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Surgery ? severe herniation of L4/L5 / milder herniation of

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Medical Questions-> Health Forums -> Back Pain -> Surgery ? severe herniation of L4/L5 / milder herniation of
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wcolli

New User, Becoming EHEALTHy
Joined: 08 Sep 2007
Posts: 3
Location: San Diego, Ca
Help With Mri
Posted: 09-08-07 03:54am

I was just diagnosed with a severe herniation of my L4/L5, and milder herniation of the L5/S1. The Neurologist said the upper one had separated, and migrated south, and that it was one of the larger ones he had seen. My pain situation began in 2003, lasted for about 4 months on my right leg (unbearable). It went away mysteriously, then showed up again this year in July for about 3-4 days. It went away, but left me with a very weakend left calf/foot (note the opposite side). It then returned about 4 weeks later on the original right side for about 2-3 days. 2 weeks later I am pain free except the morning aches/stiffness. My Neurologists did a number of tests, and was surprised my function did not match my MRI. He said to avoid surgery unless the pain becomes permanent, or prevents my work function. I really agree with him, and have no idea why my pain went away.
My bottom line is he said we still have much to learn about causes of back pain, and there are lots of people with herniations, but no pain.. yet lots of pain patients with mild herniations. My hope is to improve my daily habbits, increase my core muscle strength, and be aware of my posture. If this doesn't keep the pain from coming back I suppose I will succumb to the knife.
Good luck with your pain!
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taykare

Experienced User , Rather EHEALTHy
Joined: 09 Jul 2007
Posts: 204
Location: Manitoba, canada

Posted: 09-08-07 04:06am

personally I think you should get a second opion if you can? I have been in a great deal of pain because of my neck rt arm rt leg with similar symptoms and I have been doing the wait and see mythod for over 2 years now. I get nerve burns every 3 months and am on a pain patch called fentanyl at 75 mcg.among ohter pain meds.
Go get a second opion It does not sound like the doc you have now really knows much about this problem
I will pray for you
Taykare
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wcolli

New User, Becoming EHEALTHy
Joined: 08 Sep 2007
Posts: 3
Location: San Diego, Ca

Posted: 09-12-07 00:46am

Thanks Taykare, I called my surgeon, and he suggested I get a second opinion as well. My pain has remained in check for the most part. The mornings are the worst, but completely bearable. It is just mentally debilitating to think you are having a good day, then wake up to the same pain every morning. I am torn because I think I could just have the surgery and get it over with, but as my surgeon said, surgery is the one action you cannot change your mind on once done.
One thing in I can't get over is the possibility of conservative action that may move the herniation back into place. I know chiropractic claims this to be a fact, but wonder if it has been clinically shown. My surgeon scoffed at chiropractors, but suggested if my pain goes away that I try to get a clinical MRI to take a look. If my pain goes away again, you bet I will be willing to lay in that tube again! I think he is just as curious about my ambulatory state as me, and that gives me some hope of avoiding the Navy knife.
Thanks for your response, I know they say misery loves company, but it really is good to hear from people who have gone through similar issues.
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