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Patients who have had open back surgery

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(This is some of the actual e-mail from patients who have had open surgery and are writing to us seeking advice for their symptoms.)

  1. anonymous (March 18 2000)
    • Describe patient's problem: I would like to know about how the chance of developing epidural fibrosis increases with infection and a debridement of the incision post microdisc. I had a microdisc and three weeks later required a debridement of the same site. I appear to have developed fibrosis now and want to know what the chances of that happening were and if there is any remedy now????????
    • Have you had spine surgery (when and name of surgeon)? I do not wish to disclose that as I will not return to this Doc as I have lost faith
    • Has patient seen a surgeon?: Not yet
    • Has patient had a scan? parathecal fibrosis
    • What tests and treatment has patient had? Two esi's with no improvement
    • Question: Is there a remedy and did the infection cause this fibrosis and if not, then how much did the infection increase my chances of developing fibrosis?

  2. Tommy (March 18 2000)
    • Describe patient's problem: first had severe sharp pain in low back and right buttock radiating down right leg, and numbness in right foot. two weeks after surgery sharp pain in buttocks seems to be gone most of time. still have severe pain in right foot mostly through the arch when walking and into heel, also up outside of right leg below knee. both legs ache and throb most of time. pain meds provide no relief.
    • Have you had spine surgery (when and name of surgeon)? feb.21,2000. hemilaminectomy l5-s1
    • Has patient seen a surgeon?: no further surgery needed at this time. going to physical therapy. next appt. 03/21/2000
    • Has patient had a scan? post op mri 03/08/2000. post op changes at l5-s1 with small right paracentral disc extrusion similar to pre op mri. unclear if there is significant nerve root compression. last report from surgeon, no further surgery needed at this time.
    • What tests and treatment has patient had? pre op- mri,myelagram-ct,showed bulging disc at l5-s1.physical therapy several times,out of work 5 months.surgery on 2/21/2000.hemilaminectomy l5-s1. post op mri 03/08/2000.
    • Question: is there hope relieving pain in foot and legs? i have factor 8 deficiency. what type of added risk does this create?

  3. Karen (March 17 2000)
    • Describe patient's problem: Empty disc in lower back. Also extra bone.
    • Have you had spine surgery (when and name of surgeon)? 1983 & 1988 Do not remember names of doctors.
    • Has patient seen a surgeon?: Yes, nothing could be done
    • Has patient had a scan? MRI & Mylegrams
    • What tests and treatment has patient had? Traction, physical therapy, injections of steriods
    • Question: Is there a way to fill an empty disc?

  4. Erik (March 16 2000)
    • 2 weeks ago, I had a micro disectomy on the L5S1 region. Right after the surgery, the pain I had in my legs was gone. I returned to work 4 days after surgery. I sit in my job mainly, and after the 1st day, i was OK. On the next day, the leg pain returned. I took off another 4 days and layed flat. I returned to work and the pain was as bad as it was prior to the surgery after about 4 hours in the office. I went to the doctor the same day, and he put me on another weeks bed rest and gave me oral methylpredisone pills to be used over a seven day period. It has been 5 days since that visit, and if I do anything that requires sitting or bending the pain returns. Is this normal, and can this MED surgery fix the problem/ or what should I do.

  5. Duncan (March 16 2000)
    • Describe patient's problem: JAN 12th I HAD A LAMINECTOMY ON THE L3 REGION, THE SURGEON REMOVED A RUPTURED DISC AND DID SOME WIDENING OF THE CANAL FOR THE SPINAL CORD..
    • Have you had spine surgery (when and name of surgeon)? YES JAN 12th 2000
    • Question: I AM EXPERIENCING A PAIN IN MY LEFT LEG, AND ALMOST 100% NUMB FEELING ALSO IN THE LEFT LEG, AFTER THE SURGERY, I DID EVERYTHING THE DR. TOLD ME TO DO, AND I STILL AM DOING IT. THE PROBLEM I AM HAVING IS THE LEG, IT IS HURTING JUST AS IT WAS BEFORE THE LAMINECTOMY, SOME DAYS ARE REALLY BAD AND SOME ARE NOT SO BAD, BUT THE PAIN IS PRESENT AT ALL TIMES, WHAT IN THE WORLD COULD POSSIBLY BE WRONG NOW?? I AM DUE TO GO BACK THE 21st OF THIS MONTH, WHICH IS NEXT TUESDAY.

  6. Jenny (March 13 2000)
    • Describe patient's problem: My husband had a "360" done on 19 Jan 2000 after an MRI revealed a severely herniated disc that was compressing his spinal cord. He had a laminectomy, discectomy, insrumentation fusion and pedicle fixation (of L4,L5 and S1 consisting of 2 cages (Disc space) and six screws joining two 'rods'. He recovered wonderfully for the first two weeks and then started with severe muscle spasms. The specialist suspected discitis and he started a course of antibiotics. The spasms continued to get worse until three weeks ago when a blood test revealed sediment was present. He is still on antibiotics (the 6th Week) and the spasms have almost disappeared but he has spent most of the last 3 weeks on his back. Is all this normal for discitis? What I am most concerned about is that his back is pulling to the one side. This has got progressively worse in the last couple of weeks and gets worse the longer he is on his feet. The neurosurgeon says it is because of the muscle spasms. Will it come right once the discitis has cleared. His back used to only be crooked above the area of surgery but the scar is no longer straight. Post-op X-rays done about 3 weeks ago have shown that all is in place.
    • Have you had spine surgery (when and name of surgeon)? Yes 19 January 2000

  7. Walter (March 13 2000)
    • Describe patient's problem: HERNIATED DISK LOWER BACK SEVERE INFLAMATION OF SIATIC NERVE
    • Have you had spine surgery (when and name of surgeon)? YES 1978 LAMENECTOMY L-5, 1995 TRIPLE LAMENECTOMY WITH FUSION CERVICAL
    • Has patient had a scan? YES HERNIATED DISK
    • Question: A GOOD SURGEON IN CROWN POINT IN FOR MICRODISK OPREATION

  8. Cleveland (March 12 2000)
    • Describe patient's problem: severe back pain, pain in hip and down left leg
    • Have you had spine surgery (when and name of surgeon)? yes. had surgery.
    • Has patient seen a surgeon?: not since surgery
    • Has patient had a scan? had mri before surgery and had ruptured disc
    • What tests and treatment has patient had? surgery
    • Question: is it possible to need surgery again and get some relief from this pain? it has been a year and a half and the pain has not done anything but get worse

  9. Douglas (March 12 2000)
    • Describe patient's problem: I had a ruptured L5 with all the typical symptoms and fusion surgery which seemed to correct the worst of the problem. Still have residual back discomfort which varies in intensity. However, I have recently developed persistent groin, thigh, testicular type pain in conjunction with an increase in back discomfort. The precise locations and intensity fluctuates, but the pain resided primarily on my right side. I have assumed this pain was urological in nature and have seen a urologist and have scheduled a CATSCAN. The urologist can find no obvious problem. I am starting to think that, in fact, the pain may be originating from my spine. I do have problems with other disks and have read that pain similar to mine is sometimes attributable to back problems and I have the say the pain is similar in nature to the pain I had with the L5 rupture, but in a different location. How likely does it seem that this is a back problem?
    • Have you had spine surgery (when and name of surgeon)? Yes,
    • Has patient seen a surgeon?: Not for current problem
    • Has patient had a scan? MRI from previous problem showed several addition disk ruptures
    • What tests and treatment has patient had? various blood test and prostate exam
    • Question: I guess I asked already, but, how reasonable is it to think that radiating groin, thigh, testicular pain is attributable spinal disk problems - given that not other obvious cause can be found? And how can this be diagnosed with some certainty. Thanks

  10. Shawn (March 12 2000)
    • I have had 3, L-4/L-5 disc surgeries, but I am still in a great deal of pain. The neurosurgeon has repeatedly told me that the only way I will get any relief is to have a complete fusion of L-4/L-5 & L/5-S/1. I am very apprehensive about having this procedure done and am willing to do what ever it takes to put it off. The doctors said that there is scar tissue from the past 3 surgeries and that they would chose to go in from the abdomen instead of dealing with the scar tissue. Are there any other options for me? I am very open minded about this and I am in no rush to have a my back fused. Any suggestions you may have would be greatly appreciated.

  11. Dan (March 12 2000)
    • Describe patient's problem: Low back pain, fractures of T12-L1, S1 nerve root damage, narrowing of spine at L2 to L4
    • Have you had spine surgery (when and name of surgeon)? Yes, I have had spine surgery. The first one on May 12,1998 - spinal cord stimulator implant. The second one on August 14,1999 - replace malfunctioning wires in spinal cord implant. And the third surgery on September 14, 1999 to completely remove and replace the entire malfunctioning spinal cord stimulator.
    • Has patient seen a surgeon?: Yes, It was recommended the spinal cord stimulator be implanted to reduce chronic pain.
    • Has patient had a scan? Yes, MRI revealed T12-L1 wedging from and old injury with mild posterior disk bulging without evidence of protrusion and minimal hypertropic changes of the facet joints as well as mild "congenital" narrowing of the spinal canal from L2 to L4. An EMG showed abnormal right leg and lumbar paraspinous muscles which sugges S-1 radiculopathy.
    • What tests and treatment has patient had? MRI, EMG, steroid and cortizone injections in the spine and physical therapy.
    • Question: About 20 years ago I fell from a height of about 30 or 40 feet. Since that time I have experienced back and leg pain along with cervical pain. A recent MRI revealed fractures at T12 and L1 with mild posterior disk bulging without evidence of protrusion and minimal hypertrophic changes of the facet joints as well as mild "congenital" narrowing of the spine at L2-L4. Also it was revealed S1 nerve root radiculopathy. There is no previous history of congential spine disease in my family history. My question is: could this narrowing of the spine be caused by the fractures in my back as opposed to being congential in nature

  12. David (March 11 2000)
    • Describe patient's problem: laminectomy approx 4yrs ago with some improvement,now unable to walk short distances without severe pain for last 8 months,almost housebound due to pain,heavily reliant on medication which haslimited effect
    • Have you had spine surgery (when and name of surgeon)? yes in 19996,in the u.k.
    • Has patient seen a surgeon?: patient now not under care of a surgeon,previous surgoen unwilling to offer any furthe surgical intervention
    • Has patient had a scan? mri which shows evidence of disc protrusion and scar tissue
    • What tests and treatment has patient had? no other tests,one semi-sucessful epidural injection
    • Question: my brother is very anxious to find some form of treatment that may relieve his pain sufficientely to allow him to return to work. please can you help him ?

  13. Ron (March 11 2000)
    • Describe patient's problem: WEAK LEGS, DIFFICULTY WALKING, MUST STOP WALKING AFTER 100 YARDS OR SO TO ALLOW ACHE TO LESSEN
    • Have you had spine surgery (when and name of surgeon)? YES. FEBRUARY 28, 2000
    • Has patient seen a surgeon?: YES. RECOMMENDED LAMINECTOMY
    • Has patient had a scan? YES. PINCHED NERVE (STENOSIS) L-4 AND L-5 L-4 WAS VERY PINCHED
    • What tests and treatment has patient had? CT SCAN, MYELOGRAM, X-RAY. LAMINECTOMY AT L-4 AND L-5
    • Question: ABLE NOW TO STAND FROM SITTING POSITION WITHOUT ASSISTANCE. LEGS GET SORE DURING SHORT WALKS. SURGERY WAS ONLY 2 WEEKS AGO. WILL SORENESS STOP WITH CONTINUED WALKING EXCERSISE? PERHAPS I AM TOO IMPATIENT. ARE NERVES STILL AGRAVATED SINCE OPERATION WAS SUCH A SHORT TIME AGO? CAN I EXPECT MORE IMPROVEMENT? THANK YOU FOR YOUR INTEREST

  14. GGerda (March 10 2000)
    • Describe patient's problem: degenerative disc desease
    • Have you had spine surgery (when and name of surgeon)? yes,
    • Has patient seen a surgeon?: Yes, recommandation was ;fusion of L1 to L4, I have already had 2 surgeries including fusing of L4 and L5 with transpedicular screws for spondylolisthesis.
    • Has patient had a scan? yes it showed secondary stenosis and bulging of L1 to L4. and degerative disc desease
    • What tests and treatment has patient had? test Myelogram CT scan
    • Question: Have you heard of Bone Morphegenetic protein

  15. Gacriela (March 10 2000)
    • Describe patient's problem: I fell a down at work over a year ago I have been treated with physical therapy and medication,I became worse during physical therapy the therapist misunderstood the treament the doctors orders. Anyways, I have been able to live with the medication for short periods at the time, but the medication makes me very moody so I can not take all of the time. I am ussually with pain, but recently it has gotten worse. my treating doctor tells me i should have surgery. I have been a referral to see two neurosergons but they do open surgey and the recovery is long I have three kids I can not afford long recoveries. do you know of someone that my do the same procedure as you close to where I live. I can't no longer live like this I have been a able to work or be the mother my kids expect to have. Please help me.
    • Have you had spine surgery (when and name of surgeon)? no I have not but I am considering it
    • Has patient seen a surgeon?: yes, the removal of the disk and replacing it with bone something
    • Has patient had a scan? yes
    • What tests and treatment has patient had? Physical therapy, medications, bed rest
    • Question: If there is a Dr. that performs the same surgery as you here in Brownsville, Harlingen, or McAllen, TX I am desperate.

