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  • killerkutie
    Member
    Post count: 9

    In October 2012 I started having sciatic pain and in Dec 2012 I was diagnosed with an 18mm herniation at the L5S1 level.
    Symptoms started with burning and pulling behind right thigh, progressed to buttock spasms and eventually had heal pain and what felt like foot drop.( no pain behind knee and none in calf )2 weeks before surgery I noticed I couldn’t stand straight, my body kept shifting to the left side.

    I had a microdiscectomy March 21st 2013.

    Ive had no relief from sciatica since surgery, but certain symptoms have disappeared such as burning behind thigh, buttock spasms,thigh pain and heal pain. But some newer pains have settled in such as behind the knee pain, some calf tightness and the pain is no longer around my heal but under it now.
    I guess my question is, is this normal? my pain is constant,if I don’t take meds. My sitting and standing tolerance as well as pain has definitely improved somewhat but pain increases some week, and diminishes others.

    I seen my family dr yesterday ( at 9.5 weeks ) He dosent seem concerned.
    I had a follow up with surgeon on week 4 which was a good week and was cleared as a success. Surgeon said pain will eventually go. Im frustrated…
    Please advise.
    Meds Im currently on is 5m Flexeril x 2 a day. Advil and Tylenol.

    killerkutie
    Member
    Post count: 9

    Can someone tell me if my post is in the right section?? Or am I just chopped liver lol

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    A very large herniation (18mm) can create nerve injury that can take time to heal. See the section under “nerve injury and recovery” to understand how nerves heal. Pain relief however should generally be quite good after a microdiscectomy.

    Pain that continues to be somewhat disabling after a microdisectomy can originate from a recurrent herniated disc, an intracanal hematoma (a small collection of blood) or even on very rare occasion, incomplete removal of the disc herniation.

    In my practice, if the patient does not have great pain relief, I generally order another MRI. If there is no compression of the nerve, I order an epidural steroid injection which takes some of the inflammation out of the nerve root. If there is a hematoma present, I have it aspirated.

    If the pain is of root injury origin, I use membrane stabilizers (Neurontin or Lyrica) and physical therapy.

    Dr. Corenman

    killerkutie
    Member
    Post count: 9

    Thanks for the reply dr corenman Its pretty sad when Ive gotten a reply from another surgeon before my own! Im from northern ontario and unfortunately My surgeon and surgery was done in Toronto, its very difficult to get through and speak to someone at the office. I spent yesturday cumpulsionally calling my surgeons office in hopes to speak to the secretary as my body is shifting to the left side again! I left a message. Hopefully I get a call back! As far as the mri my family physician said he wont repeat one till 1 year post op seeing that it would only reveal inflamation and scar tissue lol and theres no one here that can give us shots! It takes 8 months to see a neurosurgeon!!

    Donald Corenman, MD, DC
    Moderator
    Post count: 8465

    I know that national health care can be really unresponsive and spine care has some of the most prolonged delays in that system. Maybe you can get hold of a nurse and ask if they would consider giving you an oral steroid for this nerve root inflammation.

    Good luck!

    Dr. Corenman

    killerkutie
    Member
    Post count: 9

    I got a hold of my surgeons secretary. One if my surgeons colleagues is hosting a clinic in a near by northern ontario community tomorrow and Ive managed to get an appointment to see him. Im hoping he will send me for a new MRI so I can get some answers. Thanks again for your response Dr Corenman!

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