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45 years post-op spinal fusion w / harrington rod.

Spine Health | Last Active: Dec 19, 2021 | Replies (21)

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@toula

I find this myofascial release therapy interesting. I also had a spinal fusion down my back for scoliosis in 1975 at Fairview Hospital in Minneapolis, MN when I was 17. In 1978, they did it over again because there were spots down my spine that hadn't fused. I had Dr. Moe, who actually studied under Dr. Harrington, who the rod is named after. My back has been fine, but I have a lot of pain on my tailbone and rectal area and across my buttocks that has been diagnosed as pudendal nerve pain. I've had this for 13 years now . . .I really try to avoid sitting at all! I have recently started on gabapentin but that doesn't seem to be working. I had pudendal nerve entrapment surgery in 2010, but that only took the pain away for 7 months. I guess now I am starting to wonder if this pain could be coming from my scoliosis surgeries because my rod went down to either L-4 or L-5. I either stand or lie on ice. . .the pain can be more than I can handle somedays.

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Replies to "I find this myofascial release therapy interesting. I also had a spinal fusion down my back..."

@toula Myofascial therapy might be worth looking into. It is so beneficial to a lot of conditions when our bodies get stuck. Other issues that may affect that area could be pelvic alignment. Here is an article that gets pretty technical written for physical therapists that has a section about pundental nerve entrapment that describes the piriformis muscle as a contributing factor. My PT has me stretch my piriformis, but that should be something to ask your therapist about because of your back surgeries. This article describes various issues that cause symptoms similar to back problems that are caused by the pelvis.

Here is an excerpt from https://mskneurology.com/identify-treat-lumbar-plexus-compression-syndrome-lpcs/
"Most of the time, the pudendal nerve will be “double crushed”; first by the piriformis, and then between the falciform process of the STL and the obturator internus."