juspMemberJuly 25, 2011 at 4:12 amPost count: 1
Im from India.Recently(September 2010) my mother(aged 49) had an operation for slippage at L5-S1.
After the operation she experienced different kinds of pains that was not before the operation.when ever she was trying to standup and walk some pain is generating from the back of her thighs to the back of legs.The pain will reduce only when she go to bed and lay down.When i said this to the doctor who made the surgery,he replied that S1 bone is touching the nerves and because of that she is experiencing the pain.To recover the pain only option is second operation.
We did the Second operation after six months from the first one.After that there is no pain like that and she could walk freely and happy way.But after 20 days some swellings came out from the operated stitch area.she couldnot able to walk and more pain in that area.After examining the stitch got infected and they continued treatment for that and she recovered firmly.After two weeks she experienced heavy head pain.when examined with Neurologist they replied that she had a stroke in the vain which carries blood from eyes to the heart(confirmed with MRI).At that time she had heavy spine and back pain and she couldn`t walk without any help.with treatement slowly she recovered from that and fine for few days.
Suddently she had a wound like one in the stitch area and it rose up and swelling came out.Again doctors replied it as an infection and asked to have a tablets for 2 weeks and daily dressing. The wound got healed and fine.But now she having pain when she is getting up from the bed or from the chair.Something it pains as pulling like muscles and it takes 15 to 20 seconds to go off.She cannot walk for more than 2 minutes because of the pain arising from the back thigh to the leg.Even now the pain is not getting off when she goes to the bed immediately when the pain comes.When i said this to the doctor he replied as muscle formation which is tietining the flesh area.
What should i do to slove this?Just help me in finding a way to slove this.
Thank You.Donald Corenman, MD, DCModeratorJuly 26, 2011 at 8:21 amPost count: 8611
I am not clear if your mother had a degenerative spondylolysthesis or an isthmic spondylolysthesis (see website for specific details). You also don’t reveal your mothers activity level which can be important for surgical planning. Did she have strictly back pain or did she have leg pain or both prior to the operation? All these can make a difference with surgical planning. You don’t reveal if she had a decompression surgery or decompression with fusion for the first surgery which is important to know.
It sounds like she developed a form of foraminal stenosis (again- see website) after the first surgery with leg pain that occurred with standing. This fits if there only was a decompression or a decompression/fusion that did not rebuild the disc height and the ensuing collapse allowed nerve compression.
She then underwent a second surgery and you don’t reveal if it was from the front (through the abdomen) or another one from the back. Again, the information is spotty but you report she may have developed an infection at the surgical site. If she developed a deep infection (in the spine itself) and not a wound infection (the skin incision only), then antibiotic pills will generally not work.
The way to diagnose a deep infection is with a new MRI and some laboratory tests as well as some blood cultures. She really needs to see an experienced spine specialist to help with diagnosis and treatment sooner than later.
Dr. CorenmanPLEASE 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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