Spinal Fusion issues

Posted by mylesheath17 @mylesheath17, Oct 18, 2023

All, I am currently 27 years old and have undergone multiple lumber surgeries and have had constant issues. In June 2020 I had a micro discectomy at my L5/S1. Approximately 6 months following I re-herniated the same disc and underwent an L5/S1 fusion in July 2021. I have dealt with constant chronic lumbar pain even after being prescribed pain killers and nerve blockers. In September 2023 I severely re-herniated the disc that was left in my L5/S1 that has severely compromised my right leg. Without getting an updated MRI my doctor inserted the minuteman device at my L4/L5 thinking this would relive pressure on my right sciatic nerve. This of course did not cure the right sciatic issue due to the disc at L5/S1 actually being herniated. My doc, not the one that did the first two procedures, says that the disc at the L5/S1 should have been completely removed prior to fusing it. Is this true? I am seeking guidance on this issue while I am waiting to be referred to the Savannah Spine Institute in Georgia, where I will likely undergo a surgery to possibly remove the remainder of the disc or just the herniated portion. My life has been completely overtaken and overwhelmed by my spine issues. I am a husband and father who currently goes from the bed to the recliner in hopes of one day being able to play with my daughter, and be the husband my wife once had. Any and all guidance is greatly appreciated.

-Myles

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Profile picture for mpar6771 @mpar6771

I am 20 yrs old and I had my L5 and S1 "fused" July 2024, my pain has been worsening since. My hardware is intact, the left side is fused while the right isn't. Yet this isn't the source of my pain according to my doc. I am currently in pain management, I use a heating pad and heated seats, I can't work anymore even in pain management. I tried patches, injections, muscle relaxers, gabapentin, tens unit none of those helped. I am thinking about asking my doctor about a SPECT-CT (supposed to help locate pain on a specialized ct scan).

I hope that you can find some relief some type of way, back pain is the worst. I wish there was a better working treatment instead of the fusion surgeries.

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@mpar6771 Hi, sorry about Ur circumstances... So has ur Doc offered any ideas what may be Causing your pain? Is it only your back or anywhere else. And wanted to know if Epidural Fibrosis was ever discussed or considered. If not might also be a possibility you want to google. It's basically scar tissue from the surgery growing around and adhering to your Lumbar nerve roots and Compressing them...Even though none of my providers suggested it, it seems to have a high incidence in failed back surgeries... best wishes going forward.

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Profile picture for linda6101 @linda6101

@mpar6771 Some doctors are fusion crazy. I had L5-S1 fused 11 years ago and still working with a pain specialist for 7 years. He has tried 10 minimally evasive procedures with no improvement. You may want to try a spinal stimulator. It helps many people. The only thing that I take is Norco. It gives my 50% of a normal life back and I live alone.

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@linda6101 Hi, fusion and $ crazy... Was wondering the same, have any of the minimally invasive procedures you've had been for Epidural Fibrosis? It's basically scar tissue from the surgery growing around and adhering to your Lumbar nerve roots and Compressing them...Even though none of my providers suggested it, it seems to have a high incidence in failed back surgeries... best wishes going forward.

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Profile picture for Jennifer, Volunteer Mentor @jenniferhunter

@mpar6771 Welcome to Connect. It must be frustrating to keep enduring pain. I have had a situation of nerve compression from thoracic outlet syndrome in addition to being a cervical spine surgery patient. I have done a lot of physical therapy and my PT has done a therapy called myofascial release that has helped me a lot by loosening up tight tissue. Surgery creates scar tissue and that can lead to pain when it gets tight. It does not show up on imaging. We have a discussion on Connect about MFR if you search for it where you can learn more. I do this a lot to maintain body alignment by releasing restrictive tissue and I work on the surgical scar tissue and it relieves the pain. I have also done this on my ankle with surgical scars from a fracture fix. That lets the joint function better instead of binding up from tightness. It also reduces wear and tear if the body moves properly.

Do you think this would be something to try?

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@jenniferhunter I have thought about this but my doctors haven't gone into any detail about it so the only research I have is what I have found on the internet. So far I have only done one day of PT in October 2024 just a couple months after the surgery. They had me do every exercise in the book and I could not move the next day, I was in worse pain than even after waking up from the surgery or the month from surgery. It has been that way ever since that appointment. I honestly went back to work and tried PT way too early it was only 2-2.5 months from the surgery before I started my daily life for about a week and then that PT appt and I haven't been back.

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Profile picture for smn1 @smn1

@mpar6771 Hi, sorry about Ur circumstances... So has ur Doc offered any ideas what may be Causing your pain? Is it only your back or anywhere else. And wanted to know if Epidural Fibrosis was ever discussed or considered. If not might also be a possibility you want to google. It's basically scar tissue from the surgery growing around and adhering to your Lumbar nerve roots and Compressing them...Even though none of my providers suggested it, it seems to have a high incidence in failed back surgeries... best wishes going forward.

