L5 S1 Discectomy 6 months ago but now cannot walk
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Hi, I am new to forum, 58, had a discectomy in Dec 14, healed well and by April I was virtually back to normal with only a slight weakness in my left leg occasionally; went on holiday did a lot of walking then disaster since May my pre-op symtoms of not being able to walk with my left leg, considerable limp and no step forward on left foot have returned but with a vengence, now worse as I have a hip sway to the right and cannot walk more that 20 metres without going into spasm. My new MRI shows no reherniation at L5 S1 or at any other level. My consultant says have a nerve root block and they will not operate again.
I just dont know what is going on, any thoughts as to how I can get a diagnosis or what may be going on ?
Many thanks
3 likes, 6 replies
trinigyul john23284
Posted
trinigyul john23284
Posted
Ginagirl john23284
Posted
Ginagirl john23284
Posted
THE STRUCTURE, FUNCTION, AND LOCATION OF THE S-I JOINTS
The sacrum is the meeting point of tensional and compressional forces meeting from above and below, as noted earlier. The sacro-iliac (or ilio-sacral) joints are the less mobile of the joints involving the sacrum (meeting of sacrum and ilia or "wings" of the pelvis); the other joint is the lumbo-sacral junction (meeting of sacrum and lowest lumbar vertebra, "L5/S1").
In the healthy state, most of the sacral movement occurs at L5/S1; some movement occurs at the S-I joints. Said another way, because it is more tightly bound to the ilia than to L5, the sacrum is functionally "more part of the pelvis than it is part of the spinal column".
In the dysfunctional state, the sacrum becomes (functionally) "somewhat more part of the spinal column than of the pelvis" and compression and twisting forces at the S-I joints strain the ligamentous connections, and muscular contractions ensue to stabilize that unstable situation.
mrcia78574 john23284
Posted
I too am sorry to learn of your distress. I have recently had extensive back surgery (my 2nd) with rods and screws (am an older senior citizen). Also have daily migraines--whole other problem. I too would recommend getting a second opinion, Something has happened and you need to find out what it is. Good luck and prayers. One day at a time ....
john23284
Posted
Surgeon said no rigorous physio for the time being as may aggravate any inflammation. I think it is more than an inflammed S1 nerve though ? I am taking Naproxen, Amitriptylene and today Diazepam.
Many thanks again, any further thoughts welcome.