Erfolgsstory einer L4-L5-Diskektomie zur Dekompression

Hi, I am writing this post in response to the hundreds of horror stories that I have read on these many forums. I am a 36 year old mate who had a L4 L5 decompression discectomy 4 weeks to the day.

A bit about me then, as I said I am a 36 year old male, 6 foot 2 and althletic build. I have served in the British Army in both Commando and Airborne sqaurdrons. I am now a Police Officer and have been for ten years now and work on the firearms teams. The reason I had a herniated disc was that I always pushed my body to the limits and just took pain killers when my lower back hurt. I can recall back to 2005 when I was blown up in Iraq to my back problems. I would just push through the pain still squatting and doing dead lifts even though my hamstrings where tight through my running i just wouldn't give in.

That is until last summer 2015, I picked up a sofa at work whilst wearing all my kit (body armour, pistol and magazines strapped to my legs). I should of asked for some help but being a stubborn man who could do anything physical of course I wasn't going to ask for help. As soon as I lifted it I felt a sharp pain in my hamstring in my left leg but I thought nothing of it as I have always suffered with some form of back or leg pain. After approximately 1 week the pain was even worse but I could still walk and complete my day to day tasks. I paid for physio and sport massages which seemed to help and I was back in the gym thinking everything was ok, just carrying on. I had sciatic pain constantly for approximately 4 months at degreeing levels until November 2016. Carried on as normal until a hard day at work and a chest infection, I have always been very guarded on how I cough and sneeze because of my herniated disc, it would hurt like hell if I wasn't careful. Went to bed and fell into a deep sleep, that was until a coughing fit in the middle of the night. As soon as I had finished I knew my back had gone but I thought it would get better, I laid in bed for 4 days on just my right hand side because that was the only position that didn't hurt. I couldn't stand up without having to dive back on the bed in such agony. I had to go to the toilet in a bottle because I just couldn't stand up.

After 4 days of this I had to phone for an ambulance because it was just getting worse and the GP would not come to me because I was not an emergency, yeah I know not been able to stand for 4 days is not an emergency. To get into the ambulance I had to slide off the bed on my right hand side and the same down the stairs and onto the bed at the bottom of the stairs. Got to hospital where I was given Co-codomol, tramadol and diazepam but still had the pain so I was given a bed.

Had a MRI scan after 7 days in hospital where it was found that I had herniated my L4 L5 disc so much that most of the disc was hanging out. I was told by the surgeon that surgery was the only way which I knew myself anyway because of the pain. I welcomed the surgery because physio, pain killers and sport massages would never of fixed my herniation. As you look through these forums you will read that some people think that dancing around a tree and rubbing cream on your back will solve the problem, a bulge can go back with the above help but an herniated disc even if the pain is under control will not go away once it has poured out, it doesn't miraculously go back. You can look through all the websites and there is very little evidence that a herniated disc will go back to normal but a bulge yes.

When I woke up from the operation I had no sciatic pain at all, the only pain I had was from the surgery. The surgeon was unsure if I needed a fusion but said that once I was open he would decide which I was happy with just to not be in pain anymore.

Once I was wheeled back to the ward I just wanted to get going and tried straight away to wee, but this took me around 3 hours to empty my bladder. The next evening I was able to stand up without any pain ( Don't forget that I haven't been able to stand for around 14 days by then). I got walking straight away using crutches which was hard at first because I had lost a lot of mobility from my left leg but I was determined to get going. I had the operation on the Wednesday afternoon and I walked out of the hospital using crutches on the Friday afternoon. I was still a bit sore but no sciatic pain. On the Sunday I was out all day walking around using the crutches which I paid for in the evening, I had done to much so it was pain killers and straight to bed. In the morning I was fine and just took it easy which I have been for 4 weeks now, I had to use both crutches for around 2.5 weeks than one for the rest of the week. I now walk with no crutches and walk fine with no pain. Because I was opened up to have fusion my lower back muscles where prized from my spinal so my recovery took a little longer than the Micro-discectomy.

