Top
20
Doctor insights on: Back Pain After Lumbar Discectomy

Share
1

1
I am going for a lumbar discectomy 3 weeks after having a steroid epidural for back pain. Is this ok or shall I leave the epidural.?

I am going for a lumbar discectomy 3 weeks after having a steroid epidural for back pain. Is this ok or shall I leave the epidural.?

Right hand left hand: 1st i'd make sure both your surgeon and pain physician both know what the other doctor is doing. That always leads to best outcome. An epidural can be done before discotomy however if you're sure your having the surgery I'm not sure an epidural prior to would be of great use. Call both doctors' offices and let them know the whole plan! Read more

See 2 more doctor answers
Dr. Scott Tromanhauser
210 Doctors shared insights

Discectomy (Definition)

Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more


2

2
Mri shows herniated lumbar disc but no back pain only sciatica. Esi only lasted a few days. Chiro recommends discectomy. Any non-surgical options?

Mri shows herniated lumbar disc but no back pain only sciatica. Esi only lasted a few days. Chiro recommends discectomy. Any non-surgical options?

Non-surg back option: Physical therapy can benefit even long-term degenerative disc disease sufferers, aimed at muscle relaxation then equilibration, opening intervertebral disc spaces for discs to return to their normal shape, and physical pain relief. Tens units & licensed massage therapy help pain without side effects. Swimming helps strengthen back muscles without jarring or grinding down discs. Good luck! Read more

See 3 more doctor answers
3

3
Upper Sore spinal and back pain around L3 or L4 since lumbar discectomy ops for l5.s1 9 wks back. No fever or redness on wound. Pain radiates to front?

Upper Sore spinal and back pain around L3 or L4 since lumbar discectomy ops for l5.s1 9 wks back. No fever or redness on wound. Pain radiates to front?

Spinal surgery: Go back and see the surgeon who operated on you and be reassessed. There are many reasons why this may be going on. Read more

4

4
Is it normal to have right lower back pain after discectomy?

Is it normal to have right lower back pain after discectomy?

Not really: Not enough info for detailed answer: how long after? Many potential causes incl. scarring, other disc injury, QL spasm, SI inflammation or ligament injury, acute SI or lumbar vertebral dysfunction, etc. I recommend exam by a dr. Skilled in hands-on osteopathic diagnosis & manipulation - someone who can truly differentiate cause can give you the best answer Read more

5

5
I had a l4-l5 discectomy 5 months ago and still have lots of lower back pain in the mornings mostly, will it ever heal completely?

I had a l4-l5 discectomy 5 months ago and still have lots of lower back pain in the mornings mostly, will it ever heal completely?

Talk to your doctor: I counsel my patients that the primary goal of a discectomy is to relieve a pinched nerve, which thereby will relieve pain radiating down the leg. Relief of back pain is not the main goal of a discectomy, although sometimes we get lucky and the back pain does get better. Back pain can be much trickier to treat and surgery is often not the answer for that, so see your surgeon to discuss options. Read more

See 2 more doctor answers
6

6
It normal to have same pains 4 while after a discectomy-L4L5? extended standing/walking & after have the same back pain. 2 months since surgery, otherwise pain gone.

It can be as the: Surgery was to relieve predominant symptom of sciatica by removing disc portion compressing nerve but original disc is not normal & can sometimes not bear load as well as before it herniated so prolonged loads across it like sitting, standing & occ walking may bother it- active exercise including core strengthening, staying trim & not smoking can help. About 10% post disectomy have back pain. Read more

See 4 more doctor answers
7

7
How is a diskectomy different from a spinal fusion? What's the difference between a diskectomy and a spinal fusion? Is one better than the other for back pain relief? .

Discectomy: Discectomy is the removal of disk. Usually only small amount of disk which has leaked out of the disk space and is pinching a nerve is removed. Discectomy is done primarily for sciatica leg pain not for back pain. Recently surgeons have had success with endoscopic discectomy for treatment of back pan caused by degenerative disk disease with a rip in the disk (radial tear). Fusion surgery most of the disk is removed and cage/bone is put into the disk space. The vertebral bodies are held together with screws and rods. Over time the upper vertebral body fuse across the disk space to lower vertebral body forming "one big bone". Fusion surgery is the standard surgery for back pain. In the future endoscopic discectomy may replace fusion surgery for initial treatment of back pain from degenerative disk disease. Please see my health guides on endoscopic discectomy. Good luck! Read more

See 1 more doctor answer
9

9
I am having severe lower back pain and being told it is the scar tissue. I had two lymptomy and disctomy and have lose 51lbs what's next?

I am having severe lower back pain and being told it is the scar tissue. I had two lymptomy and disctomy and have lose 51lbs what's next?

