Brief Answer:
Your symptoms don't seem to be related to the back spine surgery

Detailed Answer:
Hello!

Thank you for asking on HCM!

I understand your concern, and would explain that your symptoms don't seem to be related to the back spine surgery.

It is normal sometimes to have leg and back pain after back surgery. Back surgery doesn't make miracles with the pain. Physiotherapy is needed to help with the chronic back pain.

Regarding low blood pressure is often a short term complication after spinal surgery (related to anesthetic use or related to cervical spine surgery, due to damage to the spine regions responsible for blood pressure).

Have you measured your blood pressure during these episodes?

You should carefully monitor your blood pressure during sitting and standing up position. A decrease in your systolic blood pressure more than 20 mm Hg, would be indicative for orthostatic hypotension.

It is important to perform a complete check up, to possibly find the cause related to your symptomatology.

I recommend consulting with the GP for a careful physical examination, a chest x ray, resting ECG and some lab blood tests:

- complete blood count (for chronic anemia)
- thyroid hormone levels
- cortisol plasma levels
- fasting glucose
- blood electrolytes
- kidney and liver function tests, etc.

A Head up tilt test is needed to exclude possible orthostatic hypotension.

If all the above tests result normal, a consult with the ENT specialist would be necessary to exclude a possible inner ear implication.

Regarding the leg pain, I recommend performing a lumbar spine CT scan and a nerve conduction study, to examine better if the pain is just a chronic back pain, not related to any disc herniation, or it is a recidivant hernia (herniated disc often make recidives which need repeated surgery).

Hope to have been helpful!

I am at your disposal for further questions whenever you need!

Best wishes,

Dr. Iliri

---