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Back Surgery Again

Started by rossam on 10/27/2010 11:20pm

I had L5 S1 surgery Dec 08 and for 4 months did great,I started a agresive exsercise program and walked 2+ miles a day after 7 months I could stop the left hip and back pain then my thighs started going numb so I went and had a nerve test which was told that I had Meralgia Paresthetica and no back disc problems so then it got hard to walk.so my family Doc ordered Xray which showed bone spurs floating around so then I was sent to Pain Clinic and My Doc there ordered a MrI inwhich my Doctor at Pain Center is seeding me back to My Spine Guy telling me that Scar tissue is pincing the nerve that is in the S1 disc plus my L4 L5 is herniated and my L3 L4 has a right Lateral disk herniation just when I thought this was behind me my Pain Doc told me this was a easy fix?

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I understand your frustration. I found out this week that I have to schedule my third lumbar fusion in six years time, and I'm not happy about it either.

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cupcaked, Are you having the fusion on the same disc? I also have Spondylosis with some Stenosis

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rossam...
the bad thing about scar tissue is that the more you operate the worse it gets. its really killing me now after 7 surgeries.....pete

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Yes I understand about scar tissue get worse,but that scar tissue is what is compressing the nerve in my S1 disc is what the MRI showed.This is what my Doctors told me!

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Rossam:
You have two competing diagnoses. The Meralgia Paresthetica is pressure on a nerve in your groin, not your back. You might want to go back to the person that did the nerve test and ask for a more detailed explanation. Meralgia Paresthetica also has a rather specific distribution (the outside of your thigh, a little to the front as well usually starting about 1/2 way down your thigh and above your knee). Generally it occurs with people who are obese with a pendulous belly or where tight fitting shorts that press on the nerve at the cress where your leg joins your pelvis on the front. Sometimes people have two problems, one in the back and one with the nerve in the groin. Before I had surgery, I would ask the surgeon or the person who did your EMG to explain the others findings--why did the person who did your EMG think the problem is with the nerve in your groin and the spine surgeon is ignoring that possibility and says you need a second spine surgery?

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My Doctor at pain center said the the nerve at the S1 level is being compressed my scar tissue.I had a L5-S1 fusion with screws and rods.But she also is urging my Spine guy to take another look at my L3-L4
in which is: right asymmetric disc bulge with desiccation and facet arthropathy with mild to moderate neuroforaminal stenosis and L4-L5 is facet arthropathy and a diffuse bulge.about the Meralgia Paresthetica ,I am not obese and do not ware tight clothes, my understanding that the nerve that causes thigh pain comes out of L2-L3,L3-L4 area could the problem I have in the L3-L4 disc be the cause of numbness and pain in the hip and thigh? I do not see the neurologist till Nov 19 2010.
Thank you for Prayers and Concerns, Wayne b

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i have to diagree with the "easy fix" part. i have same problem and yes the more surgeries the more scar tissue i had one surgery to remove it and was great for maybe a yr but am now living on narcotics that i hate. my pain doc says u get less relief with each surgery and i am proof his is right. i have had 4 and fightin not to have five. research and be PROACVTIVE in your treatment is my best advice i feel for u and all who suffer like i do this is a great site

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When I seen Dr Harlod Young Friday he assured me it anything but a simple fix when telling me he was going to fuse from my S1-L5 to my L3-L4 but he is so booked up till the first of Jan 2011....

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I am 2 + months out of a Fusion from L3-L5 with spurs and Stenosis in the L3-L4 which went very well,I have few good days and a lot of bad days,Some days I walk 1 1/2 miles . I caught a cold which turned into Pneumonia with a lot of hard coughing inwhich raised my pain levels in my hips.Also I still have Meralgia Paresthetica in both hip and thigh pain. I was told that during Surgery my Doctor move around several nerve that looked unharmed,is it possible that is causeing a lot of pain?I hope that walking will help in weeks or months will drop my pain levels.That is what my Doctor has told me.
Thank you Wayne B

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Hi Rossam,
Wow,i can not believe this.I just had fusion on my L5-S1 disk with left hip bone grafting on March 25th.Since i woke up from surgery,my left hip and left outer thigh is very painful and numb and i had no problem before surgery.Being the nurse that i am i searched the internet last night and came across Meralgia Paresthetica and am convinced that is what i have.I am not obese,nor wear hip huggers,but i believe some nerves may have gotten tweaked during bone grafting.I just hope this goes away,what is your thoughts on this?
Take Care,
Nurse Nancy

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It seems that Meralgia Parastehtica (MP) is not well understood. I am not a doctor, but i was googling and found that medical literature do NOT link MP to Spine problems http://www.mayoclinic.com/health/meralgia-paresthetica/DS00914/DSECTION=causes) or they might link it to L2/L3 but NOT L4 or L5. Maybe it does not make sense to them.
While in fact I have MP and my RMI shows that i have hernia in the L5S1, which started a few years ago, and i also found many cases described like mine on the Internet.
I also found this article which clearly supports what we are talking about: that MP is related to the Lumbar pblms:
http://www.bellrogersphysio.co.za/downloads/Meralgia%20Paresthetica-%20K%20Hamilton.pdf

Now what are the causes of the disc hernia and what to do?
I have been told that it is frequently caused by abnormal walking, in my case i have flat feet, and i have been advised to get a better shoe. It seems that when your shoe and foot are not elastic enough, your back gets all the small walking shocks, just like a car with bad dampers. I went towww.footsolutions.com I also started with a Chiropractor and made an Xray for my pelvis which turned out to be asymmetric by more than 1cm (try it, i was surprised).
You may also find this book useful:
http://books.google.com/books?id=h69yVqwgDQEC&pg=PA325&lpg=PA325&dq=l5s1+spine+meralgia+paresthetica&source=bl&ots=5WFbWJFqK8&sig=w2XpGzNmy32DU0IFVMgTyI_sEKM&hl=en&ei=slxyTvmpLIKDOoie3ZoJ&sa=X&oi=book_result&ct=result&resnum=3&ved=0CCcQ6AEwAjgK#v=onepage&q=meralgia&f=false

Any advice?
My email is rudi78961@gmail.com.
Cheers

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