[Donald Corenman, MD, DC]

#11810

The cervical spine generally will not refer pain into the legs. Since the leg pain is essentially unchanged after surgery, this means one of four things.

Either you had chronic radiculopathy (see website) which would not respond to surgery, you had a nerve that was not decompressed during surgery, you had a different diagnosis and surgery would have been ineffective as the disorder was not identified and addressed or there was a new injury to the nerve during surgery.

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.

[thomasvenice]

#11847

thank you, Doctor, I’ll do tomorrow MRI after the last operation
the doctor has stabilized the disc l4-l5 but I still have a lot of pain (23 days after surgery).
the doctor said that if I still have pain then he must remove the disc l4-l5, TLIFT, but was not worried by the signs of MoDiC 1. others say that the sign MoDiC 1 highlights the problem and it should immediately remove the disc ..
now the problem is: beyond that if he did it once maybe now I was fine, it is necessary to stabilize even l5-s1 or you just take off with a scalpel hernia that touches the dura?
what I have to be careful because he doesn’t errors?
special thanks

[Donald Corenman, MD, DC]

#11862

Modec type 1 changes mean that the disc has absorbed away and this level is bone-on-bone (see IDR on the website). This by itself will not cause leg pain unless there is associated nerve root compression. The MRI will reveal this. Do not just jump into another surgery until you know what the pain generator is. This might require facet blocks, discograms or SNRBs (see website).

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.

[thomasvenice]

#11937

hello friendly doctor, I had to be operated with TLIFT l4-l5 hernias l5-s1 instead they only stabilized l4-l5 .. I’m in bed for the past 50 days. I did a CAT scan where:

t9-t10 modest focal outward protrusion foraminal disc in the left (this is the area where if I lock wrong move no more breath).
in l4-l5 outcomes stabilization with vertical bars and screws transpenduncolari regularly stuck. despite good amplitude interbody space, we highlight irregularities’ of the dishes in headquarters and somatic opposing side since, in the form of niches osteochondral reaction with thickening of the canvas spongy.
in l5-s1 modest median paramedian disc herniation back since.

I suffer for 12 years I have done 6 unnecessary interventions.
I’ve always had very badly in the back lower back so as not to bend over more years. I’ve always had bad always every moment even on the femoral nerve, calves and feet do not stay up more than 5 minutes.
I’m at the brink after this intervention failed miserably.
What could you recommend: TLIFT and stabilize s1 also removing the hernia can ‘solve? resonances no one has ever answered exactly because ‘all these pains are not found. I state that I made any physical therapy for years, but nothing has ever served. all the result of a collision in the car 12 years ago. thanks and happy new year
thomas dg

[Donald Corenman, MD, DC]

#11989

You need to have a complete and meticulous work-up for “failed back surgery syndrome” (FBSS). Don’t just go on fusing any segments until there is some proof that the surgery will correct at least one of your pain generators. This might include nerve blocks, epidurals, discograms, CT scans, EMG/NCV or other tests.

This surgeon probably should be an orthopaedic spine surgeon as this speciality tends to better understand surgical correction of failed previous attempts.

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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