  16. James (March 10 2000)
    • Describe patient's problem: Deterated disk at L-5,S-1. Extreme back and leg pain.
    • Have you had spine surgery (when and name of surgeon)? yes, Fusion at L-4,L-5. nov.97
    • Has patient seen a surgeon?: yes,exercise and quit smoking ,lose weight.
    • Has patient had a scan? yes, Dr. even told me that i had a badly deterated disk at L-5,S-1.
    • What tests and treatment has patient had? X-ray, Mylogram, M.R.I. and CT scan.
    • Question: I experiance alot of back pain,even severe. and what i would like to know is, Is surgery an option ? And I already have fusion cages at L-4,L-5. What can be done? PLEASE ADVISE ME!!!!!!!!!!!!

  17. Cheryl (March 10 2000)
    • Describe patient's problem: Severe lower back pain into buttock area, down left leg, bottom of left foot if numb.
    • Have you had spine surgery (when and name of surgeon)? Yes, twice in 1993 and 1996. My surgeon is retired. L5 area. I have had several nerve blocks which benefit for a few months.
    • Has patient seen a surgeon?: No.
    • Has patient had a scan? MRI shows scar tissue. EMG show pinched nerve between L5 and S1.
    • What tests and treatment has patient had? Physical therapy and pain and muscle medication.
    • Question: I would like to know if this procedure would benefit me and if you know of physicians in my area who are doing them?

  18. Aaron (March 9 2000)
    • Describe patient's problem: Chronic lower back,buttocks,and left leg to the toes.
    • Have you had spine surgery (when and name of surgeon)? Yes, October 21,1999 laminotomy L5-S1
    • Has patient seen a surgeon?: Yes,To see pain management specialist,get MRI
    • Has patient had a scan? Yes,X-ray showed little.2 MRI's.1st one showed ruptured disc and swollen sciatica.2nd one was w/contrast 2 months after sugery, showed, loss of disc space and fluid,disc still herniated,and nerve still swollen and retracted, and also found degentative changes at L5-S1 and L3-L4 consisting of annular bulging and and formation of small endplate osteophytes.
    • What tests and treatment has patient had? I have had a laminotomy on L5-S1 disc,I have had 18 shots(mixed) epidural and nerve blocks,physical therapy,Electro shock therapy,bed rest and 9 months of Narcotics,muscle relaxers, and sleeping pills.Also 3 trips to E.R.
    • Question: I would like to know if there is anything else that could possibly be done to relieve atleast half the pain.I have had maybe 5% relief from all of the procedures and meds. WHAT else is there to do?I need help.

  19. Carole (March 5 2000)
    • Describe patient's problem: chronic lower back, buttocks, and leg pain
    • Have you had spine surgery (when and name of surgeon)? july '78 lamonectomy
    • Has patient seen a surgeon?: yes the latest recommendation is for an implantable pump to deliver medication directly
    • Has patient had a scan? yes mri and x-rays mylogram
    • What tests and treatment has patient had? traction, physical therapy, epidural pain blocks, trigger-point injections, anti-inflammatroy, narcotic, and muscle relaxant medications, accupuncture, pain mgt, chiropractic, rehab therapy, bio-feedback
    • Question: is there any relief from this pain- it is totally debilitating, depressing, and there is no quality of life...

  20. Andy (March 5 2000)
    • Describe patient's problem: I am having chronic low back pain with some leg cramps in my upper right calf and some hip discomfort in my right hip. Alot of stiffness in my right hip and lower back.
    • Have you had spine surgery (when and name of surgeon)? I have had disc sugery before in lower lumbar about 6 years ago and they took fat out of my body and put it into my disc and sewed me back up. I had a quick recovery and I have had pain off and on again for the last 5 years without any time off. Mostly stiffness and lack of range of motion.
    • Has patient seen a surgeon?: No. I don't want surgery because obviously I haven't fixed what I am doing wrong to make my low back hurt. I don't want to fix symptoms I want to cure the problem.
    • Has patient had a scan? No.
    • What tests and treatment has patient had? None. I strech and try to heat and cool it after activity.
    • Question: What can I do to make my back stronger and cure the stiffness in my hip and lowerback without surgery? I don't surgery unless absolutely necessary. I can function and I want to continue functioning my playing golf and basketball and anything else I want to do. Thanks for any advice and guidance.

  21. Paul (March 3 2000)
    • Describe patient's problem: Herniated L5 in 1995, 10 x 16 mm. Lived with pain until Dec 99; had laminectomy and discetomy done Dec 1, 1999 due to severe increase in pain, etc. Felt better after surgery, went back to work two weeks later. Worked for 4 weeks and then severe spasms and pain started. Five days in hospital on pain meds and muscle relaxants. Went home Jan 23, 2000. Could only get around with a walker. Still severe pain with trying to walk and move. Physical therapy did help some the last four weeks until one week ago--dramatic increase in pain, very hard to walk even with walker. 50 yards max and then pain in low back so great I have to lie down again. Short quick spasms occur. Skin from waist to knees is hypersensitive, even light touching causes slight low back spasms.
    • Have you had spine surgery (when and name of surgeon)? Surgery Dec 1, 1999.
    • Has patient seen a surgeon?: I will see Dr.this coming week. Mylogram most likely. Something must be done as pain is increasing with movement. Been on pain meds three months and cannot continue indefinitely. Additional surgery has been mentioned as a possibility. Am mostly bed ridden due to pain with movement, and strength is fading slowly.
    • Has patient had a scan? MRI done 95 and 99 showed large L5 disc displacement (L side)
    • What tests and treatment has patient had? No tests since surgery. Mylogram will be done soon. Lots of x-rays previously done. Dr feels a MRI useless at this time and wants mylogram.
    • Question: If I made an appointment to see you is there potential for help?

  22. Donna (March 3 2000)
    • Describe patient's problem: I was rear ended in an auto accident last year. From the time of impact I experienced immediate neck pain. MRI of the cerevical area shows a bulging disc on one side and a moderately compressed nerve on the other. I went through the regieme of various drugs and physical therapy. No real relief so far. In January I began with numbness and tingling in my toes. MRI of the lumbar area shows a small bulging disc there.In this same period of time have developed carpal tunnel in both wrists. A nerve root block was done and for 6 hours experienced no pain. The first question is would my neck or lower back problems be causing the tingling and numbness in my toes? Blood work was done to rule out Diabetes etc. My second question is I have read where carpal tunnel can be caused by cervical compression of the median and ulner nerves due to damage and/or atrophy of the surrounding cervical muscles caused by whiplash. Is there any truth to this? Thank you for your time.
    • Have you had spine surgery (when and name of surgeon)? Diskectomy at c5-c6 with fusion done in 1995
    • Has patient seen a surgeon?: yes. Doctor felt he needed to follow conservative measures first as he was not sure wether my neck pain was from the compressed nerve or bulging disc on either side of my neck.
    • Has patient had a scan? MRI showed compressed nerve and bulging disc in neck. Another MRI showed a small bulging disc in lumbar area.
    • What tests and treatment has patient had? various pain medications and physical therapy
    • Question: opinions as to the two questions listed above

  23. George (Feb 28 2000)
    • Describe patient's problem: I have scar tissue that is pressing against my sciatic nerve on the left side at the l-5 level.And am wondering about lazer surgery as I know regular surgery will just have the scar tissue grow back and worse.
    • Have you had spine surgery (when and name of surgeon)? Yes I had l-5 micro disectomy in may of 95.
    • Has patient seen a surgeon?: Yes I saw a surgeon and was told there is no surgical method available.
    • Has patient had a scan? Yes it showed scar tissue at the l5 as well as enlarged nerve root at the same level.
    • What tests and treatment has patient had? I have had cat scan, mri,both die endused.
    • Question: I would like to ask if there is any chance of lazer surgery available any where for my situatioon.

  24. Esward (Feb 27 2000)
    • Describe patient's problem: MRI showed herniation at L4-5 with compression of ventral thecal sac and mild facet hypertrophy and mild central canal stenosis. Patient had been at bed rest for two weeks with no sign of relief, extreme pain in right buttock area radiating down right leg with numbness in ankle and toe area
    • Have you had spine surgery (when and name of surgeon)? microlumbar discectomy
    • Has patient had a scan? Post operative MRI showed soft tissue signal invensity at the level of L4-5. Postcontrast images demonstrate diffuse enhancement of the soft tissue. Mass effect on the right ventral aspect of the thecal sac and encroachment within the right lateral recess at this level. Degree of mass effect at this level is unchanged to slightly greater than seen on the preoperative examination.
    • Question: Postoperatively the degree of pain increased by 5x the level before surgery. Patient now unable to ambulate at all. In excruciating pain. Has not been able to get relief from doctor. Any suggestions?

  25. Rafic (Feb 27 2000)
    • Describe patient's problem: after two operations in 1995 in the L5-S1 area, pain got worse in back and right leg. go day by day with pain medicine
    • Have you had spine surgery (when and name of surgeon)? yes, one Herniated Disk Surgery in November 1995 and then a Correction Herniated Disk Surgery in January 1996. The second one was done because of the same back pain and pain in the neck as well.
    • Has patient seen a surgeon?: yes, last one said that i have two options 1) to put a little controler in my body to handle the pain. 2) another operation which was not adviced because there was a 50/50 chance of being paralyzed lower body.
    • Has patient had a scan? yes, that the disk is still ruptured and herniated
    • What tests and treatment has patient had? 5 MRI's. 1 CT scan. 1 MG test. taking Ultam 50mlg 3 to 5 times a day to keep the pain to a minimum
    • Question: Do you have any advice from knowing the situation of my back. Am i eligable to have the surgery? How will it help me? Do you recomend it? and whatever else you may want to let me know about this procedure.

  26. Anonymous (Feb 26 2000)
    • Describe patient's problem: Ongoing back pain in same right hip and down back of right thigh as previously, though improved from the sharp constant pain which caused me to be unable to function at all. Now 3 months post op from laminectomy @ L2&3 and an approximate 4" incision I continue to have the pain I mentioned above though not sharp it is now a constant gnawing, that while I can function to a certain degree I am still quite uncomfortable. Two weeks post op I did fall down the basement stairs at home and was in the hospital in extremely agonizing pain for 6 days at which time I went home and slowly went back to physical therapy which I have actually been going to on and off since October when the initial herniated disc appeared or started causing difficulty. I was on a trial of Celebrex and also Vioxx which neither one has helped. My Ortho did a repeat MRI with contrast to check for scar tissue or more herniation, and this showed scar tissue to the left side of the L2&3 which he told me should not be causing me any problem on my right side. My question which I have been trying to communicate is that I do have the right sided pain, but I truly have the most pain in the actual spine area that feels like someone has a vice around it and when I try to bend very far at all or when the therapist is trying to do stretching to my hip with flexion etc. I have terrible shooting pain down my tailbone. I would just like to know if I should at all be concerned or continue to just tolerate the pain and hope that it will get better in time. My ortho didn't give me an answer as to whether this was something I need to live with forever or whether I have to accept it for several months or years. I'm hoping, not to pit someone against my MD as I like him quite well, but just feel that things have gotten too vague and I'm not sure that maybe he doesn't feel I'm making this up or that it isn't as bad as I'm making it out to be. My physical therapy continues, with 3 days in the pool, and 3 days with therapy and I also ! walk on the treadmill for 15 minutes daily. Can you offer any suggestions? Would the scar tissue be causing a problem?
    • Have you had spine surgery (when and name of surgeon)? Laminectomy 11/24/99
    • Has patient had a scan? MRI first time in Oct 99 showing herniation at L2&3 and degeneration @ L5S1. Repeat MRI in December after fall 2 weeks post op to check for damage to surgery, I was told there was no problem so cannot say for sure the results of the test. February 2000 scan with contrast showing scar tissue to left of L2&3 do not know any other results as I was not able to read this test either.
    • What tests and treatment has patient had? Ongoing physical therapy since inception of problem in Oct 99 with brief breaks between hospitalizations. Oct 99 hospitalization for pain control 5 days, Surgery Nov 24 home on Nov. 25, fell 2 weeks later and back in hospital for 6 days for pain management.
    • Question: Where do I go from here or is this something I just need to accept and hope it gets better?

