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It's been nearly three months (12 weeks) since my lami discectomy for a herniated disc L3/L4. I am going back in for a check-up in two days. I still have the severe sciatic pain in my glute, still running down my leg and sharp pain in my toes. I have been on Gabapentine for the last month, not much help or noticable relief. I currently take 2400mg of Advil daily (12 pills).

As some of you may remember if you're following my threads, immediately after I woke-up post operating room, I told the neurosurgeon that I could still feel the sciatic pain, right there. They all said "oh don't worry, that's just swelling. It'll be gone shortly." But... How much shortly??? Three months out, it still lays there, just waiting for me to bend beyond a few extra degrees. It just lays in wait.

I will demand another MRI and insist on a CT too. This is not normal recovery for a 180lb/ 6'4" totally healthy non-smoker. I have been following the post-op directions to the letter.
Stretching, PT, light yoga, prednesone, Advil, Gabapentine, short walks, staying mobile, changing positions, sleeping with pillows elevating the legs... you name it. I have been forward facing on my recovery.
Something is not right. It will have to be faced and addressed.




[I]btw... This it the thread chrono:
For those who are googling, searching or following my other thread titled ([B]one month post op[/B])
http://www.healthboards.com/boards/showthread.php?p=4289947#post4289947

Here is where I was at: open [B]discectomy / lami 2 months post op[/B].

I am currently flat on my back, feet elevated with 4 pillows, typing on my iPhone 8 weeks since my laminectomy/discectomy L3/L4. The disc was severely ruptured, I probably waited too long, dreading and procrastinating the eventual surgery. All the while gobbling up Advil and tramadol thinking I could keep on toughing it out. Looks like all I was doing was eventually delaying recovery and creating more serious (potentially permanent) nerve damage.

So... At week 5 I started light PT to open up the facets, begin the mechanical aspect of repair. I actually was able to lay on my stomach for 10 minutes! Something I hadn't done since last April/May. I believe PT has been good. However, I still have the sciatic pain. Its probably anywhere between a 2-8 on the pain scale. I just had a 2 month follow up with my doc who said that at 2 months, it is somewhat a-typical that I still have sch sciatic pain. I take no narcotics or major meds anymore, just Advil & 1 tramadol per day. So, he just put me on Gabapentine for nerve neropathy. It hasn't really helped or hurt thus far. I do t feel anything quite yet but will be increasing my dosage gradually (I guess this is how it is prescribed).

So, that's where I am. I walk 3-4x per day. Take 10-12 200mg advil for swelling per day, can't sit in my office chai for more than 15 minutes without having to either walk or stretch for a bit. I have much better range of motion as a result of pT, still have soreness at the incision area, the sciatic pain still lingers but I am constantly aware of where it's at and manageable. I am still optimistic. It seems lime this is going to take a while to recover.

8 weeks... Tadaa! I hope this helps some of you. I'll check in at three months post op.

Best & happy healing[/I]
rescuegreen 3, follow the advice of maltluver. I'm going through the same thing as you. I had a microdiscectomy in march of this year and had t he same problem after surgery as before. The only thing about mine is I did get better for 1 month. At the 2 1/2 month, my nerves (according to my nuerosurgeon) calmed down. That was only for 1 month. Then the same burning in my back (at the incision site) and extreme weakness in my right leg. This week it will have been 6 mos. since surgery. My doctor did order other mri's, ct-scans, mylegram, x-rays. According to him everything is fine. He said there is nothing else surgically that can be done. Said I might need to consider SSD. I don't want to be disable. I was always very active, played sports,walked long distances to stay in shape. When I went in for my surgery, the doctor said that these types of surgery help 90% of patients.
I called him the other day and ask to go to pain management to see if they can help me in anyway. Imagine that, I had to ask the doctor instead of him suggesting it.
I'm also going to a nuerosurgeon in my hometown this wed. I'm taking all my records, pictures, and what the doctor performed on me. I also have a appointment with another nuerosurgeon on oct. 1st.
So rescuegreen3, if your not satisfied with your surgeon or do not get any better you might want to let other spine specialists take a look at your back. Acquire all the records and pictures you can. That's what I'm doing.
Good Luck and keep us informed.
[QUOTE=bogeyfree 57;4326423]rescuegreen 3, follow the advice of maltluver. I'm going through the same thing as you. I had a microdiscectomy in march of this year and had t he same problem after surgery as before. The only thing about mine is I did get better for 1 month. At the 2 1/2 month, my nerves (according to my nuerosurgeon) calmed down. That was only for 1 month. Then the same burning in my back (at the incision site) and extreme weakness in my right leg. This week it will have been 6 mos. since surgery. My doctor did order other mri's, ct-scans, mylegram, x-rays. According to him everything is fine. He said there is nothing else surgically that can be done. Said I might need to consider SSD. I don't want to be disable. I was always very active, played sports,walked long distances to stay in shape. When I went in for my surgery, the doctor said that these types of surgery help 90% of patients.
I called him the other day and ask to go to pain management to see if they can help me in anyway. Imagine that, I had to ask the doctor instead of him suggesting it.
I'm also going to a nuerosurgeon in my hometown this wed. I'm taking all my records, pictures, and what the doctor performed on me. I also have a appointment with another nuerosurgeon on oct. 1st.
So rescuegreen3, if your not satisfied with your surgeon or do not get any better you might want to let other spine specialists take a look at your back. Acquire all the records and pictures you can. That's what I'm doing.
Good Luck and keep us informed.[/QUOTE]


