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  • dick
    Member
    Post count: 3

    i had a fusion in my lower back s-1 & L-5 back in 2005 and i am still having alot of severe pain in my lower back & right side and leg , even after surgery nothing changed ? was told that there were 2 – disc that were bad WHICH IS THE NEXT ONE UP, and the surgeon fixed the one that was causing all my pain ?? NOT !! had all kinds of MRI’S DONE , BEEN THROUGH all the pain management ( shots in the spine ) disco grams ,physical therapy , been on moraphine , vicodine , percocet,darvaset,methadone , and nothing seems to help ? i am in constant pain & nothing seems to releave it ?? THERE IS A DISC THAT STILL GOES OUT AND THEN I CANT WALK WITHOUT EXCRUSHIATING PAIN , IT WILL go out on me at the slightest of movment at times ?? can you tell me what to do next ?? i am tired of this PAIN !!!!!!!!

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    You had a prior fusion at L5-S1 about 7 years ago. This fusion did nothing to relieve the pain that existed in your back, right buttocks and leg. I am then unclear if you had an additional surgery at the level above (L4-5) which again did nothing to relieve your pain.

    I have many questions. Has your original pain changed or is it exactly the same as before you went down these surgical pathways? Did you have post-operative MRIs and CT scans to look for solid fusion and/or continuing nerve compression? What work-up did you have prior to the first and possibly the second surgery (discograms, nerve blocks, etc..) and what were the results?

    What have other consultants told you after the continuing pain?

    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.
    dick
    Member
    Post count: 3

    no ! nothing has changed from surgery it is exactly the same as BEFORE THE SURGERY, I HAVE HAD NO OTHER SURGERIES ON MY BACK JUST ON L-5 S1,also i had 2 surgeries on my neck in 2001 & 2002 cant remember if it was at c-5&6 or c-6&7 ? the first surgery did’nt work ( donor bank bone ) so i had to have it done again, no i did not have post – operative scans or mri’s , and i did have mri’s & disco grams done before surgery , i had a series of shots at the pain clinic 3 – shots in each side of spine , ( did’nt help ) went back to the doctor and he gave me a shot in the back that should have helped also and DID NOTHING ?? just had an mri done back in december of 2011 and the doctor that i am seeing for this said that the mri showed nothing & so he had me go and have x-rays done , i go back to see him on feb 16 2012 to see if he can see anything ??

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    OK- you need a workup for failed spine surgery syndrome. This problem is more common than you think and there is a standard way to proceed. (Please see website for this topic under “conditions”)

    A new MRI is needed and it sounds like that test has been completed. You also need a CT scan to look for fusion (or lack thereof) of the L5-S1 level. A complete history and physical examination is needed to identify neurological components and instability as well as details regarding how the pain affects your life.

    After that, diagnostic injections are performed (see section on interventional injections on website) to identify what structures are generating pain.

    With that work-up, many patients who have failed prior spine surgery are candidates for a reparative surgical procedure. Unfortunately, not all patients who have failed prior surgery can be helped with new surgery but that is the purpose of the work-up.

    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.
    dick
    Member
    Post count: 3

    ok ! thank you so much for all your help. i will get the test done ..

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    A pleasure.

    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.
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