Dor no quadril após fusão espinhal

I have had a spinal fusion on 4 levels which was done in 2 stages.  First stage the surgeon went into my spine sideways and replaced 2 discs with cages and then 2 weeks later went through my back and put another cage, 2 plates and 8 screws.  I am pleased to say that I no longer have lower back pain but I can only stand and walk for short periods of time as my back tightens up and I get pain in what seems to be my right hip.  Has anyone had similar and do they know what it is?  

Fused 4 levels L3 through S1.  Have had hip pain over time when I walk "funny".  Very common to change your gait when you've been in pain (back, hip, knee, etc.).  See a chiropractor.  You may have a misalignment of your hips or a locked SI joint. A few weeks ago, I woke up with a level 10 hip pointer.  Turned out to be my quadratus lumborum (QL) muscle.  Two sessions plus a massage fixed that one up quickly.  Start with a chiro.  Not invasive and NO DRUGS.  A lot of this pain can be alignment related.

If the chiropractor can't help, then back to the neuro or ortho to find the root cause of the problem.  With your back like that (mine was too), I'd think it's more alignment and/or musculature.  Easily fixable.

Yr still very early post op when standing yr back is using all ur muscles to support u , you will still be very bruised sore and swollen inside , its going to take time , arnica tablet from holland and Barrett £4 heal you from the inside out

Oi chiko espero que esteja bem, eu só queria ver se você poderia me ajudar com o que está acontecendo agora.

Como você sabe, tive uma fusão L4/5 há 14 anos e sofro de dor crônica desde então. Isso levou a um cisto aracnoide torácico T2-6 com compressão da medula espinhal e agora degeneração cervical com múltiplos espinhos ósseos e discos protusos, especialmente em C6/7, e leve lordose.

Eu sofro de espasmos musculares crônicos no rombóide e trapézio e minha perna esquerda está dormente com fraqueza há 4 anos. Faço injeções nas articulações lombares e sacroilíacas a cada 4 meses e agora estou fora de todos os remédios, só tomo diazepam e gabapentina quando não aguento mais.

Desculpe por falar tanto, mas é aí que muda, na última semana algo aconteceu com minha parte inferior das costas, parece que está se soltando de mim, mal consigo ficar em pé e andar é excruciante. Meu quiroprático disse que algo mudou desde a última vez que me viu há uma semana. Agora estou ficando dormente na parte inferior da perna direita, lado do pé e dedo, que acho que é S1 e ciática em ambas as pernas 😕 Estou com medo de algo ter acontecido com a fusão.

Fiz uma ressonância magnética há 4 semanas, mas ainda não tenho os resultados, mas meu médico solicitou uma ressonância magnética de emergência. Estou com tanto medo de cirurgia, já que sofri 14 anos sem respostas da minha fusão. Você tem algum conselho enquanto espero os resultados?

Ah, e também estão me encaminhando para testes de EP e EMG, obrigado

Advice?  Yes...drink heavily...only kidding...but maybe I made you laugh...

My only experience with sciatica down BOTH legs is when my neuro found stenosis at L2/L3 last year.  Eight months into a knee replacement recovery and it just completely knocked me down.  Didn't get it all figured out for a while.  MRI showed it in late November, a CT/Myelogram with contrast confirmed it in January, and a pain shot to L2/L3 double-confirmed in February.  Took until the end of March 2017 to get the surgery to fix it (surgeon coordination required).

Neuro told me I had two choices.  Option A was to open my back, pull all the L3 to S1 metal and re-fuse me L2 to S1.  Ten days in the hospital plus six months of back brace and rehab.  Or...

Option B: a LATERAL Lumbar Intervertebral Fusion (LLIF). A General Surgeon goes in from your SIDE (lateral) and clears a path to your spine through the muscles and moves "stuff" out of the way.  The Neurosurgeon then goes in, destroys the disk, puts the "device" in place, cranks it open with an Allen wrench, backfills it with a bone graft from your hip and backs away from the table.  The General Surgeon does the close.  All finished in 90 minutes.  One night in the hospital, ZERO rehab.  

Thank you...I'll take one from Column B, please...

Result: Immediate stenosis relief (all the pain was gone when I woke up), speeding down the hallways, climbing up and down PT stairs.  See the attached pix.  You'll clearly see the "device" above my old fusion; the lateral picture shows how the neuro cranked the posterior edge open further than the anterior edge to maintain spine curvature.  

