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in reply to: Micro decompression Success #21548
Dr. Corenman decompressed the nerves by enlarging the channels & removing a cyst. He said that fusion could be necessary in the future, but there was a reasonably good probability of avoiding that. So far so good…
Good luck to you.
GDB
What we want to hear and what we need to hear are often two different things. Again, I am very grateful for your thoughts, and will be in touch with your clinic.
Many thanks Doctor! What I take from all this is that stabilization of S1/L5 & probably some associated decompression/discectomy are necessary in the near future after additional diagnostic testing to ensure we are solving the right problems.
In my readings, I notice that the EU & Asia are much more inclined, with good reported results, toward dynamic stabilization absent fusion, with the Dynesys system being widely applied. If you had any thoughts on that option, it would be much appreciated, as have been these other recommendations.
Again, many thanks. You see thousands of cases. We patients each see only one, and are quite concerned about our potential outcomes (as you clearly know).
I have had periodic back pain episodes dating back 20 years or more, they were often intense in lower back area, but short-lived (OK within a day or so of rest/stretching, etc.). About 9 years ago, my back started to stiffen considerably in the L3 – S1 zone, but P/T seems to have dealt with that pain to a reasonable level (now background 1 – 2/10 pain for that aspect).
The current sharp, stabbing & burning radiating pain is recent (last several months) and is more intense (7 to 8 out of 10 on the pain scale). That particular pain is relieved by sitting or flexing forward. Walking is difficult when the pain events are at their highest levels, running or anything more than that impossible.
The majority of the pain (~80%) seems related to the radiating symptoms down my glutes and hips, and the remainder is lower back pain.
Standing after sitting always increases the radiating pain, and usually I cannot walk until I stretch & try to get the back calmed down a bit. I am wearing an over-the-counter back brace that seems to help somewhat when walking & doing my P/T workouts. My lower back pain (20%) does not change much whether sitting or standing, but does decrease after P/T workouts, particularly stretching/core exercises. The radiating pain moderates as well, but to a much lesser degree and for less duration.
I sleep relatively pain-free with a pillow under my knees positioned on my back. I can also sleep on my sides just fine, but cannot sleep on my stomach without pain.
I have stopped all activities that cause increased pain. As I mentioned above, I can ride a bike still and do my P/T workouts, but that’s about all. Swinging a golf club softly often relieves some pain, but walking the course causes pain, so I’ve stopped that too. My regular activities when not pain limited include skiing (water & snow), snows boarding, snow skiing, snow & water kiting, mountain biking, running, tennis, golfing, hiking and other related outdoor activities.
My treatments have been P/T over the last 6 years, and injections over the last two. I have had 4 facet injections over 2 years, 1 of which moderated pain for 1.5-months, but the other 3 had no effect. I had two epidural injections over the last two weeks (1st put in around L3/L4, 2nd at L5/S1), each had pain benefit for a day or two, and the radiating pain has returned to its prior levels.
Thank you so much for the thoughts and advice!
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