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Foraminotomy, what are the issues (Scar Tissue?)

This is a discussion on Foraminotomy, what are the issues (Scar Tissue?) within the Spine-Related Conditions & Conservative Spine Treatment forums, part of the General Spine Discussion Forums category; Hello all. I have Stenosis I think between S1 and L5. Have had sciatica issues off and on for about ...

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    Default Foraminotomy, what are the issues (Scar Tissue?)

    Hello all. I have Stenosis I think between S1 and L5. Have had sciatica issues off and on for about 12 years... It has gone down and up....it went haywire in June and has calmed a bit but my quality of life has gone downhill. I know that I probably should have a foraminotomy and want to know if scarring is a big issue (my physical therapist suggest that with proper exercises scarring might be prevented or minimized. Now my entire back is a mess but nobody wants to touch the rest of it as fusing etc. can make my back much less stable than it is now, so a foraminotomy has been suggested and I have appts with some Neurosurgeons and Orthopedic surgeons. Just looking for what others have experienced.

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    Senior Member Gilbert P's Avatar
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    Default re: Foraminotomy, what are the issues (Scar Tissue?)

    Hey I had one and the scar tissue ,made me worse we nred to talk

    Gil
    L5-S1 lam 1994
    L2 to L5 DDD
    L3 -L4 hern Dec 2007.
    L4-L5 Annular fissure with mild central stenosis and moderate facet hypertrophy.
    L5-S1 bilaterial neural foraminal narrowing with inferior effacement.
    L2-L3 Right-sided neural foraminal narrowing
    L3-L4 related to posterolateral hypertrophic spurs and facet hypertrophy.
    C3-C4 limited DDD
    15 injections Depo. P.T. 18 months 9 dose packs,
    Nerve Block Injections.4 ESI S1
    L5-S1 Foraminotomy 09
    L4-L5 Microdiscectomy 09 ReHerniation 4-2010
    Surgery 6-29-11 L4-L5-S1 Decompression Fusion L5-S1 and Coflex F implants


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    Default re: Foraminotomy, what are the issues (Scar Tissue?)

    Quote Originally Posted by Gilbert P View Post
    Hey I had one and the scar tissue ,made me worse we nred to talk

    Gil
    Thanks Gil, I need to know what happened and if there are ways to avoid it (I know scaring is different for each person).

    Thanks again

    Joel

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    Founder / Administrator Justin's Avatar
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    Default re: Foraminotomy, what are the issues (Scar Tissue?)

    Hi Joel,

    Welcome to the Spine Patient Society.

    Quote Originally Posted by JRS11 View Post
    Hello all. I have Stenosis I think between S1 and L5. Have had sciatica issues off and on for about 12 years... It has gone down and up....it went haywire in June and has calmed a bit but my quality of life has gone downhill.
    I'm sorry to read that you have been dealing with spine issues. However, you are in the right spot for support.

    Quote Originally Posted by JRS11 View Post
    I know that I probably should have a foraminotomy and want to know if scarring is a big issue (my physical therapist suggest that with proper exercises scarring might be prevented or minimized. Now my entire back is a mess but nobody wants to touch the rest of it as fusing etc. can make my back much less stable than it is now, so a foraminotomy has been suggested and I have appts with some Neurosurgeons and Orthopedic surgeons. Just looking for what others have experienced.
    Unfortunately, we don't really have a "say" about how much scar tissue the body will produce. It is a natural reparative process that varies greatly from one Spine Patient to the next. However, superficial scar tissue can be manipulated and "broken up." The scar tissue that could potentially form around nerve roots post-operatively is another ball of wax entirely.

    Good luck with your neuro/orthopedic surgeon appointments. Please keep us posted--we are here to help!

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

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    Default Re: Foraminotomy, what are the issues (Scar Tissue?)

    Quote Originally Posted by Justin View Post
    Hi Joel,

    Welcome to the Spine Patient Society.



    I'm sorry to read that you have been dealing with spine issues. However, you are in the right spot for support.



    Unfortunately, we don't really have a "say" about how much scar tissue the body will produce. It is a natural reparative process that varies greatly from one Spine Patient to the next. However, superficial scar tissue can be manipulated and "broken up." The scar tissue that could potentially form around nerve roots post-operatively is another ball of wax entirely.

    Good luck with your neuro/orthopedic surgeon appointments. Please keep us posted--we are here to help!
    Thank you Justin

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    Moderator Cindylou's Avatar
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    Default Re: Foraminotomy, what are the issues (Scar Tissue?)

    Welcome Joel, Glad you found us. Sorry for the reasons, but this is a great supportive community with lots of folks in similar circumstances (some better, some worse) who can provide the support you are looking for. I will look forward to hearing the results as well, after your ortho appointments. That will get things started, and give you a diagnosis, which is also critical. I know sometimes I have felt like just screaming at the doctor: it hurts right here! Why can't you just figure it out and fix it! Seems like it should be so easy-peasy, to find the source (s) of a pain generator. I have since learned otherwise. However, that is not true for everyone's circumstances. A discogram is also a huge tool to help identify discs that are pain generators, so that may be something to mention at your appointments as well. Good luck! And I look forward to hearing from you again soon, Cindylou
    • 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

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