  27. Leonard (Feb 26 2000)
    • On October 22-99 I had a laminectomy at the L5-S1 to repair the bulged disk. I returned to work as a Carpenter in early February only to rupture the same disk again. I am looking for info about the viability of fusion via the (titanium cage). I have found very little info on this procedure, its risks, benefits or the likelihood that it may be the next step for me. I have an appointment with my Surgeon on Feb.29 to review the new MRI films and make a decision. I would like as much knowledge as possible prior to that date. I appreciate any help you may give including access to viewing the product and or the procedure.

  28. Paul (Feb 25 2000)
    • Describe patient's problem: Herniated disc (L4/L5) operated on 11 years ago. The operation was unsuccessful and I've been in pain ever since. I see a chiropractor regularly, but he doesn'th think he can do much more for me, apart from stabilising the already extremely thin disc for the day when a prosthesis becomes available. Pain-free some of the time, but mostly arthrosis, unstable pelvis and vertebrae, sciatica, etc.
    • Have you had spine surgery (when and name of surgeon)? Yes, at the end of 1989, in Paris, France.
    • Has patient seen a surgeon?: At the time, removal of herniation.
    • Has patient had a scan? Yes, several times. Last one dates from over a year ago. Showed herniation, scar tissue, slipped pelvis, scoliosis in upperback. Scheuermann's disease.
    • What tests and treatment has patient had? I see a chiropractor regularly.
    • Question: Is there any hope for me with another operation? Is it even possible? What could I expect, as my own chiropractor can't do much more than stabliise the situation?

  29. Bettye (Feb 27 2000)
    • Describe patient's problem: Constant pain in lower back left leg wiaccompanying muscle spasms. Leg has hot and cold points. Extreme heat sometimes allows pain to be reduced to bearable. Right leg has begun to hurt as well
    • Have you had spine surgery (when and name of surgeon)? Yes 11-1999
    • Has patient seen a surgeon?: Yes see pain management spec.
    • Has patient had a scan? MRI 5-1999, shows nothing wrong, but doctor said that possible disc above bone fussion could be weak and scar tissue could be cause of pain
    • What tests and treatment has patient had? therapy, spinal epidural, pain medicine, muscel relaxant
    • Question: Iwould like to know if something can be done to stop the pain.

  30. Vicky (Feb 16 2000)
    • Describe patient's problem: MY DAD HAS NO SENSE OF COLD OR HOT IN HIS RIGHT LEG AND FOOT. HE CAN FEEL IF SOMEONE TOUCHES HIM BUT NOT IF WHAT IS USED IS HOT OR COLD. HE ALSO HAS SHARP PAIN IN HIS LOWER BACK JUST TO THE RIGHT OF HIS SPINE.
    • Have you had spine surgery (when and name of surgeon)? YES, HE HAD SPINE SURGERY IN AUGUST 1999.
    • Has patient seen a surgeon?: DURING SURGERY, BONE SPURS WERE REMOVED FROM AROUND THE SPINE. THE SURGEON STATED THAT THIS WAS THE CAUSE OF THE PAIN IN MY DAD'S LEGS AND THAT AS SOON AS THE NERVE "CAME TO" THE PAIN WOULD STOP. IT HAS BEEN 7 MONTHS SINCE SURGERY AND INSTEAD OF THE PAIN STOPPING IT HAS GOTTEN WORSE AND THE FEELING IN MY DAD'S LEG HAS GONE.
    • Has patient had a scan? THE MRI SHOWED THE BONE SPURS BUT NOTHING ELSE. TO MY KNOWLEDGE THE SCANS ON THE LEG AND FOOT SHOWD NOTHING.
    • What tests and treatment has patient had? MRI, CAT SCAN AND BACK SURGERY
    • Question: WHAT COULD POSSIBLY BE CAUSING MY DAD'S BACK TO CONTINUE TO HURT SO MUCH AND CAUSE HIM TO LOSE BEING ABLE TO FEEL HEAT OR COLD IN HIS LEG? WHY INSTEAD OF GETTING RELIEF AFTER SURGERY IS THE SITUATION GETTING WORSE? IS IT POSSIBLE, LIKE HIS DOCTOR SAYS, THAT WE JUST NEED TO WAIT; GIVE THE NERVES TIME TO "COME TO"?

  31. Branson (Feb 16 2000)
    • Describe patient's problem: Chronic right buttock and leg pain and burning. Pain runs down back rightside of thigh, rightside outside of calve with numbness, spasms in calf and pain in right foot. Right foot pain consists of throbbing, places varies from toes to ankle to arch and sole. Increase activities such as walking or standing causes knee to buckle. Increased lower back pain, burns when sitting, walking and standing. Tingling in the right gential area, right leg and buttock. Lower back at times feels like it is broken especially when I sneeze and cough.
    • Have you had spine surgery (when and name of surgeon)? Yes. Two discectomys on L5-S1. July 14, 1999 and November 3, 1999.
    • Has patient seen a surgeon?: Yes, surgeon was seen and two discectomys were performed.
    • Has patient had a scan? First MRI showed large broad fragment herniated disk L5-S1. Discectomy was performed. Second MRI showed disk reherniated on the L5-S1. Another Discectomy was performed. Third MRI showed no abnormalities on the L5-S1 but there is a beginning of deterioration on the L5-L4 disk. (the one above L5-S1). What tests and treatment has patient had? CT-Scan, 3 MRIs (enhanced and non) and EMG. One epidural and two discectomys
    • Question: After two discectomys why am I still in pain? I have done a 360 and I am back to where I started one year ago. Do MRIs show nerve damage, irritation and/or scarring on the nerves? The surgeon said he would not do a fusion but another doctor may advise it on both areas if I sought out a second opinion. How would a fusion help as my vertebraes are not jarred?

  32. Branson (Feb 16 2000)
    • Describe patient's problem: CHRONIC LOWER BACK PAIN
    • Have you had spine surgery (when and name of surgeon)? YES
    • Has patient seen a surgeon?: YES, MICO-DISCECTOMY
    • Has patient had a scan? YES, DISC HERNIATION (WICH WAS CORRECTED BY DISCECTOMY) AND DEGENERATION OF THE L5
    • What tests and treatment has patient had? VAX D CORTOZONE TRIGGER SHOTS STEROID EPIDERALS (3)MICROSCOPIC DISCECTOMY
    • Question: I HAVE HAD A MICRO-DISCECTOMY FOR A HERNIATION IN THE L5. IT HELPED WITH THE PAIN THAT WAS AFFECTING MY LEFT LEG, BUT THERE IS STILL PAIN. I HAVE A SERIOUSLY DEGENERATED DISC, THE SAME THAT WAS OPERATED ON AND THE PAIN IS STILL VERY BAD. IS THERE ANY TREATMENT FOR REGENERATING OR REPLACING MY DAMAGED L5 DISK.

  33. Jerry (Feb 15 2000)
    • Describe patient's problem: 3or more rotten disk in lumbar,extremely bad right drop foot,
    • Have you had spine surgery (when and name of surgeon)? yes,may 27,1999
    • Has patient seen a surgeon?: yes,after surgery in may, did better for about 2 months,after that was told to go home and try to live with pain
    • Has patient had a scan? yes
    • What tests and treatment has patient had? mri ,mylogram ,diskogram ,ephedurium block
    • Question: what are the risk of fusion surgery? if i dont agree to surgery what will my future be like with 3 rotten disk and maybe more

  34. Nancy (Feb 07 2000)
    • Describe patient's problem: I had discectomy and laminectomy On June 1998. I had sciatica pain badly before operation. After operation I still had some but less. I had a mri one year later due to pain. It showed disc alright have some scar tissue an arthritis. The past month it is worst down leg and at panties line. Could not take another mri I panicked. Doctor has me on clelbrex and is starting pt. I wonder is it another disc or is it from not moving enough. What are my options?
    • Have you had spine surgery (when and name of surgeon)? June 98
    • Has patient seen a surgeon?: Mri and pt
    • Has patient had a scan? One year ago showed scar tissue and arthritis
    • What tests and treatment has patient had? mri's and pt
    • Question: Will pt make my pain go away? What it\s causing this?

  35. Colleen (Feb 07 2000)
    • Describe patient's problem: severe pain in low back that goes down left leg into hip and know it goes down to top of ft.
    • Have you had spine surgery (when and name of surgeon)? 5-96 &11-98
    • Has patient had a scan? last mri read l4-5 with interspace narrowing and some sclerosis of the opposing vertebra end plates.
    • What tests and treatment has patient had? 4 mri bonescan catscan mylogram 2-surgeries triggerpoints epedurels PT EEG
    • Question: is there any other treatments or different surgery

  36. Carie (Feb 06 2000)
    • Describe patient's problem: hx of lumbar laminectomies X2 for repeat herniations(huge)then i was rear-ended in a vw bug...suffered many months before i saw a surgeon in Seattle, and he recommended and preformed fusion with tsrh rods and instrumentation, after only 6 months, severe pain had him thinking maybe a lowgrade infection from hardware, hadf it removed.. then after another 18 months of severe intractable pain, i agreed to fusion with cages at L4-5 and L5-S1.this immediatly decreased the pain in bilateral legs, and still had pain ranging from 5-10 on scale. after doing well for a month my surgeon and i discussed going back to work on a trial basis, i am a nurse and took a job in a nursing home.After 21/2 months a patient situation arose that required me to catch a falling patient...now, that was April 2 1999 and i have not returned to work. the ime took 15 minutes and they decided i was able to work, although my own MD will not release me. I am currently on duragesic patches, just increased to 100 mcg/d, i also am provided 100 percocet a month to help with breakthrough pain. I am not able to be in therapy, due to multiple issues of non paying employer, fighting my industrial claim, etc.My main areas of pain are mid back above fusion, i have no lumbar curve anymore, and am in constant spasm, and bilateral leg pain, greater in left, i describe as burning, stabbing, hot, cold, skin crawly feeling, and at worst, charlie horse like pain from both hips to feet..i have also had bone taken from R iliac crest X 2, which hurts so bad at times, i cannot lay on it, and thats usually the only way i find comfort, and i dont sleep.
    • Has patient had a scan? my scan, most recent, shows circumferential buldging of L2-3 and L3-4, which i am being told is just "physiological" I am 33... What tests and treatment has patient had? MRI's, CT-MYELO's,Spect scan, bone density scan,surgery X 5 and everything from steroid injections to accupuncture as well as pain clinics in their earlier days
    • Question: I want to know, with my surgical history, i also have RSD, due to strange occurances, swelling shin area of left leg only..I feel mismanaged...please what would you reccomend, im not receiving any benefits while my case is pending, and am so sick and depressed with the constant pain..

  37. Bill (Feb 06 2000)
    • Describe patient's problem: Had herniated disk surgery 3 yrs. ago. Now experiencing similar symptoms off and on. Have had epidural injections in sets of 3 twice in last year. MRI shows bone spur and scar tissue , where disk was operated on, pressing on the nerve and a slight herniation. Is there any help for me?
    • Have you had spine surgery (when and name of surgeon)? Yes
    • Has patient seen a surgeon?: Yes, epidural injections and exercise.
    • Has patient had a scan? MRI - bone spur, slight herniation again, scar tissue
    • What tests and treatment has patient had? Epidurals and exercise
    • Question: Is there any help for me?

