Nerve pain following L4/5 discectomy

///Nerve pain following L4/5 discectomy
Nerve pain following L4/5 discectomy

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  • Avatarcdunton9
    Participant
    Post count: 2

    I had a L4/5 disecetomy 2 weeks ago. I had an epidural L5 nerve route block injection a few weeks before the surgery and this did take the edge off my nerve pain enabling me to stand without pain and sit for short periods. The pain is in my right buttock, lower right leg and big toe.

    Since the surgery my pain is now back to how it was before the injection. The nerve pain has increased and I can no longer stand or sit without pain. I also have mild nerve pain when lying down too (which I didn’t have before).

    Could this be caused by a re-herniation or do you think the nerve is inflamed from the surgery?

    I have seen the physio who has given me mobilisation exercises. When I do these the pain flares up more so I am not sure if I should continue with these or not.

    I would be really grateful to receive some advice.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7138

    Your scenario could be from simple nerve inflammation but a recurrent disc herniation is a distinct possibility. Your pain should be significantly better, not worse. A new MRI with gadolinium would be a good next choice. Don’t currently do exercise that increases your pain.

    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.
    Avatarcdunton9
    Participant
    Post count: 2

    Thank you so much for your quick response. How long can the nerve inflammation last? Also, what does the gadolinium show? Is it possible to re-herniate directly after surgery?

    The physio said I should keep doing the exercises or I risk forming scar tissue around the nerve.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7138

    “Is it possible to re-herniate directly after surgery?” Yes

    “How long can the nerve inflammation last?” If I could answer that question, I would be walking the red carpet in Sweden and the Nobel committee would be putting that gold medallion around my neck!

    You do want to continue to “floss” the nerve to prevent restrictive adhesions from forming but not at the expense of increased pain.

    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.
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