In the days and weeks after surgery your body needs time to repair the incision. This pain is really a "pain in the butt." version of the surgerythatcan be performed on various parts of the spine. Now considered the gold standard treatment forremovingherniated lumbar disc tissue, a microdiscectomy procedure is an ultra-precise method that requires only atinyincisioncausing minimal disruption to surrounding healthy tissue. Oh and also, before surgery, I did have right side thigh pain, but not for long, as I decided surgery was my best option pretty soon, so I guess it didnt have time to develop. This problem is often resolved with physical therapy, although minor surgery may be needed in some situations. I am still having burning pins and needles in my ankle and lower leg even though the nerve is no compressed. I have not spoken with him since right before my surgery that a.m. in the operating room. Fit and muscular. 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. I am happy to tell you that the buttock pain reported before has significantly subsided. The good news is that many patients have significant pain relief from a microdiscectomy and can quickly return to their normal lives, generally in 4-6 weeks. butt pain after microdiscetomy surgery - Back & Neck - MedHelp Leg Pain after Back Surgery - Discectomy In this article, we are going to walk through the potential causes of buttock pain after spinal discectomy surgery. Why Seek a Second Opinion Before Your Spine Surgery? Thank you for choosing Dr. Corenman as your healthcare provider. Acute pain is more likely the result of recurrent disc herniation following a shift in weight distribution across the vertebral levels. What is Microdiscectomy, How is it Done, its Recovery - Epainassist We have a strong commitment to excellence in diagnosis and treatment of spinal injuries and conditions spanning all age groups. Over 200,000 lumbar discectomies are performed in the United States each year, most of which are microdiscectomies. Sometimes, the pain localises solely to one or both buttocks. This website is the stand out source for me. The best wayfor them to diagnose the problem isthrough physical examination findings correlated with imaging studies (MRI, CT scan, X-rays, etc.). Christopher J. Bergin, M.D. About 2 weeks after lumbar microdiscectomy, most patients begin to experience significantly less pain and higher energy level. AtTheSpine Center, were dedicated to providing you with high quality, personalized back and neck care. My sciatic nerve was crushed and I have been unable to walk and have been in constant agonizing pain for six months. 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. You may need oral steroids. Christopher J. Bergin, M.D. I have also started swimming two days ago. I thank you from the bottom of my heart for your answers. Nerve tingling or paresthesias are common post nerve decompression. "Endoscopic microdiscectomy is the modern approach to repair herniated discs," Dr. Liu states. But its still there with the same movements as before but later in the movement. In some instances, it may become necessary to pursue surgical management in the form of repeat microdiscectomy. A reherniation after microdiscectomy may occur in the immediate postoperative period, a few weeks to few months after the surgery, or within years following the surgery. The pain and other symptoms are typically relieved in a couple of months. Went ahead with microdiscectomy and surgery was successful. prescribed. These can include: blood loss. This review, with the help of a case study, provides a detailed account of the possible biopsychosocial risk factors underlying piriformis muscle syndrome, post discectomy. Once this happens, you might have some discomfort affecting at least one leg because of post-surgery tissue inflammation. Viewing 6 posts - 1 through 6 (of 74 total). Peekawho is right..you probably need a dose pack of steroids..I had the same problem after my discectomy..they put me on a dose pack, and after the first pill, the pain in my butt and down my leg went away..hang in there..my surgeon explained it this way."the reason you are experiencing that pain, is because the nerve that has been pressed on . The symptoms of disc herniation include radicular pain radiating in the thighs and the legs. There was an immediate relief to my back pain. In some instances, though, another herniated disc surgery procedure may eventually be discussed and recommended.Although microdiscectomy surgery is generally a very successful procedure, a hole is left in the outer wall of the disc. Avoid lifting heavy objects until you are fully recovered and given the O.K. I would say be patient and gently perform hamstring stretches (which is the main exercise that stretches the sciatic nerve) GENTLY to try and cautiously squeeze the edema out of the nerve root. Buttock pain after a minimally invasive keyhole discectomy procedure is most often nerve-related. The type of surgical technique used during microdiscectomy,and the type of herniation,may increase ones riskforreherniationafterwards. I had already decided to play it safe and use a cane. If you have any questions, your doctor or physical therapist can provideinsighton what you should be doing. so i received the microdiscectomy on march 12 of last year. Could this be a reherniation? The most common is inflammation. The doctor willthenonlyremovethe damaged portion of the disc. Talk to a physical therapist about "gentle exercises" to perform during the early postoperative period. In a large-scale study, 95 percent of Barricaid patients didnt undergo a reoperation due to reherniation in a 2-year study timeframe. In general, the postoperative period includes the same patient experiences. Can;t wait until Monday a.m. to call his office again. NSAIDs, acetaminophen, or other medications may be used to continue managing pain after opioids are discontinued. For example, your surgeon may perform a lumbar microdiscectomy to remove the herniated portionof a lumbar discin your lower back. Following microdiscectomy surgery, patients may undergo a physical therapy program for stretching, increased strength, mobility and aerobic conditioning to prevent recurrent back pain or disc herniation. It takes time for this swelling to reduce as noted before. Before using any new medications or going back to old medications, it is important to check with the doctor or pharmacist to reduce the risk of adverse drug interactions or serious side effects. If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. 