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10 weeks post op, Atrophy and weakness not yet improving??

This is a discussion on 10 weeks post op, Atrophy and weakness not yet improving?? within the Rehabilitation Support & Postoperative Questions forums, part of the Surgical Outcomes category; There is an argument to the effect that running does benefit one's discs. It keeps them moving and so lubricated ...

  1. #21
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    There is an argument to the effect that running does benefit one's discs. It keeps them moving and so lubricated since they have no blood supply of their own.

    I also wonder whether your arguments apply to the cervical spine as well as the lumbar spine.
    Left arm radicular pain, muscle wasting and weakness of triceps, wrist extensor, pectoral muscle.
    C6-C7 herniated disc, left foraminal stenosis, impingement on left C7 nerve root
    C5-C6 disc degeneration, loss of disc height, spondylosis, mild to moderate central canal stenosis, bilateral moderate foraminal stenosis.
    May 6 Prestige ST at C6/C7

  2. #22
    Moderator Cindylou's Avatar
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    Before all my back problems started, back in the day when it was only my "one bum knee," every orthopedic doc I saw told me to stop running....too much impact on my very arthritic knee. (I took a bad fall skiing in college on a black diamond, my last day, last run, natch....had to have mcl repair and most meniscus removed in Utah where I was skiing.) The only doc who told me I could still run was a runner himself. I took the advice of the ones who said to stop. It just plain hurt too damn much to run on it and it made sense, all that pounding just couldn't be good. Just my own 2 cents.
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

  3. #23
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    I would certainly agree that if it hurts, stop. If anything causes pain then stop--don't even wait until there is too much pain.

    But I am more concerned with the question what to do when it does not hurt? What to do when it feels quite good?

    Quit anyway because all that pounding can't be good? Quit anyway because running contributes to DDD?
    Left arm radicular pain, muscle wasting and weakness of triceps, wrist extensor, pectoral muscle.
    C6-C7 herniated disc, left foraminal stenosis, impingement on left C7 nerve root
    C5-C6 disc degeneration, loss of disc height, spondylosis, mild to moderate central canal stenosis, bilateral moderate foraminal stenosis.
    May 6 Prestige ST at C6/C7

  4. #24
    Moderator Cindylou's Avatar
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    That's the million dollar question. No doubt, thumoeides. I would like to use the old addage....all things in moderation, however, it just seems like some of us were born to play harder with our bodies through out the years. We just can't help ourselves....it's how we're wired. We never knew what "sit still" meant. But, the sad fact is, the piper always has to be paid. Now, not all of us with spine injuries have had traumatic accidents to contribute to our demise. Sometimes, it's just DDD, plain and simple and the aging factor. But, I would venture to say if it feels good, by all means, do what you love. Who wants to live in a glass house? Not me. Life is for living.
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

  5. #25
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    Well of course the reason not to do what causes pain is because pain is a sign of damage. Spine damage is far from the only problem that can be caused by exercising improperly, whether that means too much or with the wrong form or while ignoring an injury. People who are obsessive about exercise, or anything else for that matter, and so ignore the limits will doubtless suffer damage.

    But surely exercising the right amount with the right form relative to one's own limits is good. Isn't there a piper to be paid for those who sit still?

    As I understand it 50% of all human beings have DDD by the 40th decade, and 95% of all humans have DDD by the 60th decade. For most it is asymptomatic. But if that is true, it seems anyone running in their 40s is playing odds that only get worse as one gets older.

    Which is what leads me back to the question whether the argument that running is good for DDD is just nonsense? All that pounding is necessarily bad for everyone?
    Left arm radicular pain, muscle wasting and weakness of triceps, wrist extensor, pectoral muscle.
    C6-C7 herniated disc, left foraminal stenosis, impingement on left C7 nerve root
    C5-C6 disc degeneration, loss of disc height, spondylosis, mild to moderate central canal stenosis, bilateral moderate foraminal stenosis.
    May 6 Prestige ST at C6/C7

  6. #26
    Moderator Cindylou's Avatar
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    Isn't there a piper to be paid for those who sit still? Exactly! I'd like to think so, but then I've been living with a man, hubby, for over 20 years who has hardly exercised a day in his life, and has not one pain in his body. Unbelievable. But then I joke with him that it will be the silent killers that take him when his day is up! haha We're kinda sick that way with our humor. I have a son who is an elite athlete: triatholons, marathons, half iron-man's, full iron-man's. Just missed the cut for Bejing Olympics. (rower, at the time) I so worry about all the pounding he may face down the road, even though he cross-trains. But try telling a 20 something that they are doing something excessive with exercise. To him, he's in nirvana, at the top of his game. Only time will tell what demons he may face with all this pounding, but I can't see him doing anything else. This is his passion. :thumpup:
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

  7. #27
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    The piper can be very patient.

    But I keep wondering, could all that pounding be good? Might it keep the joints, and the spine, well lubricated from the motion and so prevent, or at least ameliorate, DDD and osteoarthritis?
    Left arm radicular pain, muscle wasting and weakness of triceps, wrist extensor, pectoral muscle.
    C6-C7 herniated disc, left foraminal stenosis, impingement on left C7 nerve root
    C5-C6 disc degeneration, loss of disc height, spondylosis, mild to moderate central canal stenosis, bilateral moderate foraminal stenosis.
    May 6 Prestige ST at C6/C7

  8. #28
    Moderator Cindylou's Avatar
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    Quote Originally Posted by thumoeides View Post
    the piper can be very patient.
    bingo!
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

  9. #29
    Senior Member Katie's Avatar
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    Life just doesn't seem fair at times. I have a sister-in-law who is a fitness instructor, and past national level figure skater. She just got back from Afghanistan where she was giving hard core fitness training to the troops, eight to ten hours a day. I don't think anyone could be leaner or meaner looking after six months of that.

    She is beating her body up much more than I ever did, and she has not one rotten ache in her body, other than a few sore muscles I guess her body is much more patient than mine, and she is only a few years younger. While it's not right, I get frustrated every time we're together, as I have the feeling that she thinks I'm over exaggerating my pain. I guess you can't understand when you've never experienced a serious pain in your life.

    But like horses, conformation plays a big role in how sound we stay. With my poorly put together skeleton, I would have ended up at the glue factory a long time ago if I had four legs instead of two
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  10. #30
    Senior Member KanRunMo's Avatar
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    Default Re: 10 weeks post op, Atrophy and weakness not yet improving??

    I certainly understand the "why me" question. I have friends who do the opposite of all suggestions from medical advisors, i.e. one does not eat anything all day until supper/dinner time and then eats very fatty foods like steak, fries, gravy etc. She doesn't do any cardio. But she is thin, very active, is mentally acute etc. I've tried to follow all the best medical advice and yet I've had several health problems as well as back problems. It's OK to wonder but keep up the positive outlook too.
    Diagnosis:
    Degenerative disc disease throughout spine
    Generalized disc bulging with mild narrowing of thecal sac in L2-L3, L3-L4, L4-L5, L5-S1.
    Moderate spinal stenosis L4-L5
    Foraminal narrowing
    Recent compression Fx at T10,T11.
    Treatment:
    Spinal decompression 2007
    Cortisone injection in lower back in 2010
    Relieved of pain for now
    Hope for ADR

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