Understanding why this might be normal would be really helpful to keep going without loosing hope. As fellowship-trained physicians with over 50 years of experiencetreating spinal conditions, we offer patient recommendations for treatment,including conservative care, non-operative treatment, and sophisticated, customized surgical solutions. Galvanic current has long duration impulses selections that can be used to stimulate dennervated muscles. The best wayfor them to diagnose the problem isthrough physical examination findings correlated with imaging studies (MRI, CT scan, X-rays, etc.). There are other possible reasons for pain after a laminectomy, discectomy or a microdiscectomy. I had a microdiscectomy>microdiscectomy close to 7 weeks ago. Though I had no pain in this right buttock area post surgery, I did have numbness and tingling. My, Nerve injury from a GSW (gunshot wound) is highly unpredictable for recovery. The two year anniversary of my microdiscectomy recently passed and I thought I should write an update on the long term effects of a microdiscectomy! Thank you for your answers and your advice. We have asolidcommitment to excellence in diagnosing and treating spinal injuries and conditions spanning all age groups. As fellowship-trained physicians with over, treating spinal conditions, we offer patient recommendations for treatment, including conservative care, non-operativetreatment, and sophisticated, customized surgical solutions. This is actually a very common occurrence but typically does not cause symptoms. Your Recovery Microdiscectomy is surgery to remove part or all of a bulging or damaged (herniated) disc in the lower spine. Pain from a spinal stenosis may be resolved with decompression surgery. To get the full experience of this website, We strive to. Is this straight leg testof any relevance for determining whether its a reherniation or not? 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. This is usually done when there is leg or arm pain that radiates from the spine, caused by compression of the nerve. Learn How Bone Growth Therapy Can Help You, Get a Comprehensive Evaluation from Mayo Clinic's Spine Care Experts, Nonsteroidal anti-inflammatory drugs (NSAIDs). The butt pain is as bad, if not worse than, the original pain I was having in my lower back. Sleeping on your stomach or flat on your back puts significant stress on your spine. Ive been reading through many of these questions and respons 38 year old male, 5'8 165 pounds. prescribed. Microdiscectomy is a minimally invasive procedure with an outstanding track record for relieving pain. Resume driving when you can turn your head and look over your shoulder without pain. Did your little test and can just barely get my toes off the floor on my left foot. If you need spine surgery, consider an Inspired Spine procedure. Burning sensations can also be the result of nerve issues in the spine. You stated that you went back to work too soon-what time frame are you speaking of? A lumbar microdiscectomy surgery is typically performed to alleviate the symptoms and signs of sciatica in the lower back and leg caused by a lumbar disc herniation. During the initial 2 weeks after a microdiscectomy surgery, the pain is most intense. Over 200,000 lumbar discectomies are performed in the United States each year, most of which are microdiscectomies. AtTheSpine Center, were dedicated to providing you with high quality, personalized back and neck care. Scar tissue forms with all surgeries, but it sometimes becomes an issue if it forms around a nerve root. Unfortunately, this microdiscectomy recovery time depends on many factors, including the patients general health, the speed of tissue recovery, the success of the procedure, etc., so the actual herniated disc surgery recovery time can be longer. In this article, we are going to walk through the potential causes of buttock pain after spinal discectomy surgery. I still have the same foot pain as before surgery. One more thing gritch..DON'T OVER DO IT!! If you or a loved one suffer from backor neckpain,call The Spine Center today at, once per month - call 847-628-8147 to confirm, Anterior Cervical Discectomy and Fusion (ACDF), Total Disc Arthroplasty & Total Disc Replacement, Non-operative Treatment of Idiopathic Scoliosis, Treatment of Degenerative Spondylolisthesis. PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. This treatment is done immediately following the discectomyduring the same operationand doesnt require any additional incisions or time in the hospital. Obtain Long Term Pain Relief. The disc may press on the spinal nerves and cause pain and numbness in the buttock and leg. All I feel is the tightness in my hamstrings, no stabbing pain like before. Discectomy surgery requires your surgeon to make a small incision and navigate carefully around the muscles and nerves of the spine in order to reach the spinal disc (s) in need of removal. If the nerve is still irritated or swollen, there