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  • Avatarlewis123
    Participant
    Post count: 4

    hello
    12 years ago I had a l4l5 laminectomy, no back pain but feet were falling asleep.
    10 days later I bent over and a popping sound and intense pain went down my left leg. I started leaking spinal fluid. I had a 2nd surgery to fix the leak. A month later the pain in the left leg was still unbearable. I felt sick also. 2nd opinion showed an infection. 3rd surgery to clean out the infection. My L4L5 disc was gone and it fused naturally. 2 months of pt helped the pain and I have been pain free until Jan 2019.

    I now have pain along my waistline. Sometimes higher but no pain in my legs or feet. Had an ablation of l3l4 l4 l5 and l5 s1. 75 pain relief for about 5 months. Had a epidural shot Dec 2019 and again March 2020 Some relief for a couple of months. Saw a surgeon to see if their was anything I could do besides shots. He did not recommend any more surgeries because of the 3 prior surgeries with spinal leak and infection would be to dangerous for another surgery.

    I saw another surgeon In Dec 2020. He recommended a Laminectomy l5 S1 and Lami L3L4. He also wanted to see a ct scan. I met with him this month and he is now reommending a fusion at L5 S1 and leave the L3 L4 alone. My L5 disk was showing black on the ct scan. I still do not have any pain in my legs or butt.
    My MRI from June 2020 which I had done at your clinic.

    L1 L2
    Disc desiccation with annular bulging. A small 2mm left paracentral disc extrusion with slight cephalad migration of the disc maaterial. Slight effacement thecal sac and moderate facet arthropathy. No Appreciable neural element compression or stenosis.

    L2 L3

    Disc desiccation with annular bulging A 4 mm left postero lateral disc protrusion. Mild facet arthropathy with thickening of ligamentum flavum.
    Stable mild 2mm retrolisthesis is demonstrated. There is end plate remodeling. Mild to moderate central canal stenosis and left sided foraminal stenosis. Minor narrowing ofthe right neural foramen.

    L3L4
    Disc desiccation with annular bulging and endplate remodeling. Moderately advanced facet arthropathy with cartilage loss. thicking of the ligamentum flavum. Moderately severe central canal stenosis with mild to moderate bilateral forminal stenosis.

    L4L5

    Ankylosis of the disc space. There is endplate remodeling. Posterior laminectomy defect. There is partial ankylosis of the facet joints The central canal and neural foramina without stenosis.

    L5 S1
    Advance disc degeneration disc space narrowing, disc desiccation, and vacuum cleft. Abnormal annular morphology with posterior bulging of the annulus and a 6 mm broad based porterior disc herniatin. Associated marginal endplate ridgeing. Moderaltely advanced facet arthropathy worse the left with thicking of the lifamentum flavum. Moderately severe to severe left and moderate right foraminal stenosis. The central canal is the the lower limits of normal in size. Moderately left sided subarticualar recess narrowing with mild narrowing to the right.

    So would like to know of I should have surgery because of prior surgeries in your opinion. Also since my pain is present more with kayaking, skiing, and hiking. Better with biking. Im a very active 70 year old women.

    Thank you.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7849

    I am confused, You only have lower back pain and it does not radiate into your buttocks. thighs. later hips or any level below the belt line?

    See these two sections to see if these can be helpful in your symptoms description.

    https://www.neckandback.com/conditions/how-to-describe-your-history-and-symptoms-of-lower-back-and-leg-pain/

    https://www.neckandback.com/conditions/isolated-disc-resorption-lumbar-spine-idr/

    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.
    Avatarlewis123
    Participant
    Post count: 4

    Thank you for the quick response.
    I have never had leg or butt pain the last 2 years. My pain is in my waistline. If I doing nothing all day my pain is a 2 or 3. If I ski hike or kayak or swim my pain goes to a 6 to 8 after an hour. I’ve been doing pt with stretching.

    It feels good but doesn’t ease the pain. Also pain meds to nothing
    Occasionally my left toes get tingly. The waistline pain is sharp and stabbing. If I get a hard massage the pain is a 6. So I have given up on that. A heating pad really helps but only for an hour or so. The pain wasn’t constant like it is now. I spent 6 weeks mtn biking last fall and the pain was ok. Now that I’m not biking it has been very day. Maybe it’s just arthritis but the MRI shows alot of things.Hope this helps you.

    Avatarlewis123
    Participant
    Post count: 4

    I also get pain when standing for less than a hour. About a 6 to an 8.

    AvatarDonald Corenman, MD, DC
    Moderator
    Post count: 7849

    Do you have low back pain with impact such as running, driving on a bumpy road, impact when jumping off a curb, playing sports (tennis) or bending forward and lifting. Do you have delayed onset pain where you do a heavy activity such as gardening and “pay for it” that night or the next day?

    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.
    Avatarlewis123
    Participant
    Post count: 4

    Yes. I have quit mtn biking on bumpy single track. It helps. But pain also starts if I hike, stand, nordic ski, or swim for more than an hour. Any longer and I have to quit the activity. Usually pain about 6 or 7. I now have pain most of the time if I don’t do anything. But it’s only a 2 or 3 level. Bothersome stabs and aches.

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