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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Back Pain After Lower Back Surgery?

I have HAD LOWER BACK SURGERY (SIATICA) ABOUT Seven MONTHS AGO. Now my back hurts more than when I had the surgery. I have had 5 back injections. About 5 months ago it disappeared for about 1 week than it started getting worse. Why did it leave for 1 week and then return. My legs are numb and is getting worse. I walk but less and less. I also have had triple bypass surgery; two months after the back injury. What is going on?
Wed, 30 Jul 2014
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case.

You may need to do MRI spine again to see for nerve compression

If you’re new MRI shows disc bulge with nerve compression then surgery may help.
Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it.
If there is instability then fusion with fixation may help.
As per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram.

For these symptoms analgesic and neurotropic medication can be started.
Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.
Physiotherapy like ultrasound and TENS therapy will help
I will advise to check your vit B12 and vit D3 level.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.

Take care.


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What Causes Back Pain After Lower Back Surgery?

Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression If you’re new MRI shows disc bulge with nerve compression then surgery may help. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. If there is instability then fusion with fixation may help. As per your previous surgery of spine now there is possibility of discitis, which can be confirmed by MRI with contrast or CT myelogram. For these symptoms analgesic and neurotropic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help I will advise to check your vit B12 and vit D3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.