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5 years post microdiscectomy pain from scar tissue

cdr97ccdr97 Posts: 3
edited 11/18/2015 - 2:02 PM in Lower Back Pain
In 2010 had l4-5 & l5-s1 microdiscectomy.

Five years later I have started to have random bouts of pain very similar to the sharp pains I would used to get in the affected area.

Had MRI done and there's some protrusion on the l5-s1 disc with some arthritis/spurs on the facet (or lamina).

After seeing neurologist after the MRI he says it doesn't look like I need surgery, need to stretch, strengthen my core and lose some lb's. Recommended a pain management doc.

Saw him today and he mentioned the arthritis but also that what I was feeling was the pain from the scar tissue, not the 2-3" visible scar on my back but more of the inside, deep in there near the nerves and vertebrae.

He informed me that they can tighten up and they may "wrap around the nerve" thus causing the pain. It can be a mix of both, the spurs and the scar tissue, but by my symptoms he's going with the tissue.

I have no sciatica pain as before the surgery (thank God), and the pain is contained to just on the surgery area and the pain can radiate to either right or left side (upper buttocks). The pain is also not constant, right now I am perfectly fine. I do get up stiff in the mornings and sometimes from sitting too long (work). Lifting some things (even with proper form there could be a discomforting pain).

I have never head or read of this scar tissue pain, either long time before my surgery, by any doctor or by the neurosurgeon that performed the surgery.

Has anyone else had such pain and been diagnosed as a possible cause of the scar tissue?


Thanks for reading!

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One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.

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Here are some questions that you should answer:
  • - When did this first start? . Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
  • . Which doctor did you start with? Ie Primary Care Physician . Who are you currently seeing?
- What Conservative treatments have you had? Which ones?
  • . Physical Therapy . Ultrasound / Tens unit . Spinal Injections . Acupuncture . Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
  • . Summarize the results, please do not post all details, we cannot analyze them . How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)
  • . Name of Medication . How long have you been using this? . Results
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?




Providing answers to questions like this will give the member community here a better understanding
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It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have are

I’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?

Diagnosing spinal problems can be very difficult. In many ways it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.


Specific comments :


Personal Opinion, not medical advice :


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--- Ron DiLauro, Spine-Health System Moderator : 11/18/15 20:02 est
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Comments

  • In reply to the board mod

    - When did this first start? early 20's, surgery done early 30's.

    - Was it the result of an accident or trauma? No accident or trauma no idea how I hearniated the L4-L5 and L5-S1 - I came broken from the baby factory ;)

    - Are there others in your family with similar medication conditions? No family members have back or vertebral issues.

    - What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc) - In the past prior to surgery I saw orthopedic, chiropractor, acupuncturist. Eventually considered surgery and saw a neurosurgeon who performed the surgery in 2010.

    . Which doctor did you start with? Ie Primary Care Physician - don't remember, I think I just ended up in the ER with back pains when I had my first debilitating incident.

    . Who are you currently seeing? - I spoke to my pcp who sent me for xrays (useless but the always helpful insurance companies do not approve going straight to an MRI without an xray first). After that and still complaining about the pain she referred me to a neurosurgeon who sent me to get an MRI. He says that there is some protrusion on the l5-s1 but no need for surgery, he sent me to a pain management doctor for a facet block. Met with the pain mngmnt doc this week.

    - What Conservative treatments have you had? Which ones?
    . Physical Therapy - they recommend pt but I rather do the exercises at home and not have to pay for the visit.
    . Ultrasound / Tens unit - no
    . Spinal Injections - possibly if I agree to the pain management doc suggestion
    . Acupuncture - before surgery, not now.
    . Massage Therapy - before surgery, not now.

    - What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc) - as stated above, xray and mri

    . Summarize the results, please do not post all details, we cannot analyze them - stated above.

    . How many different tests have you had over the years? Similar results? - past 5 years post surgery none, before that mri's and all showed the bulging discs

    - What medications are you currently using? (details, dosage, frequency, etc) - none

    . How long have you been using this? - NA

    . Results
    - Has surgery been discussed as an option? (If so, what kind) - as stated in the subject line - microdiscectomy.

    - Is there any nerve pain/damage associated? - none after surgery

    - What is your doctor’s action plan for treating you? - right now with pain mngmnt- a block, exercises to strengthen core and back, stretching
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