Jenkij1960ParticipantOctober 10, 2020 at 6:07 pmPost count: 1
Hello Dr. Coreneman-
Thank you for having this forum and letting me submit my question/concern.
I am a 60 yr old male and had right side L5 S1 microdiscectomy on 8/5/20.
I am also a type 2 diabetic and had a right side hemorrhagic stroke in 2011.Since 2011 I have had foot pain/numbness and lower back pain which became chronic in 2019. An MRI done in 2011 showed a bulging L5 S1 but no herniation. An MRI taken in December 2019 showed a herniation of L5 S1.The pain in lower back became so chronic I opted for the microdiscectomy surgery August 2020.
Weeks 1-3 were typical from what I have read and back/leg/foot pain was greatly reduced but at week 4 the back/leg/foot pain returned.
At about 5 weeks post op my surgeon put me on a prednisolone pack for inflammation which seemed to help while taking and for a few days after finishing the meds but my lower back pain, buttock, leg, foot pain came back a few days after stopping the steroid. The surgeon said this was a good sign and showed that my symptoms were nerve related.
I started PT at week 7 and now going into my 3rd week. The PT has helped some but still having the same symptoms as before surgery but not as severe.I seem to have a few good days followed by a few not so good days. My back can hurt one day but foot and thigh pain can be OK. The next day the back feels good but the thigh and foot pain come back and some days all 3 hurt.
At 9 week post op visit to surgeon I was told to continue PT for another 4 weeks and to use the Flexeril if I felt the need or a flare up of my symptoms. He indicated if the pain was still persistent in another 4 weeks we would have another MRI to check for re-herniation.
When I use the flexeril my symptoms seem to lessen for a day or two before returning.I do not think I re-herniated although my symptoms seem the same as before surgery but not nearly as sever. At 10 weeks is this typical symptoms for a 60 yr old with a bulging/herniation for approximately 9 yrs before surgery?
Thank You for your time.Donald Corenman, MD, DCModeratorOctober 11, 2020 at 7:34 amPost count: 7686
It can take some time for nerve root inflammation to recede. I think your surgeon’s plan is acceptable. If you don’t have symptoms that fade away over the next 4 weeks, a new MRI should be called for.
Dr. CorenmanPLEASE 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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