Need advice…. 2 procedures same diagnosis
Hi, short history… I am 40 yrs old male, with type 2 diabetes, otherwise fairly healthy. I have had back pain for 2 years now…. Pain for 2 years with no known injuries to cause the condition. Burning down my left leg, pins and needles, jolts of pain if aggravated. Pain down the back of my right leg now also, stops about mid thigh. Can sleep at night, can’t walk long distances without increased pain, numbness, etc…. Having problems now doing every day normal things….
Previous Treatment: 4 ESI (epidural steroid injections) over the last 18 months, physical therapy, and narcotics and muscle relaxers for pain management. (they don’t provide much relief anymore)
I’ve been to two surgeons and the diagnosis is consistent but the treatment plan is not. I have congenital stenosis (narrowing of the spinal passage way). A bulging disc at the L4/5 that is caused by degeneration. Pinched nerves on both the right and left causing the sciatica problems.
Doctor 1 recommends limited laminotomy L4/5 and discectomy L4/5. Out patient procedure with 2-3 week recovery expectation.
Doctor 2 recommends laminectomy L4/5, Discectomy L4/5, Peek Cage Implant, Pedicle Screw Implant (bond together vertebrae L4/5) and Autologous Bone Graft Fusion. Inpatient 5 days, 4 week recovery (out of work) and up to 3 months recovery for the fusion to heal.
Doctor 1’s approach sounds less scary but from reading it sounds like I could be back in for another surgery soon because the bone grows back, or the disk bulges again.
Doctor 2’s approach is a major surgery and sounds more long term, I wouldn’t be back in for another surgery soon…. But research indicates the pedicle screw implant could speed up degeneration in other areas… and I’m worried about heeling/fusing properly because of the diabetes….
Thoughts? Looking for advice… anyone been in a similar situation?