  38. Lorel (Feb 04 2000)
    • Describe patient's problem: Patient had surgery the summer of 1998 to repair two herniated lumbar disks (4 and 5)
    • Have you had spine surgery (when and name of surgeon)? July 29, 1998
    • Question: In Oct. of 1997 my daughter had a tile ceiling fall on her hitting her on the head, the back of the neck, the back, and the shoulder. Following the accident which the doctor diagnosed as severe whiplash,(We had it x-rayed) my daughter suffered from lots of pain and numbness in her right shoulder, arm, and fingers. She was treated by a doctor and had physical therapy on her neck and shoulders. Two and a half months later, she started complaining about lower back pain which ran into her hip and caused numbness in her right leg and foot. We went to a neurosurgeon who requested an MRI. At that time it was found that she had two herniated lumbar disks 4 and 5. Instead of having surgery we tried epidural treatments but after the third one, her back became increasing worse. Finally in July of 1998 we had surgery. My question is: Could the accident to the neck also cause the lower back herniation even though she didn't really start feeling pain until a couple of months later. We can't get a clear answer from our surgeon. We would really appreciate any kind of answer you might give us. Thank you.

  39. Mary (Jan 26 2000)
    • Describe patient's problem: my husband has had 2 surgeries on a total of 4 herniated disk he just found out he has a 5th onehis doc says it would do no good to operate a 3rd time and the only operation is to fuse his spine.....now he is in constant pain with no relief doc wont prescribe pain meds but recamended pain management but till that happens he is left in pain is talkin about takin his life cause he doesn't want to be in pain the rest of his life please i need some help to comfort my husband
    • Has patient had a scan? yes herniated disk the 5th one

  40. Cindy (Jan 26 2000)
      A friend of mine has had surgery on his back already. He was in a front end loader and the bouncing up and down caused the disk i think to crack and i think he said become herniated. The comp. waited so long to let him have the MRI and then surgery that i think permanent damage had already been done. He is in constant pain. Has charlie horses in his legs the size of your fist. Crys out with pain. Cant stand to long or sit to long. Doesnt sleep well. Doc told him he would feel pain but it would get better as the nerves adjusted to not being under pressure. As time went on it got worse and now it has been to long and no improvement. Doc has taken another MRI but dont know what he found yet. If anything. Says nothing he can do last i heard. Will have to live like that. Gives him pain killers but does no good. Can walk good but with cane for support or can not use it but the pain wont let him for long. ANy suggestions on what he could ask his doc to do or explore? Totally disabilied now. Full disability but wants to be pain free instead. Any thought on any of it?

  41. Robin (Jan 25 2000)
    • Describe patient's problem: 6/99 L4-5, L5-S1 laminectomy for bulging disc S/S prior to surgery back pain radiating across buttocks down leg for approx 2-3yrs.I went to 3 drs all said surgery. I was at times able to get the pain to a very minimal ache but I am an active Mom of 4 and I am a RN at a clinic. 5 weeks before the scheduled surgery I had gotten my pain down a very minimal ache and off all antiinflam. From the time I woke up from surgery and said my back hurts I have not been pain free or med free. 3mo post MRI states "possible minimal reherniation" How could something like that hurt so bad? I am so discouraged pain is more painful now the all that time before surgery. Have received SI joint inj, depomedrol inj and Kenolog inj into burssa of R hip due to pain there and cramp in calf no relief. Sched to get nerve block in 2 wks. Dr did surgery her in town. I live 1hr from Duke please advise me if you can help or of someone there who can go bless you
    • Question: what should i do? very reluctant to do another surgery. I love to swim and each time i try i really aggravate leg

  42. Terry (Jan 25 2000)
    • Describe patient's problem: Prior history of lumbar disectomy with subsequent increase in low back pain radiating to both legs, left greater than right. Multiple diagnostic studies include CT myelogram, 2 MRI's and discogram. Also, have stinging/burning below left knee to ankle, with numbness and pain in ankles.
    • Have you had spine surgery (when and name of surgeon)? Yes, Microdiscetomy L4/L5 in June 1994
    • Has patient seen a surgeon?: Yes, in 1998 saw a neurosurgeon. Recommended conservative treatment. Epidurals, muscle relaxants. Went to second neurosurgeon. He recommended the same thing. Did an EMG which showed bilateral chronic lower lumbosacral radiculopathy and lumbar spinal stenosis. Put me on Neurontin. Proceded to do milogram in early 1999. Sent me to pain management specialist. Pain management specialist did the epidudrals, and epiduralgram with lysis of adhissions, neurontin, clonapin. Eventually sent me to another neurosurgeon. Third neurosurgeon concluded that I needed discetomy L4/L5 with fusion fixation. Held off and six months later went to two more neurosurgeons & orthopedic surgeons. They recommended discetomy L4/L5 with fusion fixation. I had the procedure done.
    • Has patient had a scan? 2 MRI's October 98 and March 99. Central disc herniation at the L5-5 level causing a concave deformity of the thecal sac whichas a maximum ap diameter of 9 mm. This disc herniation is unchanged in appearance from the previous exam of 10/98. Spondylosis at the L2/3, 3/4, and 4/5 levels. There is disc osteophyte complex projecting posteriorly at the l2/3 and L3/4 levels causing mild flattening of the thecal sac. Schmorl's node in the inferior endplate of L1 Degenerative Disc Disease with stenosis.
    • What tests and treatment has patient had? All of the above to include a discogram. Lateral fluoroscopic view does show most significant bulge and posterior displacement of contrast at the L4/5 level. L4/5 shows a bulging central disc or annulus with moderately severe stenotic change. There is bulging of the annulus, however, with some contact with the left nerve root and to a lesser extent the right nerve root at L5/S1. Have taken motrin, neurontin, clonapin, doxapin.
    • Question: Can you medically state a medical link between the 1994 surgery and the 1999 surgery. I basically dealt with the situation thru the years by taking motrin and muscle relaxants until 1998. At that time it became much worse and I felt I needed the help of a neurologist. Can you help me medically state(validate how an injury in which a person was eventually found fit, now can become incapacitating again without the person sustaining a reinjury. Would you medically consider the second surgery a result of a prexisting condition. Basicly I am looking for professional medical advice to prove once you have a back surgery Microdiscetomy that there is a great possibility that you will have to have another surgery. I sould appreciate any medical advice concerning this matter. I am trying to prove liability to the party of the first surgery in 1994. I believe I never really recovered from the first surgery and had some nerve damage.

  43. Graham (Jan 25 2000)
    • Describe patient's problem: Feet are tingling with pain and numbness. Feet ache constantly, burning sensation
    • Have you had spine surgery (when and name of surgeon)? Laminotomy, May of 1998
    • Has patient seen a surgeon?: Yes
    • Has patient had a scan? Yes. Have not seen surgeon since follow-up visit, July 1998. I was not pleased with communication and poor treatment
    • What tests and treatment has patient had? Had cortisone injections by pain management clinic recently. Back pain was relieved somewhat but pain in feet continues unabated. Nerve tests completed somehow show normal response. Dr. told me I had plantis faceitis. I have had "pf" before and this isn't it.
    • Question: I am desperate to find some relief. Each night I wake up in pain and can't get back to sleep. Some days I can hardly walk. This is eating me up. Please help!

  44. Annie (Jan 12 2000)
    • Describe patient's problem: I had Back surgery before,my low back, i having problem again. they say i have nerve damage to my back and a great deal of scar tissue. i have pain in my leg. i have trouble sitting for along period of time. i'm mostly comfort lying down. can't walk to long a great deal are pain.i'm having head and neck pain. i had back problem for 25 year, had surery on back in 1983
    • Has patient seen a surgeon?: not yet.not until feb.10 i had this promble since oct.
    • Has patient had a scan? yes.what i told you up top, nerver damage, scar tissue,and not very much
    • What tests and treatment has patient had? i,m not a types and i'm slow.only pain pills to many,and i don't want to be on them all my life
    • Question: tell me about nerver damage and what it can do. what should i do .what can i do

  45. Teresa (Jan 11 2000)
    • Describe patient's problem: lumbar degenerative disc disease
    • Have you had spine surgery (when and name of surgeon)? yes, nov 93
    • Has patient seen a surgeon?: no,
    • Has patient had a scan? yes significant degenerative change at L4-5 and L5-s1 recent scan... dec.99
    • What tests and treatment has patient had? mri and xrays..... celabrax and off work
    • Question: about the new non invasive surgery

  46. Rick (Jan 11 2000)
    • Describe patient's problem: Rear end collision Sept. 1993. Lamenectomy 5/94 to relieve sciattica pain in left leg. (L4-5). Herniated Disk. Epidural in 1996. Good health, active, youth basketball coach. Pain is localized in back. 5 years of agony. Original Ortho surgeon frowned upon your type of procedure(s) when asked about it. Has since retired. Went to a new Ortho in town (just yesterday!!). Young guy (36) with background in sports injury repair. Thought he would be more aware of new technology in this field. He's not.
    • Has patient seen a surgeon?: 5/94 - lamenectomy L4-5 10/96 - Epidural
    • Has patient had a scan? MRI/REDUCED DISC SPACE ON LEFT SIDE.
    • Question: I would like to send all records, x-rays and MRI scans to you for review. If you feel you can help, I'll fly down for the procedure. Just let me know how much and how soon!!

  47. Kim (Jan 06 2000)
    • Describe patient's problem: I have severe sciatica pain. I already have permanent nerve damage to calf and half of foot.
    • Have you had spine surgery (when and name of surgeon)? Yes, I had a discectomy 8/98 and it was successful. I fell on the ice in 12/98. I was in severe pain for 3 months and then when I was laying my disabled son on the floor there was a loud pop in my back and the pain went away for 6 months. It is back with fury.
    • Has patient seen a surgeon?: Dr. says he can't do anything except a discogram and probably fusion. My question is, if the disc is not currently herniated, what is causing the pain. He says the disc itself can cause the pain, but I don't understand this. I also asked if scar tissue can cause pressure on the nerve and he said no. But then also suggested that the pop in my back was scar tissue breaking away. If the tissue can't cause pressure and pain, then why did it stop?
    • Has patient had a scan? MRI after falling on the ice showed no herniation, only scar tissue. What tests and treatment has patient had? Previous to surgery I had year of PT, and steroid injections and pain killers. After surgery and fall, I had steroid injections and was about to do the discectomy in March when the "pop" occurred and the pain went away. Now the pain is unbearable and I cry all morning trying to get my kids ready for school. (I have a disbaled son) THe pain killers don't work at all in the A.M. but the pain is much better in the afternoon.
    • Question: Please help me understand how the disk can cause the pain, or if the scar tissue can, and if my only option is to do the fusion. Also, I tell my Dr. that I never got any feeling or reflexes back in my leg but he doesn't seem bothered by it. This time around I've lost the feeling in the end of my big toe. If I do nothing, what could happen to my leg?

  48. Anonymous (Jan 05 2000)
    • Describe patient's problem: I had a ruptured disk from lower back removed 3/99. I still get pain and can't be very active.
    • Question: Is there any new treatment to replace the disk with some material? Even after surgery? I still have pain and it's almost been a year. MRI showed no additional herniations so DR said it was scar tissue. I had sciatic pain!!!!!!and he said there was a lot of damage to the nerve. HELP!

  49. Sean (Jan 04 2000)
    • Hi, I am writing to you in hope of some information. I have just recently underwent back surgery. I believe it was open although I am not positive. They did not use a laser and I have about a 1 to 2 inch cut. I was walking around about four after the surgery. The doctor told me that my nerve was crushed. They cut out the herniation and said that there was no complications. The first couple of days all the pain was gone from my leg. I cannot tell you how happy I was. However, about three days after the surgery the pain has returned to my leg. It is really quite upsetting. I have spoken to several doctors who told me that I may have permanent damage or that I may just be suffering aftershocks from damage to the nerve endings. I would greatly appreciate any information that you could provide to me. I am really hoping that I get some reassurance or perhaps some references as to where I could get some more info.

