The marina del rey health cast, featuring the s of marina del rey . Alright Chang let’s go back to the calls. A lot of people want to ask you questions about their individual back and spine problems. Let’s go out to Eleanor, who is next up with David Chang Hi, Elenore. Hello.
Hello, how are you? I had.extensive, spinal surgery last, a year ago, february. I had a rod, a cage, the .between the vertebra. And it’s postoperatively a year and couple of months. I’m having residual pain for my .down my back . A lot on the right side, a little on the left side.
It’s been pretty overwhelming. I can walk, but I can’t stand for very long. And a little bit better, but still have the major problem. I’ve been told it, nurse that need to regenerate. But I’m a little concerned and ofcourse is debilitating. Can you give me any, more information, is there any out there that can help me get over this sooner?.
So, eleanor, it sounds like you’ve had a fusion surgery, probably coupled with a laminectomy to help decompress those nerves. So, couple issues: 1. In doing the fusion surgery, I think we’ve got to make sure that we have test the document that, that fusion has taken. So, to speak that, one bone has fused to the other. If that bone has not, or that displace, or that joint has not fused, potentially there’s still some micromotion there, that could potentiate irritability, and instability, and irritate the nerves around that joint.
And therefore persist and cause you that radiating leg pain. It’s also possible, that, that fusion area is fused, and maybe analgesic level. A level above or the level below, that fusion area is now beginning to degenerates and develop maybe some nerve compression, otherwise known as stenosis. And to evaluate that, generally, you talking about getting an MRI or a CT myelogram to help evaluate the nerves adjacent levels. Yes. That actually has been done, and it doesn’t appear .furthure damage.
The seems quite happy with everything. But I’m not. So, I’m still having this ongoing problem. And Eleanor, your surgery was how long ago? A year ago, february. So, 1 year and 3 months.
And, so, there’re times when sometimes those nerves do take a long tome to rehabilitates. I think, early we had a call about, sometimes patients have pain, and they don’t want to do anything about it, And they just put it off for a long time. Maybe 6 months, maybe a year, maybe severals years. If we don’t get to the nerve soon, sometimes we were left with some permanent nerve injury,.
That we won’t know about it, until after the surgery has been carried out and we give you the requisite time to heal. Now, most of my patients, I tell them after a year, wherever deficits they have, they’ve usually left with. But having said that. I’ve had patients come back and tell me, maybe 2 or 3 years later, that it took that much more time, for those nerves to really heal and rehabilitate. Sometimes that’s it with the use of other medications like Nuronten or Lyrica. And these medicines are nerves stabilising type medicines, that really help mitigate the sensitivity or the nerve pain or those nerves endings.
Sciatica or sciatic neuralgia is a common condition in which one of the spinal nerve roots of the sciatic nerve is compressed resulting in lower back, buttock and leg pain. Sciatic nerve is a large nerve derived from 5 spinal nerve roots: L4, L5, S1, S2 and S3. It runs from the lumbar spine through the buttock down the leg and the foot on the posterior aspect. There is one sciatic nerve on each side of the body. Typically, only one side of the body is affected. A typical sciatica pain is described as a.
Sharp shooting pain in the lower back, down the buttock, thigh and leg on one side of the body. There may also be numbness, burning and tingling sensations. The pain can get worse with sitting, moving, sneezing, or coughing. The patterns of pain depend on which nerve root is compressed, and follow the dermatome distribution. The most common cause of sciatica is a herniated spinal disc. The spinal disc is a soft elastic cushion that sits in between the vertebrae of the spine. With age, the discs become rigid.
And may crack, the gellike center of the disc may protrude out and become a herniation outside the normal boundaries of the disc. Disc herniation presses on the nerve root as it exits the spine. In majority of the cases the condition resolves by itself after a few weeks of rest and conservative treatment. Pain relief, nonsteroidal antiinflammatory drugs and muscle relaxants may be prescribed. Stretching exercises and physical therapy may be recommended. Surgery may be needed if the pain doesnt.