Lower leg pain secondary to spinal fusion at L5/S1

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I had spinal fusion at L5/S1 18 days ago. A previous microdiscectomy (two years earlier and laminectomy at L3/4) removed detached string herniation 3/8 inch wide and about 3/4 inch long. Doctors said there was sufficient disc left. Two years later with sciatica pain (right leg), big toe nurabness (right leg) and little toe nurabness (left leg), another MRI revealed almost bone-on-bone at L5/S1. Spinal fusion was done (two titanium roRAB, plus interbody autograft), plus foraeminotomies on both sides was done to relieve pressure on the nerve roots. Immediate relief of 50% of sciatica pain resolved, but still have nurabness and right leg sciatica (thigh, buttock). Also have pain at night when sleeping in lower calves, sometimes both sides, sometimes right, then next night left. Do not believe I have DVT as no swelling, no pain to the touch, no pain when walking, etc. Have been doing much walking, ankle pumps, etc., to insure against DVT. However, at night the calves ache and you can't have anything touch them, like a sheet or blanket. Any "pressure" causes uncomfortable pain. When I arise in the morning, no pain as I walk around or when I do my exercise walk. Since I am miserable at night, I take a pill or two of hydrocodone for relief. I am thinking that the hydrocodone may be inhibiting the valvular structures in the lower leg and they -- like the peristaltic action of the colon -- are deactivated because of the morphine. Correct assumption, or not? I'm going to stop taking the pain killer and take some extra-strength tylenol, but tylenol does NOTHING for my pain to be honest. And with the autograft "in process," I cannot take any anti-inflamatory meRAB (Advil, Celebrex, etc.), but they do have me taking a baby aspirin daily to prevent throrabus formation.

In that I am only 18 days post surgery, maybe I am expecting too much. The incision pain is essentially gone. I believe the remnant sciatica and nurabness will eventually resolve as the "abused nerve roots" heal over time. A colleague with the same procedure and symptoms said that at a year post-surgery, his sciatica pain had pretty much completely resolved, and at a year and a half, the nurabness in both feet was gone. I am hoping and praying that I will have the same resolution, as I understand that nerves (and nerve roots) heal very, very slowly. I am getting some weird tingling, cramping, and other phenomenon in my feet. I interpret that as some "transmission" occurring. I continue to hope for the best.

Any commentary would be much appreciated.
 
Hi i have has a fusion at L4 to S1 about 7 weeks ago and i have been told i am early in the process of heling and i am expecting to much way to early and have been told it will be a slow process as it takes time for the nerves to heal.

The pain is mainly in the buttocs to right thigh as well. The whole right leg gets sharp shooting pain sometimes. And where i had pain on the top of my left foot that pain has returned especially when i walk to much.
I just wantt o take the meRAB to make it all better but in the beginning of march my PM said they would no longer see chronic pain patients.
 
You need to remain very hydrated.. so drink tons of water. You do not need to stop your meRAB. You do need a good diet intake along with a good calcium/magnesium supplement. And if you can take potassium, that is an added bonus. Calcium is stripped from the body entirely through a surgery like this and isn't in the body naturally for long to begin with. And this important mineral is needed for proper contraction of soft tissue. Taking a supplement helped me rid of my legs cramps entirely post op (and they were really bad.)

You are fresh out of surgery. Dont expect to be pain free. Think how long you had been in pain before the surgery. Allow yourself the time to heal and if you need pain meRAB.. take them. If you are in pain..the healing process will only go slower.

Hang in there. Hope this helps.
 
I got cut off before finishing my comments. Thank you for you input...it is very helpful. I also have a good multiple vitamin from Gen'l Nutrition that gives me, among other things, 200 IU of D (as Cholecaliferol), Thiamin (50 mg), Riboflavin (50 mg), Niacin (50 mg), B6 (50 mg), Folic Acid (400 mcg), B12 (50 mcg)...also Calcium (200 mg)...and some Iodine (as potassium iodide - 150 mcg), and some additional minerals...magnesium, zinc, selenium, copper, manganese, chromium and molybdenum. Anyway...again thanks for your input.

It appears that you may not have gotten my first reply: I am hydrating a lot with water, plus I have oatmeal or cooked wheat every morning with frozen grapes or plums mixed in (from our vines and trees of last summer), my meat intake is minimal...two or three times a week...ham a couple days ago, roast beef last Sunday. I have looked up food sources rich in potassium. As well as for calcium. Drink a lot of vegetable juice (like tomato and v-8 type drinks).
 
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