  50. Terri (Dec 19 1999)
    • Describe patient's problem: continual pain in back with numbness down one leg then sometimes down the other.
    • Have you had spine surgery (when and name of surgeon)? yes first in 1995. second in 1999
    • Has patient seen a surgeon?: yes he told him there's nothing wrong now but, he's had no relief from either surgery.
    • Has patient had a scan? yes MRI and it didn't show anything wrong.
    • What tests and treatment has patient had? he's had epidurals twice , had surgery to trim 2 discs and enlarge the opening the spinal cord passes through in 1995 in 1999 had laminectomy . he's also had drugs for the pain & physical therapy.
    • Question: since he's been through surgery twice at a young age , he sees no reason to go to the doctor again . what suggestions do you have ? he's in so much pain he's had to cut his hours back at work. he's miserable. he's lost his faith in doctors.

  51. Peter (Dec 19 1999)
    • Describe patient's problem: Low back pain, numbness in left foot and leg pain.
    • Have you had spine surgery (when and name of surgeon)? Yes, I have had a Cervical Laminectomy about 2 years ago.
    • Has patient seen a surgeon?: I have an appointment to see Dr on the 21st.
    • Has patient had a scan? Yes. MRI, the Consultation Report reads as follows: Moderate Central and Lateral Stenosis of the canal at L.3-L.4 as described due to Diffuse Disc protrusin and facet Arthropathy.
      Findings:
      There is decreased signal intensity and height to the intervertebral disc material at L2-l3, L3-l4 and L4-l5 reflecting chronic intervertebral disc degeneration. At the 1.s-s1 Level, no significant compromise of the canal. At L4-l5 there is diffuse annular bulge which, in combination with bilateral facet arthropathy and ligamentum flavum hypertrophy, results in mild central and lateral stenosis. Diffuse annular bulge at l3-l4 with bilateral facet arthropathy, resuls in marginal canal dimensions but much less conspicuous than at L4-L5. At L2-l3, there is diffuse annular bulge noted with bilateral facet arthropathy, but no high grade stenosis. The conus level appears normal. The vertebral body heights are well maintained.
    • What tests and treatment has patient had? Two years ago I had a Mylogram prior to having the Cervical Laminectomy or as the Surgeon Decribed "Cervical Corpectomy"
    • Question: With the Arthropathy am I going to be faced with continuing surgical treatments on an on going basis as I grow older? My family has a history of "back problems" including Padgets desease that my father had. Is this a condition that is "in my genes" and therefore not really curable?

  52. Lynn (Dec 19 1999)
    • Describe patient's problem: I'M HAVING LOW BACK PAIN 5 TO 6 DAYS A WEEK NEED TO USE MY BRACE TO BE ABLE TO WALK MORE THEN A MILE. HAVE BEEN GETTING SEVERE MUSLE SPASMS 3 TO4 TIMES A WEEK HAVING TO GO TO HOSP. FOR RELEAFE TWO TOTHREE TIMES A MONTH
    • Have you had spine surgery (when and name of surgeon)? SPINAL FUSION L4&L5 3/22/96 WAS PAIN FREE AFTER RECOVERY FOR ABOUT 18 MONTHS
    • Has patient seen a surgeon?: YES DR. SEND ME TO DR AND THEY HAVE DECIDED TO DO 2 MONTHS THEROPY THEN A DISCOGRAPHY. IF THERPOY DID NOT HELP WANTS TO DO EITHER A IDET OR ACIF
    • Has patient had a scan? BONE SCAN NEG.MRI NEG
    • What tests and treatment has patient had? MOSTLY DRUG THERPOY
    • Question: I WANT TO KNOW MORE ABOUT THESE TWO OPERATIONS AND OUT RECOVERY TIME IS EXPECTED

  53. Roger (Dec 18 1999)
    • Describe patient's problem: Recurrent pain in lower back, running down right leg past two months. Third and fourth toes become numb. Most of the pain is from the back to the buttocks, with some residual pain down the back of the leg and into the foot.
    • Have you had spine surgery (when and name of surgeon)? Yes, on L5/S1 area.
    • Has patient seen a surgeon?: Currently? Yes. "Take these pills and call me in six weeks". (Anti-flammatory-Naprosyn). I asked for an MRI, but this "fresh-out-of residency" Ortho surgeon didn't agree. Unfortunately, I am in the military (Navy) and am stationed in Sicily. I have no other means of getting help locally.
    • Has patient had a scan? Not yet.
    • What tests and treatment has patient had? Currently taking Naprosyn. Unfortunately, this hasn't helped.
    • Question: When I had my first surgery (Sept 97)I heard about another type of surgery which was fairly new at the time. I can't remember the name of it, but maybe I can describe it. The surgery entailed using small "pillow-like" pads that were inserted in place of the disc material. (I believe it was abbreviated with three letters.) If you can help me recall this and supply me with any other information I would greatly appreciate it.

  54. Henry (Dec 17 1999)
    • I had a L4-5 surgery for a bulging disc. Then I got rear ended (car) and they want to do fusion. Will I be able to still play tennis or ride my horse or bike after this surgery? Please help I scared and don't know what to do. How many people that get this surgery can really get physical after there surgery???? Is there any hope?

  55. Robert (Dec 17 1999)
    • Describe patient's problem: I have had a microdiscecrtomy a year ago and at this time. i am in extreme pain on my left side lower back, down my left leg, my siatic nerve. i am seeing a pain specialist, at this time. i am on pain med. I dont feel good about another operation because of the complications i am having right now with my last operation it was a open microdiscectomy. i have a 2 inch scare middle of the back I have burning, pressure, and pain in my back with the nerve down my leg to my knee and often to my foot. i just had a independant doc. check me out in anchorage, and he is suggesting a laminectomy. I do not feel good about this, I feel that the scare tissue is the reason for my pain now, of witch is worse than before the operation. Ive had 3 mri's done and all say that i have hurniated L-4 L-5 and problems at S-1 please advise me of my options. thanks.
    • Have you had spine surgery (when and name of surgeon)?Microdisectomy
    • Has patient seen a surgeon?: as above a laminectomy possibly
    • Has patient had a scan? L-4 L-5 S-1 discs hurniated and deteriating. S-1 nerve, problem down left leg, starting to feel pressure, pain, burning on my right side.
    • What tests and treatment has patient had? 3 MRI some rehabilitation, but ended up in the hospital due to the pain it caused.
    • Question: For advice, im desperate. and am tired of being in constant pain. dont sleep, pain meds help, if it wasnt for the meds i couldnt work, and am becoming very depressed. thankyou and i hope to hear from you e-mail

  56. Tim (Dec 15 1999)
    • Describe patient's problem: 2nd back surgery 1st L4 lasted 12 years without any reocurrence. Pain in left leg started in Sept99 pain increased until ER visit with terrable pain on Thanksgiving day. I was admitted to hospitol and given MRI that showed area of concern a L1 emergency surgery revealed a peice if vertabre broken and pushing on nerve. peice was removed but 3 weeks after surgery still have lower leg cramping and pain somtimes radiates from hip to foot.
    • Question: Do you think I have perminit nerve damage or amy I still recovering.

  57. Saylesh (Dec 14 1999)
    • Describe patient's problem: Lower back pain, L5-S1, hip pain and spreading to left leg, problems with upper back and neck area, weak limb movement, cannot lift objects over 5kg, trouble sleeping and concentrating, physical exhaustion and lethargy, tense mood
    • Have you had spine surgery (when and name of surgeon)? Yes. 13/3/96 - Laminectomy ---- 17/10/96 - Laminectomy ---- 4/6/98 - Spinal Fusion
    • Recommended: physiotherapy, hydrotherapy, tractions, epidural injections, nerve blocks
    • Has patient had a scan? Yes. Slight bulge of disc at L5-S1.
    • What tests and treatment has patient had? X-rays, CT-scans, undergoing recommended treatment (see above), surgery (see above)
    • Question: It has been a year and a half since my last surgery and I still have back pain and also pain radiating to upper back and neck area. My arms also experience pain and weakness. Overall, my recovery has been very slow. I would like to know how I can improve my situation and also the reason behind my upper back pains.

  58. James (Dec 14 1999)
    • Describe patient's problem: Much residual pain after wto laminectomy/discectomies
    • Have you had spine surgery (when and name of surgeon)? one in 1991 and the other in August of last year.
    • Has patient seen a surgeon?: yes, no more surgery needed
    • Has patient had a scan? nothing conclusive
    • What tests and treatment has patient had? chiropractic, anabolic steroid treatment for 6 weeks
    • Question: How can I finally kick the pain and feel good again?

  59. Randy (Dec 14 1999)
    • Describe patient's problem: Had back surgery 5 years ago on L5 disk, which was trimmed. Now I'm having back pain along with much cramping of my right leg along with some cramping of my left leg. This happens only when I'm sitting or laying down. I'm taking quinine sulfate for cramping. I've been to orthopedic doctors and neuroglists. I've had 2 MRI's this year and a CT scan. I've had 2 EMG's on my good left leg and both times showed nerve damage. Tomorrow I have the right leg tested with EMG. I'm presently off work because my legs cramp all the time, however, only briefly each time as long as I take the sulfate. Without the sulfate the legs cramp and don't let go for several minutes. Different muscles cramp but when the charlie horses come I almost past out. I used to get them while walking but that has gone away. My problem is that I can't work as I drive at least 1000 miles a week on average. The doctors have done all the blood tests several times and have tested for everything that they can think that could be causing the problem. However, the neuroligists just give me different drugs to fight the problem. I feel it's a nerve problem around the L5 area. What do you feel? I'm on medical leave, which is slowly running out.
    • Have you had spine surgery (when and name of surgeon)? Yes, Feb of '95
    • Has patient seen a surgeon?: Yes, a different surgeon. Had the MRI done. Then called for the EMGs, which showed severve nerve damage (both EMGs). Transferred me to a non surgeon in the same clinic, who has left them about 2 weeks ago. Will see a new Dr. on thursday after my right leg EMG. All at the same clinic.
    • Has patient had a scan? Yes, bulging discs plus an unknown growth (their words) around the area of L5. Maybe scar tissue according to Dr but he wasn't sure.
    • What tests and treatment has patient had? In this year 2 MRIs (Total of 4 since '95), CT of pelvis area which was ok, 2 EMGs, altrasounds which were ok, various blood tests which were all ok, x-rays of the back plus a general physical about 1 month ago, which was also ok.
    • Question: What can be done since if nothing is done I'll probably lose my job (32 years)? I feel I should be operated on to at least giving a chance of stopping the cramping. Is there some other test that should be done or am I just out here without any hope. Thanks.

  60. Randy (Dec 14 1999)
    • Describe patient's problem: had back surgery on january 13 of 99 still suffering from back pain therapist think it may be due to my hips and sacral illiac joint
    • Have you had spine surgery (when and name of surgeon)? january 13
    • Has patient seen a surgeon?: yes therecommended back surgery which i had
    • Has patient had a scan? hernaited disc in the L5-S1
    • What tests and treatment has patient had? therapy
    • Question: doctors think it may be my sacral illiac joint so they gave me a sacral belt and for about 6 days the pain went away then with my increased activity my abck pain came back and from time to time i get a tingly feeling in my legs that is not really painful but is always there my back also pops quite a bit and so does my hips i had a second mri done and it showed that the disc is ok but that i have a lot of scartissue so could that still be a problem so also form time to time my hip flexor will tighten up and my mid back muscles by m spine start to hurt from time to tiem so if you have any ideas i would appreciate hearing form you

  61. Charlen (Dec 10 1999)
    • Describe patient's problem: had herniated disc 4-5 fell on ice
    • Have you had spine surgery (when and name of surgeon)? yes
    • Has patient seen a surgeon?: had surgery to repair
    • Has patient had a scan? scan showed scar tissue from surgery
    • What tests and treatment has patient had? ct mri
    • Question: can you remove scar tissue? pain worse know that before taking oxicontin 240mg roxicodone80mg flexeral 40mg per day to control the pain im inconitent and i fall alot

  62. Joe (Dec 10 1999)
    • Describe patient's problem: Pain in lower back when standing or setting for more than 20 min,
    • Have you had spine surgery (when and name of surgeon)? 1994
    • What tests and treatment has patient had? spinal stimulated infusion pump and many injections
    • Question: is there anything that can be done

  63. Banker (Dec 06 1999)
    • Describe patient's problem: low to mid back pain radiating into both legs
    • Have you had spine surgery (when and name of surgeon)? yes x 3 last 6-96
    • Has patient seen a surgeon?: yes repeat decompression l4l5 l5s1 with fusion
    • Has patient had a scan? yes spondyeotheses l4l5 nerve root compression spinal stenios arachnoidtic leasons
    • What tests and treatment has patient had? conservative and prior surgeries
    • Question: what options do i have other than open surgery and fusion ? is it possible to relace hernieated disc ?

