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Epidural Fibrosis "ABUT" S1 nerve root

I had a micro Discectomy in 2010 and was nerve free for over a year. Last December a tingly pain came back.

I had an mri it says "epidural fibrosis ABUT s1 nerve root" Obviously that is scar tissue. Since it is Abut or Touching not compressing is that enough to cause the pain?

In fact I have been seeing several doctors trying to get to the bottom of this. The neurosurgeon was not sold on the whole scar tissue. His only response was "Im not sure what it is take some lyrica" but that didnt help. After 3 more visits he said it "might be scar tissue" but still didnt believe it. My physiatrist at first said it was weak muscles causing inflamatory molecules in my blood which is irritating the nerve. I did PT and home exercises still no luck.

I brought up the scar tissue on my first visit with my physiatirst and he said thats completely normal after a MICRO D and said "in fact it would be a concern if it wasnt there". He then totally switched his theory on my second visit and said i could try an epidural injection (not gonna do that due to the menigitis outbreak)

I like playing golf. Im not great at it in fact im just a begginer. I asked the nerosurgeion if it was ok to play before I started. He said thats fine. I played probably 23 times with no issues. I played one sunday morning and everything felt fine. That next monday i had the tingling. If golf would have done something too it i think it woudl be healed by now??/

As far as the S1 thats just what my physiatrist said he thinks it is. Not 100% sure?


  • Suggest discussing with your physiatrist if there are additional conservative exercise / strengthening activities you can do. Note: golf involves significant twisting.

    My consultant, a Prof of Neurology (who doesn't operate any more), recommends swimming (with snorkle and goggles to prevent twisting) for microdiscectomy patients. The logic is to softens the scar tissue by repeatedly stretching it and also build core strength. He wants patients to be swimming 600m (0.4 mile) per day by 3 months. The neurosurgeon who did the surgery recommends cycling and walking for similar reasons plus forward lunges and hamstring stretches.

    Sounds like you may have had a warning bell and may be able to exercise your way to recovery. You really don't want more surgery.

    Better safe than sorry.
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