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Post PLIF problems - suggestions please

This is a discussion on Post PLIF problems - suggestions please within the Surgical Outcomes forums, part of the Spine Surgery Forums category; Hello all, Hope you are all coping ok. I have a question, after my PLIf 16 days ago I have ...

  1. #1
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    Default Post PLIF problems - suggestions please

    Hello all,
    Hope you are all coping ok. I have a question, after my PLIf 16 days ago I have developed a pain that feels like a badly sprained ankle from my hip to my toes much worse on right side than left, entirely different sort of pain to my pre op sciatica type pain which was rather like continual electrical shocks. Again this new pain is agony - awake all night again - upped my morphine just for a break, the only thing that seems to relieve it is standing up and leaning against a wall or walking around but as soon as I sit down or lay down back it comes..... any ideas?
    Thanks
    This is me, Tuliptoday -

  2. #2
    Senior Member ajj1001's Avatar
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    Default Re: Post PLIF problems - suggestions please

    sounds like an 'angry' nerve, does cold or heat block the signal at all?

  3. #3
    Super Moderator trkdoc714's Avatar
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    Default Re: Post PLIF problems - suggestions please

    Do you think it might be some sort of distraction pain? I had similar pain after the disc space was restored and the nerve roots were positioned where they were prior to the injuries.

    Most report anywhere from a few months to a few years before this type of pain goes away.

    Bob
    04/06 L5/S1 Rupture
    05/06 MRI shows DDD @ L2-S1
    06/06 Diskectomy/ Laminotomy L5/S1
    04/07 Recurrent Disc L5/S1
    4 Ortho and 1 Neuro Surgeon, 5 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later:
    03/27/09 L4/5 & L5/S1 Maverick discs at Stenum (www.dr-ritter-lang.com)
    11/9/11 C6/7 Herniation with Nerve Impingement. Another journey begins.

  4. #4
    Senior Member Kimberly's Avatar
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    Default Re: Post PLIF problems - suggestions please

    I'm a little ahead of you Post-operatively speaking. I had a 2-level ALIF at the end of June. I also had different, "new" pain in both legs post-op that did not match any of my pre-op pain (and I had major sciatica issues pre-op). The backs of my knees and upper calf, lower hamstrings hurt like CRAZY and I found it almost impossible to bend my legs. The only thing that helped was heat (heating pad and icy hot/tiger balm cream) and time. That pain has now gone (lasted for like 3 weeks or so. Go figure?

    Hang in there!
    Kimberly
    43 yr. old female with 11 and 13 year old kids.
    10+ years of chronic back pain (Severe R/L leg pain for past year)
    DDD at L3L4, L4L5, L5S1
    Herniations, foraminal stenosis and facet hypertrophy at all 3 levels
    Type II modic changes at L5S1
    Conservative measures not helpful (medication, NSAIDs, injections, PT, massage, chiro, lifestyle and ergonomic modifications)
    Microdiscectomy/Laminotomy (L5S1) 12/10 - Reherniated 6 weeks later.
    2-level fusion (ALIF) (L4-L5, L5-S1) 6/29/11

  5. #5
    Senior Member Katie's Avatar
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    Default Re: Post PLIF problems - suggestions please

    Ditto to all of the above. I had a very aggravating pain in my legs that was never there before surgery, but it disappeared after a few weeks. Just the cost for being over an inch taller, I guess
    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!

  6. #6
    Moderator Cindylou's Avatar
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    Default Re: Post PLIF problems - suggestions please

    Let's face it. The body gets pissed off royally when almost any invasive surgical intervention occurs. It's a shock to our system, our nerves, muscles, ligaments.......all and everything that was involved in the surgical procedure itself. Can't be sure, but it does sound like distraction pain. Where I think you should take comfort is that it is very likely a temporary new pain that will eventually resolve itself over time. Remember, you are in such early days of recovery. Allow your body plenty of time during this healing phase before drawing any conclusions. My best to you, 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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