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in reply to: Buttocks pain after L5 / S1 microdiscectomy #29396
No problem, thank you for replying!
My surgeon said that my compression was severe and also calcified (hope that is the correct word for it). After the OP he told me that it took much longer as the disc “material” was stuck to my nerve and had to be “pulled off” piece by piece. Also, I was in severe pain for half a year.
Physical exhamination findings, as far as I can describe them, where clear: Straight leg raise triggered at about 1cm above the ground. I immediately told the exhaminer to stop as soon as my leg was lifted off the bed. I was really very restricted in possible range of movements. No idea how I lived with that level of pain for 6 months from my current perspective…
These facts and the fact that at no point a re-herniation seems to have happened (no sudden worsening after surgery), are the reasons he explicitely disadvised against an MRI at this point. He urged me to wait at least for the same amount of time I was in pain in before, before thinking about further steps.
So, considering your advise and combining it with is, I would now wait for 2 more months. After that, I’ve waited nearly the same amount of time I was in pain in (~6 months) and would then push towards an MRI.
Do you think this would be a great mistake? From my understanding there’s nothing else that can be done – except the removal of a possible re-hernation – anyway, right?
If no re-herniation (and no other obvious problems) are visible on an MRI, there’s only the possibility of chronic nerve damage that, at this point, would only be addressed by waiting more, correct?
in reply to: Buttocks pain after L5 / S1 microdiscectomy #29231Dear Dr. Corenman,
have you maybe overlooked my previous post? I would be very glad for a feedback. I have no problem to keep waiting for improvements, if that makes sense to you in addition to my surgeon. But I feel like I need a second opinion to calm down because it really feels like waiting for something that isn’t going to happen…
Thank you!
in reply to: Buttocks pain after L5 / S1 microdiscectomy #28979Now, 11 weeks post-op, I had the routine appointment with my surgeon. I told him about my remaining buttocks pain when doing certain movements (e.g. stretching the ham string, like when doing the slump test) and that my range of movements improves greatly throughout the day (slump test in the morning: barely possible, in the evening: much much better). Also told him that during the 11 weeks, my development was very slow. I would say it got a little better, but REALLY slowly.
He told me that after this time my nerve should be ok (just like what you told me some weeks ago, see above) but wound tissue around the nerve / disk still needs time to heal and stretch. He said that he would advise against an MRI at this point because of the fact that I’m generally much better than before and that I have a positive development throughout the day. He told me that I should at least wait the same amount of time I had the pain before (6 months).
After you told me that any nerve irritation should be gone after 12 weeks, I’m a bit unsure now. Is waiting still the best option or should my problems be gone by now and any further waiting is only postponing a real fix?
in reply to: Buttocks pain after L5 / S1 microdiscectomy #28688Thank you very much for your reply. So, possibility of a seroma aside, a swollen nerve could mimick the same (but in my case less severe) pain from the herniated disc because it would swell at the same place where it was pissed off for months? Did I understand that correctly?
I will keep going with my phyisical therapy, perform gentle stretches additionally and contact my surgeon again if things haven’t improved after 12 weeks? Does that sound like a reasonable way to proceed with these leftover pains I’m having?
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