  64. Jim (Nov 30 1999)
    • Describe patient's problem: severe left leg pain with lower back pain Sciatica
    • Have you had spine surgery (when and name of surgeon)? yes---1987 L4-5 / L5-S1 Diskectomy
    • Has patient seen a surgeon?: in the process of gathering information Waiting to see a neuro-surgeon Surgery has been inferred by a G.P. and a neurolagist
    • Has patient had a scan? CT scan Nov.24/99 shows at L4-5 a large left posterolateral disk herniation. Disk material protruding approx. 8 mm posteriorly into the left lateral recess and the left side of the spinal canal, and also extends inferiorly for approx. 5 mm below the disk space
    • What tests and treatment has patient had? This time I have had anti inflams and pain killers and a lot of bed rest At this time the worst of the acute pain has subsided but it doesn't take much to re-occur
    • Question: O.K. here we go----1st of all should something like this re-occur in the same place and produce the same symtoms after a diskectomy on that area --is it an operation that maybe wasn't done completly or what?? 2nd--what kind of odds are there of having permenent damage if another diskectomy is perfomed in the same place. After the 1st operation I had numbness and nerve type problems in my left leg ongoing for years but no-one wanted to open-up the "can of worms" so to speak. I took many months of rehab after the operation and I am scared of what may happen having 2 proceedures in the same spot I would appeciate any comments and/or views on this scenario. This last episode has been ongoing for 4 years but now the herniation has gone from "moderate" to large and something has to be done more sooner than later

  65. Anonymous (Nov 30 1999)
    • Describe patient's problem: Herniated disk. L4 and L5
    • Have you had spine surgery (when and name of surgeon)? Yes to remove the damaged disk.
    • Question: I had surgery 2 years ago on my lower back to remove 2 herniated disks. I think L4 and L5. My back had been fine after surgery until recently I started having the pain again. I asked my doctor and he said that the disks are very damaged and the pain is just fragments of the disk pinching the nerve. What should I be doing to help me recover faster?

  66. Sharon (Nov 30 1999)
    • Have you had spine surgery (when and name of surgeon)? I had surgery on Nov. 24th. The MRI revealed that I had two herniated discs which was causing pain going down the right back side of my thigh, not any lower than my knee. I suffered nearly 4 months before having the surgery. My problem is that I still have extreme pain in the same area. Is this normal? I realize that I just had the surgery and maybe this is to be expected.I thought I would have instant relief. The surgeon said the surgery went well, he repaired one disc and removed the other. I will be seeing my surgeon on the Dec. 2 to remove 19 staples. I did tell him while I was recovering in the hospital that I still had the same pain in the back of my thigh, he didn't seem too concerned unless it was below my knee or as long as I didn't have any numbness or tingling in my feet. I just wanted to ask if this is normal after surgery and can I expect this pain to gradually go away?

  67. Julie (Nov 26 1999)
    • Describe patient's problem: I had a discectomy 10 weeks ago - L4\L5. I am now experiencing the same pain and numbness as I had before the surgery. What is the chance of the disc herniating a second time?
    • Have you had spine surgery (when and name of surgeon)? YES - in Australia
    • Has patient seen a surgeon?: Yes
    • Has patient had a scan? 11 weeks ago - but not for this episode
    • What tests and treatment has patient had? none yet
    • Question: What's the chance of a disc herniating for a second time - 10 weeks after the first discectomy?

  68. Jane (Nov 26 1999)
    • Describe patient's problem: calcium deposits removed from 5th vertebra removed - senovial cyst removed from 5th vertebrae - scar tissue grew over / under sciatica nerve - series of 7 epidurals in 1 year - effective for a short period - been to a number of MD's including orthopedics, neurologists and neuro-surgeons -
    • Have you had spine surgery (when and name of surgeon)? yes -
    • Has patient seen a surgeon?: yes -2 surgeries to correct problem
    • Has patient had a scan? yes - scar tissue over sciastica nerve
    • What tests and treatment has patient had? 7 epidurals - 2 surgeries
    • Question: is there a proceudre that will remove the scar tissue and not cause the growth of additional tissue growth or lose feeling in the legs and feet

  69. Charles (Nov 26 1999)
    • Describe patient's problem: lower back pain and a shooting stabbing pain down my left leg.
    • Have you had spine surgery (when and name of surgeon)? yes. twice. 1st 6/98 2nd 3/99
    • Has patient seen a surgeon?: yes, spinal fusion
    • Has patient had a scan? yes L5 and S1 are tell herniated
    • What tests and treatment has patient had? mri's discogram
    • Question: is there anything beside spinal fusion w/ rods and screws?

  70. Steve (Nov 22 1999)
    • Describe patient's problem: Heavy pain in my back and legs and feet
    • Have you had spine surgery (when and name of surgeon)? Yes, I have three surgerys in the last year,all on the same disk and same side L4-5,R/S I didnt have a fusion, they just keep taking out pieces that squirted out.
    • Has patient seen a surgeon?: I have seen the best of best, they say I have to much nerve damage to fuse me, they feel I the same pain level or more pain if they fuse me
    • Has patient had a scan? Yes,I have severail in past weeks, bone,blood scans, all came back neg, MRI shows I now have the L/S at L4-5 squirted out
    • Question: Can you do anything with complicated cases like I have, they say in Portland all they can do which I just go into friday is Advanced Pain Management

  71. Michael (Nov 22 1999)
    • Describe patient's problem: had surgery for sciatic nerve pain 5 weeks ago. thought the problem was corrected and began having the same pain about 1 week ago. going back to surgeon tomorrow afternoon for post surgery check up. what questions do I ask? Does this mean the disc is probably prolapsed again? This is really stressing my wife and me out. Will I ever be better or will I always have to live with this severe pain?
    • Have you had spine surgery (when and name of surgeon)? Yes. October 18, 1999

  72. Heidi (Nov 21 1999)
    • Describe patient's problem: I fell down a flight of 16 steps in March of this year. I fractured a vertrea and ruptured L-4 and L-5.
    • Have you had spine surgery (when and name of surgeon)? I have had three surgeries within the last six months. Two laminectomies and one interbody fusion at L-4 & L-5.
    • Has patient had a scan? scan showed rupture on both sides of L-4 and L-5 with an abnormal amount of scar tissue which has entangled and tethered the sciatic nerve.
    • What tests and treatment has patient had? Three surgeries, 4 MRI's, 3 EMG's, 1 interbody fusion, 4 nerve root block injections, 3 epidural sterioid injections, 1 mylogram, 1 CT
    • Question: I am still having severe pain in both hips which radiates down to my feet. Will this go away or can nerve damage be perminant. If it turns out to be perminant what types of medicine, magnet therapy, physical therapy, etc. what do I do now? It has been 7 months and my patience is almost at the end!!!

  73. Jose (Nov 19 1999)
    • Describe patient's problem: L-4 L-5 Discal Hernia .Sciatic pain in the right leg.Unable to move away form the bed.Unability to be seated. Progressive lost of muscler mass and strenght in the leg.Intensif treatment with analgesic and antiinflamatories (chorticoids included) ends in severe toxic hepatitis from medical origine (May 99 ).Nearly 18 months of nightmare (three operations within this periode).Deteroration of mental stability during this periode.
    • Have you had spine surgery (when and name of surgeon)? Three times. May, 18,1998 / Jan, 4th,1999 / Spt, 21th, 1999.
    • What tests and treatment has patient had? all possible.Back elasticity exersices, soft streching,swimming, walking,ultrasons,acupuncture, heat,etc
    • Question: After my third operation (low back arthrodesis at L-4 L-5 level,with insertion of intersomatic cilinders and titanium),wich I think has succeded, I,ve just arrived to Washington D.C from Spain, to work for at least four years.I need informations on surgeons or hospitals that could follow-up my recovery by periodic controls and X-Rays. I need also information about fisiotherapy centers specialized on my problem, as well as location of indoor swimming pools near to my working adress

  74. Maribeth (Nov 19 1999)
    • Describe patient's problem: Pain in lower back - radiating through right leg (front of leg) to level of knee.
    • Have you had spine surgery (when and name of surgeon)? Yes, done in the Spring of 1992 for the L4/5 disc.
    • Has patient seen a surgeon?: I just underwent an MRI today (11/19) and will not have the results until the beginning of next week. No appt. has been scheduled with a neurosurgeon as yet.
    • What tests and treatment has patient had? See above - currently taking Relafen 500 mg. b.i.d. and Robaxin 750 mg. q 6 h p.r.n.
    • Question: If above described symptoms COULD be related to another disc injury.

  75. Nancy (Nov 19 1999)
    • Describe patient's problem: low back/bilateral leg pain
    • Have you had spine surgery (when and name of surgeon)? laminectomy L4-5, 1995; spinal fusion with pedicle screws 1996;(injured my back as a nurse 1/95)
    • Has patient seen a surgeon?: facet blocks, possible facet rhizotomy
    • Has patient had a scan? significant facet arthritis L5-S1(area below fusion)
    • What tests and treatment has patient had? CT myleogram
    • Question: Is leg pain consistent with facet arthritis? What are options for treating this condition, alleviating pain

  76. Nancy (Nov 19 1999)
    • Describe patient's problem: Pain and numbness in both feet. Occasional tingling in fingers. Muscle spasms after even minor activity (i.e. 15 minutes light walking)
    • Have you had spine surgery (when and name of surgeon)? Yes. Laminectomy 2 years ago
    • Has patient seen a surgeon?: Not yet. MD recommended a neurosurgeon if pain continues
    • Has patient had a scan? Yes MRI - "At L1-2 moderate degenerative disc disease with a disc herniation centrally and to the right of midline causing mild effacement of the thecal sac and narrowing of the right neural foramen. Small disc protrusion at L5-S1 with some lateral spurring.
    • What tests and treatment has patient had? Only the MRI
    • Question: Regular medical Dr. was less than helpful in giving advice. Should I go to a neurosurgeon - Will it help this time? Is this just a condition that I need to get used to because it's only going to get worse, and there is no help?

  77. David (Nov 18 1999)
    • Describe patient's problem: L4-L5 paramedian left hernia.
    • Have you had spine surgery (when and name of surgeon)? yes. On Friday, October 299, 1999
    • Has patient seen a surgeon?: yes. alternative treatments such as physio, ostheopathic, or chiropractic were done during five first years of problem. Surgeon offered endoscopic discectomy only at patient's request for new alternatives.
    • Has patient had a scan? yes. paramedian left hernia L4-L5.
    • What tests and treatment has patient had? CT scan. X-Ray.
    • Question: Since operation, I feel that my back is out of alignement. I lean towards the left side (shoulders ar not in alignment with my waist). I wanted to know if that situation would come back to normal. I've had this condition before when I would experience a back crisis (severe pains or back jamming). I want to know if it will straighten out again, or if I will keep my crooked back. Thank you.

  78. Matthew (Nov 13 1999)
    • Describe patient's problem: I have a degenerated disc in my L5 S1. It looks black on my MRI,s.
    • Have you had spine surgery (when and name of surgeon)? Yes, I had a microdistectomy in Jan. of 1993.
    • Has patient seen a surgeon?: I saw one orthopedic surgeon who recommended fusion.
    • Has patient had a scan? MRI
    • Question: I would like information on any new treatments which would not include fusion or removal of disc.

