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    Old 12-06-2006, 06:18 PM   #1
    cheeto3
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    Scar Tissue ???

    My Doctor left a message for me today to tell me that my MRI shows that I have scar tissue that could be causing my Sciatica Pain. She is sending the MRI report to my Neurosurgeon and I will go in to see him and find out what he has to say.Has anyone else had scar tissue from a previous surgery (I had a discectomy L5/S1, 3 years ago) and had ongoing pain? I have better days but bouts of a few days to a week or two of not being able to do much other than rest and take my pain meds.I do exercise pretty much every other day or if I can every day doing core strengthening exercises.
    Thanks in advance for any input.

     
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    Old 12-06-2006, 09:01 PM   #2
    avglenn
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    Re: Scar Tissue ???

    I had an Orthopedic dr. tell me all my pains were coming from the large amount of scar tissue encasing the S1 nerve from a previous Micro-d. He told me there wasnt anything I could do about it. And even though I get pain at that area now and then, I get it on the other side too, and into both legs. On my mri it showed the disc above was torn through, and I asked him if this could be a pain generator, he told me again , No its from scar tissue. So not convinced I saw a spine specialist NS who said the pains are from discogenic pain and I would need a 2 level fusion, which I declined to do ....for now. But my days are tough where I cant get around a whole lot, but I can still walk for a limited amount of time. Well thats my story of scar tissue anyways. G/L

     
    Old 12-06-2006, 09:51 PM   #3
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    Re: Scar Tissue ???

    I have had three surgeries at same level of back. two laminectomies and final surgery was fusion. They say that problems I now have are due to scar tissue. From what I've been told is any time they cut you it is inevitable that you will have some scar tissue. I was told, if they cut you again to remove scar tissue they would only create more scar tissue and risk worsening a already bad situation. Hope your neurosurgeon can give you some help. Maybe there are other tests he can perform to make sure the pain you are feeling is from scar tissue at the level where you had surgery. Good luck and try to keep occupied. I find that when I am too inactive it only makes matters worse. Sorry I couldn't give you better news than that but you asked
    and This is my story.

     
    Old 12-06-2006, 10:02 PM   #4
    ejreiss
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    Re: Scar Tissue ???

    Just thought I'd add to my previous post. I said there may be other tests they can perform to insure pain is from scar tissue. My orthopaedic doctor sent me for what he called a selective nerve root injection. They inserted a camera guided catheter type needle into my lower back and injected a contrast dye directly into nerve root. On the computer monitor I actually watched during the procedure and I could see the dye running thru the nerves. You could tell were the scar tissue was because no dye flowed thru the point were I had surgery. It was obvious that the scar tissue was pressing against the nerve at that level of my back. It really was a relatively easy procedure and not much pain at all.

     
    Old 12-07-2006, 04:57 AM   #5
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    Re: Scar Tissue ???

    Hi , I have had 3 back surgery's also. Laminectomy / fusion L4-L5 and 2 revision surgery's because a non-union and scar tissue problems. I had this ripping feeling going down my leg , my surgeon ask me if he could try this new device thats a skin like material that covers the Dura where the nerves are to protect it from scar tissue. I had this done and it took that pain away in my thigh but I still had it in my legs and feet. I just recieved a selective Nerve root injection and it took 80% of my leg and feet pain away.

    But yeah I have problems with scar too. I would get another opinion from other Doc's just to be sure thats all whats wrong with you.
    Good Luck and hope everything works out with you.

     
    Old 12-07-2006, 05:01 AM   #6
    shawley
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    Re: Scar Tissue ???

    [QUOTE=ejreiss]Just thought I'd add to my previous post. I said there may be other tests they can perform to insure pain is from scar tissue. My orthopaedic doctor sent me for what he called a selective nerve root injection. They inserted a camera guided catheter type needle into my lower back and injected a contrast dye directly into nerve root. On the computer monitor I actually watched during the procedure and I could see the dye running thru the nerves. You could tell were the scar tissue was because no dye flowed thru the point were I had surgery. It was obvious that the scar tissue was pressing against the nerve at that level of my back. It really was a relatively easy procedure and not much pain at all.[/QUOTE]
    Hi I had the injection also whats next with you ? What are they doing next?
    I'm curious what there going to try next with me , they wanted to implant the spinal cord stim in my back , but since this shot is helping me I have no clue whats in store for me.