Core strengthening: Congratulations on the weight loss- that is certainly a step in the right direction. Any issues in the spine cause decreased function of the core stabilizers. Surgery further decreases the function of these muscles. A good physical therapist can teach you how to functionally strengthen your transverse abdominus- and look at your muscle imbalances to give you an individualized program. Read more

See 1 more doctor answer
11

11
Had a laminectomy/discectomy more back pain after then fusion to fix it at l3, 4 now herniation at L5 should my dr just do a fusion now or a lam/discec?

Had a laminectomy/discectomy more back pain after then fusion to fix it at l3, 4 now herniation at L5 should my dr just do a fusion now or a lam/discec?

Depend on findings: I do not recommend prophylactic spinal arthrodesis. If you have a disc herniation at the l5-s1 level with associated radiculopathy associated with either the L5 or s1 nerve root that does not respond conservative care, then a decompressive laminotomy & dissecting may be indicated. If there is associated spinal instability with associated dominating lower back pain, an arthrodesis may be indicated. Read more

See 1 more doctor answer
12

12
After having a discectomy last year I am still getting sciatica and back pain. I ve had a nerve block but still get pain abs worse with a full bladder

After having a discectomy last year I am still getting sciatica and back pain. I ve had a nerve block but still get pain abs worse with a full bladder

Speak with Surgeon: Recommend speaking with surgeon to discuss your pain issues. While pain may be normal after surgery, sometimes when pain increases above normal status, then evaluation may be needed to make sure no complications has arisen. Otherwise seeing pain/spine specialist may provide more answers. Read more

See 2 more doctor answers
Dr. Brian Le Dr. Le
2 doctors agreed:
13

13
23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. What is my next treatment option? More epidural? Fusion surgery?

Dr. Brian Le Dr. Le
2 doctors agreed:
23m s/p l5-s1 discectomy w/ daily moderate-severe back pain & radiculopathy both leg. What is my next treatment option? More epidural? Fusion surgery?

Failed back: It appears that you have failed back syndrome. Please see a pain specialist for evaluation and treatment. You might benefit from additional therapy, medications, injections like epidural steroid injection or spinal cord stimulation. Read more

See 2 more doctor answers
14

14
I had a discectomy for L5 s1 almost 2 years ago. I still have low back pain. The doctor sees no reason for it and now I have tightness in my upper back. What should I do?

Post-discectomy synd: Patients need to remember that the main indication for a discectomy surgery is to relieve leg pain or sciatica. Most times, the back pain after discectomy is not debilitating and can be dealt with with exercise and medication. A smaller percentage of the time, the pain is more severe. The pain can be secondary to degeneration of the remaining disc, instability, adjacent discs or muscular. Read more

See 2 more doctor answers
15

15
I have back pain worsened by rest comfortable only by sleeping on stomach with pillow under hips. History of Crohn's and discectomy at L4, L5. AS?

I have back pain worsened by rest comfortable only by sleeping on stomach with pillow under hips. History of Crohn's and discectomy at L4, L5. AS?

Complex situation.: From your description, it is hard to know if your back pain is mechanical in nature or is perhaps related to your Crohn's disease. And yes, ankylosing spondylitis is a potential diagnosis also, although it is more common in men. I feel you should be seen by your doctor. I don't think we can do more than guesss on here without more reliable data. Good luck. Read more

17

17
How sucessfull are spinal fusions for reliving constant back pain. I had a discetomy of l4and L5 2years ago?

How sucessfull are spinal fusions for reliving constant back pain. I had a discetomy of l4and L5 2years ago?

Varies: By far the most important factor is patient selection. If the pain is very clearly coming from that disc and there is nothing else contributing, there is about a 90 percent success rate. But it can be hard in that there are often multiple things that can contribute to a persons back pain, and if they are not all addressed in surgery, they might still hurt despite surgery. Read more

20

20
Advantages and disdvantages of laser lumbar discectomy surgery?

Advantages and disdvantages of laser lumbar discectomy surgery?

If the selection: For such surgery is done properly it's advantage is that it can be done using MINIMALLY INVASIVE approaches (eg small incision "band-aid surgery")

Hope this is helpful
Dr Z Read more

Dr. M. Hytham Beck
177 Doctors shared insights

Diskectomy (Definition)

The term discectomy refers to an excision of all or part of a disc. The disc itself is a cartilage structure that is located between two vertebral bodies. Disectomies are typically performed to improve pain and/or function in a patient that had ...Read more


Dr. Heidi Fowler
4,729 Doctors shared insights

Back Pain (Definition)

Pain in the back is a symptom that can be due to a number of causes including musculoskeletal or neurological problems or due to problems ...Read more