Want I really want to say is be positive, I needed surgery there was no question of that. The hardest thing for me now is taking it easy because I just want to get back to the gym but I know Rome wasn't built in a day. I have changed my whole attitude to my herniated disc, my days of dead lifting and doing squats are OVER that is for sure. Once that disc comes out there isn't anything put in it place so be careful and listern to your body but be positive. I was told to not do anything for 6 weeks that includes driving, after 3 weeks I felt good to drive so everyone is different (still haven't driven though because of doctors orders). I have seen the physio who gave me some stretchs to do at home which help a lot so don't pay lip service to them do them even if you are out and about find some time, they don't take long. Mine are for tight hamstrings.

I am off the pain medication which I stopped completely which was a mistake because I couldn't sleep, after 3 days I was fine.

Keep moving it does help, stay positive. I do have a long way to go but so far so good and everyday I get a little bit better, I never want to feel sciatic pain again so I am doing want I am told.

I will update in another 2 weeks after I have seen my surgeon. But if you have had a positive experience please can you post it because there is a lot of doom and gloom out there.

Hi,I am into my 3rd year of being diagnosed with severe degenitive facet joint disease.

I'll have had physiotherapy, two hydrocortisone injections.Prescribed pain killers.

I am in constant pain I can sleep due to pain.When being mobile I lose the feeling in my right leg myGP told me I cannot have a operation even though being in constant pain and has advised me to see a psychotherapist to talk about my pain.

I have bought heat packs,creams and a back brace nothing works.

My job is effected by all of this as well.

As anyone got any suggestions what I do now.

Tolle Geschichte, Jim. Und gute Arbeit, dass du hier mit einer Erfolgsgeschichte dabei bist smile

Nur ein kleiner Rat. Im Juni 16 hatte ich einen großen Teil meiner L5S1-Scheibe entfernt. Zuvor hatte ich Ischias und Schwäche im Bein. Ich war ein begeisterter Radfahrer und gewohnt, meinen Körper bis zum Äußersten zu fordern, um bessere Zeiten bei Bergaufpassagen zu erreichen.

Ein paar Wochen nach der Operation war ich größtenteils schmerzfrei, aber vorsichtig. Immer noch viel Schwäche im Bein. Nach sechs Wochen konnte ich eine Stunde gehen und ein bisschen Rad fahren. Ich fühlte mich großartig und ging dann auf eine 90-minütige Wanderung in die Berge und radelte, als ich zu Hause ankam. Am nächsten Tag entwickelte ich starke Nervenschmerzen im Rücken, die noch sechs Monate später bestehen, allerdings allmählich nachlassen. Wahrscheinlich war dies auf eine oder mehrere der folgenden Ursachen zurückzuführen: eine kleine Hernie, zusätzliche Entzündung des Nervs und Bildung von zusätzlichem Narbengewebe.

Meine Lehre war, die Erholung viel vorsichtiger anzugehen. Die Aktivität langsam zu steigern. Wenn du etwas Neues ausprobierst, fange mit einer kurzen Aktivität an und steigere sie erst, wenn du weißt, dass du es sicher machen kannst, anstatt gleich mit vollem Einsatz einzusteigen.

Es ist großartig, dass es dir gut geht, aber sei dir bewusst, dass einige Dinge schiefgehen können, wenn du es übertreibst. Schmerz ist in dieser Situation nicht gleich Gewinn und einige Dinge, die passieren, wenn wir es übertreiben, können nicht unbedingt rückgängig gemacht werden.

Entschuldige, ich möchte nicht, dass du denkst, dass du dich nicht gut erholen wirst. Das ist es nicht. Ich bin sicher, dass du jede Chance hast, großartig zu werden. Nur ein freundlicher Rat von einer Person, die versucht, Schmerzen zu ignorieren, zu einer anderen. Erholung ist anders als Training, also versuche, geduldig zu sein und respektiere deine Grenzen, und du wirst die beste mögliche Erholung haben. Es lohnt sich, einfach mehr Zeit dafür einzuplanen, als du es zunächst schätzt. Ich hoffe, das hilft.

Morning Michael

Thanks for your reply, you are right about the recovery mate. I have been taking it easy as I don't think I could stand anymore sciatic pain. I have only been nerve pain free for 4 weeks after having it for just over a year until as I said above I couldn't stand up.

Did the surgeon give you anymore advice when you went back to see him or another MRI scan?

Was the pain you had after the cycling the same as before the op?

I had 10 to 15 percent of the vertebrae cut away (Decompression), did you have any cut away?

Sorry for the questions but I do not know anyone who has had a discectomy

If anyone is reading this post before surgery and is unsure if to go ahead or not I would say if you can stand the pain and get about then don't have it. If it is affecting you life like mine was then go for it.

Hallo Jim

Pre Op, ja, ich hatte eine Diskushernie. Ich hatte drei Monate lang Ischias und bin dann bei nassem Wetter vom Fahrrad gefallen. Dadurch ist die Bandscheibe gerissen. Dann bin ich den Berg wieder hochgefahren, den ich gerade heruntergekommen war, was zwei Stunden dauerte, sodass das Gel in der Bandscheibe stark herausgepumpt wurde. All das wurde bei der Operation entfernt. Es war das Gel, das die Lähmung verursachte, weil es eine sehr starke Entzündung verursacht, wenn es mit dem Nerv in Kontakt kommt.

Post Op, nach dem Spaziergang, war der Schmerz deutlich anders. Ich hatte zwar Beinschmerzen, aber die sind nach einigen Tagen größtenteils abgeklungen. Der Rückenschmerz jedoch nicht. Es hat Monate gedauert, bis er nachgelassen hat. Es war ein harter Weg, um ehrlich zu sein.

Ich habe zwei MRTs nach der Operation gemacht, aber es ist eine LANGE Geschichte herauszufinden, was schiefgelaufen ist. Mein ganzes Tagebuch ist hier

https://patient.info/forums/discuss/back-pain-returned-after-microdiscectony-531629

Einige davon sind ziemlich manisch. Zu meiner Verteidigung wurde ich mit Steroiden und Tramadol behandelt, und ich bin etwas durchgedreht, als ich in den Entzug kam.

Ich habe über das Urteil nachgedacht, ob man die Operation machen soll oder nicht. Es ist komisch, ich bin im Allgemeinen positiv darüber, da meine Operation ein Erfolg war, bis ich mich falsch erholt habe. Entscheidend war, dass ich keine Wahl hatte, da ich eine fortschreitende Lähmung hatte. Wenn meine Hernie vor dem Riss der Bandscheibe diagnostiziert worden wäre, ja, ich wäre mir absolut einig, dass ich die Chance gehabt hätte, meine Hernie mit einer konservativeren Behandlung zu beheben, aber das Schiff ist abgefahren, als ich vom Fahrrad gefallen bin.

Ich denke, der Punkt deines Beitrags steht trotzdem voll und ganz. Wenn es hart auf hart kommt, sollten sich die Leute nicht aufregen, wenn ihnen gesagt wird, dass sie eine Mikrodisektomie benötigen. Sie funktionieren im Allgemeinen gut.

Sorry Michael

I should of proof read the last comment before I posted it, very new to this sort of thing. I said I had some of the vertebrae cut away. I meant to say Facet joint, I had 10-15 percent of the facet joint sacrificed to get to my disc.

Hallo Jim

Ich bin mit diesem Verfahren ehrlich gesagt nicht vertraut.

Ich habe nur etwas von der Lamina herausgemeißelt, um die Scheibe besser zugänglich zu machen, aber das ist meiner Meinung nach ganz typisch. Ich hatte keine vollständige Laminektomie.

Wow Michael

I just read through your post and you have been through it mate. Your injury sound the same as mine and as my wife read the post she said. This sounds like you!!! I know. Thank you so much for all your information as this has stopped me in my tracks which is what I needed.

Jim

Hallo Jim

Freut mich zu hören, dass es hilfreich war. Wie ich sage, war ich manchmal etwas überreizt, also klinge ich beim Zurücklesen verrückt, aber das war ich irgendwie auch.

Jedenfalls wünsche ich dir die beste mögliche Genesung. Wenn ich mir selbst im Juli einen Rat geben könnte, würde ich es auf "ein bisschen auf einmal. Denke in Monaten, nicht in Wochen. Schätze einfach die zweite Chance, die dir die Operation gegeben hat, und wie du dich fühlst, entspricht nicht der Stärke deines Rückens!" reduzieren.

Cheers Michael

I have spent hours searching the internet for something positive and you have just done that for me. I was just itiching to get back with the lads at work and down the gym but I knew in the back of my mind to take it easy but I am not very good at taking my own advice.

Are you back riding your bike yet?