    Thanks for your help

     
    Old 12-07-2006, 01:15 PM   #7
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    Re: Scar Tissue ???

    shawley,
    Since they have determined I have scar tissue and nerve dame about three years ago they have done basically nothing for me. The pain management doctor said I would be a great candidate for a spinal stim and that was going to be my next step and I was ready to go thru with it. They sent me for some stupid psych test which took about three agonizing hours to complete. The psychologist then determined that I was extremely depressed. Duhh I could of told you that before the three hour test. She then said I would not be a good candidate and they refused to do the spinal stim. I felt like telling her let me stick a knife in your a!! and you can walk around with it for three years and tell me if you don't get a little depressed. Still have stabbing burning pain in calf still have pain in buttocks have more pain now in lower back than prior to all three surgeries, can't sleep well can't walk well can't sit long can't even lay still enough to sleep in same bed as my wife as it keeps her up. Now am seeing pm doctor and all he does is give me sixty percs a month and says if you need any more take an advil like any other person. Trying like every month to get him to put me on long acting pain med so I can at least have a somewhat functional life. Laying around is just to damn depressing and these doctors don't understand that I need more pain control than this to function.

     
    Old 12-07-2006, 07:51 PM   #8
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    Re: Scar Tissue ???

    I guess I am one of the lucky ones with scar tissue. I had a discectomy of the L 4-5 in 2002. About 12 weeks post op the pain came back. I had all the tests, did the Pain Management thing etc. My original surgeon acknowledged I had scar tissue but was not sure that was causing my problem. After about a year I was leaning so far to the left my kids were calling me Pisa (as in leaning tower). I was lucky enough to have a friend who knew a Neuro surgeon who agreed to take a look at me. He told me surgery was an option with a 50% chance of relief. Being a gambler I went for it. The incision was a little to the side of my first surgery. As quoted from my surgery report they identified the nerve at each end and slowly removed the scar tissue until it became clear it was no longer safe (scar tissue looks like nerve caseing is my understanding). He also removed some loose fragments and opened the foramen a little. I was also told the disc was in fine shape and my scar was a result of me healing too quickly (about 10% of us do that). The scar tissue did return but but not to the point where it is causing constant pain. I now coach basketball and play a not so good game of golf. As long as I do not over do it I am OK. I do take an anti inflamatory daily and absolutly cannot sit in a hot tub or put any heat on my back. It is my understanding that this make the scar swell and in my case pinch the nerve off again. Ice is my savior. I do know they are experimenting with a drug by the name of Oxiplex/SP as a scar tissue retardant. Maybe this could be an option if surgery is required. Good Luck to you.

     
    Old 12-08-2006, 04:45 AM   #9
    shawley
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    Re: Scar Tissue ???

    [QUOTE=ELDERPANTHER]I guess I am one of the lucky ones with scar tissue. I had a discectomy of the L 4-5 in 2002. About 12 weeks post op the pain came back. I had all the tests, did the Pain Management thing etc. My original surgeon acknowledged I had scar tissue but was not sure that was causing my problem. After about a year I was leaning so far to the left my kids were calling me Pisa (as in leaning tower). I was lucky enough to have a friend who knew a Neuro surgeon who agreed to take a look at me. He told me surgery was an option with a 50% chance of relief. Being a gambler I went for it. The incision was a little to the side of my first surgery. As quoted from my surgery report they identified the nerve at each end and slowly removed the scar tissue until it became clear it was no longer safe (scar tissue looks like nerve caseing is my understanding). He also removed some loose fragments and opened the foramen a little. I was also told the disc was in fine shape and my scar was a result of me healing too quickly (about 10% of us do that). The scar tissue did return but but not to the point where it is causing constant pain. I now coach basketball and play a not so good game of golf. As long as I do not over do it I am OK. I do take an anti inflamatory daily and absolutly cannot sit in a hot tub or put any heat on my back. It is my understanding that this make the scar swell and in my case pinch the nerve off again. Ice is my savior. I do know they are experimenting with a drug by the name of Oxiplex/SP as a scar tissue retardant. Maybe this could be an option if surgery is required. Good Luck to you.[/QUOTE]Thank you , I had no idea scar tissue swelled under heat. Now I know better to put ice on it instead of heat.

     
    Old 12-08-2006, 05:17 AM   #10
    shawley
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    Re: Scar Tissue ???

