Viewing 6 posts - 1 through 6 (of 6 total)
  • Author
    Posts
  • Big nerve
    Participant
    Post count: 11

    Hi Doctor thanks for this forum it has been very helpful to me for what has been going on with me I had a lacectomy about 17 years ago been pretty good still had a few problems along the way then about 5months ago re injured my back again oh the first op was l5s1 this time had ct scan it showed narrowing of the l 5 disc and some nerve pressure went to neurosurgeon he said instead of doing a fusion at that level he would do s1 nerve decompression considering I got so long out of the first op I had the op on the 19/52011 after a week still had a lot of pain in left buttock and left leg numbness in the the left foot and pain in the middle of my back so my doctor sent me for a nerve block injection after injection still had a lot of pain but the pain seemed to be all over the place went back to surgeon he got me to start taking nerotin he said after 10days should start to feel better went back to nerosurgeon with still no improvement he then sent me for another MRI it came back with a few findings but when I phoned his office the secretary said there was no sinister findings and all it was inflammation and that to have a nerve block injection and I would be find after 10days so that period has now passed and I desperate to get back to work in the second MRI they said there was clumping of the nerves about l4l5 I did not have a problem with that area and it Also said something about acroditis not sure of spelling just not sure what to do the doctor said when I ask him why I am still in pain he said because that is how god made it he is a very good surgeon but I do not know what to do my gp said sometimes these ops just don’t work out the way they should for one way or the other and bye the way still in pain and lots of it help please with some of your advice thank you for the wonerful service you provide also do the nerve block injections work for everybody or does it depend sorry if I have repeated my self just in lot of pain and trying to keep my mind of it

    Donald Corenman, MD, DC
    Moderator
    Post count: 8436

    It appears by your description that you had a laminectomy at the L5-S1 level 17 years ago and did pretty well. 5 months ago you “reinjured” your back but don’t state if you developed back pain or buttocks and leg pain (problems stemming from different sources). You had a CT scan (not the best first test in my opinion as it only accurately demonstrates bone and is poor to show nerves and discs).

    You went to a neurosurgeon who recommended another decompression. If you had significant buttock and leg pain from a new herniated disc or bone spur, this is the recommended procedure. If you had back pain from the degenerative disc or foraminal stenosis (see web site), this procedure will have limited success.

    After surgery, the pain did not improve and a new MRI noted “clumping of the nerves around L4-L5”. This condition could be arachnoiditis (see web site for description) but you really may have chronic radiculopathy (again- see web site for description).

    Since your surgeon hasn’t showed you the films, I think it might be in your best interest to garner a second opinion. Have the new surgeon show you your films and explain what he sees and thinks. If there is further nerve compression, he or she will tell you. If your diagnosis is either arachnoiditis or chronic radiculopathy, you might need to see a chronic pain physician. There are medications, injections and stimulators that can help with pain management.

    Good luck.

    Dr. Corenman

    Big nerve
    Participant
    Post count: 11

    Hi doctor you explain things so well sorry for the long drawn out question last time I will try to make this question really short does nerve block injections work on everybody I just want some releif from this pain just even for a little while would be of great benefit thanks again doctor for your answers

    Donald Corenman, MD, DC
    Moderator
    Post count: 8436

    Nerve blocks have two medications in them. One is a numbing medication like lidocaine or novacaine and the other is a steroid. If you have an injection of the nerve that is causing pain, the injection should yield three hours of relief- the same as when you go to the dentist and your jaw is injected.

    If you do not notice relief from the injection, the wrong nerve was injected, the injection was technically poorly done or you are resistant to the “caine” anesthetics (an injection in the jaw from the dentist does not cause numbness).

    Keep a pain diary (see website for details) if the nerve is injected again. You should get relief- at least temporarily if you have an injection into the correct nerve.

    Dr. Corenman

    Big nerve
    Participant
    Post count: 11

    Hi doctor you have been a great help just one more question I have had the injection and there was a numbness feel there I could not sleep and I got pain on the right side the left side was not completely numb just felt different

    Donald Corenman, MD, DC
    Moderator
    Post count: 8436

    The injection will only help the side that it is injected in. You didn’t mention right leg pain before and of course, a left injection should not relieve right sided leg pain. You would expect only left sided anesthesia with a left injection. The numbing of the nerve root only lasts three hours, so including the time in the injection suite, recovery room, the drive home and preparation for bed, the effectiveness of the injection likely wore off.

    Dr. Corenman

Viewing 6 posts - 1 through 6 (of 6 total)
  • You must be logged in to reply to this topic.