I had a microdiscectomy done earlier this year and I’m not any better than I was before surgery.The neurosurgeon said this type of surgery helps 90% of patients. I guess I fell into the 10 % category.I had a mri and myelogram done in may that showed post-op change that were normal. My right leg was so heavy when I walked. My back at the incision spot started burning and I couldn’t get ant relief.The doctor said I had a nerve that just was irritated. It would calm down. It took 3 weeks and then I felt better. For 1 month. Then it started back up again. This time it has been 6 weeks and I’m now taking prednisone steroids. Without them I could not work.Talked with doctor and he ordered the mri ,cat-scans, and myelogram again. The results were the same as in may.When I did get to talk with him he told me that I might never get better. Said I need to think about disability. I cannot believe that I am disabled. He just sounds like he doesn’t want to do anything else for my back.
I’m going to get another opinion from a different doctor in another town.
My orthopaedic doctor in my hometown had told me before I had surgery that a fusion is the only surgery that will help me. My neurosurgeon said I didn’t need a fusion.I don’t understand how doctors differ so much.
I had a fusion in 2004 at L5-S1. Even though it was a long recovery (14 mos.) I was glad I had the surgery.I had 5 good years before L3-L4 ruptured.
It so hard to find a specialist that you can trust and who has your best interest at heart.
There are no changes compared to the May study. No indications for additional surgery. I have recommended treating his symptoms for now. Flexeril has not worked in the past and he can use skelaxin and darvocet and we will call him in a medrol dosepak as well. We will do a phone followup visit in four weeks. I told him that he may need to retire and go on social security disability. He is not able to return to work at a job which requires working on concrete for long periods of time.
My procedures: Lumbar Myelogram via lumbar puncture.
Anterior extradural filling defects L3-L4 and L4-L5. No abnormal nerve root sleeve filling noted.
Procedure: Lumbar Spine, 3 Views
Stable postsurgical changes at L5-S1. No evidence of complication.
Stable moderate degenerative space narrowing L3-L4.
Stable marked narrowing L5-S1 disc inter space.
Procedure: MRI Lumbar Spine without and with Contrast
At L3-L4, expected evolution of postoperative changes within the right lateral recess with resolution of right-sided fluid collection with improvement in lateral recess steno sis. Mild epidural scar noted.
Stable operative changes of decompression with bilateral pedicle screw fusion inter body fusion at L5-S1.
Disc and facet degeneration at L4-L5 leading to mild central canal and bilateral foraminal stenosis , stable.
Procedure: CT Lumbar Spine Post- Myelogram
Stable post surgical changes at L5-S1 without significant central steno sis. Stable bilateral bony foraminal narrowing.
L3-L4 demonstrates a right hemilaminectomy . Interval disappearance of the previously noted fluid collection within the right lateral recess of L3. There is no central steno sis. There is marked bilateral foraminal narrowing related to disc bulge and spondylosis .
I don’t know what all of this means. I do know that my right leg continues to be heavy and my back burns at the incision site. If anyone has any insight on the results that I posted, please post.
I am going to take these copies from my tests to my orthopedic doctor here in my home town. Hopefully he will see me. I don’t know. He told me last January that I needed a fusion. I’m torn right now on what to do. I don’t think I’m ready for SSD .