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  • Lewiswatts
    Participant
    Post count: 5

    Hello Dr Corenman,

    My name is lewis and I’m a chiropractor here in the UK. I have a symptomatic grade 1/2 spondylo at L5/s1 with severe DDD and foramin stenosis. I also have SBO at L5. The main symptom is severe back ache/compression. I do also get intermittent numbness and nerve pain. Eases with movement and stretching but it’s affecting ADLs now and training. I am scared of surgery but I know conservative treatment isn’t helping. Do you have any advice and what life will probably be like after TLIF surgery.

    I’m 31, healthy and relatively fit. My surgeon has said that I just have to make the decision if this is the right time in my life/career to have the surgery. I was running 30-40 miles a week no problem and training every day. But every morning now I feel like I can’t move and if I train at a high intensity I’m in pain for a few days.
    Thank you in advance,
    Lewis

    Donald Corenman, MD, DC
    Moderator
    Post count: 8460

    Your symptoms are the typical slow progression of degeneration from an isthmic spondylo at L5-S1. In my opinion, the TLIF is the appropriate answer to this disorder. The surgeon has to be meticulous and “OCD” in surgery but the ultimate outcome can be very good. Expect immediate nerve pain relief, 6 months for your back to feel normal and a year to feel like you never had surgery. A one level TLIF at L5-S1, when healed is consistent with olympic level activity.

    Dr. Corenman

    Lewiswatts
    Participant
    Post count: 5

    Thank you Dr Corenman,

    Does that mean if surgery goes well, that training would resume to the level I was pre-symptoms hopefully.

    The surgeon seems to have a really good history. He has been around a long time in the U.K. it’s just scary how the symptoms come on so quick from what seems knowhere and effect the quality of life.

    I feel the main pain come from the compression of the DDD and the stenosis of the IVF. As my worst symptoms are early morning. With legs becoming restless and aching after a busy day.

    Lewis.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8460

    You have described what 80% of all patients with your diagnosis note for symptoms. I like to hear that the surgeon has “been around a long time”.

    “Does that mean if surgery goes well, that training would resume to the level I was pre-symptoms hopefully”. Yes.

    Your symptoms will be lower back pain generated from the shift and degeneration as well as leg pain, increased with standing from foraminal stenosis.

    Dr. Corenman

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