5 Signs of Reherniation After Microdiscectomy Surgery What is a lumbar discectomy? These conditions will typically not resolve on their own, and will require additional treatment potentially an additional surgical procedure. Endoscopic Spine Surgeon Dr. Kaixuan Liu Offers Tips to Speed the Recovery Process after a Microdiscectomy. "Clinical studies indicate that patients who engage as soon as possible in stretching, conditioning exercises that help strengthen back muscles and who participate in low-impact, aerobic exercises like walking, biking or swimming actually return to their normal, daily activities more quickly," Dr. Liu says. The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. Does discectomy improve low back pain as well as radiating pain - LWW These differences may be due to compression at another site or a nerve root tethering to epidural fibrosis. We strive tooffer services to our patientsthat are efficient and professional, deliveredwith integrity and honesty in a cohesive, family-like environment. Back pain can grow progressively worse and more disabling, depending on the cause. If you or a loved one suffer from backor neckpain, call The Spine Center today at(847) 628-8147toschedule a consultation. A herniated disc may cause pressure on a nerve, resulting in intense pain in the buttocks and hip area and radiating pain, numbness, and weakness in the leg, a condition called sciatica. For editorial comments and questions, you can reach Dr. Bergin via email. Ifback and leg pain from disc problemsreturnafter surgery, your surgeon will need to determine where the pain is coming from and take the necessary steps totreat the problem. Also, other tests, such as the slump test and straight leg raise, are positive for pain in the buttock. The surgery was a success in a way that my buttocks pain is much less severe now. 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. For full benefit/risk information, please visit. In many minimally invasive spine surgeries, the spinal nerves are agitated. I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. Thank you very much for your reply. Another reason that the pain could be continuing is because of an unsuccessful surgery, which is a risk one takes before undergoing the procedure. Asa patient,thereare five classicsymptomsto watch for: When experiencingrecurrent discreherniation, a patient might also report pain in a different location, intensity, orrelated tophysical activity. If you are tempted to do so, ask a friend or family member todo the heavy-lifting foryou instead. One reason your leg may still hurt after microdiscectomy surgery is because of the way compression can affect nerve roots. "The bottom line: use common senseeverything in moderation. For instance, if a herniated disc was irritating a nerve for a while before your surgery, it could take a few weeks or more for the affected part of the nerve to fully heal and recover. Spinal discectomy surgery is a minimally invasive keyhole procedure in which a surgeon removes all or part of a disc in the patients spine. FAQs About Minimally Invasive Spinal Surgery, The Benefits of Minimally Invasive Spine Surgery. Burning sensations can also be the result of nerve issues in the spine. Endoscopic microdiscectomy is usually performed in the lumbar (lower) region of the back after the failure of more conservative therapeutic measures, such as light exercise, medications, hot or cold compresses, physical therapy, spinal manipulation, and epidural injections, to relieve the nerve pain of a herniated disc, according to Dr. Liu. If youhave diabetes, practice good blood glucose management. When I walk I barely notice it. Contact us today with any questions about these surgeries, or find a surgeon near you who is trained in Inspired Spine methods. Special caution must be exercised for patients who have decreased skin sensation at the surgical site and/or pre-existing conditions, such as diabetes. 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. 2 weeks post-surgery, most patients are completely off opioids but may continue taking other pain medications, such as: While taking medications, it is important to follow directions on the label (or instructions provided by a doctor) to reduce the risk of adverse reactions or an overdose. The best posture for someone with back pain is lying on their side in the fetal position. The nerve root when decompressed, can swell. Thats going to be almost 12 hours on my feet a day. by your doctor. After Microdiscectomy Herniated Disc Surgery No Time to Sit "Back Complications of Lumbar Laminectomy | Healthfully The most common reason to have a microdiscectomy is to alleviate nerve pain that has not resolved within a reas. You must be logged in to reply to this topic. Here are some of the mistakes that you will want to avoid whileconvalescing after amicrodiscectomyprocedure: Youre going to be a little sore while initially recovering from surgery, and that is perfectly normal. Summary of background data: Lumbar radiculopathy is characterized by different sensory symptoms like pain, numbness, and paresthesia, which may resolve at different rates after surgical decompression. The most common is inflammation. Even though the nerve is injured at the spine, it feels like the pain is coming from the . 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. See Medications for Back Pain and Neck Pain. When the root swells, some return of symptoms can be expected. If the pain is still there after 3 months, it is unlikely to improve on its own. wound pain. Only the low back, buttock and groin pain, with occasional shootings to my both legs. Viewing 6 posts - 1 through 6 (of 18 total). Microdiscectomy is a minimally invasive procedure with an outstanding track record for relieving pain. I will keep going with my phyisical therapy, perform gentle stretches additionally and contact my surgeon again if things havent improved after 12 weeks? Recovering from surgery to correct a herniated spinal disc is no time to sit "back" and relax. This treatment is done immediately following the discectomyduring the same operationand doesnt require any additional incisions or time in the hospital. All I feel is the tightness in my hamstrings, no stabbing pain like before. Right after your procedure, any numbness will likely not be any cause for concern. Pain that develops gradually after back surgery is suggestive of scar tissue impinging or tethering the spinal nerves that innervate the lower back and legs. Additional potential reasons for postoperative leg pain following a microdiscectomy include: Herniation of another disc that wasn't herniated prior to surgery Nerve damage that occurred during the surgery A failure to remove enough disc material during the microdiscectomyThere Are Various Treatment OptionsA second surgery may be discussed, but it's not always necessary or appropriate, especially if there's a secondary pain source involving soft tissues.
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