buttock pain after microdiscectomy

A mild amount of drainage from the incision is normal. Symptoms are generally more severe than inflammation above but dont necessarily have to be. 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. Incision Drainage Issues. If you need spine surgery, consider an Inspired Spine procedure. You will be fatigued the first couple of days until you develop stamina. For example, the incomplete removal of herniated disc material or inadequate closure of a significant gap in the annulus may lead to reherniation. As an aside, lingering pain is one of the classic signs of re-herniation after a microdiscectomysurgicalprocedure. However, "it's important that patients get "back in the game" during lumbar discectomy recovery as quickly as possible," Dr. Liu says. 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. Sometimes after a discectomy, scar tissue forms near the nerve root and can cause extreme burning or nerve pain even if the surgery was successful in relieving the initial pain. Risks and side effects. Endoscopic Spine Surgeon Dr. Kaixuan Liu Offers Tips to Speed the Recovery Process after a Microdiscectomy. Dr. Cross notes that SI joints normally move less than 1 millimeter. However, some patients may have lingering leg painone of the classic symptoms associated with spinal nerve irritationafter. trained physicians with over 50 years of experience, treating spinal conditions, we offer patient recommendations for treatment,including conservative care, non-operative treatment, and sophisticated, customized surgical solutions. I thank you from the bottom of my heart for your answers. I had been on physical therapy>physical therapy from day 10 and in weeks 4 and 5 I started feeling more like myself. Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation. Even though the nerve is injured at the spine, it feels like the pain is coming from the . is surgery that creates space by removing the lamina, the back part of the vertebrae that covers your spinal cord. Longer-term problems can occur after spine surgery. The lumbar laminectomy may be one option. "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 is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. 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. What causes reherniation after microdiscectomy surgery? It's not always easy to precisely diagnose the symptoms related to nerve irritation around the spine. Our physicians serve as innovators in technology,actively participate in national and international research studies,and are on the forefront of medical knowledge. During the initial 2 weeks after a microdiscectomy surgery, the pain is most intense. We strive toofferefficient and professionalservicesto our patients, deliveredwith integrity and honesty in a cohesive, family-like environment. The foot drop thing is exactly what isgoing on. Dr. Liu also suggests that patients continue the herniated disc surgery recovery process by walking short distances during the first couple weeks after surgery and gradually building endurance until they can walk two to three miles a day. A discectomy,sometimes called apercutaneous discectomyorlumbar discectomy, involvesremoving the herniated portion of the intervertebral disc (the nucleus pulposus)that is pressing on thenerve or spinal cord. 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. Contacted the answering service for my Dr. this a.m. and still no response. For editorial comments and questions, you can reach Dr. Bergin via email. Also, I have little to no feeling in my big toe and a tingling feeling from my knee down through my foot. IV pain medication is stronger than oral but you obviously can not be on an IV drip outside of the hospital without some prearranged licensed care. The loss of this pain after surgery is a good indicator that the nerve is relative free of compression. I received 2 spinal injections to try to calm the inflamation and nothing worked. Your surgeon will start with conservative treatment options in the form of pain medications, physical therapy, and activity modification. Below are a few reason why leg pain may . Stronger painkillers, such as opioids, are typically used in combination with nonsteroidal anti-inflammatory drugs (NSAIDs). Research has established that the SI joint is the source of pain in nearly half of patients who experience new or continued low back pain after fusion surgery. For now I am taking pain mediciation to cope with the pain. For example, acetaminophen is in many common drugs, including cold medicines, which could lead to an overdose if labels are not read. Study design: A single-center retrospective study. "The bottom line: use common senseeverything in moderation. If youhave diabetes, practice good blood glucose management. an infection in . Before going home,someone will instruct youon how to care for the incision site, along with activities to avoid. 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. Should I continue this vigorous swimming program, or should I be more careful and dial it back a notch? Talk to a physical therapist about "gentle exercises" to perform during the early postoperative period. thank you, I truly appreciate your answer. Buttock pain after a minimally invasive keyhole discectomy procedure is most often nerve-related. to our patients, deliveredwith integrity and honesty in a cohesive, family-like environment. Thank you for choosing Dr. Corenman as your healthcare provider. Is this straight leg testof any relevance for determining whether its a reherniation or not? Long-Distance Consults & Medical Legal: 888-888-5310, Request a Diagnostic or Surgical Second Opinion, Buttocks pain after L5 / S1 microdiscectomy, leg symptoms after a lumbar microdiscectomy, https://neckandback.com/conditions/peripheral-nerve-anatomy-neck/. You can clean the incisionsitewith a towel, but care must be taken to prevent the surgical tape from coming off. I, for sure, do not want to have a fusion-I have heard from others what a night-mare that procedure is. The great thing is that there is NO pain in my back!!!! You should report any numbness to your surgeon immediately after surgery. Give us a call today at (919)-787-7246. Galvanic current has long duration impulses selections that can be used to stimulate dennervated muscles. Living with a pinched nerve causing both leg and buttock pain can be agonizing. I highly recommend Dr. Corenman and the Steadman Clinic. Or is it normal after this kind of surgery and will resolve on its own? Same as you, the right foot is fine. Microdiscectomy is an advanced surgical technique that is much less invasive. Ususally, movement of the low back reproduces pain in the buttock. The risk of falling is too great and I'd hate to damage what good has already been done. muscle, ligament, or nerve damage. These symptoms might be annoying but dont pay too much attention to them as these paresthesias tend to go away over time. In fact, in many situations, it's often possible to treat or manage lingering leg pain following a microdiscectomy with nonsurgical techniques. Our physicians serve as innovators in technology, actively participate in national and international research studies, and areatthe forefront of medical knowledge. 