"Metal plate" sensation post-lumbar fusion. Felt like this?

Posted by abb123 @abb123, Jul 21 6:18am

Almost 5 months ago I had a L4-5 fusion due to leg/creeping saddle numbness. I'm a 70 yo woman with osteo. I've been on Forteo 10 months now. The surgery took care of the numbness, but I have developed a painful sensation about 3 inches above my fusion that feels like a metal plate when I lie down, cough, bend even the slightest, etc. I also am now developing chronic pain around my S1, likely due to the mechanical load it now has to carry. Has anyone experienced this "metal plate" sensation? My guess is it is the long thick muscles that now are somewhat anchored and unable to move naturally .

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Navigating the administrative crap patients are required to deal with keeps us on our toes. In the U.S. administrative costs are responsible for 75% of every healthcare dollar spent. It’s a major burden for all providers. It’s a shame that a talented physician’s attitude can get in the way of their ability to provide care. Glad you were able to find an alternate treatment team.

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Profile picture for abb123 @abb123

@ladyaceintx1 Thanks for your reply. I'm trying to picture a metal bookend that would feel good ....! Could you post a photo ? But I do find a lumbar roll is helpful in the car. I am pretty thin and petite also and I do wonder if our body types might be more sensitive to our spines feeling differently. I was just finally approved to start PT ( 5 1/2 months out ) , and my surgeon is hopeful that will help things along.

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@abb123 I'm working on designing a prototype of this device I mentioned. Will let you know when I get it perfected. Glad to hear you're headed to therapy and hope it helps. I'm so happy that in general my back pain was healed with the surgery. I just wish it wasn't so difficult to get comfortable especially when I'm trying to go to sleep at night.
Let us know how your therapy goes.

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Profile picture for gravity3 @gravity3

What does your surgeon say about this?

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@gravity3

She is concentrating on my nerve pain in my left leg and right hip to my knee right now. We are in the early stages of cage removal but we want to see if the spinal cord stimulator implant works. I am having the Evoke stimulator implanted with paddles. I am scheduled for the implant surgery on 10/7/26. She has also diagnosed me with allodinia at the fusion site-I’m not sure if that’s relevant.

I will update after my surgery recovery. Prayers to all!

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I’m really curious if this sensation would be the same as mine. I wouldn’t call it a “cage” feeling. I have had someone mention allodynia though. Others on this site have recommended myofascial release. I’ve also read that emdr therapy is beneficial as your body has gone through a traumatic event and could be holding on and protecting instead of relaxing. It would great to have the research and the cure instead of another surgery or more devices.

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Profile picture for marcd2k @marcd2k

@jenatsky I agree with your message regarding how you view your doctor(s). My spine surgeon is literally one of the top surgeons not only in the US, but he teaches and lectures world-wide. He develops minimally invasive procedures that other doctors will use on their patients.

However, he does not have much of a bedside manner. I scheduled a visit after my lumbar fusion surgery due to pain I still have in my right side (oblique and flank muscles). He asked me to describe my situation, then he kept interrupting me, asking me specific questions to lead my responses to what he had decided already. He didn't let me speak much, and I guess it looked worse than I realized, because my wife was sitting next to me this entire time, and she later told me she thought we were going to come to blows.

Needless to say, I have another spine surgeon I just saw about a month ago who is very professional, and listens when I speak. I would rather have a doctor tell me they do not know and then either contact someone, or refer me to someone that they feel can help. I have been at this for three years this past July, and the last two months are the first times doctors have done this for me. Even though I am still searching for medical answers, at least I am finally being helped to navigate what the US calls a healthcare system.

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@marcd2k Hi. Who are the 2 spine surgeons you've seen?

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Profile picture for 2000Fatboy @dadkins

@gravity3

She is concentrating on my nerve pain in my left leg and right hip to my knee right now. We are in the early stages of cage removal but we want to see if the spinal cord stimulator implant works. I am having the Evoke stimulator implanted with paddles. I am scheduled for the implant surgery on 10/7/26. She has also diagnosed me with allodinia at the fusion site-I’m not sure if that’s relevant.

I will update after my surgery recovery. Prayers to all!

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@dadkins Hi. I didn't realize that the cage could be removed? Please let us know how that goes.

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I’m hopeful it can! I will let you know!

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Profile picture for cori @ccchang

@marcd2k Hi. Who are the 2 spine surgeons you've seen?

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@ccchang Hello, the surgeon that performed my fusion is Dr. Neel Anand (Cedars-Sinai), and the second spine surgeon I saw for another opinion on what is still happening with my muscles is Dr. Luke Macyszyn, who has his own practice, no hospital affiliation.

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Profile picture for marcd2k @marcd2k

@ccchang Hello, the surgeon that performed my fusion is Dr. Neel Anand (Cedars-Sinai), and the second spine surgeon I saw for another opinion on what is still happening with my muscles is Dr. Luke Macyszyn, who has his own practice, no hospital affiliation.

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@marcd2k Thank you. I've heard negative comments about Cedars Sinai from another person as well. I hope you get better attention from your second surgeon.

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Profile picture for marcd2k @marcd2k

@jenatsky I agree with your message regarding how you view your doctor(s). My spine surgeon is literally one of the top surgeons not only in the US, but he teaches and lectures world-wide. He develops minimally invasive procedures that other doctors will use on their patients.

However, he does not have much of a bedside manner. I scheduled a visit after my lumbar fusion surgery due to pain I still have in my right side (oblique and flank muscles). He asked me to describe my situation, then he kept interrupting me, asking me specific questions to lead my responses to what he had decided already. He didn't let me speak much, and I guess it looked worse than I realized, because my wife was sitting next to me this entire time, and she later told me she thought we were going to come to blows.

Needless to say, I have another spine surgeon I just saw about a month ago who is very professional, and listens when I speak. I would rather have a doctor tell me they do not know and then either contact someone, or refer me to someone that they feel can help. I have been at this for three years this past July, and the last two months are the first times doctors have done this for me. Even though I am still searching for medical answers, at least I am finally being helped to navigate what the US calls a healthcare system.

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@marcd2k do you mind sharing the name of the second surgeon? What did they offer in terms of relief? I have t1-t10 fused and i feel the rods in my back, i feel them heavy and like they are pulling me backwards... its been 5 months since my surgery and i feel like things aren't improving...

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