  79. Patti (Nov 12 1999)
    • Describe patient's problem: In September 1997 I had a 7mm herniation removed (cut off) from the L4-5 level. 6 months later I was digging a garden feeling great. In May of 1999 I began to experience pain again but only in my back. I also suffer from arthritis in my low back. Had a MRI done and it showed that I reherniated the same disc. The major pain went away for almost 3 months. Approximately one month ago the pain started going into my leg. 2 years ago I was able to get relief by lying down. Now it is the exact opposite. When I lay down for 5 minutes or longer I can barely get out of bed. The pain is in my left buttock and down my left leg all the way to my ankle. It is immense. It subsides after I am up and walking around for about 2 - 3 hours. When I sleep and try to change positions the pain wakes me up also.
    • Have you had spine surgery (when and name of surgeon)? Yes, September 1997 lumbar discectomy.
    • Has patient seen a surgeon?: Yes, to try and deal with the pain because next surgery is fusion and that is more difficult to go through.
    • Has patient had a scan? Yes, MRI - herniation at the L4-5 level - also arthritis
    • What tests and treatment has patient had? 3 epidural steriod shots (which did not work)
    • Question: Is fusion the only alternative I have? My pain has been getting worse every day I wake up. I dread going to bed at night because I know I need to eventually get out of bed. Help. I am due to see my surgeon on Tuesday to talk again but if surgery is my only option I won't do anything until after the first of the year.

  80. Randy (Nov 11 1999)
    • Describe patient's problem: Mild disc bulg at L-4, L-5 after surgery. A tear is seen at L3-4, (this was detected with gadolinium during the MRI) No conus lesion or herniated nucleus pulposus. I am in agony especially when I sit. My leg is terrible and my left foot gets numb. The whole left leg is weak and buckles at times.
    • Have you had spine surgery (when and name of surgeon)? I had a disectomy, L4-5, during March of 1998.
    • Has patient seen a surgeon?: Before this last MRI I went back to see a neurosurgeon and he told me to "live with it" without basing his findings on any tests. I just stood before him in a 3 minute appointment.
    • Has patient had a scan? Mild L4-5 disc bulg and annular tear at L3-4.
    • What tests and treatment has patient had? Neurontin, Ultram, arthrotec, Darvocet, Flexoril, elevil, cortisone shots, epidural series of 3 shots.
    • Question: What is next for me. I read information about annular tear and it actually gradually gets worse. The tear is susceptible to retear even if they try to stop the leak with scar tissue. I am living in agony each day. Every doctor I have seen thinks I'm neurotic and says "live with it", I can't work in this much pain and I can't sit longer than 5 minutes. I can't get work or a reasonable accommodation from my state job. This is a work related injury. They are treating me terribly.

  81. Randy (Nov 11 1999)
    • Describe patient's problem: recovering from back surgery still in pain
    • Have you had spine surgery (when and name of surgeon)? yes January 13 1999
    • Has patient seen a surgeon?: yes surgery hysical therapy
    • Has patient had a scan? MRI Hernaited Disc L5-S1
    • What tests and treatment has patient had? surgery
    • Question: is the intradiscal electrothermal therapy/annuloplast or epiduroscopy a viable type of surgery adn can it work on someone who has already had back surgery.

  82. Diane (Nov 12 1999)
    • Describe patient's problem: OCCASIONAL LOW BACK PAIN AND MUSCLE SPASMS- FOR LAST MONTH SEVERE PAIN IN LEFT HIP, THIGH, BACK OF KNEE, CALF AND NUMBNESS AND TINGLING AND WEAKNESS ALL ON LEFT SIDE
    • Have you had spine surgery (when and name of surgeon)? TWICE IN 1994
    • Has patient seen a surgeon?: WAS TOLD PROBLEMS ARE FROM SCARRING FROM PREVIOUS SURGERYS AND THAT MORE SURGERY WOULD NOT HELP AND IN FACT WOULD CAUSE MORE SCARRING AND MORE PROBLEMS. RECOMEMDED THAT I HAVE EPIDURALS...HAVE HAD THEM IN PAST WITH LITTLE OR NO RELEIF. SAID IF THOSE DID NOT WORK HAD A COUPLE OTHER OPTIONS THAT MIGHT, BUT DID NOT TELL ME WHAT THOSE OTHER OPTIONS WERE..
    • Has patient had a scan? HERNIATIONS AT 2-3 AND 2-5 LEVELS SPINAL STENOSIS
    • What tests and treatment has patient had? NUMEROUS MRI'S, MYELOGRAM, EPIDURALS, PINPOINT INJECTIONS, PHYSICAL THERAPY, 2 SURGERYS.
    • Question: IF I MIGHT BE PROSPECT FOR YOUR PROCEDURE OR ANY OTHER YOU MAY KNOW OF. ANY HELP YOU MIGHT BE ABLE TO GIVE ME BECAUSE I AM PRETTY DESPERATE..THANK YOU..WILL WAIT TO HEAR FROM YOU

  83. Randy (Nov 9 1999)
      I am a 21 year old college student who used to be physically active i had back surgery on january 13th of 1999 on a herniated disc in the L5-S1 i had no leg pain at all just severe back pain the surgery was performed and am now suffering from leg pain not stabbing but from time to timme i get a painful soreness in either leg and into my calf my back ist still extremely painful at times especially when trying to do to much when doing my back exercises my hip, hip flexor and groin will begin to tighten up and pop and then my back will begin to hurt i ahve had history of not being very flexible especially in the hip area. I started to improve and was able to start lifting light weights and use the stairmaster but then the temperature in town started to drop and my back one day just tightend up and i couldn't move the tightness has subsided but now my legs hurt and myu back gets very sore from time to time i have had a second mri since surgery 6 months in and it showed that the disc is fine but there is a lot of scar tissue around the area and i don't know what i should do or if i should be worried sometimes this throughs me into depression and on occasion i have thought about suicide but i don't think i will ever do that it is just a thought that runs through my head so if you can help me in any way i surely appreciate it

  84. Paul (Nov 9 1999)
      Had first surgery in september of 1998, the dr. said he took the disk out reshaped it and put it back in. Before surgery my left leg would go numb and my lower back would hurt. Went to the emergency room and the dr. ordered a mri, it showed a herniated disk. After the surgery my leg seemed to be a little better . Then after i got home and was home about 2 months it started hurting again, i suffered with it untill both legs started getting numb.Went to dr. and had films done and the same place that i had surgery on L4 and L5 there is a fragment of the disk that is pressing on the nerve. I am having another surgery 11-10-99 they are going to remove the fragment. My question to you:Will the disk more than likely keep shattering and if so and i have to have another surgery should i ask them to take out the disk or will that do me more harm than good. I thank you for your time and if you can't answer my question i understand

  85. Paul (Nov 8 1999)
    • Describe patient's problem: Left leg numbness and weakness
    • Have you had spine surgery? 10/29/99
    • Has patient seen a surgeon?: Lumbar laminectomy
    • Has patient had a scan? Large herniated disk - L3/L4. Bulged and degenerated disk - L2/L3
    • Question: I had a lumbar laminectomy, and my surgeon said the disk was so demolished that he basically removed the entire thing. Will I likely need a spinal fusion in the future? What about the possibility of having an artificial disk implanted? I am extremely active and fear I will have another spinal injury. What will happen if another disk ruptures? Will I then need a fusion or artificial disk(s)? Thanks.

  86. David (Nov 7 1999)
    • Describe patient's problem: Have had two surgeries in last 16 months. First surgery fused L2,L3&L4 with bone from hip and titanium rods and screws. Two discectomies were also performed at that time. Second operation 7 weeks ago to do discectomy on L5-S1 and remove scar tissue. I am now in severe pain in lower back and left leg with numbness in left leg and foot. Also, broken back when I was 19 started problem. I am now on Physical Therapy and exercises.
    • Have you had spine surgery (when and name of surgeon)? July 16, 1998. Sept. 23, 1999.
    • Question: Can non-evasive surgery help me at this time?

  87. Frah (Nov 8 1999)
    • Describe patient's problem: THE PATIENT HAS HAD A PROLAPSED DISC SURGERY DUE TO THE SLIP DISC WHICH WAS LEFT FOR UPTO 3 DAYS,DUE TO THIS THE NERVE LINKING TO THE URINE SYSTEM WAS COMPRESSED FOR A LONG TIME, THIS ALSO EFFECTED THE SENSORY NERVE LINKING TO THE RIGHT LEG (WHICH HAS STOPPED THE SENSE OF MOVING AND SENSING) THE SURGERY WAS UNDERTAKEN IN JUNE 1999, HE IS LEFT WITH EFFECTS TO THE RIGHT LEG (THE BACKSIDE HE CAN NOT FEEL IT) AND THE SENSORY NERVE OF THE BLADDER IS NOT OPERATING. THEREFORE HE NO LONGER SENSES THE NEED TO EXCRETE. HE IS ABLE TO WALK ON WITH A WALKING STICK AND IS UNABLE TO UNDERTAKE NORMAL DAY TO DAY ACTIVITIES.
    • Have you had spine surgery (when and name of surgeon)? THE SURGERY WAS UNDERTAKEN IN JUNE 1999.
    • Has patient seen a surgeon?: YES, A EMERGENCY OPERATION WAS UNDERTAKEN. AFTER THE OPERATION HE HAS BEEN TO PHYSIOTHERAPY SESSIONS AND HE HAS BEEN ON REGULAR MEDICATION. NO OTHER ADVICE HAS BEEN GIVEN....EXCEPT THAT HE SHOULD WAIT AT LEAST SIX MONTHS BEFORE THERE IS SOMETHING DEFINATE TO THINK ABOUT.
    • Has patient had a scan? YES. IT SHOWS THAT THE NERVE WAS COMPRESSED FOR A LONG TIME WHEN THE DISC HAD SLIPPED. THIS SCAN WAS TAKEN AFTER THE OPERATION.
    • What tests and treatment has patient had? HE HAS GENERAL BLOOD TESTS, PROLAPSED DISC SURGERY, PHYSIOTHERAPY SESSIONS, MEDICATION.
    • Question: I WOULD LIKE TO ASK WHAT POSSIBLE TREATMENTS CAN BE UNDERTAKEN IN ORDER TO HELP THE SENSORY NERVE OF THE BLADDER (URINE RELIEF) TO SENSE (WORK) AND WHAT CAN BE DONE TO HELP MAKE THE RIGHT LEG WHICH WAS NEARLY PARALYSED BEFORE THE OPERATION. I WOULD REALLY APPRECIATE THIS IF YOU COULD RECOMMEND FURTHER TREATMENTS AND SOLUTIONS FOR THE PATIENTS PROBLEM.

  88. Jane (Nov 6 1999)
    • Describe patient's problem: Severe radiating pain, left leg. Severe pain lower lumbar back. Numbness in left foot.No bowel movement in two weeks
    • Have you had spine surgery (when and name of surgeon)? yes. 1995
    • Has patient had a scan? yes Posterior changes consistent with a left hemilaminectomy at the L5-S1 with a small spur posteriorly, mildly encroaching on the left neural foramen. Mild broad-based bulges at the L2-3, L3-4 as well as L4-5. mild dextro rotatory curvature of the lower lumbar spine
    • What tests and treatment has patient had? Cat scan,Swimming exercises, physical therapy, tens unit, pain medication, back exercises, heating pad
    • Question: I continue to have severe back pain and left leg pain. somtimes my back gives out on me and causes me to fall and now I have not had a bowel movement for two weeks. I have been seeing a rehab doctor and done everything suggested I do and nothing has worked yet, can you suggest anything else I could do to ease the pain. I can't work because of this.

  89. Theresa (Nov 8 1999)
    • Describe patient's problem: Constant and severe pain radiating from the left lower buttock down the back of my thigh and ultimately ending up with numbness in my three outer toes. It's been about three weeks now with the pain varying in degree but never gone.
    • Have you had spine surgery (when and name of surgeon)? Yes. October 1996
    • Question: Quite frankly, I am absolutely dreading the whole thing again. Last time I was misdiagnosed by an emergency room, primary physician. I had to fight with my insurance for an MRI. I would like to know what steps I need to take at this point. After experiencing the pain in the past, I feel pretty sure I've got a herniation again, but obviously I need a medical opinion. If I go to my primary physician and an MRI is ordered will I need to see a specialist here before consulting with you? Are there folks in Texas that doe the endoscopic procedure?

