Viewing 6 posts - 1 through 6 (of 6 total)
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  • paul.aida
    Participant
    Post count: 4

    Hello Dr,

    I had my back surgery 10 weeks ago,
    From then till now the straight leg test is negative, i was requested to do a MRI on week 5 after surgery due to left leg pain.The MRI showed post-opp fluid collection (1.7 cm) pushing on my Nerve root.
    A second MRI on week 8 and after medication the fluid collection is about 1cm.
    All this time i was resting in my bed, with no activity, only walking.

    The pain is gone by week 9 and my doctor given me some exercises to do them.
    I returned to word one week ago, i’m not able to sit, to drive, and my left leg pain returned as same as before the surgery, from my back going down to my foot.
    I asked my Doctor and he was confused, he told me to do physiotherapy.

    I asked him about the fluid collection, if they returned and pushing on my nerve once again, he said no.

    I’m so confused, and worried about my pain.
    I need to have a mental rest.
    Any help doctor.
    Thank you.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8459

    You had a seroma, a fluid collection that occasionally occurs after surgery. This collection can compress the nerve and act like a recurrent disc herniation. You were followed with serial MRIs which is appropriate and indicated reduction of the size of the seroma over time which is to be expected.

    Unfortunately, you then had return of pain of the same type and intensity as before surgery. This could indicate return of the seroma (less likely) but could also indicate a recurrent herniation. It would be OK to consider an oral steroid for now but consideration of a new MRI with gadolinium to look for a recurrent herniation is also something to think about. If you have new motor weakness or worsening of previous existing motor weakness (found on examination), the MRI is imperative.

    Dr. Corenman

    Dr. Corenman

    paul.aida
    Participant
    Post count: 4

    Hello Dr,

    There is no motor weakness, but the pain is getting worse day after day.
    So i should have a new MRI to see whats is going on.
    I’ll have it as soon as possible.
    Thank you.

    paul.aida
    Participant
    Post count: 4

    I’m taking now prednisone but its not helping at all.

    paul.aida
    Participant
    Post count: 4

    Hello doctor,

    I had the MRI and there is no herniation.
    But the seroma is there 1cm volume.
    As it was in the last MRI.

    Sorry for asking a lot.
    Could it be the reason of why i’m having pain when sitting and driving and having pain all day?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8459

    A seroma acts like a disc herniation. You could consider an aspiration of this seroma and injection of steroid (a transforaminal epidural steroid injection or TFESI) to reduce the seroma and reduce the inflammation depending upon the severity of your symptoms.

    “Could it be the reason of why i’m having pain when sitting and driving and having pain all day?” Yes

    Dr. Corenman

Viewing 6 posts - 1 through 6 (of 6 total)
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