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@smn1 So my original surgeon has not, he saw that there was fusion on the left Myelogram. He said it had to be my SI joints and sent me to have injections done and never did a follow up he said I'm no longer and active patient of his.
I had a hip surgeon (who also specializes in spine) look over some X-rays for my hip. He dismissed the SI joint being the cause after injections failed and the x-rays. He ordered a MRI and one with contrast. They see the scar tissue pressing on the roots but they haven't said that it's causing my pain. He went back to the myelogram and saw that my S1 and S2 never fused, and made a pseudo joint he has ordered injections. This is rare he only sees in 1-2 patients and in only 1-2% of people. It's possible because of my age being the reason that they haven't fused but it shouldn't be painful so if the injections will provide more insight.

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Profile picture for smn1 @smn1

@mpar6771 Hi, sorry about Ur circumstances... So has ur Doc offered any ideas what may be Causing your pain? Is it only your back or anywhere else. And wanted to know if Epidural Fibrosis was ever discussed or considered. If not might also be a possibility you want to google. It's basically scar tissue from the surgery growing around and adhering to your Lumbar nerve roots and Compressing them...Even though none of my providers suggested it, it seems to have a high incidence in failed back surgeries... best wishes going forward.

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@smn1 Also I do want to say my symptoms have gotten worse.
Before: Pain was in my lower back and down my left leg. I had shaking "episodes" with my left leg where it would violently shake for a 1-2 minutes. I had 2 fractures at my L5 by the time I got the surgery the second fracture is what led me to getting the surgery because it worsened my pain in my lower back. I only took ibuprofen in those moments
After: Pain has just increased in level and is constant. It still like before but also just worse in my pelvis, right hip and has started going to mid back now. I am on tramadol because I refuse anything stronger and other medicine hasn't worked.

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Profile picture for mpar6771 @mpar6771

@smn1 Also I do want to say my symptoms have gotten worse.
Before: Pain was in my lower back and down my left leg. I had shaking "episodes" with my left leg where it would violently shake for a 1-2 minutes. I had 2 fractures at my L5 by the time I got the surgery the second fracture is what led me to getting the surgery because it worsened my pain in my lower back. I only took ibuprofen in those moments
After: Pain has just increased in level and is constant. It still like before but also just worse in my pelvis, right hip and has started going to mid back now. I am on tramadol because I refuse anything stronger and other medicine hasn't worked.

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@mpar6771 What initially caused the fractures... I'm just heading out right now. But google lumbar epidural fibrosis as well as lumbar epidural adhesiolysis. Just as I know from personal experience you've been consumed researching trying to find answers. When I get back later I'll share a little more insight into this. peace

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Profile picture for lisajanec @lisajanec

I had spinal fusion L4-S1. L5-S1 did not fuse. Is it normal to have pain and be off balance?

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Thank you so much! I believe that the first fracture was caused by me doing a backbend and falling I was 11, I just remember having back pain ever since that night. The second was like a month before the surgery. I was at work and backed up into the corner of a table and it was where the first fracture was so it broke the same vertebrae in a different place. I have done so much research from reversal surgeries, revision surgeries, spinal cord stimulators, etc.

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Profile picture for smn1 @smn1

@linda6101 Hi, fusion and $ crazy... Was wondering the same, have any of the minimally invasive procedures you've had been for Epidural Fibrosis? It's basically scar tissue from the surgery growing around and adhering to your Lumbar nerve roots and Compressing them...Even though none of my providers suggested it, it seems to have a high incidence in failed back surgeries... best wishes going forward.

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@smn1 I agree. My pain specialist tried to remove it. Got some but not all. So the pain lingers.

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Profile picture for mpar6771 @mpar6771

@jenniferhunter I have thought about this but my doctors haven't gone into any detail about it so the only research I have is what I have found on the internet. So far I have only done one day of PT in October 2024 just a couple months after the surgery. They had me do every exercise in the book and I could not move the next day, I was in worse pain than even after waking up from the surgery or the month from surgery. It has been that way ever since that appointment. I honestly went back to work and tried PT way too early it was only 2-2.5 months from the surgery before I started my daily life for about a week and then that PT appt and I haven't been back.

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@mpar6771 I understand your concern. MFR isn’t exercise. Have you ever kneaded bread dough? You push the dough and feel the elastic pull as it develops. MFR is like that. The therapist finds the tight areas and pushes against it on your body and just holds the tension and waits. The fascia is unwinding itself and changes and liquifies a bit before it returns to semisolid. It gets reorganized and fluids begin to circulate through the tissue again. You just get to lay on the table. It is a shearing motion with pressure that is held “against the barrier” of tension until it loosens. Once you learn this , you can find ways to do home treatments using things to simulate the shearing pressure that the therapist does.

MFR has done wonders for me. There is a provider search at http://www.mfrtherapists.com.

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Profile picture for lisajanec @lisajanec

I had spinal fusion L4-S1. L5-S1 did not fuse. Is it normal to have pain and be off balance?

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@lisajanec Hi, Lisa it would help to know the date of Ur surgery. As well as your condition proceeding it... Also when the pain and balance issues started. Thanks

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