quandry

quandry
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  • Avataryusufv
    Participant
    Post count: 7

    I have experienced buttock pain for the past 6 months , I decided to investigate and do an MRI three months ago , S1 L5 DISC HERNIATION , dilemma is that this buttock pain I am not sure whether it is chronic and will microdiscectomy be a solution , offcourse I do have calf and leg pain etc
    my fear is that we do the procedure and the leg pain goes away but buttock pain especially when I am seated worsens

    I have also another dilemma about surgery as I have my right leg always revving up and creating internal nerve movemenets / vibrations , for most of the time , will this quiten down if I do surgery or remain as is extends into my foot

    is surgery ?

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6907

    Typically, buttocks pain is caused by nerve compression. There are some uncommon other causes but most buttocks pain is radiculopathy. A microdiscectomy should have about a 90% chance of relieving buttocks pain. The physical examination will help to insure that this pain is nerve related. The straight leg raise test (SLR) should increase the buttocks pain when the leg is raised and reduce pain with the leg straightened.

    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.
    Avataryusufv
    Participant
    Post count: 7

    Yes SLR does induce the pain but the pain is there all the time when I sit especially, not when I lie down
    you did not comment on the second part of the query about my leg nerve compression that starts at sciactic in butt and calf vibrates tenses and then extends into foot section

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6907

    All of your symptoms are most likely from the nerve compression.

    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.
    Avataryusufv
    Participant
    Post count: 7

    Will my microdiscectomy be the appropriate treatment of choice to address the shooting nerve compression starting from my sciatic notch region radiating all the way to foot, causing pins and needles under my foot and discomfort and claudication type of pain, reminder I have no stenosis on MRI but S1 L5 disc herniation, I am relying on your experience on this matter as I am nervous about surgical outcomes and my situation of vibrations , shooting, claudication etc is unique

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 6907

    If this herniation is causing your symptoms and the physical examination fits with your symptoms, then a microdiscectomy should give you good relief. Make sure you go to a meticulous surgeon.

    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.
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