[Donald Corenman, MD, DC]

#26443

Your surgeon is generally correct regarding this new herniation. I am surprised he opened both sides (“He said Laminectomy (bone removal) was done on right and left side”) as I thought you initially stated the you only had a one-sided herniation in the beginning.

I know he is concerned by the size of the herniation and wants to remove it but you are relatively asymptomatic and you don’t want surgery. You could have another herniation (recurrent herniation) but the odds of this would be only 10%. There are good arguments on either side for surgery or watchful waiting.

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.

[rodneyber]

#26450

When I asked about the herinated fragment and ask about the bulge I had he did say it was that same bulge that herinated and deyactched5. Reason he did both left and right side for laminectomy was prior to surgury i had pain on left and right leg, even though the left side was the problem leg for almost a year up onto last 2 month prior to surgury when right side had severe path.

I see 2 more surgeons in coming week. After that I’ll have to see what is next.

If fragment fuse into canal I could be looking for problems later.

If fragment present no problem and I can live with it lime now with minimum discomfort then I’d just get the injection. I’m leaning toward just getting it removed.

For the disk to break I know it was stuff I did to cause the break. A herination is one thing but the disk broke.

[rodneyber]

#26451

Do you agree that the fragment on bladder nerves based on it location or bladder nerves elsewhere.

My surgeon seen like trpe that’s knife happy and charge for everything. I even my paperwork bring completed for my job.

[rodneyber]

#26452

The herination was o e sided from my understanding. It was from the bulge that herinatex

[rodneyber]

#26453

Surgury I had was for stenosis not herination, where the laminectomy was done on left and right side, even though MRI report dais nothing about right side.

[Donald Corenman, MD, DC]

#26455

Ok, now I understand why he went both sides. Stenosis is a bilateral condition so bilateral decompression is required. If he did or did not take out the disc bulge, you have a new hernation. It sounds to be large but you have no symptoms. He makes the point that this herniation can adhere in the canal making removal more challenging and he is correct but maybe overstating this problem. It can adhere and the longer in the canal the more likely adherence can occur. His discussion in bowel/bladder is cauda equina syndrome (https://neckandback.com/conditions/cauda-equina-syndrome/) but you do not have any symptoms relatable to this disorder. There is a higher risk in your case but still you can be monitored if you don’t want further surgery.

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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