I had a hybrid (Charite ADR L3/L4, L4/L5 ans ALIF L5/S1) on 22nd April and making slower recovery than anticipated. Still on pain meds andstill in pain. Latest X-rays show I am fused and from side view, the ADR's are in place. But front view shows vertabra are all over the place. I have been told I have multifidus atrophy which occurs with any back injury or surgery, resulting in the loss of the stabilisation effect of the vertabra. With this happening, weight is not being correctly distributed through the vertabra but instead is going through the facet joints, for which they are not designed. It is suggested that compression of the facet joint is the source of my continued pain and that FJ injections will be needed as will specific exercises to strengthen the muscle.
Here is the question. In the years leading up to my surgery I had a series of FJ injections with limited success. Then although diagnostic FJ injections still gave very litle relief,it was suggested that I should still go ahead with a full 5 level de-nervation, which I had in January this year. Still not solving the problem, and indicating the FJ were not the source of the pain, I then had a discogram which did confirm that it was the discs that were the source of the pain, hence the surgery. But how can the FJ's be causing the pain if I have had a full denervation?
Anybody had experience of FJ pain after surgery and after de-nervation? Anybody had multifidus atrophy and FJ pain after ADR/Fusion surgery?