I just wanted to post this to get some opinions on the matter.
Here is a brief history:
Fell off horse in Dec. 2008 and herniated L4-L5 and L5-S1. All conservative treatments ultimately failed. Had L4-L5 microdiscectomy in Sept. 2010.They did not operate at L5-S1 level because I had no symptoms at that level. Easy recovery. Further herniated L5-S1 in Nov. 2011 and had a microdiscectomy in March 2012 to repair that. Recovery was rough and I still deal with on and off low grade back pain, muscle twitching/cramping in my leg, etc. Over time these symptoms has improved a lot and I was only experiencing them once or twice a week instead of daily. I took a break from the gym from Jan. 2013 until now and my pain actually went away all together for about a month. Now on to my current problem.
I was moving a couple 50 lb. bags of horse feed, had no pain while doing so, but an MRI confirms I reherniated my L4-L5 disc and it is rather large. I have had sciatic pain for 4 weeks (since lifting) and also have muscle twitching, minimal pins/needles (I still get that on occasion ever since my last surgery) and minimal decreased sensation on parts of my lower leg. No weakness. It ranges from a 1 to 6 on a pain scale. It gets better then worse then better. Clearly the days I sit, stand or work long hours it gets worse. I just met with my neurologist who did X-rays, MRI and EMG. He is having me go visit my neurosurgeon, but I really think the neurosurgeon will shoot me down and refer me to pain management since my pain is now intermittent and lower on the pain scale. Over the past 4 days pain comes and goes throughout the day and is only a 1-3 on the pain scale.
What I would like some opinions on:
Has anyone been in a similar situation?
Did your surgeon opt for non surgical treatment?
If you went the non-surgical route then did you end up getting surgery later?
I don't want to jump into another surgery, but I am upset that my surgeon did not perform a microdiscectomy at L5-S1 the first time I saw him because one average sized herniation turned into a huge one that blew out the whole back of my disc and has resulted in chronic issues since my surgery in March 2012. If he had repaired it while it was small maybe I would have been better off. I understand he needs to be conservative, but I can tell you based on the MRI that it is only a matter of time before he will have to operate on my current herniation- why not fix it now when the pain is intermittent and the herniation is smaller? I will see what he says, but if he doesn't operate I'm like to experience pain and discomfort every time I try to be active (I already had that problem before hurting myself again). I am 22 years old and I don't want to live like I'm 70.
22 year old. Herniated L4-L5 and L5-S1 in December of 2008 in horse riding fall. All non-surgical methods failed. L4-L5 micro discectomy in Sept. 2010. Further herniation of L5-S1 disc in Nov. 2011 and had L5-S1 micro discectomy March 2012.