>>>>>>>>>> Bogey3, may I suggest that one of the 2 more doctors you plan to see be an Orthopedic Spine Specialist? I have found them to be much more likely to be helpful than any ns I have met. You know if you are having pain, everything can't be "normal". The ortho spine spec's I have seen have always dug hard to find my problems or, lacking that, to send me to pain management for pain control. I have had 2 nsurgeons that totally blew me off. May just have been the luck of the draw, but that's been my experience.

Either way, I wish the both of you the best of luck in tracking down whatever the problem may be. If an MRI isn't showing anything, I don't know why they haven't tried doing a myelogram followed by a ct scan.

Please stay in touch!

Carol
For those of you who have been following up at home & encouraging me to keep with the updates..... Here we are.

nearly 4 months post back surgery. Back surgery was open discectomy with laminectomy. 40yr old. healthy male. 6'4" 180 no other outstanding med conditions.

[B]3-2010[/B] –Pain in Glute
[B]4-2010[/B] – severe pain in glute now running down thigh to toes
[B]5-2010[/B] – darnnear debilitating pain, sleep is difficult & spotty. Pain is very firey & mobility is an issue.
[B]5-4-2010[/B] Was told at appointment that I should take 4 advil every meal (up to 2400 mg). Call in 10 days time to see where we are at.
[B]5-14-2010[/B] s/w dr
[B]5-19-2010 [/B]was prescribed prednisone.
[B]5-20-2010[/B] began prednisone pack steroid orally
[B]End of 5-2010[/B] did an epidural injection
immediately after injection pain became worse afterwards…:mad:
severe pain & damnear unable to walk it was agreed to do a [B]Laminectomy/open discectomy 6-21-2010 / 6-22-2010[/B]
Still very painful with much swelling, pain was worse post op – [B]July 2010 [/B]was absolutely miserable & painful
[B]7-2010[/B] –limped back to Post Op follow-up. Dr (neurosurgeon) suggests incision looks good, doubts any infection or internal issues. Removes staples. The pain is debilitating. However dr does note that swelling is quite heavy & prescribe a prednisone pack which did help & enabled to walk. :cool:
[B]8-2010[/B] after prednisone run, did PT for 3 weeks – did increase flexibility & helped regain mobility- however, leg pain & sciatic still persist painfully lingers. Incision area still very sensitive
[B]8-15 to 9-15-2010[/B] did a 30 day run of gabapentine to see if nerve neuropathy... nothing but make me fuzzy
[B]9-2010[/B] did steroids for 14 days – also used 1 or 2 advil to help with pain & inflammation supplement. this does help mobility
[B]10-6-2010[/B] sciatic still persists so Dr referred me to re-meet the neurologist to refilm MRI with contrast to see if there is bone fragments or cysts etc. we are all curious as to why is there continued sciatic pain
[B]10-13-2010[/B] Appt scheduled w/ neurologist: I will have new MRI done sometime at the end of next week. I will update results at that time to see what outcome is. Hang in there everyone!:angel:

dispite pain & the disruptions of life, I am very impressed and pleased with the American healthcare delivery. Many colleagues in other countries who have had this situation complain of waiting months for MRI's or second opinions while I am feeling very fortunate that I can get scheduled for the top neurologists & imaging centers to fit [I]my[/I] schedule (within days or even hours!). Probably not true for everyone but for the time being, feeling grateful, thankful & hopeful.
Rescuegreen3, it's good to hear from you again. Sorry to hear that you are still experiencing pain. Hope your MRI shows what causing your pain.
Since my last post I have been in alot of pain. L3-L4 is burning feeling and also right leg heaviness. The same as what I went for to my nuerosurgeon back in march. I'm not seeing him now. Going to PM tomorrow and then on the 18th I will see a orthro spine specialist. Heard alot of great things about this doctor.I to have gone on predisone. Sleepless nights and weight gain. I said I would not go on them again two weeks ago. But my pain level is so great from inflamation that I really have no choice. Hopefully after seeing this new doctor I will get something done. Probably a fusion. Even though I don't want it. I want my old life back but I guess that's not going to happen.
I know all you are going through.Glad you keep your spirits up. Good Luck with your neurologist. I will keep you informed on what happens with me.:)





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