Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

L5S1 TLIF REcovery

jericho163jjericho163 Posts: 44
edited 11/20/2015 - 4:55 PM in Recovering from Surgery
Hi this is the third day post op and I have some sciatica down my left leg. It was super mild to begin with preop but after op it was moderate-intense. OS says is expected because the nerve was manipulated from the left to access the disc. And also the cage "stretches" the whole disc area. I had DDD.

Now I am on oral steroids to calm the sciatica. Anyone has experience with sciatica s1 after tlif?

Welcome to Spine-Health

One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.

So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong, The fact that your test results are negative does not mean that you are fine and without any concerns. Many times it takes several diagnostic tests and procedures to isolate a specific condition.

Here are some questions that you should answer:

  • - When did this first start?

    . Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)

  • . Which doctor did you start with? Ie Primary Care Physician
    . Who are you currently seeing?
- What Conservative treatments have you had? Which ones?

  • . Physical Therapy
    . Ultrasound / Tens unit
    . Spinal Injections
    . Acupuncture
    . Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)

  • . Summarize the results, please do not post all details, we cannot analyze them
    . How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)

  • . Name of Medication
    . How long have you been using this?
    . Results
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?

Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

Please take a look at our forum rules: Forum Rules

I also strongly suggest that you take a look at our FAQ (Frequently Asked Questions) which can be found at the top of the forum menu tab or by going to FAQ There you will find much information that will

  • - Help you better utilize the Spine-Health system
    - Provide pointers on how to make your threads / posts
    - Tips on how to create your avatar (your picture), posting images, etc
    - General pieces of valuable information

Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide

  • - Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
    - Medical advice of any kind
    - Recommendations in terms of Medications, Treatments, Exercises, etc

What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.

It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have are

I’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?

Diagnosing spinal problems can be very difficult. In many ways it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.

Specific comments :

Personal Opinion, not medical advice :

--- Ron DiLauro, Spine-Health System Moderator : 10/12/15 11:06 est



  • left leg still tight, but much better than day 1.
    the muscles around the incision site also sore and tight. same area as my original back issues. i think is getting better, slowly.
  • sciatica reduced by 80%. leg no longer seems an issue.

    still taking 100mg lyrica, slowly weaning off.

    However back muscles are very tight, the areas affected are around the incision, which is the l5s1 region. A bit similar to presurgery so that is not good. sometimes the sacrum can have some minor ache when walking.

    Any comments?
  • jericho163jjericho163 Posts: 44
    edited 11/08/2015 - 4:05 PM
    leg pain almost gone.

    lower back tight and not comfy sitting down.
  • I am going in Wednesday morning for an open TLIF at L5/S1. I appreciate hearing how your recovery is going. It sounds like it is going well.

  • still recovering!
    started PT for a week. exercises became easier to do. I am still some way from attaining my goal of sitting comfortably.

    I had ddd w annular tear. First got it 15 yrs ago. Didnt really bother me until the whole of last year. I guessed I had alot of muscular issues stemming from the 15 years of muscle compensation.

    What was your diagnosis and where will you be operated on?
  • I have Spondylolisthesis. A dr mentioned it to me probably 25 years ago after an X-ray following a car accident but it was a childhood defect and wasn't causing pain or problems. A few years ago, I started having some problems with it, but nothing major. Started getting worse the last couple of years and then really came to a head about 8 months ago. Have tried PT, injections, etc. but still have major nerve pain down right leg and buttock. Surgeon says a TLIF open decompression and fusion of L5/S1 is the only thing that can improve things for me. So, I just took my Hibiclens shower and am finishing up my last cup of water. Have to be at hospital at 5:30 am. I am hoping my recovery is as smooth as yours has been!!

  • jericho163jjericho163 Posts: 44
    edited 11/10/2015 - 6:40 PM
    personal opinion. I think your case should be straightforward. leg pain due to spondy. just what I think. good luck w your op!
  • Walking 6km everyday. post op Leg pain 90% gone.

    lower back muscles still stiff. Hope it gets better. Anybody w a recovery story for l5s1 fusion due to ddd?
  • back to work part time. leg pain all gone.
    back still stiff and sitting is not good.
  • duckgirldduckgirl Posts: 252
    edited 01/14/2016 - 9:41 AM
    I had fusion of L5-S1 (PLIF) 10 weeks ago. Have been working off and on since about the 4th week, but the past few days for the first time since surgery I have horrible pain in both legs and can barely get out of bed. I had leg/glute pain pre-surgery, but concerned of this new symptom.
  • I had TLIF L5-S1 for spondylolisthesis too, on 12/10/15. Every time I have called to check a new symptom of pain, I'm asked if I fell. As long as my answer is no I have not fallen, the clinical reply is "you're fine". My sciatica for example has been much worse at times post-op than it ever was pre-op. The explanation I got for this is that there is soft tissue inflammation secondary to the surgery itself that can press on the nerve, but that it will subside. I don't know if that helps. I'm having an awfully hard time getting through this recovery period myself. It's a bumpy road.
  • 4 months postop. No more leg issues.
    But back pain around l5s1 still there, muscles around here always tighten up whenever I am up and moving around. Lying to the sides is the best position.
Sign In or Register to comment.