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Debilitating pain 3 weeks after herniated disc surgery (discectomy)?

This is a discussion on Debilitating pain 3 weeks after herniated disc surgery (discectomy)? within the Surgical Outcomes forums, part of the Spine Surgery Forums category; I can barely type this 3 weeks after surgery because of the uncontrollable pain. I had a herniated disc fixed ...

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    Default Debilitating pain 3 weeks after herniated disc surgery (discectomy)?

    I can barely type this 3 weeks after surgery because of the uncontrollable pain. I had a herniated disc fixed and a foraninotomy on L4/L5. I am taking 6-8 Percosets a day. Now my leg is burning too.Doc said 5 days ago pain was not normal, did another MRI and said there was nothing serious! What the heck is going on?Surgery seems like the worst mistake I've ever made. I can't stop thinking I will never recover. Have decided a second opinion is in order.I am in Massachusetts.If anyone has anything to add please let me know. Any reccomendations for good surgeons in my area? Thanks folks,Betty

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    Senior Member Gilbert P's Avatar
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    Default Re: debilitating pain 3 weeks after herniated disc surgery 9discectomy ?)

    Hi Betty

    Try to see another doctor to get another opioion

    All The Best

    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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    Moderator KBear's Avatar
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    Default Re: debilitating pain 3 weeks after herniated disc surgery 9discectomy ?)

    Welcome Betty. I have zero experience with the surgery you had, so I really don't know what to expect post op. That said, it does sound like your symptoms are pretty extreme after, so I would follow up with another doctor and make sure it's really 'normal.' It is common after spine surgery to have an increase in symptoms, ie. leg pain when you hadn't had it before, nerve pain, more pain, etc. It may be nothing, but I would err on the side of caution and get an opinion or two more.
    Kathy
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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    Default Re: debilitating pain 3 weeks after herniated disc surgery 9discectomy ?)

    Hi Kathy, thanks for the response. I will see my doc tomorrow. I have my fingers crossed. I just want my life back. Whats your experience with this whole back thing?

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    Moderator KBear's Avatar
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    Default Re: debilitating pain 3 weeks after herniated disc surgery 9discectomy ?)

    Quote Originally Posted by Betty View Post
    Hi Kathy, thanks for the response. I will see my doc tomorrow. I have my fingers crossed. I just want my life back. Whats your experience with this whole back thing?
    If you look below my post, in my 'signature' you can see all the treatments I have done. Basically everything conservative known to man, I have tried.... epidural injections, facet injections, physical therapy, chiropractic, acupuncture, Idet surgery and so on. I did that stuff for 3 years with no success. I was referred to chronic pain management at 28 years old and told that there was nothing else that could be done for me. I then found a pain management doctor who told me about ADR. I had disc replacement surgery in March of 2009. It took 18 months to fully recover, but I am now pain free and expecting my 3rd child, something I was told would never be possible with my back. It's amazing after 4.5 years of pain to be pain free and I am so very grateful.
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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    Founder / Administrator Justin's Avatar
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    Default Re: Debilitating pain 3 weeks after herniated disc surgery (discectomy)?

    Quote Originally Posted by Betty View Post
    I can barely type this 3 weeks after surgery because of the uncontrollable pain. I had a herniated disc fixed and a foraninotomy on L4/L5. I am taking 6-8 Percosets a day. Now my leg is burning too.Doc said 5 days ago pain was not normal, did another MRI and said there was nothing serious! What the heck is going on?Surgery seems like the worst mistake I've ever made. I can't stop thinking I will never recover. Have decided a second opinion is in order.I am in Massachusetts.If anyone has anything to add please let me know. Any reccomendations for good surgeons in my area? Thanks folks,Betty
    Hi Betty,

    Welcome to the other side of spine surgery. Your post-op pain, this early out--3 weeks, sounds normal to me. The percocet is a short-acting medication for pain. You might want to have a conversation with your surgeon or pain management doctor (or whatever doctor is writing your pain medications) about a long-acting pain med. This long-acting med can be used every 12 hours and then the percocet would be used when you have "break-through" pain.

    Many Spine Patients have increased pain post-op.

    Can you describe the type of pain you are having (sharp, dull, pins and needles, burning, constant, intermittent, etc.?

    If the new MRI looks good and everything looks OK, I would suspect that you pain will decrease over time. Your body just went through a MAJOR surgery and it takes time for the pain to subside. Unfortunately, it's not an over-night thing to start to feel like yourself again.

    Please keep us posted.

    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 ProDiscฎ 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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    Moderator Cindylou's Avatar
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    Default Re: Debilitating pain 3 weeks after herniated disc surgery (discectomy)?

