deritisMemberDecember 16, 2014 at 5:19 amPost count: 18
Dr., I’m a little more than a year out from a microdiscectomy at l5-s1, and subsequent reherniation a month later. My question is this. I was in pain for a good 8 months or more (around a 5 or 6 out of 10), until I changed the way I exercised – I stopped cardio and started swimming, began focusing more on bodyweight and core exercises with trainer. Since that change, I have felt much better. The problem is that my pain is still not gone, just much improved.
Sometimes I feel almost normal and I try to cycle or do some other form of cardio, only to have my pain flare a day or two later for several days. There is a clear correlation between cardio exercise and recurrence of pain – So much so I can predict it. Can you provide some insights into why this is? The pain is an ache in my buttocks, upper thigh and occasionally if it’s a bad flare down the back or side of my calf.Donald Corenman, MD, DCModeratorDecember 16, 2014 at 10:19 pmPost count: 8583
A recurrent disc herniation probably is still present but not compressing the nerve root as significantly as the initial herniation was. Flexion (bending forward) will tension the nerve root over the herniation. This is most likely why cycling aggravates the nerve but weight lifting (where you keep your body line straight) does not cause as much aggregation.
If this is the case, an epidural steroid injection might be helpful.
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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