Hey everybody. I met with my NS and was informed I will need surgery again, my 5th, due to another L5/S1 disc herniation. I had a discectomy at L4/L5 in May and while recovering my L5/S1 literally just slipped. I have done nothing but sit around, nothing physical, and the disc just moved and pressed right into a nerve, I didnt notice it happened but after not hardly any pain relief after three months another MRI was ordered. I am currently on oxycodone and valium for pain relief, neurontin, lyrica, and cymbalta have all not helped and I discontinued their use.
My options given to me today were a percutaneous discectomy in the hope that afterwards the L5/S1 disc will move a little and hopefully relieve pressure off the nerves causing most of my pain. I will need a discography for this and the risk that scares me is that my pain could get worse after the procedure. My second option is a fusion. My surgeon did not sound to positive on the idea because of my age and the worry of needing multiple fusions as I age, but because of how many surgeries Ive already had they believe I should consider it. The next option would be to go in there and clip the part of disc causing the problem off and hope I do not reherniate, another discectomy.
Im stuck on what to do, I am thinking of trying the percutaneous discectomy but am not too optimistic about it working. Im not too high on a fusion right now but am considering it. The discectomy is fine but I worry about reherniating especially since I have not done anything lately and still my disc moved out of a good place again. My surgeon told me that probably because the changes in my spine from my L4/L5 surgery in May caused things to move around and adjust a bit and the L5/S1 disc slightly moved out and into a bad place.
Any opinions/advice/experience is appreciated.