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  • Skaffel
    Participant
    Post count: 8

    Hi Doctor Corenman

    I had l5S1 re do microdcetomy (previous one 11 years ago) which recovered well. About 5 weeks was the second one. I was doing very good 3-4 weeks post op. Tried spin class 15 min one day and 45 min after a day off. (At 4 weeks post op) Now in some more discomfort. Not as intense in the leg and butt before. Waking up more aware of pain. Woke up one night and it was 7/10 but then seem to subside during morning hours after walking. It’s just seems more dull and pain during the day. Seems worse right when I get up and try to twist slightly to get off bed. Should I be concerned. Seeing follow up next week for 6 weeks.

    Skaffel
    Participant
    Post count: 8

    Do they recommend scar tissue removal procedures after surgeries like this? Do you think it’s more scar tissue and I can recover gradually over the next 3 weeks?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    The nerve after a microdiscectomy is somewhat persnickety. It can stay sensitive for 6-10 weeks. After surgery, you should slowly build up your activities to allow the nerve to adapt. Spin class for 15 minutes then 2 days later tripling the exposure (15 min to 45 min) is simply too much and you pissed off the nerve.

    You need to gently build up the exposure (15 min to 18 min) week by week, the 20% per week rule. If the nerve is still grumbling, you can ask your surgeon for some oral steroid.

    Dr. Corenman

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    The nerve after a microdiscectomy is somewhat persnickety. It can stay sensitive for 6-10 weeks. After surgery, you should slowly build up your activities to allow the nerve to adapt. Spin class for 15 minutes then 2 days later tripling the exposure (15 min to 45 min) is simply too much and you pissed off the nerve.

    You need to gently build up the exposure (15 min to 18 min) week by week, the 20% per week rule. If the nerve is still grumbling, you can ask your surgeon for some oral steroid.

    Dr. Corenman

    Skaffel
    Participant
    Post count: 8

    Dr Corenman, Thank you for the response. Okay. I’m about 8-9 post op. Just started PT. And was given course of oral steroid this week.

    I still have some bad episodes of leg pain. Just started work. I’m an OT but not with involved patients. But I drive a lot. It can get up to 7/10 some days. Mostly at first upon waking up and when I get into bed. I’m not limping as before the surgery. I’m just worried something happened and doing too much PT. The doc said ease into everything and nerve is still healing I am not sure if another MRI would help. If I irritated like that will it just like prolong the healing time? And how long you think! Could I expect a 3-6 month recovery to fee less leg pain?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    You do need to allow the nerve to recover but if you are 8-9 weeks out and still have 7/10 pain, a new MRI would be helpful. If a seroma is present, you might consider aspiration and steroid injection. Yes, 3-6 months of root recovery can be expected.

    Dr. Corenman

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