Foraminotomy: Anyone have any experience with this procedure?

Posted by rayreich3 @rayreich3, Apr 22, 2020

Hi my Surgeron is recommendations are for a foraminotomy has any one had experience positive or negative to this procedure?
Raymond

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Profile picture for irr4et @irr4et

In 2007, I had “minimally invasive microneuro” surgery at Allegheny Hosp by Dr Hae Dong Jo, neuro surgeon now retired but I’ve heard he trained his son who is also a neuro surgeon, to do this type of surgery on the neck nerves. (I am now 73). Be sure your blood clots well if u decide to have this surgery. Mine did not because I ate Salmon frequently in late 2006 and early 2007. It has omega 3 oil which slows clotting time. Be sure you get off of any omega 3 fish oil and baby aspirin long before surgery. Quercetin supplement also slows clotting time.
He operated at my left C 4/5 and 5/6 to remove bone spurs that were impinging sl on the nerves coming out of the spine in those two spaces. Plus he had to scrape out a stenosis area. My excessive bleeding made it very hard for him to see, even though the assistant suctioned constantly. I’m not sure how the nerve damage happened. It was probably bc my surgery took four hours instead of two bc of the bleeding. Nerves should not be touched or stretched if at all possible. I could not move my left arm for a few days afterward but a Physical Therapist began to wk with it and within 6 wks I had full use of it. It did ache, burn and sting a lot and two fingers of left hand are to this day about 40% numb but it doesn’t present any problems. I did have a nerve conduction study done 9 mos later on my left arm by a neurologist in my hometown which confirmed that I had mild nerve damage. I was developing Fibromyalgia during that yr but didn’t realize it. Four years later (2011) I started taking 25 mgs twice a day of Lyrica for two yrs then dr increased me to 50 mgs twice a day for four years (because pain would break through). Then I had to increase to 75 mgs twice a day for about three yrs. Now I’m on 75 mgs three times a day plus medical cannabis and one Tylenol tablet at bedtime. I’ve stayed at this dosage. Lyrica only helps nerve pain. I couldn’t make it without Lyrica reliving my nerve pain. Stay off of sugar, vinegar, msg, caffiene, hot pepper, chocolate, citric acid and high and medium histamine foods such as strawberries, avocado, raspberries and bananas. All these foods really increase pain badly. Pain grows each yr when it’s not kept under control. Don’t take any opioids. Live in a state where you can get on medical cannabis. Chronic pain causes elevated cortisol which interferes with sleep alot, runs down the adrenal glands which at same time causes very low BP. And constant cortisol ages us fast.
Cold weather really makes Fibro ppl hurt so much worse do I go to west coast of Fl for the winter mos. I know I’ve given

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Yes my nerve damage is permanent. It did get some better over ten yrs following surgery, but after that it stayed the same.

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Profile picture for irr4et @irr4et

In 2007, I had “minimally invasive microneuro” surgery at Allegheny Hosp by Dr Hae Dong Jo, neuro surgeon now retired but I’ve heard he trained his son who is also a neuro surgeon, to do this type of surgery on the neck nerves. (I am now 73). Be sure your blood clots well if u decide to have this surgery. Mine did not because I ate Salmon frequently in late 2006 and early 2007. It has omega 3 oil which slows clotting time. Be sure you get off of any omega 3 fish oil and baby aspirin long before surgery. Quercetin supplement also slows clotting time.
He operated at my left C 4/5 and 5/6 to remove bone spurs that were impinging sl on the nerves coming out of the spine in those two spaces. Plus he had to scrape out a stenosis area. My excessive bleeding made it very hard for him to see, even though the assistant suctioned constantly. I’m not sure how the nerve damage happened. It was probably bc my surgery took four hours instead of two bc of the bleeding. Nerves should not be touched or stretched if at all possible. I could not move my left arm for a few days afterward but a Physical Therapist began to wk with it and within 6 wks I had full use of it. It did ache, burn and sting a lot and two fingers of left hand are to this day about 40% numb but it doesn’t present any problems. I did have a nerve conduction study done 9 mos later on my left arm by a neurologist in my hometown which confirmed that I had mild nerve damage. I was developing Fibromyalgia during that yr but didn’t realize it. Four years later (2011) I started taking 25 mgs twice a day of Lyrica for two yrs then dr increased me to 50 mgs twice a day for four years (because pain would break through). Then I had to increase to 75 mgs twice a day for about three yrs. Now I’m on 75 mgs three times a day plus medical cannabis and one Tylenol tablet at bedtime. I’ve stayed at this dosage. Lyrica only helps nerve pain. I couldn’t make it without Lyrica reliving my nerve pain. Stay off of sugar, vinegar, msg, caffiene, hot pepper, chocolate, citric acid and high and medium histamine foods such as strawberries, avocado, raspberries and bananas. All these foods really increase pain badly. Pain grows each yr when it’s not kept under control. Don’t take any opioids. Live in a state where you can get on medical cannabis. Chronic pain causes elevated cortisol which interferes with sleep alot, runs down the adrenal glands which at same time causes very low BP. And constant cortisol ages us fast.
Cold weather really makes Fibro ppl hurt so much worse do I go to west coast of Fl for the winter mos. I know I’ve given

Jump to this post

Wow, thanks for the info. I have lumbar stenosis and already had decompression. I confess I do drink coffee with 1 sugar, and I have been taking Oxycodone. I was on Lyrica for many years and it wasn't doing anything. I limit myself to one cup of coffee a day, well maybe one and a half sometimes.

