Who's got it and what are you doing about it?
but I am assuming that since I had a radical discectomy in Dec 07 that I will one day have it. I have seen other members say that they can go in and surgically remove it but that may be more problems than it is worth. I will be keeping an eye on this post also.
Before I can comment, it's important to know the location of the scar tissue, how long it's been there, what the problems are with it (i.e. why you want to get rid of it) and why you have it (i.e. how'd it get there, wherever there is).
David Berman, MS, PT, COMT, CSCShttp://www.moveathink.info/exercisesforlowerbackpain
It usually happens after surgery, ie discectomy. Scar tissue builds up at disc site and presses on nerves and narrows the spinal canal.
i have had scar tissue in my lower back since 99, the best thing that i have found is deep tissue masssage, i have had 3 lower lumbar surgeries 95, 99, 02.
I have scar tissue which has formed after 2 surgeries (disectomy/laminectomy) at L5-S1 in 2001. It is pressing on the nerve and causing some of the same sciatic pain I had originally. It took 5 years before it caused me any trouble so I asked my neuro if he could go back in and remove it and was told they usually don't because it just grows back again. My thought is if I can get another 5 good years before it returns why not do it, and now that I am aware of this problem maybe I could do something to prevent it from re-occuring. I have been getting massage every other week since surgery (not sure if I'm getting the deep type)and it hasn't helped to prevent the scar tissue but sure works great for muscle spasms and tightness.
I developed scar tissue around my sciatic nerve after my first surgery...so i had the second surgery to remove the scar tissue and for re-herniation. It was very risky and a long surgery, but I was young and my parents just wanted to see me walk normal again.
According to my 03/08 MRI, "There is somewhat extensive narrowing at L5-S1 with discogenic appearing endplate marrow signal changes. There is evidence of the previous right hemilaminectomy (2/06) and a pattern of scar tissue type enhancement aroung the right S1 nerve root."
There is also a circumferential osteophyte; some impingement of the foramen floor bilaterally. At L4-5 I have disc bulge and facet arthropathy.
It is constantly bothering me. My doctors also said removing it would cause more scarring.
I am curious, though, Cranky - was it your Pain Management doc who told you surgery would/could make the scarring worse? My PM told me that, and being the paranoid person I am (everyone has an agenda/ulterior motives, right?) am wondering if she says that because theoretically, it could solve most of my pain issues, therefore she would lose a patient... ?
So, David Berman, MS, PT, COMT, CSCS, what is your professional opinion?
I had a micro/lami L5/S1 in Feb. Started to have pain end of march/april. Got new MRI - NS said to try steroids - that more surgery would leave more scar tissue and that I did not have a re-herniation (Thank God!).
There is extensive post surgical scar circumferentially surrounding the thecal sac and traversing nerve root. blah blah
I did another round of injections and they did not help at all. I have also completed 18 sessions of PT.
I continue to walk 2-3 miles per day and use my yoga ball.
Still have numb toes, shooting pains and burning pain in my back. It is manageable though. I am very grateful for that!
Any time there is an injury part of the bodies healing process is to form scar tissue. If movement is restricted or the inflammation is significant this can be quite problematic. One treatment that is very effective for this is MUA or manipulation under anesthesia. It's a way to break up scar tissue while the patient is sedated, which helps to bypass any muscle guarding or pain.Then a follow up program is completed to help maintain the newfound range of motion and function. It is really very effective and can make very fast changes.
Randall Pruitt, DC,DACNBM DAAPM ,MUAC
Some people form scar tissue faster and more than others.
I have a make up that such that scar tissue forms very quickly.
I have about 5 inches of scar tissue from my previous lumbar surgery. That scar tissue as been the source of many of my follow on problems. Because it was never addressed, the scar tissue area became so rigid, that I have frequent lumbar pain.
In December 07, I had surgery to remove an eschar as a result of a 3rd degree burn on my back. A plastic surgeon then had to cut away some skin and make a flap to cover the hole. Scare tissue started to form very quickly. I have been going to a Deep Tissue Massage person for almost 2 years now and he has been working on that scar tissue to break it down.
Basically, you have about 6 months to do something positive about scar tissue. After that it gets more difficult and after a year, there is not a lot that can be done with the scar tissue.
Ron DiLauro Spine-Health System Moderator I am not a medical professional. I comment on personal experiences.