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. You must be logged in to reply to this topic. It is our goal to provide the highest level of care and service to our patients. I am extremely grateful for the opportunity to have an answer to my question from you. This article explains some of the potential reasons this may be the case. We have a strong commitment to excellence in diagnosis and treatment of spinal injuries and conditions spanning all age groups. wound pain. While rare, this can happen within the surgical site where the microdiscectomy was performed. 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. Acute pain is more likely the result of recurrent disc herniation following a shift in weight distribution across the vertebral levels. Aspineinjury mayalsolead torecurrent disc herniation, such asthosecaused byrigorous sports activities or motor vehicle accidents. Suffering from lower back, leg, or buttock pain? Obtain Long Term Pain Relief. Based onfollow-upstudies, recurrent lumbar disc herniation only occurs inroughly 10%ofallmicrodiscectomy patients. How long ago did you have your surgery? is a fellowship trained, board certified orthopedic surgeon who has been practicing since 1999 and specializes in complex spinal treatment. !he read all of my issue and details and his replies really helped me in decidingi am now confident about my decision and i now totally understand the procedure thanks to the in-depth information providedthank you ever so much ! My back was inflamed afterwards, and I had some hip pain the following day, but I didnt think much of it, because those episodes happened during my previous recovery and would resolve with rest>rest in 2 days max. Nerve tingling or paresthesias are common post nerve decompression. Regarding your situation, I think pain is normal after a microdiscectomy. When the root swells, some return of symptoms can be expected. If that treatment is not effective, depending upon symptom severity, I will order an MRI. Did I herniated my disc again by starting to walk and even drive too soon after the surgery -- the next day? However, your doctor will advise you on how quickly you can return to these activities. 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. When lifting heavy objects, keep yourback straight and use your knees to lift rather than your back. I have been careful with avoiding sitting. When discectomy is performed, improvement in LRP is observed due to spinal nerve irritation. with afellowship-trainedorthopedic surgeon. If this service is not available, try to do activities at home that mimic your daily work schedule to develop muscular conditioning and a reserve for the initial days at work. The bones help protect the cord . Otarbo Home Search Home Search buttock pain after microdiscectomy (2022) June 9, 2022 . This should improve in the weeks after surgery. Stronger painkillers, such as opioids, are typically used in combination with nonsteroidal anti-inflammatory drugs (NSAIDs). Thank you for choosing Dr. Corenman as your healthcare provider. During a microdiscectomy procedure, the surgeonuses a microscope and laser toremovepart of the nucleus pulposus through a small incision (less than 2 inches). This website is the stand out source for me. For patients experiencing nerve pain from a herniated or bulging vertebral disc, significant weakness and numbness can result in the legs and buttock areas that correspond with the pinched nerve. When that happens, patients may experience symptoms that arevery much likethe original complaints of disc herniation. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Although the surgery itself ismuch less invasive thantraditionalprocedures,a long-termmicrodiscectomy success ratedependson followingyourdoctorsspecific recoveryinstructions. Other times the sciatica may be . All rights reserved. Pinching of the nerves in the lumbar spine can cause pain radiating into the leg, ankle, and foot. I sincerely thank you for your helpful advice. Dr. Bergin has a special interest in medical research and maintains membership in the Scoliosis Research Society. 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. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books. We have asolidcommitment to excellence in diagnosing and treating spinal injuries and conditions spanning all age groups. In the case of recurrent back pain accompanied by. Laminectomyis surgery that creates space by removing the lamina, the back part of the vertebrae that covers your spinal cord. The Affected Nerve Root May Need Some Time to HealOne reason your leg may still hurt after microdiscectomy surgery is because of the way compression can affect nerve roots. However, if you have lingering pain for days after your doctor told you it should be subsiding or the pain is getting worse, you should letthemknow. The most common is inflammation. 2 days after lumbar decompression surgery I developed sciatica type pain, shooting through buttock and down the thigh, the pain which I never had before the surgery. Usually, the first signs of healing appear within the first 2-4 weeks after the procedure, and after 12 weeks, the patient should be able to return to everyday life. Ive been reading through many of these questions and respons 38 year old male, 5'8 165 pounds. Your Recovery Microdiscectomy is surgery to remove part or all of a bulging or damaged (herniated) disc in the lower spine. During this surgery, your surgeon removes your damaged disk to relieve pressure on your nerves. Limit ice or heat therapy applications to 15 or 20 minutes at a time, with at least 2 hours of rest in between, to optimize tissue response between applications. Long-Distance Consults & Medical Legal: 888-888-5310, Request a Diagnostic or Surgical Second Opinion.