Hi iam looking for some advice(male / 42 years old/ from uk) before I have my follow up appointment on thursday 4th dec. I had a l5/s1 discectomy on october10th all seemed to go well and I was released the next day relatively pain free with good movement and being able to “straighten up” obviously sore and with pain from the operation but generally feeling better I was placed on 75mg pregabalin twice daily .upto day 10/11 I was feeling so much better and pain free . Then I had the numbness in my foot and pain come back starting at the top of my buttock and going down through my hip hamstring around my knee and down the outside of my calf and ankle. The pain is not as bad as before operation but is significant .any advise so I can be ready to see and ask my surgeon would be fantastic .thanks
The differential for your pain return could be seroma (a collection of fluid at the surgical site that is typical), nerve inflammation (from typical post-operative changes) or even a small recurrent disc herniation. In my practice, first thing I would do would be to put you on an oral steroid and get you into physical therapy. I assume the physical examination is unchanged from prior to the flair-up.
If the symptoms are tolerable, then just go from there. If symptoms increase in spite of the treatment, it is reasonable to get a new MRI.