I'm posting this under pain management because I recently had the procedure done by a Pain Management doctor.
I had a TLIF at L5/S1 back in January and my pain has never resolved. My NS keeps telling me to be patient, but I keep telling him that my pain doesn't seem to be related to the fusion. My spine seems very stable and my pain is the same as it was prior to the fusion, just more intense. I obtained a second opinion from another NS and he suggested that it might be my S-I (Sacro-Iliac) joint. I requested a referral to Pain Management to see if they could get the root of the issue (no pun intended).
First of all, I have to say that I was very impressed by how the PM doc very carefully listened to my entire history before he made any recommendations. We proceeded with a series of injections in the SI joint, but based upon a recent MRI report plus my clinical symptoms, he urged me to consider the procedure call Epidural Lysis of Adhesions. I had both done at the same time.
Now, I am only two days after the procedure and I'm a little sore from it, as is expected. However, I resumed my PT exercises which were designed to make the nerve root "glide" in and out of the foramina (opening in the vertebra). Prior to this procedure, I wasn't able to tolerate these stretches because the scar tissue was interfering with it and it would make my toes start to tingle. My PT said to stop doing these whenever my toes tingled. Well, after the procedure, I gave it a try again and guess what... no tingling! I think the PM doc successfully freed up the nerve root.
I am aware of other posts in this forum where people shared some unfavorable experiences and their fears about this Lysis procedure. However, I'm optimistic that if I keep up with the PT's recommended "glide" stretches, that I will be able to keep the nerve root free, even if the scar tissue starts to form again. I firmly believe that the key was getting the nerve root freed up in the first place.
I'm not making any recommendations as to how you should apply PT exercises. I just wanted to share a positive experience with a PM doctor, a smooth Lysis procedure, and an optimistic outlook. It could take 2-4 weeks before I know for certain that the Lysis was completely effective. I am also waiting to see if the S-I injections are going to resolve my continuous pain. Again, I'm hopeful. It's been awhile since I've felt like there is hope.