If you have single-level stenosis, this cures it in a heartbeat.  You just need the diagnosis and then find a neuro who's done a thousand of these.  He'll know the GS to call.  Search YouTube for "globus lateral" to see a cute animation of the procedure.

Hope this helps...

Hahaha sim, você me fez rir... obrigado

Isso parece ótimo e eu mencionarei isso ao meu médico de família e ao quiroprático na próxima vez que os vir. Não tenho certeza se meu cirurgião apreciaria a sugestão de LLIF, mas nunca se sabe, ele pode me surpreender, no entanto, é hora de pesquisar um cirurgião que conheça bem esse procedimento.

Estive escalando as paredes neste fim de semana de tanta dor, então espero obter algumas respostas em breve, manterei você atualizado.

Obrigada pela sua ajuda, eu realmente aprecio, espero que você esteja tendo um ótimo dia 😊

I had surgery L4-S1 with cages in April 17. I was really active before and trying to get there again but my body won’t let me get very far. I notice my hips still ache, especially at night. I asked my doctor~ doesn’t seem concerned. Any thoughts? I do believe it’s 200% I proved however if I try to run, pain in my right glut very high. Dr thinks my hamstring but I know better. It’s my hips that really bother me.

Pode ser onde eles retiraram o enxerto ósseo para sua fusão, já ouvi dizer que a dor aqui pode ser tão ruim quanto a dor nas costas, se for esse o caso, pode levar um tempo para se acalmar, boa sorte😊

Oi Diane,

Eu adoraria saber como você está se sentindo 8 meses após a operação. Eu tive uma fusão lombar de 3 níveis há 6 semanas e estou sofrendo de dor no quadril, e um dos meus joelhos também dói agora. Os quadris parecem machucados e doem o tempo todo. O pior problema é uma dor como um choque elétrico que vem do ponto onde a articulação da coxa encontra o quadril no lado de fora da minha perna direita e irradia em direção à virilha. Pode acontecer sem motivo aparente quando estou sentada, em pé, caminhando ou apenas alcançando algo de uma certa maneira.

O fisioterapeuta diz que é apenas muscular, mas parece mais que os quadris não estão alinhados corretamente. É o meu lado bom que está me causando o maior problema agora.

Meu problema é semelhante ao que você teve? Obrigado.

Diane 35061,

I had L4 L5 disc replacement and not quite a month out now I am suffering with pain in both hips. It feels like my hip joins are out of wack. I cannot walk for very long and sleeping is horrible. When I do sleep, I cannot pull my legs up without bad pain waking me at the new disc site. I am now seeing others in the same boat. Any advice?

Consulte seu médico ou fisioterapeuta sobre uma cinta para articulação sacroilíaca (você pode comprá-las na Amazon). Isso pode ajudar a apoiar suas articulações enquanto você se recupera, mas verifique primeiro. Também fiquei deitado por um ano e melhorei significativamente e em um curto espaço de tempo indo para a piscina e apenas caminhando para cima e para baixo e de lado a lado para começar, mas novamente, por favor, consulte seus médicos.

É muito cedo e pode levar meses a um ano para se recuperar, o que não acho que os médicos realmente preparem você para isso. Mencionei à Sherry sobre uma cinta sacroilíaca? Só verifique com o fisioterapeuta ou médico antes de fazer qualquer coisa e também ir à piscina apenas para caminhar suavemente, mesmo que seja por alguns minutos de cada vez, mas novamente, verifique primeiro. Também os packs de gelo são muito bons :blush:.

Hi Madeleine,

Have only just seen your post. I'm not too good to be honest.  I have a flank bulge which is apparently due to nerves being cut or damaged during surgery.  This has caused my muscle in the lumbar wall on my right hand side to collapse as the nerves are no longer feeding the muscles.  They don't want to operate as this would be a serious operation whereby they would get a big piece of mesh and connect it to the muscle down the side of my spinal fusion.  This would go round my side and be connected to the bottom of my ribs and top of my hip.  It would then be taken round to my stomach muscles.  They would have to move the bowel and kidney to get behind them.  It is a very rare condition.  Guessing that this is why I have been struggling to walk and I still am.  My Neuro surgeon was very upset and has asked for a second opinion.  But I cannot walk very far without my back going into spasms, my hips become extremely painful and I have groin pain.  Just goosed basically and wish I could turn back the clock.  The prognosis for the bulge is not good as I have been told that there is nothing holding my guts in and could get to the size of a football.It is like living a nightmare.