    Ejreiss , why do you have to take a psych test for a spinal stim ? My PM Dr and surgeon wants me to get the stim .

    The pain you have sounds like the pain I have. I just had a selective nerve root injection that worked pretty well. After Facet injections / epidurals and everything under the sun that didn't help me, the injection right on the nerves roots helped alot. I still have the back and hip/buttox pain but the feet and legs are almost all gone. You should check on that injection.
    I didnt believe in steroids at all , matter of fact if you read some of my old post , I warned people how steroids are bad for the body.

    Depression ? Yeah I would think I was really depressed. Thanks to this shot and my good friend who got me out of this house . I wouldn't of survived this life. I know your feeling it sucks to be in pain all the time. I also take percocets and morphine for my pain , now that the pain is less I have to get off these things. I still have pain sitting and laying in my legs and feet , and when I walk or stand it's in my back.

    Have you wondered what the future holds for you now that your back is wacked ? I only ever worked labor jobs all my life , now my Dr. tells me I will never be able to do that kind of work. Now what ? Workers Comp wants to settle my claim . I told my attorney No , unless he gets me ALOT of money. Well now he's trying to scare me into settling , saying comp will drop my Medical and I won't get anything. ( lies ) they can't drop my Medical.
    My wife thinks I'll never be able to work . I think I can do some things , I might go to school for lock smith.. I guess we'll see what goes on with my back..

    Take care , and sorry I got into rambling here.

     
    Old 12-17-2006, 06:56 PM   #11
    ejreiss
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    Re: Scar Tissue ???

    Shawley-sorry I didn't respond to your questions earlier I must of forgot about this thread. Taking a psych test is pretty much normal procedure to pre qualify for the spinal stim. The way it was explained to me is that your psychological state of mind has a lot to do with how you interpret pain. In my case they didn't do the stim only because of the results of my psych test. You see they said I was depressed and if I had any difficulties with the procedure it might only make matters worse. I'd like to see them go thru what I've been thru and not be depressed. I would have liked to try this out as I have exhausted all other medical means. I worked labor jobs also. After my third surgery I was never right again. I can't sit or stand long. I can't walk long. I have constant pain which limits my sleep to a few hours here and there. They took me out of work and said I couldn't be retrained to do any other kind of job because of my extreme symptoms. Luckily they approved me for soc sec disability pretty quickly. If you can't go back to working your original job then there is a thing called vocational rehab which is a gov program designed for people in your situation. You may want to check with your lawyer but I think that work comp would be responsible for the difference in pay if you had to take a lower paying job. Whatever you decide I would recomend at least you try and do some sort of job, you'll go crazy without going to work. Unfortunately I have no choice But I wish I could do something. At least it would keep my mind busy. I don't think work comp can just drop your medical. The doctors have to say you've reached maximum medical improvement. In my case I will always need some sort of medical treatment and the courts demanded that work comp pays for all future medical treatment of back. All though they are responsible they always try and fight me and save a few bucks if I require anything. It's such a hassle.

     
    Old 12-18-2006, 11:33 AM   #12
    shawley
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    Re: Scar Tissue ???

    ejr , I don't know if I could work again , yeah I heard of the voc rehab but like you , I can't stand or walk without having pain , sure the injection helped , but even my pain manage Dr said it will be only temporary with me to have my pain lessoned. BUT I'm not counting out yet ! I been sitting in this house for over 3 years pulling my hair out. One thing I'm scared of , what if I find a job that I think I can do , only to be in pain and can't do it ? Workers comp can be real jerks when it comes to that , I'm asking for a reasonable settlement in my mind and if they can't give me the amount I want , this will drag on for years , I had a chiropractor tell me I'll never be able to work again , unless there's a job , I could sit and get up and walk around ,all at once. For now I'm waiting to fuse yet , and I don't see it happening...I see another (4) surgery in the future , not that I want it , I just want to fuse so I can get good enough to work. My education wasn't good at all , I guess you can say I'm not the sharpest pencil in the box thats why I labored all my life , I even had a hard time getting in the Infantry in the Army..Thats the easiest test to take , but put a ruler or tools and I'm pretty good , I used to do alot of lifting thats how I got hurt.

    Tomorrow I go for my MRI with contrast , I hope they find whats wrong with me..Other than non-union.

    Take care

     
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