I just had my first fusion 6 weeks ago on my L5S1. I never thought it would get to this however maybe I never even put thought into as I've lived with lower back pain since my late 20s. Nothing serious, just nagging back pain when lifting heavy objects, or even holding my kids when they were little. But.things got worse as I got.into my 30s, stopped physical fitness, eating habits sucked and doing a ton of sitting and driving in my job. Than late 30s ecerythkgn started falling apart. Did the chiro thing (joke), them steroid injections (short term), then fragmented my L5S1 which landed right on my sciatic nerve, major sciatica down right leg, meds and epidural fixed for a year, then first full herniation Feb 2014 with brutal sciatica (had MicroD), and then Nov 2014, another herniation with worse sciatica yet. So had L5S1 on 12/15/14.
I just had 6 week follow up and clear to start PT and driving short distances. Been walking 2-3 miles a day the last month, lost 6 lbs but but have another 20 I'd like to get to. I put a lot of the extra weight on the past year because of the pain, very low energy levels, fear of reherniating, and just not taking care of myself as I would do home projects which entailed a lot of bending and twisting.
Anyway, you metioned you body being in ketosis, which I believe means your body is burning fat for energy. In mind, that sounds like a great thing as I'm sure wondering how to shed the pounds without starving myself and at this point, not being able to do a lot except walk. Hoping PT with give me some.more ideas next week at my first visit.
I'm 44 yr old male, and I actually had my Primary test my Testosterone at my pre-surgery work up based off the way I've been feeling, which includes fatigue, loss of strength and muscle mass and just lack of motivation and mild depression. Just feeling BLAH, not like I use too. I actually see a top mental health professional which I am treated for some mild depression, anxiety. But I cam just tell my whole body feels different..
Well my T level tests came back VERY low. I know this can be caused by excessive use.of opioids which I've been on for 2 years, but my doses weren't too high. 10mgs oxycontin 2x a day and 10mgs of oxycodone 2-3x a day for break through pain. But that was only in the past 6 months. Prior to that it was 5mgs 3x a day.
So I am wondering if a conservative Testosterone replacement therapy would be helpful with many of my symptoms of fatigue, depression, lack of motivation and energy, as well as assisting in the fusion to actually take.
Ive also been researching how low test levels impacts bone growth and the bones fusing and it seems that's a legitimate concern. Obviously this would be done by working with all my providers to keep them all.in the loop, so wondering if you or anyone has researched.the Test replacement therapy for back issues and aging men.
I'd really like to hear from someone who has researched and considered it, actually spoke to their providers and surgeon about it or have used this.
I know there are a lot of guys 40+ using.this therapy but I wonder how they are doing, would recommend this and has it helped their back issues or injuries.