    Quote Originally Posted by Justin View Post
    Hi Betty,

    Welcome to the other side of spine surgery. Your post-op pain, this early out--3 weeks, sounds normal to me. The percocet is a short-acting medication for pain. You might want to have a conversation with your surgeon or pain management doctor (or whatever doctor is writing your pain medications) about a long-acting pain med. This long-acting med can be used every 12 hours and then the percocet would be used when you have "break-through" pain.

    Many Spine Patients have increased pain post-op.

    Can you describe the type of pain you are having (sharp, dull, pins and needles, burning, constant, intermittent, etc.?

    If the new MRI looks good and everything looks OK, I would suspect that you pain will decrease over time. Your body just went through a MAJOR surgery and it takes time for the pain to subside. Unfortunately, it's not an over-night thing to start to feel like yourself again.

    Please keep us posted.
    Hi Betty, I definitely agree with Justin. I was just wondering how your appointment went last week. Can you fill us in? Things should begin to calm down but I understand, it is the whole unknown of surgery that can be overwhelming and downright confusing....especially if your surgeon did not make you fully aware you could have increased pain after surgery. Please let us know how you are doing. We care. 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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    Default Re: Debilitating pain 3 weeks after herniated disc surgery (discectomy)?

    It's now been 30 days. I'm gettin worse.Saw my surgeon which I have little faith in now, and he just said that there's a small % of patient's that have this prolonged pain after surgery. BS! I now cannot walk or stand without unbelievable pain. I do get to the bathroom. I'm on Oxycodone and Oxycontin and Neurontin. I also now have surface nerve pain on my affected leg (dysesthesia). You can't believe what that's like.I have wrapped it in an ace bandage which helps a bit. I have another appt. for a second opinion with a doc at Beth Israel in Boston. I can't believe what is happening to me. I don't even look like me anymore. I'm hoping that this new doc will see something on my two MRIs that the first one missed. thanks for all the help so far... Betty
    ps can i mention doctor's names on this site?

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    Moderator Cindylou's Avatar
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    Default Re: Debilitating pain 3 weeks after herniated disc surgery (discectomy)?

    Quote Originally Posted by Betty View Post
    It's now been 30 days. I'm gettin worse.Saw my surgeon which I have little faith in now, and he just said that there's a small % of patient's that have this prolonged pain after surgery. BS! I now cannot walk or stand without unbelievable pain. I do get to the bathroom. I'm on Oxycodone and Oxycontin and Neurontin. I also now have surface nerve pain on my affected leg (dysesthesia). You can't believe what that's like.I have wrapped it in an ace bandage which helps a bit. I have another appt. for a second opinion with a doc at Beth Israel in Boston. I can't believe what is happening to me. I don't even look like me anymore. I'm hoping that this new doc will see something on my two MRIs that the first one missed. thanks for all the help so far... Betty
    ps can i mention doctor's names on this site?
    I am so sorry Betty for your continued increase in pain. Have you had a new MRI or Cat Scan since your surgery? I cannot recall if you said you had or not. Sorry. Yes, you can mention Dr.'s names. I am reconsidering here and am glad you are getting a second opinion, at this point. After 30 days, and this is only my opinion as I am no Dr., but if you are saying your pain symptoms are now worse than beforesurgery at 30 days out, I think a second opinion just could be in order. Again, this is just my 2 cents. It could be absolutely nothing since you are still such early days since surgery, but here's what questions you need to ask yourself before this second opinion, as it is critical to help the doctor help you as best you can. Can you describe your pain? Is it a different pain than pre-surgery? The same pain, only worse? The same pain, with additional worsened pain symptoms? Throbbing? Pulsing? Burning? Aching? Stabbing? Is it constant or intermittent? Does anything make your pain better? What makes it worse? These are all the types of questions this second opinion doc will be asking you, so try to really consider what best fits the type of pain you are having. You'll feel more prepared when you go into the appointment. I actually had a significant increase in pain after my ALIF 2.5 years ago. Now again, increase in pain after surgery is very normal, but mine was stupid, over the top, out of control, pain.....very different from my pre-surgery pain. My descriptors were enough to concern my surgeon so he ordered another MRI, and sure enough, he found bone cement that had leaked out onto my S1 nerve root, and hardened on it, instead of where it was supposed to harden, in the fusion site. So, he had to open me back up 30 days later in an attempt to chip out as much of the bone cement as he possibly could. I am only telling you my story as things can go wrong. Surgeons are only human. I certainly doubt this is what happened in your particular case, but that is why it is so important to describe in this second opinion appointment as precisely as you can, what your pain feels like, it's onset, if it is constant, or intermittent, etc. Oh, let me just say, the surface nerve pain you describe, does sound very normal. It is called distraction pain. The nerves get extremely out of sorts when moved, stretched, pushed around, and this pain will eventually go away....but can take weeks up to months. Please keep us posted after your second opinion....when is it, by the way? I will keep you in my prayers. Take care Betty, and again, I hope you begin to get some relief 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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