Welcome, Friend!

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

advertisement
advertisement
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.

Notice
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

Considering Micordiscectomy L5-S1

litowi57llitowi57 Posts: 4
edited 12/23/2015 - 2:20 AM in Back Surgery and Neck Surgery
Hello Spine-Health friends!

I am a 25 year old male considering microdiscectomy at L5-S1. Sciatica pain has come and gone over the last 5 years but would usually go away with stretching and exercise. This past August, I must have aggravated it and the pain has gotten worse and worse. Sitting was the only time I had no pain and walking/standing was almost excruciating.

I went to a physical therapist as well as a pain management doctor to get opinions and treatment options. MRI had shown a large disc herniation at L5-S1. After about a month of physical therapy the pain was intensifying and I saw my pain management doctor to get a spinal injection. Unfortunately this only gave me about a week of relief. I continued physical therapy and still no help. I saw my pain management doctor a month or so after my first injection and he suggested we try again. I had nothing to lose, so we gave it a shot and unfortunately still no relief.

It is now been about 3 months of physical therapy and I am almost convinced that the pain has worsened. Since the very beginning the pain has gone down my left buttocks, hamstring area, calf, and into the foot. Following the L5-S1 nerve pattern perfectly. So I figured it was time to see get some more opinions and discuss surgery. After seeing one surgeon he suggested a microdiscectomy, stating it is a very common procedure, minimally invasive, and has a high success rate. All great things to hear, but of course I decided to do some research and see tons of information regarding reherniation and high likelihood of revision surgery. This is discouraging, but thinking about still giving it a shot. I still have 3 more surgeons to see because you can never have too many opinions. But I know a lot of people who had more severe back issues and opted for fusion, but at this juncture, probably no where near that yet.

Anyone been through a similar situation? Any advice? Much appreciated. Thanks!!

- Justin
advertisement

Comments

  • LizLiz Posts: 7,896
    edited 12/23/2015 - 2:13 AM
    Please take the time to read this post and refer to it when you have questions

    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and growing.
    Here are just some of the highlights that are available as tabs on the main Spine-Health menu bar

    Spine-Health Main Menu Tabs

    Conditions Detailed medical libraries of articles and videos that address almost every spinal condition.
    Treatment List of treatments to the conditions identified by Spine-Health.
    Wellness Section contains articles, tips and videos to help patients after surgery and also to help people avoid surgery.
    Medical Articles
    Pain Forums These are the forums you will be using
    Find A Doctor This provides with a method to search for doctors in various locations.
    Videos Index to all Spine-Health Videos



    As a bonus, Spine-Health provides these patient forums. Here you can meet thousands of people who understand and can relate to your situation. You will soon become part of the Spiney family[/u] who provide comfort and the advantages of a support system. You are now part of this family that is approximately 27,00 international members and growing daily.

    IMPORTANT

    - It is very important to understand the Forum Rules to make sure all of your posts[u] do not violate any of the rules.[/u]

    - All new members must read our FAQ in order to understand the layout of the forums, how to navigate through the forums, helpful terms, how to make effective threads and posts, plus a link index to many of the important medical forums and key medical articles on Spine-Health Forum FAQ

    I am positive any member, new or old will find this Chroinc Pain - Step by Step thread very valuable.

    Here are some links that all new members need to review to create effective threads and more

    Read before you post
    More Info Tips for Newcomers
    Understanding the rules

    All of this will help make your threads better and improve the times and quality of responses you will receive.

    You can also find Spine-Health on these Social Networks

    Facebook www.facebook.com/spinehealth
    Pinterest http://pinterest.com/spinehealth/boards/
    Twitter https://twitter.com/SpineHealth

    If you have any questions or need assistance, you can use the private message facility to[u] contact any one of the Spine-Health Moderators

    dilauro

    liz


    Savage

    Liz -Spine-health Moderator

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Liz53Liz53 MissouriPosts: 142
    edited 12/23/2015 - 6:02 AM
    I had a similar issue except it was my L4 nerve root down the front of my leg. It was originally missed on the MRI because it was an extruded disc fragment. After 5 months a neurosurgeon picked it up and I had a microdiscetomy 2. 1/2 years ago. It was finally getting better and I had diminishing back pain. Now I have new herniation at the same level and have had 2 opinions , one neurosurgeon and one orthopedic consult. Both have said wait 6-8 weeks , get a epidural, it didn't help! And then if still in pain have another microdiscetomy. I am fearful of this being a continual problem. I have been there and did not have a great outcome so far.
    Liz
  • I would consider that you are not improving with the conservative options. Are you willing to live with the pain you are having now? I know a variety of people who have had the discectomy and done well after, requiring no more surgery. It really depends on a variety of things...what caused the problem in the first place, and how stable your spine is to begin with.
    I had a discectomy and then ended up having a fusion 8 months later, but honestly... I should have had the fusion at the time of the discectomy, I just got sort of not the greatest advice from a surgeon. I think you are smart to get several opinions. There is research out there saying that there is clinically no difference between surgery for disc and conservative treatment when looked at 2 years after the fact, but 2 years is a very long time to be in pain and limiting activities...
  • Liz53 said:
    I had a similar issue except it was my L4 nerve root down the front of my leg. It was originally missed on the MRI because it was an extruded disc fragment. After 5 months a neurosurgeon picked it up and I had a microdiscetomy 2. 1/2 years ago. It was finally getting better and I had diminishing back pain. Now I have new herniation at the same level and have had 2 opinions , one neurosurgeon and one orthopedic consult. Both have said wait 6-8 weeks , get a epidural, it didn't help! And then if still in pain have another microdiscetomy. I am fearful of this being a continual problem. I have been there and did not have a great outcome so far.
    Liz
    Liz,
    I saw two more surgeons and got the same advice. I am leaning towards getting the surgery early next year. Thanks for your feedback! Best of luck to you! Feel good!
  • RunnerHKT said:
    I would consider that you are not improving with the conservative options. Are you willing to live with the pain you are having now? I know a variety of people who have had the discectomy and done well after, requiring no more surgery. It really depends on a variety of things...what caused the problem in the first place, and how stable your spine is to begin with.
    I had a discectomy and then ended up having a fusion 8 months later, but honestly... I should have had the fusion at the time of the discectomy, I just got sort of not the greatest advice from a surgeon. I think you are smart to get several opinions. There is research out there saying that there is clinically no difference between surgery for disc and conservative treatment when looked at 2 years after the fact, but 2 years is a very long time to be in pain and limiting activities...

    I appreciate your response! I haven't been able to really do anything in months. I am most likely going to go for surgery early next year. The pain has restricted my quality of life since end of August. My worry is re-herniation but if I listen to my surgeon and don't push myself for the first three months, I should be okay. Thanks again and feel good!!
  • Liz53Liz53 MissouriPosts: 142
    Good luck to you.
    I had a second epidural today
    If it does nothing then I will be in line with you to have a second microdiscetomy.
    Keep me posted.
    Liz
advertisement
Sign In or Register to comment.