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  • AvatarTHR
    Participant
    Post count: 2

    I had a TLIF performed on L5-S1 on October 2, 2020. After most of the surgical pain and different feelings created by the surgery and incision healing had subsided, I have the original pain I started with. The muscles on the right side of my back stiffen and I still have the sharp pain I had pre op. I still avoid BLT and wear my brace when I am out of bed to help avoid BLT. I was told the results of the discogram I had indicated disc L5-S1 was my pain generator but I do not remember anything from the procedure. I do not know any information on how my L4-L5 reacted during the discogram. I do understand my muscles will have quite a bit of changing to do when I get to the physical therapy phase of recovery, but do not understand why the pain has returned in my right lumbar. It occurs when lying and sitting as it did before. What could be occurring? I have read how some surgeons do not remove the entire disk when placing the spacer with BMP, could some of the disc that was causing pain still be within the L5-S1 cavity and be irritated by the bone growth of the fusion? I am currently upset with myself for even having this performed as I have had no success with any treatment we have tried throughout the years. Thank you for your time.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7735

    I will assume that you had an appropriate work-up and that L5-S1 was the discographic pain generator and L4-5 did not cause any pain.

    You are only 6 weeks out from your TLIF. It takes at least 3 months for the bone graft to “get sticky” and start to adhere the two vertebra together. Especially if you pain was endplate generated, the cage sitting on your endplate is only going to create discomfort. Give it six weeks to start to bond and please report back here.

    Dr. Corenman

    PLEASE 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.
    AvatarTHR
    Participant
    Post count: 2

    Dr. Corenman thank you for your reply. I do understand what you explained, I wouldn’t have worried so much if this would have been mentioned post op. I will follow up with my progress. Again, thanks for your time and explanation.

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