It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Back Problems Message Board


Back Problems Board Index


Hello Teteri66,

thanks for your post.

I have some new symptoms these 2 weeks:
- super sensitive to light touch by pant or hand and caused burning pain, is this allodynia?? When I woke up from surgery, my foot was numbed and when they touched my top of my toes, they were extremely painful when touch gently. I'd had this when I woke up from surgery but it eased off after a few days. Now it's coming back again!
- aching pain on my left buttock(sit bone) to left calf when sitting for 5 minutes or so, I will need to lay down to ease the pain.

are these symptoms normal during recovery in your opinion? Seems to me that I have more and more symptoms/issues and none of them have improved over time. I am very worry!

I just got my CT scan on lumbar and here is the findings:
Interval surgery with interbody fusion elements at L4-5 level
and bilateral L4 and L5 pedicle screws. No pedicle cortex is seen
inferior to the left L4 pedicle screw. Pedicle screws do not
extend into the lateral recesses or the foramina. There appears
to be focal bony continuity across the L4-5 disc space. Slight
anterolisthesis of L4 on L5. No acute vertebral body compression
fractures. Pseudoarticulation of right L5 transverse process with
S1 as before
T12-L1 (focal posterior left of center disc protrusion with
annular calcification noted without high-grade bony spinal canal
or foraminal narrowing)
L1-L2 (disc bulge and facet joint degenerative changes. No
high-grade bony spinal canal or foraminal narrowing)
L2-L3 (disc bulge and facet joint degenerative changes. No
high-grade bony spinal canal or foraminal narrowing)
L3-L4 (disc bulge, facet joint degenerative changes and
ligamentum flavum hypertrophy with mild spinal stenosis. Right
posterior lateral disc protrusion might abut the extraforaminal
portion of right L3 nerve sleeve as before)
L4-L5 (postsurgical level. Left foraminotomy. No high-grade bony
spinal canal or high-grade bony foraminal narrowing.
L5-S1 (facet joint degenerative changes and spondylosis without
high-grade bony spinal stenosis. Bony elements encroach upon the
right foramen possibly affecting the exiting L5 nerve sleeve.
Mild to moderate bony narrowing of left foramen also noted.
Bilateral SI joint spurring)
Paraspinal Soft Tissues: Mural vascular calcifications.

I also consulted with another ortho.spine surgeon remotely and he believed I had nerve root damage/injury during surgery on L4 & L5. Probably caused by dural tear on L4 and difficulty to secure the L4 pedicle screw.

please comment and provide your advices. this is ordered to check on bone growth. Do you see any nerve root damages or bone growth. Thanks a lot for your help

thanks,
glo
Hello Teteri,

Thanks for always reply to my post. You are the guardian angel of this forum!

The professor surgeon is from UCSF as is my surgeon. The other surgeon is orth.spine but not affiliated with UCSF. The neurogram didn't indicate anarchnoiditis but both surgeons said it's hard to read due to motion degradation. So their diagnosis were based on the CT scan done 3 months post-op. I want to get a regular MRI but the all told me to wait until 12 months....sigh!
My surgeon ordered the nerve block at L4/L5 and the orth.spine surgeon said I can try that or even SCS. The professor surgeon said he won't bother with nerve block but he didn't suggest SCS either... I kind of agreed with the latter of not doing any.

My current symptoms are mostly pin and needle, burning sensation, numbness, and random shocks along the left knee to toes. I also have soreness from left groin to front thigh. left foot still slap the ground after 15 min. of walking. My best time is when I wake up and worst is toward evening and bedtime. I took most of my pain med in the afternoon and at bedtime(double dose). They are baclofen and gabapentin and tylenol.

I compared the imaging before and after surgery as I am worry about the finding in the MR neurogram.

Neurogram done at 6 mos post-op:
Severe left neuroforaminal stenosis at L5-L6 with mild compression of the nerve root by surrounding scar tissue. The exam is motion degraded and not optimized for evaluation of the lumbar spine, therefore a dedicated lumbar spine MRI is recommended with possible oral anxiolytic administration.
In retrospect when comparing to the CT from 2/14/18, previously noted "compression by the adjacent left L5 screw" is not evident.

CT done 3 mos post-op:
L4-L5 (postsurgical level. Left foraminotomy. No high-grade bony
spinal canal or high-grade bony foraminal narrowing.
L5-S1 (facet joint degenerative changes and spondylosis without
high-grade bony spinal stenosis. Bony elements encroach upon the
right foramen possibly affecting the exiting L5 nerve sleeve.
Mild to moderate bony narrowing of left foramen also noted.
Bilateral SI joint spurring)

MRI done 4 months before surgery:
At L4-5, anterolisthesis of L4 on L5 is present in association
with a global disc bulge. There is posterior facet hypertrophy.
The canal and foramina are moderately reduced at this level.
At L5-S1, a central focal disc bulge is present. The canal or
foramina are widely patent.

From the MRI, it said I don't have stenosis at canal or foramina at L5-S1 level. But the stenosis is worsening per the CT at 3 mos and MRN at 6 mos post op. Would the stenosis caused by the surgery? Would I need a decompression at L5-S1 soon as it seems to worsen over 6 months? Any advice and insight would be greatly appreciated.

I am happy to hear that your EMG has stabilized and your symptoms have improved!
Please take care and let's hope we will do better in the coming months.

thanks,
glo





All times are GMT -7. The time now is 03:15 PM.





© 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
Do not copy or redistribute in any form!