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Viewing 4 posts - 7 through 10 (of 10 total)
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  • Skaffel
    Participant
    Post count: 5

    Yes at times it still can get up to 7/10 not as intense before surgery Most times I can walk fine and it seems more dull leg pain. 3-4/10. Seems with excessive posterior pelvic tilt the leg symptoms Reappear. Just started PT this week. Do you think I did something serious and I will still be able to recover with just a set back and good PT? Will an epidural be a good option and do you see it helping people with post surgical pain like this? I had two epidurals back in April before surgery. I am concerned but hopeful to get more insight. Thank you.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8140

    Epidurals after surgery can be quite effective to reduce root inflammation. Don’t forget, the injection is a selective nerve root block since the ligamentum has been surgically removed. I like an new MRI first to determine cause and possibly the need for an aspiration (since the needle is already there).

    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.
    Skaffel
    Participant
    Post count: 5

    The MRI is scheduled this week. Wednesday. Made sure it was 3T. Can you tell more about the selective nerve block? I am seeing a pain back MD specialist next week. Surgeon says my MRI will just show scar tissue. He thinks it healing. Do you think I will be able to light work out in 3-4 weeks? Build back up from there?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8140

    A selective nerve root block is simply the pathway to deliver the medication. Once a laminotomy is performed, the ligamentum flavum is removed which is a necessity for an epidural injection. Since you cannot inject in that pathway, you can inject in the foramen to the side of the canal which is called a selective nerve root block.

    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.
Viewing 4 posts - 7 through 10 (of 10 total)
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