buttock pain after microdiscectomy

Learn More and Watch Our Video on Microdiscectomy for Herniated Discs. This pain is really a "pain in the butt." 1.1 Recurrent lumbar disc herniation. 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. Diskectomy is surgery to remove the damaged part of a disk in the spine that has its soft center pushing out through the tough outer lining. 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. I have also started swimming two days ago. Your browser is out of date. Get Veritas Health Newsletters delivered to your inbox. 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. I had my TLIF surgery on 6/24/2020 by Dr. Corenman, I can not say enough good things about the Dr or his staff. Rest is crucial during the first days after the surgery. We strive toofferefficient and professional. Even after reading through all the answers you gave to others with similar problems, I am not sure this is normal. Depending on theindividual, every microdiscectomy recovery proceeds slightly differently. At The Spine Center, were dedicated to providing you with high-quality, personalized back and neck care. muscle, ligament, or nerve damage. Could it be that I havent walked enough? "The bottom line: use common senseeverything in moderation. Dont stand forextended periodswithout putting one foot up on something and alternating feet every few minutes. 1999-2023 Veritas Health, LLC. A seroma is a fluid-filled pocket at the surgical site that develops after surgery. Microdiscectomy is an advanced surgical technique that is much less invasive. Vic1979. Even though the nerve is injured at the spine, it feels like the pain is coming from the . We strive toofferefficient and professionalservicesto our patients, deliveredwith integrity and honesty in a cohesive, family-like environment. Althougha minimally invasive procedureisoften considered the best practice for dealing with damaged spinal tissue, no surgery is completely without risk. "Patients leave the hospital the same day or the day following the procedure and can begin microdiscectomy recovery immediately.". If you try to work through the pain, you could be causing yourself more harm than good and risking recurrence of herniation." In this article, we are going to walk through the potential causes of buttock pain after spinal discectomy surgery. I do daily stretches, one of them being lifting legs straight while lying down. This navigation and surgical trauma typically results in some pain and numbness while the patient recovers. This could signal another, more serious issue. You must be logged in to reply to this topic. I will keep going with my phyisical therapy, perform gentle stretches additionally and contact my surgeon again if things havent improved after 12 weeks? Incision Drainage Issues. The patient reported a new pain experience on the left buttock that started insidiously two weeks after discharge. For the average patient, there are no permanent restrictions after a microdiscectomy. Thank you for your answers and your advice. so i received the microdiscectomy on march 12 of last year. The risk of falling is too great and I'd hate to damage what good has already been done. I received 2 spinal injections to try to calm the inflamation and nothing worked. If you have any questions about the Barricaid treatment or how to get access to Barricaid, ask your doctor or contact us at. Adjacent segment syndrome (also known as . The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Instead, take up walking, swimming, or another low-impact form of exercise. About 2 weeks after lumbar microdiscectomy, most patients begin to experience significantly less pain and higher energy level. In fact, in many situations, it's often possible to treat or manage lingering leg pain following a microdiscectomy with nonsurgical techniques. my doctor recommended surgery. Your doctor made a 1- to 2-inch cut (incision) in the skin over the spine. A lumbarmicrodiscectomymay become necessarywhen a herniated lumber disc affects one side of the body. But its still there with the same movements as before but later in the movement. I had to have at least 2 courses of them to quell nerve irritation post micro-D. In the weeks following your procedure, contact your surgeon right away if your numbness or pain increases significantly. by your doctor. Some days, there's lesser pain and soreness. ligamentum buckling or hypertrophy in cervical spine. I was always treated with respect and explained everything throughly, that made it easy for everyone to understand. Before a new MRI is ordered, I will give the patient an oral steroid to reduce inflammation. Post-Surgery Inflammation Shortly after a discectomy or a less invasive microdiscectomy is completed, you may not immediately notice any pain until the anesthesia wears off. Give us a call today at (919)-787-7246. 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. The most common reason to have a microdiscectomy is to alleviate nerve pain that has not resolved within a reas. However, two days after the long walk, I developed buttock nerve pain in my right side, the very side that was compromised before surgery. If you need spine surgery, consider an Inspired Spine procedure. A microdiscectomy is aminimally invasiveversion of the surgerythatcan be performed on various parts of the spine. 