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Dr. Andrew Rynne

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Experiencing Pain After Spinal Stenosis Operation

Had spinal stenosis operation, but pain worsened after the surgery...pain is all over, moves around, but in several place at one time, from the top of my buttock down side of my leg, inter-leg, front and back of knee and in the calf, both front and back. Any ideas of why it is so bad after surgery?
Thu, 6 Mar 2014
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

The possible causes of persisting and aggravated pain following surgery are- potential injury to the nerves during surgery, persisting 'pinching' of the nerves and, inflammatory reaction of the nerves due to surgery.

MRI scan (and MRI angio, if required) should be repeated to reassess the condition post-surgery and identify the cause of persisting problems.

A short course of anti-inflammatory drug, such as, ibuprofen+paracetamol combination; nerve-pain-killers, such as, carbamazepine/Pregabanyl and Vitamin B12; a short course of steroids (in case of inflammation of the nerves) in high dose initially, with tapering of the dose gradually should relieve the problems.

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and will prescribe the advised drugs in appropriate doses.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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Experiencing Pain After Spinal Stenosis Operation

Hi there, Thanks for your query. The possible causes of persisting and aggravated pain following surgery are- potential injury to the nerves during surgery, persisting pinching of the nerves and, inflammatory reaction of the nerves due to surgery. MRI scan (and MRI angio, if required) should be repeated to reassess the condition post-surgery and identify the cause of persisting problems. A short course of anti-inflammatory drug, such as, ibuprofen+paracetamol combination; nerve-pain-killers, such as, carbamazepine/Pregabanyl and Vitamin B12; a short course of steroids (in case of inflammation of the nerves) in high dose initially, with tapering of the dose gradually should relieve the problems. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and will prescribe the advised drugs in appropriate doses. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal