História de sucesso de discectomia de descompressão L4 L5

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.

Ótima história, Jim. E bom trabalho em compartilhar uma história de sucesso smile

Só um conselho. Tive uma grande parte do meu disco L5S1 removido em junho de 2016. Eu tinha ciática e fraqueza na perna antes. Eu era um ciclista entusiasta e estava acostumado a exigir muito do meu corpo em busca de melhores tempos em subidas, etc.

Algumas semanas após a operação, eu estava quase sem dor, mas sendo cuidadoso. Ainda havia muita fraqueza na perna. Aos seis semanas, eu podia caminhar por uma hora e pedalar um pouco. Sentindo-me ótimo, fui então fazer uma caminhada de 90 minutos em uma montanha e pedalei quando cheguei em casa. No dia seguinte, desenvolvi uma dor nervosa severa nas costas que ainda está presente seis meses depois, embora gradualmente diminuindo. É provável que isso tenha sido devido a uma ou mais das seguintes causas: pequena hérnia, inflamação adicional do nervo e acúmulo de tecido cicatricial adicional.

Minha lição foi levar a recuperação muito mais cuidadosamente. Aumentar a atividade lentamente. Se você tentar algo novo, comece com um pouco de atividade e aumente gradualmente uma vez que você saiba que pode fazê-lo com segurança, em vez de mergulhar de cabeça com tudo o que você se sentir inclinado.

É ótimo que você esteja indo bem, mas apenas esteja ciente de que algumas coisas ainda podem dar errado se você exagerar. Dor não é ganho nesta situação e algumas coisas que acontecem quando exageramos não podem necessariamente ser revertidas.

Desculpe, não quero fazer você pensar que você não vai se recuperar bem. Não é nada disso. Tenho certeza de que você tem todas as chances de fazer um ótimo trabalho. Apenas um conselho amigável de uma pessoa que tenta ignorar a dor para outra. A recuperação é diferente do treinamento, então tente ser paciente e respeitar seus limites e você terá a melhor recuperação possível. Vale a pena apenas permitir mais tempo para isso do que você pode estimar inicialmente. Espero que isso ajude.

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.

Oi Jim

Pré-operatório, sim, tive um disco rompido. Tive ciática por cerca de 3 meses e depois caí da minha bicicleta no molhado. Isso rompeu o disco. Depois, pedalei de volta para cima da montanha de onde havia descido, o que levou 2 horas, então o gel no disco foi muito bombeado para fora do disco. Tudo isso foi retirado na cirurgia. Era o gel que causava a paralisia porque causa uma inflamação muito severa quando entra em contato com o nervo.

Pós-operatório, após a caminhada, a dor era significativamente diferente. Tive dor na perna, mas isso diminuiu depois de alguns dias. A dor nas costas não. Isso levou meses para melhorar. Foi um caminho difícil, para ser sincero.

Já fiz 2 ressonâncias magnéticas pós-operatórias, mas é uma HISTÓRIA LONGA tentar descobrir o que deu errado. Todo o meu diário está aqui

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

Algumas coisas estão um pouco caóticas. Em minha defesa, fui colocado em esteróides e Tramadol, e fiquei bastante louco quando estava em abstinência após tomá-los.

Estava pensando no julgamento sobre ter ou não a cirurgia. É engraçado, sou geralmente positivo em relação à minha cirurgia, pois considero a cirurgia um sucesso até eu ter errado minha recuperação. Crucialmente, não tive escolha, pois tinha paralisia progressiva. Se minha hérnia tivesse sido diagnosticada antes de eu romper o disco, sim, concordo totalmente que gostaria de ter a chance de corrigir minha hérnia com um tratamento mais conservador, mas esse navio já partiu quando caí da minha bicicleta.

Acho que o ponto do seu post está totalmente correto. Se as coisas chegarem a esse ponto, as pessoas não devem entrar em pânico se forem informadas de que precisam de uma microdiscectomia. Elas geralmente funcionam bem.

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.

Oi Jim

Não estou familiarizado com esse procedimento, para ser sincero.

Eu só tive um pouco da lâmina esculpida para tornar o disco mais acessível, mas isso é bastante típico, AFAIK. Não tive uma laminectomia completa.

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

Oi Jim

Fico feliz em saber que foi útil. Como eu digo, eu estava um pouco sobrecarregado em alguns momentos, então lendo de volta eu pareço insano, mas eu estava.

De qualquer forma, eu realmente espero a melhor recuperação possível para você. Se eu fosse aconselhar a mim mesmo em julho, eu resumiria como "um pouco de cada vez. Pense em meses, não em semanas. Apenas aprecie a segunda chance que a cirurgia te deu e como você se sente não corresponde a quão forte suas costas estão!

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 😁

Oi Alison

Fico feliz que esta discussão tenha ajudado.

Seus remédios são fentanil? Estou adivinhando, mas esse medicamento geralmente é administrado dessa forma. Se for o caso, tenha cuidado ao parar de usá-lo. É um opioide muito potente, então você terá sintomas de abstinência. Se você parar de repente, vai se sentir terrível, mesmo que suas costas estejam melhores. Pergunte ao seu médico sobre como reduzir gradualmente essa e qualquer outra medicação. Parar de tomar Tramadol foi um choque enorme para mim, e eu não fui avisado, então não tinha ideia do porquê me sentia tão mal.

De qualquer forma, parece que a cirurgia pode ser a melhor opção para você. Nesse caso, como eu disse antes, lembre-se de que a maioria das pessoas se sai bem e não acaba em fóruns com problemas! São apenas uma pequena porcentagem dos milhares de pessoas que fazem microdiscectomia que mantêm os fóruns ocupados com histórias de terror. Eu só estou aqui porque não segui muito bem as instruções dos médicos!

Oi Jim

Sim, um pouco. Consigo pedalar cerca de 30 minutos em terreno plano no momento. Mas eu estava acostumado a pedaladas de fim de semana de 3 a 4 horas com ~2000m de subida. Qualquer coisa parecida ainda está longe!

A pedalada que me derrubou, com a queda, me fez subir continuamente 1280m logo após minha queda, o que levou quase 2 horas. Na verdade, machuquei o quadril também e isso doeu mais no dia. Foi só no dia seguinte que a dor esmagadora na minha perna realmente se instalou... enfim, não há necessidade de histórias de guerra.

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

Bom comentário, Jim. Foi o que eu também encontrei. Muitas pessoas já passaram por cirurgia e simplesmente não falam sobre isso.

Quanto à cicatrização, lembre-se de que não é apenas o músculo. O próprio disco precisa selar o buraco no ânulo com tecido cicatricial e isso precisa endurecer com o tempo. Além disso, há muita tecido conjuntivo macio que eles cortam para remover o pedaço do disco. Dê uma olhada no YouTube para ver quanto dano colateral eles têm que causar nesta operação. Não é sério, mas precisa de tempo para voltar ao normal. Tudo isso em uma área com um suprimento muito baixo de sangue, então a cicatrização é lenta. Não é como um corte no polegar :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

Oi Alison

Se você estiver sentindo fraqueza na perna, eu recomendaria que você fizesse a cirurgia. O dano na função motora é diferente da dor. No pior cenário, a dor pode ser gerenciada de alguma forma com medicação. Mas não há medicação para restaurar a função motora. Se você estiver perdendo isso, você deve aliviar a pressão no nervo ou piorará. E a recuperação da função motora leva muito tempo. Estou há 6 meses pós-operatório e minha função motora na panturrilha está muito melhor do que antes, mas ainda não está de volta à força total de forma alguma. Agora consigo fazer um levantamento de dedos do pé no pé esquerdo, mas só isso. Ainda tenho uma panturrilha esquerda muito pequena (34cm de circunferência vs 38cm no lado direito). Além disso, as chances de recuperação tendem a correlacionar-se com o tempo em que o nervo esteve sob pressão. Não no meu caso, já que fiz a cirurgia 2 semanas após o início da paralisia. Mas foi o que a literatura que li disse. A recuperação da função motora só vem da cura do nervo, e eles são muito lentos para se curar uma vez que sofreram danos.

A lidocaína é uma escolha muito mais inteligente do que a fentanila!