surgeon who gave me a back pad and deep heat tube to apply back.

6 WEEKS LATER: I was recovering in a good state but still was having doubt because of the rise in post surgery painful symptoms. however, my surgeon advise me that it takes time to settle down, because nerves are sensitives and needs to recover after having inter-laminar discectomy surgery. I came in some comfort after meeting my surgeon.

2 MONTHS LATER: It was great that all those painful symptoms that were in numbers started to level down, and I was feeling much more better than before. I started all my regular activities on light duty.

3 MONTHS LATER: All those symptoms that made me fearful slowly vanished leaving me in good and better health. The most painful symptom was the back weakness which caused me too difficult to get up from bed and stand. Every thing is fine now and my doctor has cleared me.

CURRENT SITUATION: My surgery occurs soon after my graduation, and now I am on the 6 Month of my surgery. Nothing is up to now regarding any symptoms or pain. I am back into my life just engage now in searching for good job opportunities after fully recovering from that state of horrible pain tenure.

My doctor in my last appointment told me that start your regular activity and avoid those activities which can cause pain such as bending, twisting and heavy weight lifting. He also advised me to use pillow in office while sitting for more comfort and I will remain in good health as long as I will take care of my back.

That’s all, I hope sharing my story and recovery would help others that after surgery various symptoms can arise but we should remain clam and have patience and must have a followup with the surgeon.

Have a good health every one.
Take care

Donald Corenman, MD, DC
Moderator

June 28, 2018 at 8:19 pm

Post count: 8660

#28643

Thank you for sharing your surgery and recovery. This can be helpful to those needing a personal narrative for microdisectomy recovery.

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.

anna
Participant

November 20, 2019 at 9:12 pm

Post count: 15

#31512

Mohsin, You posted your story some time ago, but I just read it and wanted to thank you for sharing it as I found it helpful and encouraging as I recover from my surgery. I hope you and your back are still doing well.
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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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