Post surgery pain

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  • seank
    Participant
    Post count: 9
    #26286 |

    Dr Corenman,

    Sometime back I had requested your opinion on whether to get a 2 level fusion or a repeat mocrodiscectomy.

    Well, I finally got the latter done on L4-L5 yesterday. My pain which was mostly axial in nature is a whole lot better and I can stand without hunching over to relieve it.

    However, I have developed a different symptom. Mild sciatica all the way down my left leg, which I did not have before surgery. It only happens when I either stand or move in bed such that I put pressure on the surgery scar. No symptoms otherwise. Walking, lying or sitting relieves the symptoms. The sciatica never exceeds a pain level 2-3.

    Should I be worried about reherniation already? Or is it just the swelling from surgery pressing on the nerve? Not trying to get too worked up about it since the surgery is barely 24 hours old. That being said, it is a new symptom. If it helps, the surgeon approached the disk from the left.

    Thanks.

    • This topic was modified 1 week ago by  seank.
    Dr. Corenman
    Moderator
    Post count: 5374

    This fusion surgery does require some retraction of the nerve root. If the root is sensitive, retraction can cause the root to temporarily become aggravated. The other potential cause is a seroma (a fluid collection that can occur after any spine surgery). This temporarily puts the surgical site under some pressure. Pressing on the incision will transmit the increased pressure down to the spine and cause temporary aggravation of the nerve while skin pressure is held. In either case, if the symptoms diminish over time, there is nothing to worry about.

    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.
    If this forum has helped you, please let Dr. Corenman know!

    seank
    Participant
    Post count: 9

    I apologize for not being clear. I did not get the fusion. I got a repeat microdiscectomy.

    I assume that your answer applies nonetheless and I should rest, stop worrying and let my body heal.

    Is that correct?

    Dr. Corenman
    Moderator
    Post count: 5374

    The answer would apply to your surgery also.

    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.
    If this forum has helped you, please let Dr. Corenman know!

    seank
    Participant
    Post count: 9

    Thanks doc. Keeping fingers crossed here.

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