  90. Andrew (Nov 7 1999)
      After 3 years of back and left leg pain/numbness I had open surgery on L5 to remove part of my disc which was pinching a nerve. This took place nearly 4 months ago. There is no change to my leg pain, possibly worse and my back pain is worse. About ten days ago the back pain was so bad that I had to lie and do virtually nothing for over a week. I am still in a lot of pain and am experiencing shooting pains down my left buttock. I am concerned that my disc has prolapsed again and may need more surgery. Any thought or advice would be much appreciated.

  91. Melody (Nov 8 1999)
    • Describe patient's problem: i have constant low back pain mostly mid section to right hip area through the buttocks,down right leg,both feet numb and tingling,bottom of legs the same feeling. Some weekness only in right leg. Also sometimes my feet will feel cold but aren't to the touch, other occaisions my feet and or legs may feel very cold to the touch.
    • Have you had spine surgery (when and name of surgeon)? yes,july 1999.
    • Has patient seen a surgeon?: yes. Physical theraphy since Jan. 1999 now I have to go to pain management.
    • Has patient had a scan? yes, MRI,mylogram, and CAT scan. Three lower lumbar region bulging discs.
    • What tests and treatment has patient had? Aguatic theraphy, ultra sound electric stimulation combo, message , excercise, and Atens unit for home.
    • Question: What do you believe would be the correct pathway to live with or if the condition can be resolved. Should I stay with everything that's being done or should I go elsewhere.

  92. Randy (Nov 5 1999)
    • Describe patient's problem: still suffering from back pain and some numbness and twinging in legs
    • Has patient seen a surgeon?: yes told to have back surgery
    • Has patient had a scan? MRI showed herniation in L5-S1
    • What tests and treatment has patient had? surgery and THerapy
    • Question: Well i had surgery on January 13 and i am still suffering from back pain, about 2 weeks ago i was doing real good then it started to get cold and know the pain in much worse and it is really bothreing me i was wondering how long does it take to recover from a discectomy and is what i am feeling natural due to the surgery if you can please email me with a response.

  93. Debbie (Nov 5 1999)
      I'm requesting information about hospitals and nerosurgeons who do laser surgery on lower back. My mother age 59 had back surgery in the 60's for years has experience leg and foot problems due to narrowing of the spine and scar tissue from old surgery. It is getting worse. Her MRI's and CAT scan are negative. She had frequented Chiropractors both manipulator and now presently works with pressure point therapy. She also has fibromialgia. She has had a nerve block but prove to be useless. The situation goes on....
      I would like names and addresses of hospitals with surgeons who perform this procedure in the state of PA. My mother has tried every method and has worked with her doctors daily to find RELIEF!!!!
      I hope you can help.

  94. Mona (Nov 5 1999)
    • Describe patient's problem: I have low back pain with pain in the front of both legs and down back of right leg. I have a spinal cord stimulator that helps with the burning pain but not the deep aching pain. I had never had trouble with my back until I reached down in the floor to lift a tray of regulars weighing about 35 lbs. then turned to place on my work station. Pain shot down my low back and down my right leg. Burning started in a small section on the front of my right leg. The burning is now down right and left leg. I really would like another opinion but Workers comp will not allow me to see another doctor and my ins. will not cover because of it being a work related accident.
    • Have you had spine surgery (when and name of surgeon)? I had l-5 s-1 cleaned up in May of 98. I had the implant in Aug. 1999. I have had several blocks. I have numbness in the lower right back of my leg since surgry.
    • Has patient seen a surgeon?: I am currently going to a pain clinic.
    • Has patient had a scan? My last MRI in 98 showed slight herniation at L1 and L5 S1 consistant with surgery.
    • What tests and treatment has patient had? myleogram, cat scan, MRI, Surgery, Blocks, anti-inflamatorys, pain med. spinal cord stimulator implant, zoloft, prevacid, zanaflex
    • Question: The doctors say they have done everything they can for me and that I have nerve damage. The physcal therapist said it seems I have nerve entrapment. I had to quit my job because of severe pain, torture. I think there should be something out there to help me.

  95. Nick (Nov 3 1999)
    • Describe patient's problem: I had a microdiskectomy 5 weeks ago. Foot drop resulted from surgery. What can I do to regain the use of my foot and leg?
    • Has patient had a scan? I have before and after MRIs

  96. Carolyn (Nov 3 1999)
    • Describe patient's problem: I had a herniated disc, L5, after surgery, I noticed a pain coming around the front of my stomach. As time went on, the pain got worse. It hurt down my legs, and my feet. It was Feb 96. By June, I had 3 injections Cotel (in spine) It did not help. I tried to receive help from my M.D. He put me on Ultrem. But my legs and feet, and low back continued to get worse. It got so bad by May 97, I went to another pain doctor. He put me on Vicadan, and started more injections. The injections did not help. I have constant pain in my calves (they hurt all the time, to touch) My feet hurt so bad, I can't wear my shoes longer than 10 minutes. I must keep socks on all the time, the air hurts my feet, and my back feels like needles sticking in the area, all through my hips. I am taking Extra Strenght Vicadan 3 x a day, and it gets harder and harder to get around. I don't know where to turn!
    • Has patient seen a surgeon?: yes, surgery
    • Has patient had a scan? M.R.I. - Hernia
    • What tests and treatment has patient had? Injections, medication
    • Question: Where do I go from here? I feel hopeless with this pain. I know I can't go off the pain meds, due to the pain, and by now addiction. I want relief. Is surgery recommended? Who do I trust?

  97. Paul (Nov 3 1999)
    • Describe patient's problem: after surgery laminectomy and double fusion of l-4 l-5 s1,i have pain in left buttocks, feet hurt, left big toe is numb, (L)calf has small thin strip of numbness running down side of it. cannot bend or lean backwards. pain in rear hip area when sitting and or turning left or right as if turning around. scar is about 8 inches long back constantly swells after small amount of work. can't sleep at night do to must sleep with 4 pillows always,also restlesnes in left leg at night. Right leg has numbness that encompesses two thirds of the side of the calf area, and this area hurts bad after working a few hours, I also have what Iv'e been told to be bursitis in right hip constantly which i was told to be a result of the surgery. also after a fall i injured an area between my shoulder blades which results in constant muscles spasms, severe when i reach both arms above my head or lay on my stomach, also have tingling 24hours a day in that area. I was given a tens unit to where but its effectiveness has deminished. combined problems are very irratating. I am still working with great diffaculty. My occupation is Marine Electrician. I also touch right leg in one spot and feel it somewhere else and i can't knell on that leg.
    • Question: I know its hard to respond in this forum but is this the way I can epect to be, and also am I supposed to get worse as time goes on...

  98. Robin (Nov 1 1999)
    • Describe patient's problem: extreme low back pain, numbness and pain in both legs radiating to both feet.Spasms and pain in L2-3 area as well.
    • Have you had spine surgery (when and name of surgeon)? Yes in/94 and /97
    • Has patient had a scan? MRI Aug 30th/99. Multiple levels of disc and facet disease.Large disc fragment within the spinal canal on the right behind the upper part of the body of L4, probably migrated fromL3-4 disc space. Especially narrow left L4-5 foramen. Post-operative changes with spondylolisthesis of L5-S1, with left side foraminal narrowing as well. Epidural lipomatosis. L5-S1 level shows anterolisthesis of same.
    • What tests and treatment has patient had? In 94,fusion L4-5+ instrumentation. Disectomies, Lamectomies and foramenotomies.In 97 had instrumentation removed because left side connector failed. On MS Contin 60mg twice daily, Tylenol#3,1000mg Relafen daily,Clonazepam 1mg at bedtime as well as 150-200mg Amitriptyline at bed time.
    • Question: Would removal of disc fragment and the other disc protusions benefit my condition? Also would further fusion with or without instrumentation be suitable. I do not wish to be on morophine and other pain killers for the rest of my life. I don't expect to be pain free but expect moderate relief, is this realistic?

  99. Robert (Nov 1 1999)
    • Describe patient's problem: Lower back injury(auto accident)herinated disks, have been recommended that I need a operation called Fusion, I need information on this procedure
    • Have you had spine surgery (when and name of surgeon)? yes, March 1997, MicroLumbar surgery
    • Has patient had a scan? yes, 2 ruptured disks, liquid apon nervs in spinal cord, scar tissue on nerves were seen befor relapse
    • What tests and treatment has patient had? mylagram, mri, electro shock treatment, physical therapy
    • Question: I need an explanation on what is a Fusion Procedure's, whats the best, what are the risks, and what other options might I have.

  100. Anonymous (Oct 28 1999)
      I AM 35 YEARS OLD. WHEN I WAS A CHILD I HAD OSTEOMYLITIS (AGE 9). THROUGH THE YEARS MY BACK HAS GIVEN ME MORE AND MORE TROUBLE. I HAD A WRECK IN 89 AND SAW A CHIROPRACTOR. HE SAID HE WANTED TO USE MY SPINAL XRAYS TO SHOW AT A CONFERANCE!! BUT HE DIDN'T HELP ME. IN 1995 I HAD OPEN SPINAL SURGERY FOR RUPTURED DISK AT L5. BUT TODAY I AM SUFERRING AGAIN. NOW I HAVE SEVERE PAIN OVER THE CREST IN MY HIP AND INTO THE GROIN AND LEG. I ALSO HAVE HAD SOME SHOOTING PAINS THROUGH MY BLADDER AND DOWN INTO THE PELVIC FLOOR. I DIDN'T REALIZE TECHNOLOGY HAD COME SO FAR. WOULD I BE A CANIDATE FOR THIS PROCEDURE.....

  101. Anonymous (Oct 26 1999)
      In May of l998 I had surgery on the above mentioned discs. The surgeon put two screws on one side and three on the other side.
      The middle of my back is starting to bother me occasionally now. Is this because of the other surgery or is it related in any way. Also , I still have leg pain the weather is cooler or rainy. Why is this?

  102. John from England (Oct 26 1999)
    • Describe patient's problem: Constant pain in lower back. L4/L5 region. Regular muscle spasms in back and left leg, sometimes leaving me unable to stand or walk. Gradually deteriorating.
    • Have you had spine surgery (when and name of surgeon)? Yes, Jan 1995 and July 1997. Both operations were open lumbar discectomys.
    • Has patient had a scan? Not since the most recent surgery in July 1997.
    • What tests and treatment has patient had? Recently received Physiotherapy following severe back pain leaving me bedridden for 7 days.
    • Question: As I am only 29 years of age, is there anything that you can suggest to help my situation, as I am concerned about the continual decline in the mobility within my back, and I seem to be going around in circles with our health authority.

  103. Remondet from Louisiana (Oct 24 1999)
    • Describe patient's problem: First Surgery Aug 98--Herniated disc and bone replacement from bone bank. Severe pain for 1 year.July 99-- Second Surgery--removed spir- bone replacement from her pelvic. Still in Severe pain. At present, she is in Hospital. The only relief from pain is with Morphine. MRI and x-rays show nothing. One Dr says it could be scar tissue.
    • Question: Is there a treatment for Scar tissue tightening around the nerves? Could this cause severe pain after back surgery?

  104. Anonymous (Oct 17 1999)
      About 6 months ago I had surgery for a herniated disc. I have lived with sciatica for over a year, and I am still in severe pain. The doctor said he had no other treatments he could offer after everything he tried. I was wondering if there are and kind of medicines, vitamins, supplements, or treatments that I could do to relieve the pain. There has to be something. Please write me back if you can give me any information, thanks.

  105. Joanne from Massachusetts (Oct 12 1999)
    • surgeon: ALREADY HAD A LUMBAR SURGERY, NOW HAVE DEVELOPED RSD, I WOULD LIKE TO KNOW ABOUT THIS SURGERY, HOW ITS DONE, SCAR, RECOVERY TIMES, THE DR IS RECOMMENDING I HAVE A "SYMPATHECTOMY" I HAVE ALREADY HAD 2 SYMPATHETIC BLOCKS, BUT THEY ONLY LASTED UP TO NINE DAYS.PLEASE TELL ME WHAT TO EXPECT FROM THIS SURGERY.
    • surgery: 1/99
    • tests: BLOCKS

  106. More Email coming soon...


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