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Profile picture for dlydailyhope @dlydailyhope

@irr4jet
What levels did you have done and what nerve damage do you have? How did you know officially you had nerve damage and which nerves were affected? Were they able to test and confirm nerve damage and is it permanent or can the nerves recover?

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I have lumbar foraminal stenosis not in the neck. So the nerves coming out of the foramen are being pinched, worse on the left side. The test confirmed nerve damage in the S 5 area I think. So tired right now due to pain keeping me awake.
I want to find out from others on here if anyone had lumbar foraminotomy without fusion.
Thanks for your help !

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Profile picture for annie1 @annie1

I had a laminotomy/decompression of L 3-4 in March this year, which helped alot in some ways, I can walk longer and stand longer, but now since mid July I have new pain that the surgeon says is foraminal stenosis and wants to clean it out and do a fusion. I am wary of fusion. I have read about a surgery called "foraminotomy" and want to know if anyone has had this without fusion. Please advise.

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No sure if I spelled that correctly. But I am looking for anyone who had foraminal stenosis in the lumbar region and how you dealt with it. I have heard of a non surgical procedure called Discseel, however it seems like it's mostly for herniated discs, which isn't my main problem.

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Profile picture for annie1 @annie1

I have lumbar foraminal stenosis not in the neck. So the nerves coming out of the foramen are being pinched, worse on the left side. The test confirmed nerve damage in the S 5 area I think. So tired right now due to pain keeping me awake.
I want to find out from others on here if anyone had lumbar foraminotomy without fusion.
Thanks for your help !

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@annie1
I would also love to know about foraminotomy without fusion for cervical spine. I already have decompression and fusion of c5-c6 but show severe foraminal stenosis at that same level now and not sure if that procedure can be done with hardware already installed. I also have a disc extrusion at c6-c7 and not sure how both could be handled. I hope you get some responses to your post.

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Profile picture for annie1 @annie1

I had a laminotomy/decompression of L 3-4 in March this year, which helped alot in some ways, I can walk longer and stand longer, but now since mid July I have new pain that the surgeon says is foraminal stenosis and wants to clean it out and do a fusion. I am wary of fusion. I have read about a surgery called "foraminotomy" and want to know if anyone has had this without fusion. Please advise.

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My very first foraminotomy was on my L5-S1. I did not have fusion. This helped me for 5 years until my degenerative back condition continues.

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Profile picture for annie1 @annie1

I had a laminotomy/decompression of L 3-4 in March this year, which helped alot in some ways, I can walk longer and stand longer, but now since mid July I have new pain that the surgeon says is foraminal stenosis and wants to clean it out and do a fusion. I am wary of fusion. I have read about a surgery called "foraminotomy" and want to know if anyone has had this without fusion. Please advise.

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Thanks for your answer. What do they do exactly in a foraminotomy and how long is the recovery ? I had a laminotomy in March 1 this year and now the Surgeon said I need a fusion to stop the twitching in my legs. What were your symptoms pre foraminotomy ?

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Profile picture for darby413 @darby413

My very first foraminotomy was on my L5-S1. I did not have fusion. This helped me for 5 years until my degenerative back condition continues.

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hope you had a great Thanksgiving. So what do they do in a foramintomy and how long was your recovery ? My surgeon seems to think he would have to do fusion to prevent spine instability. Is that true ? maybe age has something to do with it ? I am not up for fusion !

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Profile picture for annie1 @annie1

hope you had a great Thanksgiving. So what do they do in a foramintomy and how long was your recovery ? My surgeon seems to think he would have to do fusion to prevent spine instability. Is that true ? maybe age has something to do with it ? I am not up for fusion !

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I have a minimally invasive foraminotomy w/on fusion scheduled for Jan 6th. I'm having very severe pain in front right thigh, knee, back and hip. Problem is apparently foraminal stenosis at exiting L3 nerve root. Dr. says it's mainly ligamentum flavum hitting the nerve. About an hour procedure with excellent prognosis for leg pain relief. Dr. is less certain that it will help with the back pain but he said fusion may not help there either. Another doctor wouldn't do the endoscopic procedure but wanted to do a fusion. If I think about it I'll let you know how it goes or you can reach out. Merry Christmas and Happy New Year!

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Profile picture for annie1 @annie1

I had a laminotomy/decompression of L 3-4 in March this year, which helped alot in some ways, I can walk longer and stand longer, but now since mid July I have new pain that the surgeon says is foraminal stenosis and wants to clean it out and do a fusion. I am wary of fusion. I have read about a surgery called "foraminotomy" and want to know if anyone has had this without fusion. Please advise.

Jump to this post

Hello
I commented below but didn't see where you already had a laminectomy at that level. It seems to me that to do a foraminotomy at that level would weaken the joint dangerously. I would guess the doctor thinks this is why you need a fusion but he should have explained that. I wouldnt be too fearful of a fusion. I've had L4/S1 fused since 2018. Helped tremendously.Now dealing with L3 joint. It's typical to have the joint above a multilevel lumbar fusion fail after 5 - 6 years. But if you only have a 1 level fusion you may not even notice it. Just my opinion.

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