Travis.mParticipantSeptember 1, 2020 at 7:13 pmPost count: 4
Good Evening Dr,
I know it’s earlier in my recovery but like most people I’m worried and can’t keep my mind off of it. Was wondering what your thoughts would be.
My history 34yr old male 215lbs first microdiscetomy/Laminectomy Dec 9th 2019 @ L4/l5. Symptoms: severe leg pain to knee, was super tilted, couldn’t walk from couch to kitchen never saw any improvements from March 19’ till surgery. After surgery leg pain was completely took 6-ish weeks and all pain was gone.
Around April 15th 2020 was on a walk and felt some nerve pain decided to head home from walk woke up next day back at square one pain wise. Went through the PT/MRI/Shots I had reherniated the L4/L5 again and had corrective microdiscectomy/Laminectomy on August 27th. Going into the last 2-3weeks I was seeing improvement I was able to sit for long periods of time with no pain and had no issues sleeping. The problem i had was standing or walking for more than a couple minutes I would start to get the stabbing nerve pain down the left leg. After surgery first couple days were much harder on the 2nd surgery than first. I can stand or walk for 40-60 seconds pain free but than the nerve pain starts coming back stronger and stronger till I’m at a 8-9. Couple things regarding this 2nd surgery I don’t know if they could be contributing factors per the doctors there was a lot of scar tissue and manipulation of the nerve to get the disc bulge out. They prescribed a 7 day taper prednisone pack that I have 2 days (3 pills left). Here is where my question lies should I be worried that I’m still only feeling nerve pain after standing or walking for a few minutes or could this still be caused by swelling? My thought was if it was swelling it wouldn’t come and go along with if the nerve is decompressed when first standing it should stay decompressed but I’m also only 5 days post opDonald Corenman, MD, DCModeratorSeptember 1, 2020 at 8:00 pmPost count: 8459
Your time line is inaccurate. You note a redo “microdiscectomy/Laminectomy on August 27th”. You then note “Going into the last 2-3weeks I was seeing improvement” but there are only 5 days from surgery to today (Sept 1st). When was the redo surgery performed?
Redo discectomies do have to deal with scar and manipulation of the root which can cause delayed inflammation and increased pain. It really is an unknown how the root was manipulated during surgery and that has some bearing on the post-operative symptoms. You have to be patient with the recovery but if symptoms don’t calm down over the next 3 weeks or significantly increase when you stop the steroid, you might have some cause to consider a new MRI. Fresh post-operative MRIs in redos are sometimes difficult to interpret.
Dr. CorenmanTravis.mParticipantSeptember 2, 2020 at 6:08 pmPost count: 4
Sorry for the confusion I was seeing improvement pre surgery just was having issues walking for more than a couple minutes than the pain would flair up but sitting and laying down had gotten better and I had corrective surgery on August 27th (6 days post-op). I do appreciate the response and know it takes time. I’m hoping it’s just swelling since i only have the pain a minute or so after I stand or start walking now but didn’t know if swelling could give a delayed pain like that or if it would’ve been consistentDonald Corenman, MD, DCModeratorSeptember 3, 2020 at 7:26 amPost count: 8459
Please keep us informed of your progress in the next couple of weeks.
Dr. CorenmanTravis.mParticipantSeptember 21, 2020 at 7:21 pmPost count: 4
Good evening Dr,
Just an update things have been going extremely well in my recovery from surgery i am currently 25 days post op and it’s amazing how different my recovery has been from the first surgery to the second both were relieved the symptoms but just the timeframe they did. I had one more question. Prior to surgery to relieve the pain in my left leg I didn’t have any lower back pain. Over the last day or two I’ve started to have pain (almost like it gets super tight) just on the right side at the same l/4 l/5 level down to the top/front top of my hip. It’s not sharp nerve pain but it’s definitely a pain that can only be relieved by laying down, crouching, or sitting. Could this be that I had some disc bulging on the right side but didn’t notice since the pain on the left was so much stronger or could it be (pre-surgery I had a severe tilt to the right that’s now going away as I’m straightening out) that my muscles are just being stretched back out and causing the pain on the one side only.Donald Corenman, MD, DCModeratorSeptember 23, 2020 at 2:53 pmPost count: 8459
This is probably “disc settling” pain. When you have a herniation, the annulus tears and a portion of the “jelly” comes out of the “donut”. This decreases the pressure in the disc and just like letting air out of a car tire, the disc settles. It takes some time for the side walls to adapt and there is discomfort in the back during this time.
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