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  • 74currie
    Participant
    Post count: 3

    I am four weeks postop after a spinal Fusion at the L5 – S1 level. To give you some background that may be important, I originally had a microdiscectomy on the same level back in May. I reherniated shortly there after and my surgeon did a revision microdiscectomy in June. I reherniated again at which point my surgeon recommended a spinal fusion, which was performed four weeks ago. So I’ve had three back surgeries in the past three months.

    The decision behind the surgeries was severe sciatica pain down my right leg. Each time I had surgery, the pain seem to be relieved in the hospital, but would return as soon as I was home and up and walking. We assumed that the reason the pain returned the first and the second time was because I had reherniated. After the fusion, I again felt good in the hospital and then the nerve pain came back. At the third week post op mark, I finally started to see a gradual decrease in nerve pain after the fusion surgery. Several nights ago I felt well enough to go out to dinner and sat on a chair that was pretty tough for a few hours. Since then I have been in excruciating pain with all of the pre-operative pain returning Including now some mild sciatica in the left buttock where I haven’t had pain before. I am concerned that I did something to mess up my fusion.

    What are your thoughts after hearing all of this?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    You probably did nothing to ruin the fusion but there are some possibilities that need to be looked into. First is simply root swelling. The root has been compressed three times in three months. There also has to be some manipulation of the root to re-decompress it and it can become inflamed. The second is that a seroma (a collection of fluid) can occur to compress the root. The third is there could be some remaining herniation compressing the root. The forth is unlikely but possible hardware compression.

    You could consider an oral steroid first. If not better, a new MRI with contrast should be considered.

    Dr. Corenman

    74currie
    Participant
    Post count: 3

    Thank you so much for taking the time to review my case and for having this forum. I did end up getting an MRI today after speaking with my doctor. I’ll keep you posted on the results.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Great!

    Dr. Corenman

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Great!

    Dr. Corenman

    74currie
    Participant
    Post count: 3

    As a follow-up to this post I got my MRI results back and all it really seems to say is that I have fluid buildup and scarring. It noted that the area of fluid is about 2 inches x 3 inches. I don’t see my doctor for a few weeks. The MRI did not make any mention of the fluid or scarring pressing on nerves but it leaves me wondering if that’s what’s happening. My doc put me on Celebrex last week which greatly improved my pain but I still do have pain in my leg.

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