
Had Microdisectomy And Foraminotomy. Taking Neurontin For Pain. Reason For Constipation?

Your symptoms could be due to L4-L5 lesion.
Detailed Answer:
Hi, thanks for writing to XXXXXXX
All your radicular pain in the left leg may be related to the disc bulge at L4-L5 level.
Its a common finding to see on an MRI scan, having a remnant of disc material and scar tissue (epidural fibrosis) at the operated level. This is also to let you know that removal of the entire disc at the level of compression is not necessary, and only that part of the disc that is exerting pressure over the nerve need to be removed, which is termed as Bumpectomy. So, naturally one can see the remaining disc at that level.
In case of multiple disc protrusions, It solely lies on the judgement on the operating surgeon whether to perform single level or multiple level discectomies (which will be based on clinical examination correlated by MRI findings).
I suggest you to follow conservative management recommendations and look for improvement in your symptoms -
* Avoid lifting heavy weights as it imparts more strain on your back
* Avoid forward bending activities as it will worsen the disc protrusion
* Use a lumbosacral back support to augment your spinal muscles
* Intermittent pelvic traction to cause a regression of disc
* Maintain optimum body weight,if you are obese
* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
* Use analgesics ,muscle relaxants as needed. You can take daily supplements of Vitamin B12 also, as it a neurotropic vitamin.
I personally think that constipation may not be related to your disc problem. Take a General physician consultation for the same.
Hope I have addressed your query.
Regards


Second opinion will always be helpful.
Detailed Answer:
Hi, Nice to hear from you.
I personally think that there is nothing wrong in having a second opinion, if there exists a doubt. I suggest you to consult either an orthopedic surgeon (having experience in spinal surgeries) or a spine surgeon for the same.
Generally, no redo surgery is necessary at the same level within 3 months of the initial surgery. Also, the results of the revision surgery are always poorer than the first one (as it is technically demanding) and there is a possibility of a neurological injury that may lead to permanent damage. The complication rates are also higher in redo spinal surgeries.
There is a possibility of disc regression and improvement in your symptoms with the above mentioned recommendations being strictly followed. This may take anywhere around 6-8 weeks.
Hope I have justified your query. Good day

Answered by

Dr. K. Naga Ravi Prasad
Orthopaedic Surgeon, Joint Replacement
Practicing since :1996
Answered : 2148 Questions
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