can still be pain present, greater on the side of the prior herniation. Thank you very much for your reply. Avoid lifting heavy objects until you are fully recovered and given the O.K. Dr. Bergin has a special interest in medical research and maintains membership in the Scoliosis Research Society. But you can also learn some hygiene tips like avoiding using electronic devices with blue light before sleep, drinking caffeinated drinks after noon, etc. Asa patient,thereare five classicsymptomsto watch for: When experiencingrecurrent discreherniation, a patient might also report pain in a different location, intensity, orrelated tophysical activity. Be sure to check in with your healthcare provider before starting this exercise to ensure it is safe for you to do after your lumbar laminectomy and discectomy surgery. so i received the microdiscectomy on march 12 of last year. Microdiscectomies can be performed using 3 main techniques: Microdiscectomy is usually very effective at treating leg pain, with about a 90% success rate in relieving pain in the leg and/or buttocks. "Patients leave the hospital the same day or the day following the procedure and can begin microdiscectomy recovery immediately.". If youhave diabetes, practice good blood glucose management. For the average patient, there are no permanent restrictions after a microdiscectomy. It takes time for this swelling to reduce as noted before. Amicrodiscectomyis a procedure used to remove all or part of a herniated disc when damaged discs are causing pain, numbness, and weakness ina patientslegs and back. any advise? These stretches performed too aggressively will piss off the nerve. Other than swimming, exercise and two hour-long walks a day, I have been spending most of my time in bed for the rest of the day. Your doctor made a 1- to 2-inch cut (incision) in the skin over the spine. Theymay alsorecommenda diagnostic nerve root injection in cases whenan initialclinical diagnosis isnot evident. "The bottom line: use common senseeverything in moderation. This seroma should resolve in 2-3 months. "Research has shown that microdiscectomy has a success rate as high as 90 percent in alleviating nerve pressure and eliminating pain," Dr. Liu says. Microdiscectomy is aminimally invasiveoutpatient procedure thats performed underanesthesia. I had a discectomy done in 2000..I had a severe herniation in lower level (L4/L5)..the discectomy helped, but I went back to work too soon, over did it, and ended up having to get it fusedIt ended up, bone on bone, so they fused itI had the same symptoms as you, with the pain in my butt after surgery..it was so bad, I could hardly take it..my doc put me on a 5 day dose pack of steroids, and boy o boy did it workit sounds to me like you definitely have the foot drop thing going onfoot drop develops from the nerve being pinched in your back, cutting off the mobility in the lower leg and footI had it so bad, that I was tripping, and falling alotthe classic test to do to see if you have foot drop is to stand up against a wall, feet, legs, butt, back, shoulders touching the wallonce flush against the wall raise the front of your feet, keeping your heels on the groundtry to get the front of your feet as high as you can, keeping your heels on the groundMy doc did this test with me, and my right foot went up, but the left stayed on the floor..he told me that my case of foot drop was the worst he had ever seenfortunately, after the fusion, it came back, and now It's back 100%some people aren't so fortunateit does however take time to come back..some cases up to a yearyou have to be patientI really think you have the symptoms of foot drop..has your doc mentioned this to you/and or explained it?the tingling is from nerve pinchingthat nerve is super pissed off, hence the pain and tinglingmake sure you mention to your doc the oral steroids..if I were a betting woman, I bet that would relieve your pain, and reduce the swelling of the nerveplease keep me posted, and good luck with itif you don't have one already, I suggest using a cane to walk around with..I used one, and it helped me so much..especially with the foot dropkeep me posted.. In the worst cases, they may also have to go in there and reconstruct discs that have been degenerating, or they may be helping your back to straighten out a little better than it would have otherwise. Ususally, movement of the low back reproduces pain in the buttock. The explanation and descriptions are easy to follow and so helpful in understanding the a variety of conditions covered.Thank you Dr Corenmen for providing such a valuable directory of information. . It is one of the most common spinal surgeries performed to alleviate back and leg pain, offering 90 to 95% of patients who undergo the procedure of significant pain relief. If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. Although symptoms are varied andcanbecome more severe with movement, they typically include: When you are experiencing