buttock pain after microdiscectomy buttock pain after microdiscectomy

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. The foot drop thing is exactly what isgoing on. There is close to 10 cm line in my right buttock that is tender to the touch. When I walk I barely notice it. You will beaskedto keep theareaclean and to cover it while bathing or showering. Or is it normal after this kind of surgery and will resolve on its own? The disc may press on the spinal nerves and cause pain and numbness in the buttock and leg. You must be logged in to reply to this topic. Close to the 5 weeks mark, I went out for a long walk, close to 3 miles, at a pace that was brisker than before. Although it isnt very large, the incision site will probably be covered with surgical tape strips and will take about 10 to 14 days to heal. You can expect your back to feel stiff or sore after surgery. Below are a few reason why leg pain may . As fellowship-trained physicians with over50 years of experiencetreating spinal conditions, we offer patient recommendations for treatment, including conservative care, non-operativetreatment, and sophisticated, customized surgical solutions. Stopping halfway because you are feeling better, or quitting early on for other reasons, could result in a relapse of pain that causes you to need additional medical treatment. Surgery went well. Should I continue this vigorous swimming program, or should I be more careful and dial it back a notch? During this time, the incision will likely become inflamed and there may be some drainage. I thank you from the bottom of my heart for your answers. Special caution must be exercised for patients who have decreased skin sensation at the surgical site and/or pre-existing conditions, such as diabetes. If you have any questions, your doctor or physical therapist can provideinsighton what you should be doing. Contact sports, heavy lifting, and other strenuous activities may still be avoided. So, says Kaixuan Liu, MD, PhD, medical director of the Atlantic Spine Center and a world-renowned endoscopic spine surgeon, who performs a minimally invasive procedure called an endoscopic microdiscectomy and advises his patients to stay mobile, get out and walk, to expedite microdiscectomy recovery and minimize the formation of scar tissue. Thanks for the response. Fifteen cases were diagnosed as piriformis syndrome. The goal of this surgery is to improve leg pain, restore function, and enable a return to normal daily activities. Yes, a swollen nerve can mimic the same, but less severe pain from the herniated disc. If it's worse than before your operation, I would ring your surgeon for advice. Leg pain is definitely secondary to problems in back because there is a spinal cord from brain to the tail tip which gives branches to the legs and arms at d. Amicrodiscectomyis an outpatientsurgicalprocedureperformed under anesthesia to remove all or part of a herniated disc. I still have the same foot pain as before surgery. Since you are only four weeks out and better than prior to surgery, the nerve is probably still swollen. Next Page: You stated that you went back to work too soon-what time frame are you speaking of? Back pain can grow progressively worse and more disabling, depending on the cause. Dr. Cross notes that SI joints normally move less than 1 millimeter. In this article, we are going to walk through the potential causes of buttock pain after spinal discectomy surgery. Study design: A single-center retrospective study. In general, the postoperative period includes the same patient experiences. Sometimes this is a temporary condition as the nerve root or roots take time to heal. All rights reserved. It depends upon the caliber, velocity, distance from the muzzle and the path of the bullet. Should I increase my walking? At The Spine Center, were dedicated to providing you with high-quality, personalized back and neck care. I know it would be best to still be on sick leave, but this is not possible. any advise? My, Nerve injury from a GSW (gunshot wound) is highly unpredictable for recovery. Theymay alsorecommenda diagnostic nerve root injection in cases whenan initialclinical diagnosis isnot evident. Most patients are gradually weaned off opioids over a period of 1 to 2 weeks. Anyways, this newly developed, post-surgical buttock pain hasnt resolved even after 2 weeks. Right after your procedure, any numbness will likely not be any cause for concern. Light physical activity is important for tissue healing and regaining . version of the surgerythatcan be performed on various parts of the spine. Much like anytype ofback surgery, your body needs to be active afteralumbar microdiscectomy to encourage blood flow and to help strengthen and stretch muscles that support your back. By using this Site you agree to the following, By using this Site you agree to the following, Postoperative alif fusion pain in back of both legs, I have severe left hip and groin pain after a fusion. However, two days after the long walk, I developed buttock nerve pain in my right side, the very side that was compromised before surgery. Also known as spinal decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves and is typically performed on patients with severe symptoms or those with symptoms that are worsening dramatically. Any activity that causes the leg to bend at the hip (hip flexion) with the leg straight (no bent knee), will stretch the sciatic nerve and the hamstring muscle at the same time. These conditions will typically not resolve on their own, and will require additional treatment potentially an additional surgical procedure. Minimize your risk forreherniationby not smoking, watching your weight, and eating a balanced, back-healthy diet. For example, in addition to the herniated disc that was treated with a microdiscectomy, you might also have nerve irritation related to inflammation near the sciatic nerve. "Research has shown that microdiscectomy has a success rate as high as 90 percent in alleviating nerve pressure and eliminating pain," Dr. Liu says. It's not always easy to precisely diagnose the symptoms related to nerve irritation around the spine. Disc degeneration and herniation are common back problems leading to surgery. While pain medications may not be needed by 4 to 6 weeks after lumbar microdiscectomy surgery, some patients may need to continue with pain medications for much longer. The movements you notice that increase symptoms all stretch the nerve root so this would be expected for 4-12 weeks. In this instance, treating the secondary source of pain may involve massage therapy, medication, and similar nonsurgical options.It Could Be Due to Scar Tissue or Other PossibilitiesPostoperative leg pain is sometimes caused by the formation of scar tissue. Did