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Acute pain for 5 years, microdiscectomy and pain therapy do not work, I am desperate

Age: 19

Sex: Male

Height: 1.81m

Weight: 88Kg

Italian

First of all I apologize for my English but I am Italian and I have to translate, so there will be wrong terms.

Hi,I am a 19 year old boy and since 2015 I suffer from Lombosciatalgia due to a sports trauma resulting from a lumbar stenosis which, from that moment, does not allow me to raise my left leg normally since the pain under the buttock is unbearable. 

Before the microdiscectomy I proceeded, among the various exams, to make a Tc Rachis Lombo Sacrale on 05/2018 which showed "A discrete protrusion at the L4-L5 level that engages both conjugation forams. At the L5-S2 level, small is highlighted paramedian posterior disc hernia sn. Slightly reduced interbody spaces L4-L5 and L5-S1 ".

After years of suffering, including physiotherapy, painful punctures, discolysis and so on and so forth, the neurosurgeon advised us the Microdiscectomy, made on October 15th 2018 and now I report the diagnosis of exit:

"Exit diagnosis: Stenosis of the foramen and lateral recess L4-L5 and L5-S1 Left.

Surgery performed on 10/15/2018: Foramino-Recessectomy L4-L5 and L5-S1. Ligamentotassi. "

In the following days I was given, among the various drugs, an elastic band to be used for 30 days and everything would have been reduced in the following three months. This obviously has not happened, with very strong pains, especially when I get up from the bed, with a pain that still accompanies me, in addition to the various pains there is one that arises when I lower my head, I feel " pull "under the buttock, and was not present before the operation. Then the neurosurgeon prescribed an MRI Lumbosacral Column without and with MDC EC of 01/19/2019 which showed:

"Reduction of lumbar lordosis physiology.

Initial signs of spondylosis.

The width of the spinal canal appears to be wide at the lower limits of the norm in disk dehydration phenomena in L5-S1.

In L4-L5 there is a wide disc protrusion with a focal posterior-paramedian prevalence Sn which determines a modest impression on the dural sac.

In L5-S1 results of Interlaminotomy Sn with Microdiscectomy; at this level we can appreciate the presence of a modest proportion of tissue that involves the lateral recess Sn and which shows enchancement after mdc ev in reaction to reactive-scarring phenomena. Cone medullar in the seat and to adjust volume and signal. "

So I was advised to proceed with analgesic therapy, ahead of three epidurals one week apart, accompanied by Arcoxia and Rivotril. These epidurals, however, are having almost no effect and the main pain I would like to eliminate is undoubtedly the one that arose after the operation.

Now I describe it well: when I bend my torso forward, with my legs straight and bowing my head downwards, I feel a very strong pain under my buttock. Same thing if I'm sitting and looking down. It all seems useless and I'm really losing hope. I hope you know how to give me some advice on what to do, thanks.

If we needed other tests done before the ones I already reported, I could post them because, as I said, the pain appeared in 2015.



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Comments

  • memerainboltmemerainbolt IndianaPosts: 6,484

    hello ghunz!!

    please click on the welcome link and tutorial below for more information on the forum.
    welcome to spine-health
    all new members should take the system tutorial

    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 

    the main site has all the formal medical articles and videos for you to research on.

    after 5 years, if it were me, i would find a spine specialist for a second opinion. hopefully other members will reply.
    take care and keep us posted.




    Sandra
    Veritas-Health Forum Moderator
    ---------------------------------------------------------------
    Please read my  Medical History
  • thank you very much for your reply, where could I put this question?

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  • dilaurodilauro ConnecticutPosts: 13,587

    @Ghunz

    Just so I understand, you developed sciatica after spinal stenosis ?

    What Sandra stated is that there is no one on this forum web site that is medically qualified to provide you with any type of advice or diagnosis.  So, essentially, there is no section here where you could ask your questions

    The only place you can get an answer is from a doctor

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • GhunzGGhunz Posts: 16
    edited 03/17/2019 - 7:54 AM

    Thanks for the reply! It all started with a sudden movement while I played basketball. Through that movement he felt a very strong pain in the leg that accompanies me even now, in practice I can't lift it. the tests showed, among other things, a stenosis which, as you can see, seems to have disappeared with the operation, but the pains have not

  • memerainboltmemerainbolt IndianaPosts: 6,484

    If you did develop sciatica after surgery, what options are your doctors giving you? Below are links to articles you may want to read.

    Coping with Chronic Sciatica
    Sciatica Health Center 
    Sciatica Causes and Treatment 

    Take care and keep us posted on how you are doing.


    Sandra
    Veritas-Health Forum Moderator
    ---------------------------------------------------------------
    Please read my  Medical History
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  • @memerainbolt 

    I have had sciatica since 2015, it did not arise with the operation. The operation should have been used to remove stenosis and pain, but the latter remained. Now I'm doing epidural with analgesic therapy but it's not working

  • dilaurodilauro ConnecticutPosts: 13,587

    Sorry, I must be missing something.   Spinal stenosis and sciatica are two separate distinct conditions.  The surgery to correct spinal stenosis for the most part does not change that a disc is impinging a nerve root causing sciatica.

    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • sorry, what I call sciatica is related to my pain for which I can't lift my leg, but I don't know if it's possible to call it that. the operation actually served to remove the stricture, but now nothing works with my pain and I don't know how to proceed..

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