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. There have been a couple of times as I've been walking that I have fallen forward from lack of control of my foot and almost fallen. If you find yourself not needing to take pain medication, you should be able to operate a motor vehicle within a week of surgery. When returning home from lumbar microdiscectomy surgery, patients are usually prescribed medication to help manage the pain. Resume driving when you can turn your head and look over your shoulder without pain. So, possibility of a seroma aside, a swollen nerve could mimick the same (but in my case less severe) pain from the herniated disc because it would swell at the same place where it was pissed off for months? However, "it's important that patients get "back in the game" during lumbar discectomy recovery as quickly as possible," Dr. Liu says. I, also, had a discectomy done due to a severe herniation in lower L4/L5. Oh and also, before surgery, I did have right side thigh pain, but not for long, as I decided surgery was my best option pretty soon, so I guess it didnt have time to develop. If youhave diabetes, practice good blood glucose management. Endoscopic microdiscectomy is usually performed in the lumbar (lower) region of the back after the failure of more conservative therapeutic measures, such as light exercise, medications, hot or cold compresses, physical therapy, spinal manipulation, and epidural injections, to relieve the nerve pain of a herniated disc, according to Dr. Liu. 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. Does that sound like a reasonable way to proceed with these leftover pains Im having? Obtain Long Term Pain Relief. For example, your surgeon may perform a lumbar microdiscectomy to remove the herniated portionof a lumbar discin your lower back. Your plan is good. Endoscopic Spine Surgeon Dr. Kaixuan Liu Offers Tips to Speed the Recovery Process after a Microdiscectomy. Just to mention, even before surgery, I never had much leg pain. Book an appointment with our board-certified orthopedists at Comprehensive Spine Institute by calling (727) 300-2537. Hold the press-up position for 2 seconds, and then slowly lower back down to the starting position. Microdiscectomy is surgery to remove part or all of a bulging or damaged (herniated) disc in the lower spine. Could it be that the nerve is just waking up and healing? On the other hand, be careful not to overdo it. You don't want a FUSION!! 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. While conservative, nonsurgical therapies may provide relief for some, other individuals dont have substantial improvement from physical therapy or activity modification. In the worst cases, they may also have to go in there and reconstruct discs that have been degenerating, or they may be helping your back to straighten out a little better than it would have otherwise. Even though most lumbar microdiscectomies are done on an outpatient basis, complications could dictate that you remain in the hospital for up to 72 hours. For example after: Lumbar discectomy - The disc is not as strong after back surgery and it is possible for new piece of disc to break off, herniate and pinch the sciatic nerve. Thank you for choosing Dr. Corenman as your healthcare provider. For now I am taking pain mediciation to cope with the pain. These differences may be due to compression at another site or a nerve root tethering to epidural fibrosis. Microdiscectomy, also called microdecompression, is a minimally invasive spinal surgery where your surgeon removes a part of the herniated disc to relieve pressure on the spinal nerves. All I feel is the tightness in my hamstrings, no stabbing pain like before. Post-op pain after spine surgery is to be expected in small amounts. Now considered the gold standard treatment forremovingherniated lumbar disc tissue, a microdiscectomy procedure is an ultra-precise method that requires only atinyincisioncausing minimal disruption to surrounding healthy tissue. Finding the actual source of your discomfort following an initial microdiscectomy may involve: It Could Be Due to Scar Tissue or Other Possibilities. Mild to severe pain in the lower back or buttock area, Feelings of numbness or tingling in the leg or foot, (nerve pain often radiating down the leg), When you are experiencing any of these warning signs onan ongoingbasis,its best to. This review, with the help of a case study, provides a detailed account of the possible biopsychosocial risk factors underlying piriformis muscle syndrome, post discectomy. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015, Pain Management After Microdiscectomy Surgery, Microdiscectomy Spine Surgery: Risks, Complications, and Success Rates, Microdiscectomy Surgery Video: A Spine Surgeon Explains the Procedure, nonsteroidal anti-inflammatory drugs (NSAIDs), Postoperative Care for Lumbar Microdiscectomy Surgery, Lumbar Microdiscectomy Recovery: Discharge to 14 Days, Lumbar Microdiscectomy Recovery: Weeks 2 to 6, Lumbar Microdiscectomy Recovery: Weeks 6 to 12, What Causes Buttock Muscle Pain and How to Relieve it, Piriformis Syndrome: When the Symptoms Indicate a Medical Emergency, Massage to Reduce Buttock Muscle Pain from Piriformis Syndrome, Suffering from Lumbar Spinal Stenosis? The current used is determined based upon the nerve injury. 