I went through microdisectomy for L4-L5 six months ago and had very good pace of recovery till first one and a half month after surgery, with only less than ten percent numbness around ankle and anterior portion of foot and very mild on shin( the original place of trouble). My surgeon advised me to take it easy for some time and prescribed gabapentin. I am now above 67 and had six or sixteen years old history so I accepted and diligently followed advice. CT scan revealed bulging evidence of L4-L5, more marked on left side with no evidence of frank disc herniation in mid 1997 and I suffered from intermittent spells of per acute, acute and chronic backache for about twenty months and thereafter I had spine-traction of varying periods for about ten days. I had an almost comfortable life style with short spells of backache for about ten years and I again had a major upset in May, 2007. MRI revealed disc dessication in lumbar spine with protrusion of disc at L4/L5 and L5/S1, more on right side and diffuse bulge at L2/L3 & compression in b/l L4 and L5 nerve roots and degenerative disease in lumbar spine. I experienced numbness on back of right foot around last three digits for the first time along with acute backache and I have realized ignoring the numbness factor had a certain effect on my having acute sciatica in early 2010. I was virtually confined to bed for about 70 days in early 2010 on account of acute sciatica when I adapted myself to living with it. I would perhaps fail to describe the extreme sciatica pain I had for almost two hours in late August, last year. MRI revealed spondylo degenerative changes with disc dessications, marginal osteophytes, schmories nodules at multiple levels; right posterior disc extrusions at L4-5 level, indenting thecal sac encroaching upon right lateral canal with compression on rt. traversing L5 nerve root; diffuse posterior disc bulge at L5-S1 level.
A long story with no ending, the initial 45-days post surgery had infused a hope that I am on way to leading almost sciatica free life. The onset of mild distress continued for another sixty days and then it got aggravated with occasional spells of very mild pain around ankle and shin with shifting numbness gripping and tingling sensation which becomes acute on my exceeding walking limit of around 250 to 300 meters. I am still diligent with gabapentin and mecobalmin though the feeling of uncomfort has been compounded with a woody feeling in leg and it is been post-190 days surgery.