I understand that correctly? I have a sitting job, 3 hours total commuting per day. Finding the actual source of your discomfort following an initial microdiscectomy may involve: Specialized nerve tests Diagnostic injections to see if numbing other nerves in the same area relieves your leg pain Discussing your symptoms in greater detail Image diagnostics or procedures such as using a special dye to track nerve pathwaysThere May Be a Secondary Pain SourceLeg pain stemming from a spine-adjacent nerve may still continue after surgery if a secondary source is causing discomfort. After 6 months of phyiscal therapy and epidural steroid injections I opted for surgery which was done 4 weeks ago. Nerve tingling or paresthesias are common post nerve decompression. Did your little test and can just barely get my toes off the floor on my left foot. To get the full experience of this website, my doctor recommended surgery. Before going home,someone will instruct youon how to care for the incision site, along with activities to avoid. The pain was constant burning at the left pelvic region, with sharp shooting pain in the left leg. 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. 2 days after my surgery my pain came back full throttle and worse than before. We have asolidcommitment to excellence in diagnosing and treating spinal injuries and conditions spanning all age groups. Microdiscectomy is aminimally invasiveoutpatient procedure thats performed underanesthesia. There was an immediate relief to my back pain. While conservative, nonsurgical therapies may provide relief for some, other individuals dont have substantial improvement from physical therapy or activity modification. If the entire disc is being removed, discectomies are typically coupled with a fusion procedure (in which the adjacent vertebrae are fused together for stability) or a disc replacement procedure (in which an artificial disc is placed in the spine). The disc may press on the spinal nerves and cause pain and numbness in the buttock and leg. Maintaining spinal mobility is key to the healing process. We have a strong commitment to excellence in diagnosis and treatment of spinal injuries and conditions spanning all age groups. If the nerve is still irritated or swollen, there can still be pain present, greater on the side of the prior herniation. The movements you notice that increase symptoms all stretch the nerve root so this would be expected for 4-12 weeks. If I lived in the US, I would certainly choose you to be my doctor. Intermittent or continuous back painthat occurswith and without movement, Pain with coughing, sneezing,or bearing down, Radiating pain from the back or buttock down into the leg or foot, Numbness and tingling in the leg or foot, accompaniedbyweakness in the legsand, reduced reflexes in the knee or ankle region, Reherniationdoes not occur with total discectomy because the entire disc has already been removed. As was mentioned earlier, the type of surgical technique used during the initial procedure and type of herniation strongly influence whether or not there will be a recurrence. But what if you start experiencing long-lasting pain that persists for weeks and months after your surgery? Thank you for choosing Dr. Corenman as your healthcare provider. It takes time for this swelling to reduce as noted before. I received 2 spinal injections to try to calm the inflamation and nothing worked. You may not have a high pain tolerance but you do have a high pain medication relief level. Some pain in the back or buttock region post-op is completely normal. This is quite normal and should not be cause for alarm. Scar tissue forms with all surgeries, but it sometimes becomes an issue if it forms around a nerve root. A mild amount of drainage from the incision is normal. During this surgery, your surgeon removes your damaged disk to relieve pressure on your nerves. When that happens, patients may experience symptoms that arevery much likethe original complaints of disc herniation. . This should improve in the weeks after surgery. I am still doing my exercises daily, plus swimming every other day and overall I am feeling pretty good. What should I do, other than physical therapy.. My leg is getting slimmer than the other and I am scared Its been six months already. muscle, ligament, or nerve damage. What should I do now. Longer-term problems can occur after spine surgery. Extend your walking distance gradually; engage in aerobic exercises like riding a stationary bicycle if you have access to one at home or a local fitness center and can do so without pain. Dr. Bergin has a special interest in medical research and maintains membership in the Scoliosis Research Society. The patient reported a new pain experience on the left buttock that started insidiously two weeks after discharge. However, "it's important that patients get "back in the game" during lumbar discectomy recovery as quickly as possible," Dr. Liu says. What would cause movement-releated pain that is otherwise completely gone in some situations (like standing up straight) but another obstacle that is touching / disturbing the nerve? Tagged:leg symptoms after a lumbar microdiscectomy. I found this: faradic current having short pulse duration cannot be used to stimulate dennervated muscles as dennervated muscles require pulses of longer duration for having its effects. The first month after my microdiscectomy was pretty much all about recovering from the surgery itself. It is our goal to provide the highest level of care and service to our patients. 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. Sleeping properly is highly recommended as it is key to rest and tissue recovery. If the source of your discomfort wasn't accurately diagnosed, a nerve that sends signals to your legs may still be compressed. However, in the last two days, I have noticed some nerve tingling down my right leg, at the back of the knee, heel, and the big toe. We have a strong commitment to excellence in diagnosis and treatment of spinal injuries and conditions spanning all age groups. If it's similar or slightly improved to your pre-op pain, then I wouldn't panic. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. What is a lumbar discectomy? so i received the microdiscectomy on march 12 of last year. is surgery that creates space by removing the lamina, the back part of the vertebrae that covers your spinal cord. In the case of recurrent back pain accompanied bysciatica(pain radiating down the back of the leg) after total discectomy, another discmay have become herniated. I had already decided to play it safe and use a cane. What causes reherniation after microdiscectomy surgery? For full benefit/risk information, please visit: https://www.barricaid.com/instructions.