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. In this case, the source of the pain will continue since the direct cause of the issue was not pinpointed properly. "Because the procedure is minimally invasive, it results in less tissue destruction and leaves fewer reasons to restrict a patient's activities following surgery and a quicker discectomy recovery.". If you have any questions, your doctor or physical therapist can provideinsighton what you should be doing. Although symptoms are varied andcanbecome more severe with movement, they typically include: When you are experiencing any of these warning signs onan ongoingbasis,its best toschedule an evaluationwith afellowship-trainedorthopedic surgeon. In some instances, it may become necessary to pursue surgical management in the form of repeat microdiscectomy. 1.2 Inflammation of the membranes that surround the nerves of the spinal cord. Pinching of the nerves in the lumbar spine can cause pain radiating into the leg, ankle, and foot. Jogging isnot recommendedwhen you havedisc herniation. Other times the sciatica may be . No, my doctor has not spoken with me about any of the things you have educated me about. Any activity (like walking) can stretch the root. 1.3 Postoperative inflammation of the nerve root. 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. (pain radiating down the back of the leg) after total discectomy, another discmay have become herniated. If those dont do the trick, an epidural steroid injection may also begivento manage the symptoms. This is called recurrent disk herniation. Same as you, the right foot is fine. Similarly, a thinned-out and stretched- out annulus place the patient at higher risk for reherniation, along with a wide incision of the annulus during surgery. This is actually a very common occurrence but typically does not cause symptoms. Our physicians serve as innovators in technology, actively participate in national and international research studies, and areatthe forefront of medical knowledge. Its just a sort of sensitivity I havent had since the surgery. The nerve root when decompressed, can swell. The goal of this surgery is to improve leg pain, restore function, and enable a return to normal daily activities. One reason your leg may still hurt after microdiscectomy surgery is because of the way compression can affect nerve roots. All rights reserved. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. As with any form of surgery, laminectomy carries a risk of some side effects. Common symptoms of post-laminectomy pain syndrome include the following: Dull, aching pain in the neck, shoulders, arms, fingers, back, buttocks, or hips Pain levels similar to what you felt before surgery Pain in your arms or legs, which may be either constant or radiating Suffering from lower back, leg, or buttock pain? Contacted the answering service for my Dr. this a.m. and still no response. 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. PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. The Affected Nerve Root May Need Some Time to Heal, The Initial Diagnosis Might Have Been Incorrect. Return nerve pain after a microdiscectomy can originate from three issues; nerve inflammation, re-herniation or seroma formation. 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. I sincerely thank you for your helpful advice. Over 200,000 lumbar discectomies are performed in the United States each year, most of which are microdiscectomies. Thankfully, escalation of symptoms is rather uncommon and does not need to be addressed with most patients. This can take days to weeks. I had l4/l5 discectomy 25 days ago, because I suffered from lower back pain that quickly was replaced by a persistant almost daily sciatica for almost 4 months. 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. They can perform the surgery in a couple of ways: An open diskectomy is done with a cut in your back . During the initial 2 weeks after a microdiscectomy surgery, the pain is most intense. Lumbar discectomy is a type of surgery to fix a disc in the lower back. Any activity (like walking) can stretch the root. You will beaskedto keep theareaclean and to cover it while bathing or showering. The doctor willthenonlyremovethe damaged portion of the disc. I, for sure, do not want to have a fusion-I have heard from others what a night-mare that procedure is. This type of postoperative pain is commonly called failed back surgery syndrome because you've swapped out one type of pain for another. This site is for educational purposes only; no information is intended or implied to be a substitute for professional medical advice. This treatment is done immediately following the discectomyduring the same operationand doesnt require any additional incisions or time in the hospital. Before using any new medications or going back to old medications, it is important to check with the doctor or pharmacist to reduce the risk of adverse drug interactions or serious side effects. Sciatica pain starting 3 weeks after discectomy. Although most patients enjoy noticeable pain relief immediately following the surgery, nerve recovery after a lumbar discectomy is dependent on a variety of factors.

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