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L5 S 1 Herniated Disk


I had microdisectomy in June after many months of chronic pain. A month after surgery I was pain free and loving  life again. Fast forward to 2 weeks ago. Pain started slowly in the right hip. I was on vacation and thought it migh’ve been because of an uncomfortable bed. Then I had trouble getting out of bed and knew the problem was back. Over the last couple of weeks the pain has intensified to the point of  not being able to get up out of a sitting or laying position without  excruciating pain. My dr has me on 100 mg of Tramedol 3x’s per day along with Gabapentin. I had an x-ray and MRI last week. The disk is herniated again (suspected fairly large reoccurret  l5s1 disk herniation inpinging on S1 nerve root). It also shows small L4-5 forminal herniation with mild L4 nerve root impingement, severe degenerative changes to L5 S1 disk and very mild levoscoliosis.  I have an appointment with my surgeon in 2 weeks and will be seeing his physical therapist this week. I’m wondering what’s going to happen now. Will he do another microdisectomy or because of the changes will he decided on a fusion? I know I can’t continue on the way it’s going. The pain meds barely touch the pain but because I am a stay at home mom  I don’t want to take more and become  incapacitated .  Has anyone else had similar issues that can share any information,  tips and/or pointers?

Thanks for your time. 



  • hi amferg

    welcome to spine-health

    so sorry to hear about your re-herniation.  unfortunately, only your surgeon can confirm what he will do for your case.  every case is different as disc herniate in different positions, so each operation is planned based on your symptoms and mri results.

    you will also need to discuss your doses of medication with your doctor.  let your doctor know that your medication isn't covering your pain and tell him your concerns about not being able to look after children.

    i have added two links below to help new members with information and these also contain the forum rules.  there is lots of material to research on spine-health that will give you the power of knowledge.

    welcome to spine health




    L5/S1 herniation Apr 2013
    nerve root injections Oct 2013
    L5/S1 discectomy Jan 2014
    L5/S1 nerve roo &, facet joint injections & edpidural Jan 2015
    L5/S1 revised discectomy, L4/L5 discectomy & Wallis Inswing Stabilisation L4/L5 May 1st 2015
    L4-S1 TLIF with decompression June 2017
  • If the disc bulge is severe and more than 8mm Surgery is a good option.  If it is less do not have the surgery.  That would be called "Failed back surgery Syndrome"   That is what happened to me.  Best to see your Spine specialist and get 2nd and 3rd opinions before you make a decision!  If it is less than 8mm you need to do all you can to try and heal yourself.  Inversion therapy, core exercises, good body mechanics, lose weight, hydrate and eat healthy.   Avoid sitting and anything that can aggrevate your back injury.  Standing, laying down are the best positions to be in, sitting is the worst.  And bending over to tie shoes must be avoided at all costs.  Good luck!

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