[markpai]

#5090

I went through a back surgery and which caused spinal arachnoid cysts. After cysts removed and laminectomy from L2-S1, I felt better. but now the scar tissue adhesion and compression to dural cause my feet numbness and poor bowel movement and urination.

My doctor is planning to use metal rods to block the tissue from compressing the dural. Do you think that is OK? or any other way?

Please help! My doctor can not be sure about the rods will solve the problem. He says that this’s just a theory.

Best regards.

[Donald Corenman, MD, DC]

#5091

You have now had 2 spinal surgeries with what sounds to be the complication of arachnoiditis (see website for explanation). Arachnoiditis causes the nerve roots to stick together which can cause your current symptoms (bilateral foot numbness and bowel/bladder dysfunction). You also note “compression to the dura”.

By itself, arachnoiditis does not cause compression of the dural sac. Is there some other cause of this compression such as a bone spur, a herniated disc or instability to the vertebra which is causing compression?

Fusion of the lower back vertebra is reserved for pain of the segment, instability of the segment, compression of a nerve by collapse of the segment or deformity (progressive scoliosis). Do any of those indications exist to consider fusion?

Dr. Corenman

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