Jim

Wow Jim and Michael too.... these are the stories I have been searching for, real, honest stories not all the doom and gloom that terrified me (although still scared tbh) on that American spine site. Michael I am just about to read your full story so give me a bit and I'll reply to that. In the meantime, thank you for sharing and for your honesty which certainly will help me and am sure countless others. Jim, I think what I've to get is the same as you, the neurosurgeon in Glasgow said he would be cutting some of the bone out then removing as much of the disc as he can reach. To be honest, I was in shock looking back at the appointment and now have loads of questions that I didn't think to ask, I think what done it was him going over the MRI in such detail and outlining the extent of the damage, wish I'd thought to take a pic of the MRI on my phone but between pain, side effects of meds n shock that I really need surgery it was the last thing on my mind. He did say there will be opportunities to answer my questions when I go in. I saw my own gp on Friday who has added pain patches to my cocktail of meds, I tried the first one yesterday and it did give me a wee bit of relief. Can't keep it on longer than 12 hours and must have a 12 hour gap between next one, he said not good long term but if it helps between now and surgery then that's good. I agree re option of surgery or not. This is significantly impacting on all areas of my life - I've been off work since end august, using a crutch, unbelievable amount of meds, can't sleep, pain really getting me down and can't drive any longer than 5 mins), I've had physio, acupuncture etc with no real effect, was referred to hydro but they don't want to touch me for fear of agravating things further before surgery. Coupled with the fact that neurosurgeon advised that there was a less than 5% chance of any further recovery without surgery. I haven't found a discussion like this and can't believe how much it's helping, although everyone am sure feels the same way, thank you.

Speak soon

Alison

Alison

My gp prescribed me pain patches on Friday, don't know if you have tried them? My fuller reply is in reply to jim I think if you want to read it? I'm new to all this so bear with.

From another Alison 😁

Hallo Alison

Froh, dass diese Diskussion geholfen hat.

Sind Ihre Pflaster Fentanyl? Ich rate mal, aber dieses Medikament wird normalerweise so verabreicht. Wenn ja, seien Sie vorsichtig, wenn Sie es absetzen. Es ist ein sehr starkes Opiat, sodass Sie Entzugserscheinungen bekommen werden. Wenn Sie abrupt absetzen, werden Sie sich schlecht fühlen, selbst wenn Ihr Rücken besser ist. Fragen Sie Ihren Arzt nach dem schrittweisen Absetzen dieses und anderer Medikamente. Das Absetzen von Tramadol kam für mich als großer Schock, und ich wurde nicht vorgewarnt, sodass ich keine Ahnung hatte, warum ich mich so schlecht fühlte.

Jedenfalls klingt es so, als könnte eine Operation das Richtige für Sie sein. In diesem Fall, wie ich schon sagte, denken Sie daran, dass die meisten Menschen gut damit klarkommen und nicht in Foren mit Problemen landen! Es braucht nur einen kleinen Prozentsatz der Tausenden von Menschen, die eine Mikrodiskotomie haben, um Foren mit Horrorgeschichten beschäftigt zu halten. Ich bin nur hier, weil ich den Anweisungen der Ärzte nicht wirklich gut gefolgt bin!

Hallo Jim

Ja, ein bisschen. Ich kann momentan etwa 30 Minuten auf flachem Gelände fahren. Aber ich bin es gewohnt, an Wochenenden 3-4 Stunden lang zu fahren, mit etwa 2000 Metern Steigung. Etwas in der Art ist noch ein looooonger Weg entfernt!

Die Fahrt, die mich mit dem Sturz erwischt hat, hatte mich nach meinem Sturz eine durchgehende Steigung von 1280 Metern, die fast 2 Stunden dauerte. Ich habe mir tatsächlich auch mein Becken verletzt und das tat am Tag selbst mehr weh. Erst am nächsten Tag setzte der stechende Schmerz in meinem Bein ein... aber keine Sorge, keine Kriegsgeschichten.

Afternoon Everyone

Glad this is helping because I was at my wits end reading people's bad experiences.

I have just come back from the local skate park with the kids and I spoke with two Dads. One had sciatic problems but was not effecting his life and the other had a open discectomy 8 years ago and feels totally fine and has had no problems. ( I Just seem to tell everyone now because I want to see if anyone else has had this surgery and I am quite shocked on how common it is) This just reaffirmed what I thought. If someone has had a good experience and has not thought about their surgery they just put it to the back of their mind and forget about it and never search through the thousands of forums.

