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  • Sciatica, course of action?

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    Old 03-22-2021, 04:03 PM   #31
    Titchou
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    Re: Sciatica, course of action?

    Neuro...whoever works on the Buckeyes!

     
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    Old 03-28-2021, 08:54 AM   #32
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    Re: Sciatica, course of action?

    Awaiting my consult on Thursday, no doubt will be some sort of decompression surgery based upon my MRI. Unfortunately my right leg is now more painful than the left. Pain in the glute down into the leg, aching, sharp pain when walking or trying to walk. Does anyone have success from this type of surgery? I see so many stories on the web, probably should ignore.

    This is a very large orth group with about 60 docs in all specialties, in house PT, surgery, MRI etc. with a good reputation. The docs have privileges at the local hospitals and yes even OSU. A number of my friends have had surgeries with them and my wife's hip fracture was done with these guys, so there is some comfort level.

     
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    Old 03-28-2021, 06:21 PM   #33
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    Re: Sciatica, course of action?

    Surgery is not going to be an option for me. And I would try to avoid it anyway! I think I can get good enough with PT, gym, chiro and maybe an inversion table. Im probably always going to have some tingling and those type issues. If surgery can't take care of everything, why do it? I'm 75...not signing up for any other surgeries unless necessary

     
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    Old 03-28-2021, 07:24 PM   #34
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    Re: Sciatica, course of action?

    I am at the point where I am not able to function because of the pain. I have to walk bent over to free up the trapped nerves in my spine and cannot walk much further than the mail box. If it were just tingling and some minor pain or numbness as I have had for quite awhile I would go on as is, but this is not the case. I think the consult that I have coming up will provide enough information to make a good decision. Thanks

     
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    Old 04-01-2021, 12:50 PM   #35
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    Re: Sciatica, course of action?

    As an update, today my wife and I had a consult with the spine surgeon who I chose to discuss my situation. He looked at my records, took a few additional x rays and thoroughly examined and questioned me. We went over the MRI findings at length and in particular the L4-L5 segments, one of which showed severe stenosis, arthritis, or healing of previous damage. This was very evident to all of us. He explained and proposed the standard decompression surgery which would be a single laminectomy performed by removing the top and bottom of the lamina and leaving the center portion in tact and connected. He would clear out this area as well as some foraminal narrowing that might be impinging the nerves. There would be no fusion required and he felt this would be the extent of the surgery needed. We also talked about steroid injections in lieu of surgery, a portion of this process that I have skipped for several reasons. One of which being my initial Orth doc viewing the MRI and stating that he didn't feel injections would be of value in this situation. After much discussion we scheduled surgery for April 12th, this could be as outpatient if done early in the day and no problems arose. I look forward to getting this behind me with a good out come.

     
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    Old 04-01-2021, 04:28 PM   #36
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    Re: Sciatica, course of action?

    keep us posted!

     
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    Old 04-19-2021, 08:03 PM   #37
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    Re: Sciatica, course of action?

    I had my surgery early this morning, laminectomy to investigate the stenosis that was found on my MRI. I did not speak to the doc but my wife did and apparently there were several nerves that were trapped by bone. As I understand it he took the lower part of L4 and the upper part of L5 to gain access and repair or decompress what was needed, thus sparing most of the lamina. This was not minimally invasive surgery as I have about a 3" incision on my lower back, however it was not particularly painful as he did a long lasting nerve block. I preferred him getting a good look rather than using a scope for a birds eye view anyway. After eating lunch, urinating, walking the length of a football field, and climbing stairs I was released to home late afternoon. I have taken a couple of Tylenol at this point but the pain is very minimal and I have walked around outside and chatted with neighbors this evening.

    The good news is that the intense burning pain while walking I have had in both legs that had gotten worse for the last three months is gone. This had relegated an active senior citizen to the sofa and little else. The left which was most painful is as new, the right which was not quite as bad is a bit achy, but neither of them hurt like the devil after two steps and I can now walk without pain to the mail box and beyond. I realize the results could change, but so far so good. Just wanted to share.

     
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    Old 04-19-2021, 11:12 PM   #38
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    Re: Sciatica, course of action?

    Wow...utterly impressed with the fact that you had surgery today and are now walking and free of pain!
    I wish you a really smooth recovery...try not to overdo 😊

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    Old 04-20-2021, 04:53 AM   #39
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    Re: Sciatica, course of action?

    Good deal!

     
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    Old 04-20-2021, 07:38 PM   #40
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    Re: Sciatica, course of action?

    Spoke to the surgeon today who explained what he found within the vertebrate in question. Ligamentum Flavum trapping nerves along with arthritis and bone within the foramina that he cleaned out decompressing things. Sort of waiting to see if his write up is posted on the patient portal. I have a final appt. in a couple of weeks to remove sutures. Walked a mile and a half today, the first day after surgery without issue. Just a little discomfort from the surgical site but little else. Thanks for your wishes.

     
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    Old 05-04-2021, 09:50 AM   #41
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    Re: Sciatica, course of action?

    I am two weeks post partial L4-L5 laminectomy for spinal stenosis and saw the surgeon today for a check up. An X-ray was taken and he showed me the partial lower section and partial upper section removal of the lamina in question and he explained the decompression techniques used. Looked at reflexes and leg strength and asked how things were, pain etc. I mentioned a bit of right upper thigh pain on twisting or standing and he suggested this may be an irritated nerve root from the surgery and to keep him advised, but he felt it would resolve. I am walking 3 miles a day and he encouraged me to keep that regime up, the more the better is the direction. No heavy lifting, twisting, lawn mowing etc. for another month till my next appt. Essentially all is going well, just thought an update would be of interest, thanks.

     
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    Old 05-04-2021, 04:07 PM   #42
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    Re: Sciatica, course of action?

    Good report!

     
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    Old 05-06-2021, 10:41 PM   #43
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    Re: Sciatica, course of action?

    That's amazing... and awesome you're doing so well.
    Taks good care continuing your recovery.

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