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  • wmiller
    Participant
    Post count: 30

    I’m almost four weeks post left L4/5 laminectomy (without discectomy or fusion) and revision laminectomy and discectomy of L5/S1 (I had a small/moderate reherniation that he fixed since he was in there for the left side and it had been requiring regular injections). At 3.5 weeks, my surgeon told me that I can resume using my peloton bike (an indoor bike that streams spin classes). He did not put any time limits or anything on my use other than not to go into extreme flexion and raise the handle bars as high as they go.

    The peloton does cause my back pain/leg pain to flare up some on both sides (not coming out of saddle or doing intervals). Is this bike-induced nerve irritation likely just part of the healing process of the nerves, even with just a laminectomy on one side? I’ve had a discectomy before so I know that it can happen after that, but my left side flares also and I did not have disc work there.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    You have had a redo microdiscectomy at L5-S1 as well as a lami-decompression at L4-5 which does mean a slower recover to allow scar to stabilize these levels. I thin stationary biking with an elevated/shortened stem is a good rehab tool without coming out of saddle or doing intervals. Don’t try to sweat hard but “cruise” on the bike. It will take 6-8 weeks for the spine to become stable enough to push harder. Slow it down to prevent buttocks/leg pain occurrences. You will improve over time but don’t push too hard.

    Dr. Corenman

    wmiller
    Participant
    Post count: 30

    Thank you so much.

    So having two levels done at once, even if one did not involve a discectomy, can make healing take longer? No one has told me this and I was wondering why it seemed more difficult than my initial discectomy, which was done on a VERY large HNP.

    Could the ike flare it up for >24 hours? I rode 20 minutes yesterday and as I sit here typing have pain on the left (laminectomy only) side radiating from glute to lateral leg.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8468

    Healing takes longer due to two discectomies at one level. There is more dissection and more healing. Also, another disc herniation at that level would require a fusion which is best to be avoided.

    Pain should be your guide. You probably have rode too hard for the pain to flair-up for 24 hours due to the condition of your root.

    Dr. Corenman

    wmiller
    Participant
    Post count: 30

    Okay–yes, my surgeon told me I have just one strike left and I’ll be fused. But the side with two discectomies is not as flared up as the other side that just had the laminectomy without discectomy…could the healing of the repeat discectomy one impact the healing of the level above on the other side that was jut decompressed? Sorry for so many questions–I do not see my surgeon for another month (assuming that all this covid stuff has been resolved).

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