I started searching because the decision like Michael's was quite clear cut. Surgery or have further trouble. It wasn't until I come home and actually looked through the internet that I came across my worse nightmare. Not back to the gym not back to working on the firearms cars. But then I thought I don't have the problems that all these people are saying they are having, so I thought I would try and put some ease back into your decision.

I am only 4 weeks out from surgery but so far so good, absolutely no sciatic pain in my left leg just surgery soreness but I have to keep telling myself. Jim you have had your lower back muscles pulled away from your spinal of course it will be tender. Again I would say this is not painful and I do not need to take pain killers it is just a reminder to myself.

Jim

Alison

I was say the same as Michael, I just went cold turkey off of my morphine that I took home (Longtec 25mg and shortec 5mg) because I did not need them and I found that I couldn't sleep. This lasted only 3 days for me and I am fine now.

Jim

Gute Kommentare Jim. Das habe ich auch festgestellt. Viele Menschen haben eine Operation hinter sich und sprechen einfach nicht darüber.

Zur Heilung, es geht nicht nur um den Muskel, vergiss das nicht. Die Bandscheibe selbst muss sich über das Loch im Anulus mit Narbengewebe verschließen und das muss mit der Zeit verhärten. Außerdem gibt es viel weiches Bindegewebe, das sie durchtrennen müssen, um das Stück der Bandscheibe zu entfernen. Schau einfach mal auf YouTube, um zu sehen, wie viel Kollateralschaden sie bei dieser Operation anrichten müssen. Es ist nicht ernst, aber es braucht Zeit, um wieder in Ordnung zu kommen. All das in einem Bereich mit sehr geringer Blutversorgung, sodass die Heilung langsam ist. Nicht wie ein Schnitt am Daumen :p

Cheers Michael

You are so right

Jim

Yes, I would agree completely.....people who have surgery and then recover and get on dont tend to be the people posting on sites so there is bound to be a concentration of negative, difficult stories out there. However, we are here because we are sharing the reality of it and the ups and downs and setbacks of it all which is so helpful.

The patches are lidocaine patches, not so sure that they go deep enough to the nerve however, I did feel yesterday that I was a bit easier and that nerve pain wasnt just as severe.

I don't know about yous but every day is different for me, some days the nerve pain is running right down my leg, other days its worse in my calf or my thigh, then other days its mostly in my lower back. I have a definate weakness now in my left leg, it never quite does what I want it to and find that i am a bit clumsy at times. I cant raise my big toe and dont have much strength in that either. I do still get really deep muscle spasms down my thigh usually when I first wake up or stand up however the Gabapentin and Baclofen have really reduced this pain. I think the worst for me is that I can't get back to work or plan ahead, its hard to keep good mental health when this is all going on and I can totally understand feeling depressed at times.

thanks again

Alison

Hallo Alison

Wenn du Schwäche im Bein verspürst, würde ich vorschlagen, dich für eine Operation vorzubereiten. Schädigungen der Motorikfunktion sind anders als Schmerzen. Im schlimmsten Fall können Schmerzen mit Medikamenten etwas gelindert werden. Aber es gibt keine Medikamente, um die Motorikfunktion wiederherzustellen. Wenn du diese verlierst, musst du den Druck auf den Nerv lösen, sonst wird es schlimmer. Und die Wiederherstellung der Motorikfunktion dauert sehr lange. Ich bin 6 Monate postoperativ und meine Motorikfunktion in meiner Wade ist viel besser als vorher, aber noch nicht vollständig wiederhergestellt. Ich kann gerade so eine Zehenhebung mit meinem linken Fuß machen, aber nur gerade so. Ich habe immer noch eine sehr kleine linke Wade (34 cm Umfang vs. 38 cm auf der rechten Seite). Außerdem scheint die Wahrscheinlichkeit der Genesung mit der Dauer zu korrelieren, in der der Nerv unter Druck stand. Nicht in meinem Fall, da ich zwei Wochen nach dem Einsetzen der Lähmung operiert wurde. Aber das stand in der Literatur, die ich gelesen habe. Die Wiederherstellung der Motorikfunktion kommt nur von der Heilung des Nervs, und die sind veeeeery langsam, wenn sie einmal Schaden genommen haben.

Und Lidocain ist eine viel klügere Wahl als Fentanyl!