any of these warning signs onan ongoingbasis,its best toschedule an evaluationwith afellowship-trainedorthopedic surgeon. I have not spoken with him since right before my surgery that a.m. in the operating room. When that happens, patients may experience symptoms that arevery much likethe original complaints of disc herniation. Was able to walk longer, and had almost no pain, except for the incision site stiffness. During a microdiscectomy procedure, the surgeonuses a microscope and laser toremovepart of the nucleus pulposus through a small incision (less than 2 inches). This is quite normal and should not be cause for alarm. The best posture for someone with back pain is lying on their side in the fetal position. The Affected Nerve Root May Need Some Time to HealOne reason your leg may still hurt after microdiscectomy surgery is because of the way compression can affect nerve roots. Dr. Liu offers the following lumbar discectomy recovery tips: There are not many permanent restrictions after a microdiscectomy. I am extremely grateful for the opportunity to have an answer to my question from you. Risks and side effects. The type of surgical technique used during microdiscectomy,and the type of herniation,may increase ones riskforreherniationafterwards. I sincerely thank you for your helpful advice. Common symptoms of post-laminectomy pain syndrome include the following: Dull, aching pain in the neck, shoulders, arms, fingers, back, buttocks, or hips Pain levels similar to what you felt before surgery Pain in your arms or legs, which may be either constant or radiating And although recovery from lumbar microdiscectomy is quicker and less painful than more invasive types of back surgery, youwillstill need to take some precautions. Aspineinjury mayalsolead torecurrent disc herniation, such asthosecaused byrigorous sports activities or motor vehicle accidents. These patients may benefit from a minimally invasive surgery called microdiscectomy, which is considered the gold standard surgical treatment for disc herniation. Based onfollow-upstudies, recurrent lumbar disc herniation only occurs inroughly 10%ofallmicrodiscectomy patients. Now I can do it pain-free. Sit with your back straight, not slouched or bent over. Started neurontin this week. Does that sound like a reasonable way to proceed with these leftover pains Im having? Recovery may not take place but read this to understand the type of nerve damage that can occur and how muscles recover from this injury. an infection in . Sciatica is a pain condition caused by compression of the spinal nerve. Hello everyone, I am a 41 yo airport fireman, 6'2 ft, 14 st. Anyways, this newly developed, post-surgical buttock pain hasnt resolved even after 2 weeks. Dr. Bergin has a special interest in medical research and maintains membership in the Scoliosis Research Society. "Research has shown that microdiscectomy has a success rate as high as 90 percent in alleviating nerve pressure and eliminating pain," Dr. Liu says. A discectomy,sometimes called apercutaneous discectomyorlumbar discectomy, involvesremoving the herniated portion of the intervertebral disc (the nucleus pulposus)that is pressing on thenerve or spinal cord. A seroma is a fluid-filled pocket at the surgical site that develops after surgery. 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. Iron Neck for chronic pain caused by foraminal stenosis? Have experienced some problems with my left leg that wasn't experiencing before surgery - numb, pins & needles, walk with a gate - seems to be getting better, however, the butt pain is killing me? If youstill have apprehensions, theycansharespecificmicrodiscectomy recovery stories with you. By 6 weeks post-surgery, most patients discontinue pain medication, however, it is still possible to have painful flare-ups or stiffness that requires medication. Microdiscectomy Candidates In NYC Can;t wait until Monday a.m. to call his office again. I havent sat for longer than half an hour at a stretch after surgery and I wonder whether this pain will aggravate once I go back to work in two weeks, as I have a sitting/office type job. Research has established that the SI joint is the source of pain in nearly half of patients who experience new or continued low back pain after fusion surgery. We have asolidcommitment to excellence in diagnosing and treating spinal injuries and conditions spanning all age groups. In many minimally invasive spine surgeries, the spinal nerves are agitated. If the drainage fluid is thin, watery, and pinkish red, there is likely nothing to be . If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. Diskectomy is surgery to remove the damaged part of a disk in the spine that has its soft center pushing out through the tough outer lining. The goal of this surgery is to improve leg pain, restore function, and enable a return to normal daily activities. Symptoms are generally more severe than inflammation above but dont necessarily have to be.