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Cervical stenosis: Leg weakness

Spine Health | Last Active: May 31 2:01pm | Replies (83)

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@rdflash0788

Well, I just wanted to stop back in and provide an update on my situation. I had the following done just over 2 weeks ago:

• C3 – T1 fused posteriorly with 2 rods and screws, old fusion from prior ACDF was left in place.
• C6 – C7 Lamina Facetectomy and laminotomy

I ended up staying in the hospital, Mayo – Jacksonville, from Thursday around dinnertime when I got to the room until discharge on Monday around lunch. It ended up being an extra day or so just because they wanted to make sure the drains came out OK and that my pain was well controlled with just oral meds and not IV meds since I live about 6 hours away from Jacksonville.
While the surgery was more invasive due to the posterior approach and will likely mean a longer, more painful recovery than the anterior approach, I am glad they opted for that since it allowed them to tackle the issues at C3/C4. During the surgery Dr. Fox found that the facet was severely overgrown with bone spurs which was pain there. Had this been a strictly anterior approach then this would not have been addressed and not been found to be more severe than the MRI’s were showing. Both local docs wanted to stick with the anterior approach so, even though the posterior approach was worse for pain and recovery, I am glad the approach chosen was one that could possibly prevent me from needing yet another surgery down the line. Out of about 7 major symptoms that could be related to my issues, 5 are much, much better, 1 unresolved but probably back related and the last 1 we most likely won’t know until everything is healed and PT completed.
Nearly off the pain meds now as I started the taper a few days ago and muscle relaxers will be next to go as I am able. Frustratingly, most docs up to this point prior to Mayo, wrote off the lower extremity symptoms saying they didn’t think they were related. However, cervical issues are all that was addressed and all but one of my lower body symptoms appears to be fixed after nearly 10 years.
Do as much research as you can to stay informed and don’t be shy about advocating for yourself! Sometimes, you just have to keep digging and asking questions in order to get to the resolution. My hope for everyone here is relief from the symptoms you are having and also the strength to push through.

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Replies to "Well, I just wanted to stop back in and provide an update on my situation. I..."

@rdflash0788 Rick, I'm so glad to hear your surgery went well with Dr. Fox. I know how frustrating it is to have surgeons not understand why leg pain symptoms may be caused by cervical spine pathology because I went through that too. That is a big reason why I share my experience here and for you to share yours as well because patients need to know of this possibility and to keep looking for an informed surgeon and advocating for themselves.

You'll have some months of recovery and rehab ahead of you, and already, you have had a big improvement. Congratulations! That was my experience too in that all the leg and body pain I had prior to my cervical spine surgery was gone when I woke up. After that, it was just healing pain of the surgical path, and later on releasing some tight scar tissue. Incisions usually take about 6 weeks to heal, and the next month the scar tissue may begin to tighten and cause some pain. Your physical therapist can help you with that.

For now, just relax and heal. I slept a lot, and the body needs that when healing from a significant surgery. This is a big change for you too with your entire neck fused except for C1 & C2. It would be good to discuss with your physical therapist when you get to the rehab stage, what are the best ways to avoid adding extra stress to those upper levels.

I didn't find a surgeon who understood this cervical spine related "funicular" pain in the body and legs until I came to Mayo. My having this pain that they didn't understand made them refuse to help even though all of them could read the MRI and see the cervical spinal cord compression.

I am glad you are on the healing side of this journey. Take care.

Jennifer