        

Hi everyone and thank you for replying.  Sorry it has taken me so long to reply.  My problem appears to be the severance or damage to nerves which has caused a flank bulge.  Basically a break down of muscles on my right side due to the nerves not feeding into the muscle.  This has caused my fat and guts to move over rather like an enormous hernia as there isn't any muscle to hold things in.  I have seen a complex hernia guy with his plastic surgeon.  He has called it a breakdown due to denervation.  Nothing that they can do really.  Would mean an enormous and serious op to attach mesh to the muscle in my back at the side of my spinal fusion, to attach it then to the bottom of my ribs and top of hip and to take forward to attach to stomach muscle in an attempt to keep everything in place.  To attach it to the stomach muscle apparently will mean my bowel and kidney moving.  If it had been spotted earlier, there might have been a chance of reconnecting the nerves.  When it appeared shortly after the op, I mentioned it to my physio who said that it was a knot in my muscle and started doing deep massage which the hospital has admitted would have made things worse.  He now no longer works for them as he also had me doing excessive exercises and they found that there were several failings in various areas by him and not just in my case.  My neuro surgeon is asking for a second opinion from a surgeon who he obviously trusts.  In the meantime, I have been told that this bulge can get as big as a football and cause me pain.  It is getting bigger and is starting to cause discomfort.  I can walk very little, have severe nerve pain in my hips and groins.  It is a nightmare and I just wish that I had never had the fusion. 

Omg Dianne, isso é absolutamente horrível, venho fazendo pesquisas há anos devido à dor crônica que sofri por causa de uma fusão falhada e nunca me deparei com nada parecido. Espero que você se recupere logo e seja bem cuidada dessa vez.

Por favor, mantenha-nos atualizados sobre seu progresso, enviando abraços 🤗 

I’m going through this very thing right now. I feel like I’m being stabbed with an ice pick on the outside of my right hip. I feel sore, bruised and at all times. I had l4 l5 S1 fusion in 2013 now this…

Sooo, its about four in the am. had repair of a repair back surgery. Heres the tally:
Second surgery: 07 March 2022

8 hours, 2 surgeons, 41 screws, 1 wedge, plates and baskets with Lamifusion from T-4 to L-5 (how ever many that is)

Guys, I was in excellent mental, physical, and emotional condition prior to all this going down. Since surgery I have experienced a depression the likes of which I have only read. The pain has been an exquisite, never relenting, journey through hell. And now my hips hurt so ferociously I often times cannot walk. Is this normal? Ive been back to surgeon but no one seems to have answers. Can someone please help me? I am not up at 0400 hours writing this because of boredom. At this point I have been up through the night because it hurts so bad to turn simply turn over.

I will take all advise to heart. Please help me.

Yes, exquisite right hip pain. Becoming worse.
-3 spine surgeries last 20 months
-Fused T10 to S1
-68 screws
-6-6" rods from Fractured Sacrum to Iliac Crest
8 months since last surgery

-Pain in right hip down to big toe is becoming unbearable
-Stopped prescription meds 3 months ago
-right leg gives out at times
-Pain so exquisite causing me to yell out at times
-Sleep ~2-4 hours each night
-Cannot turn over in bed
-Walking near impossible without a walker
-Wake up to a daily ass whooping and lay down with a determination to make it through the night.
-Talk myself into standing from sitting as pain is beyond anything i’ve ever known
-Walk daily
-Always have been very active
-Have had cortizone injections in hip

What can be done? How can pain be minimized?

Olá,

Também tive uma fixação e fusão duplamente instrumentada.
Infelizmente, os meus 2 discos estavam muito deteriorados para cages.
Ainda estou sofrendo com dores na parte inferior das costas, quadril e pernas. Principalmente quando estou em pé ou sentado por muito tempo, inclinando-me para frente ou subindo escadas.
Agora estou vendo um consultor diferente que acha que a dor pode estar vindo da articulação sacroilíaca e está olhando para resolver isso. Eu me pergunto se sua dor também vem de lá?

Olá,
Eu sinto essa dor tipo choque elétrico, como se estivesse sendo atingido por um tiro, após minha fixação e fusão com dois instrumentos.
Meu consultor disse que isso vem dos nervos que são cortados durante a operação tentando se reconectar (se isso faz sentido?!). Basicamente, as extremidades nervosas estão “Faiscando”.
Isso realmente parece ser assim e até me faz gritar quando acontece!