Post lumbar laminectomy
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Hi there. I am a 50 year old female who had lumbar laminectomy at L3/4 eight weeks ago for lumbar stenosis and spondylolisthesis. The surgeon also performed a dynamic stabilisation at this level. As I understand it, this involves the insertion of a flexible and rod and screws, similar to fusion but allowing more flexion at this level while at the same time preventing the vertebra from slipping. Prior to surgery, I was unable to walk or stand for more than 5 - 10 minutes without becoming uncomfortable because of weakness in my legs and a tight cramping sensation in my buttocks. Surgery has relieved me of these symptoms, but I now have aching in my lower back, groins and hips when standing or walking for more than 5 - 10 minutes. I wasn't given any physio follow-up after discharge from hospital, but have had a couple of sessions with a private physiotherapist. She seems to think that these pains are due to the ligaments and muscles having to stretch as my spine as been realigned and my pelvis is now tilted forwards instead of backwards as it was before. Has anyone else experienced similar pains and if so, how long did it take for them to resolve? I am also very stiff first thing in the morning and when getting up from a sitting position. I do not have any pain when sitting or lying down. Many thanks in advance. All comments will be gratefully accepted.
6 likes, 107 replies
mary_jane98760 sandra38042
Posted
I as well had a laminectomy 8 weeks ago. Fusion and bone graft. No more nerve painin my back or legs. It was the hardest thing I have done in my life. I am a 55 year old woman. I am very active. I am a runner andoutdoors person. My full time job is working in a warehouse. I went back to work after 6 weeks. It is so tough for me. I am supposed to NOT lift things more than 25 lbs. I am constantly moving about all day. I am so exhausted after work and my back gets sore so I ice every day and take Advil and tylenol. I am able to run some but since going back to work, not at all. The hardest part I found was getting of the pain med.(Hydromorphion) The dr. didn't tell me to taper so when I ran out I went into withdrawl for 7 days. It was awful!!!Sever depression,anxiety nausea,sweating.
i had no idea how certain pain killers can effect your whole bodya nd mind. I called the Dr. when I was 4 days without med. He said he could perscribe some more of the same med. but taper down. I said I do not want any more of this drug,for i knew once I got back on I would not want to get off of it. I decided to just go woth out for the 7days.
pain80786 mary_jane98760
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Oh how I know how you feel coming off Norco 10/326s!!! Withdrawal BOG TIME!!! My doctors didn't taper me off & yes I was very hooked on them!!! This is after my laminectomy on my L-3&4 surgery. Only after my surgery, my surgeon sent me home on dilaudid 2mgs. Then a week later he up'd it to 4 mgs., cuz I was in severe pain--complication with post surgery issue. Then I started taking these Norco 10/325's and my pain management doctor tells me she can't help me anymore because I needed to see a specialist nuerosurgeon from Stanford, so I basically, had to stop cold turkey off the Norco & it's been 10 days so far and I'm just starting to snap out of the withdrawal! They should have tapered me off both those narcodic and if I didn't have complications after my surgery then I wouldn't have been so hooked on them & withdrawled so bad! I'm still weak and am trying my best to deal without the pain pills, but what a down!
DonnaL sandra38042
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Two months ago I had my surgery. L5 spondylolisthesis, Fusion of L4, 5 and S1 (which for me looks like an L6). Involved moving L5, 2 rods, six screws, titanium baskets with bone inside for fusion (some my bone, some from bone bank). Doctors say I'm doing well and next check up September 11. Like some of you have written here, I am now free of stabbing pains but still pretty sore in hip and buttock region with tweaks and spasms there and in legs occasionally, can't sit too long without getting up and moving, standing too long causes pain, but I am able to walk outside and some days can do only a block or two, some days more.
Still being very careful about bending, lifting, twisting (BLT as the professionals here. I have one of those picker tools in each room and even in the car. Wonderful gadgets. At 66, I plan to keep using them to take good care of my less than perfect spine. I think I'm doing okay and have excepted that this will take likely many more months.
Still taking meds for nerve pain, muscle spasm, and a mild pain pill or naproxen daily.
I hope that's normal…?
I also have two minor thoracic scoliosis curves and 30 years ago a bad fall and fractured coccyx. Coccydynia (ongoing pain) since the fall. I am the cushion queen... one in every chair at home, one in the car, and carrying a cushion into restaurants, movies or anywhere I will have to sit for a while. The fall exacerbated congenital spondylolisthesis, which has slowly worsened each decade. Nothing to be done for the coccydynia, so I'm told.
Once I found a well recommended surgeon who said he could help me, I decided to go ahead with the surgery since the last couple years had become more and more painful. The surgery went really well, but of course I still have the coccydynia.
Overall, I'm pretty pleased with how it's going and so glad I had this done before I got any older. I too recommend doing plenty of research and making sure you get to the right clinic and surgeon. Mine was a neurosurgeon and I wouldn't have had it any other way.
Like you, I appreciate any comments.
ron94718 sandra38042
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Blessings, Ron
michael2787 sandra38042
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patricia4866 sandra38042
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heidi80870 patricia4866
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I have had spine surgery 2 years ago - spondylolistesis 2nd degree - and of course, L5,L44, S1 connected with rods and screws - and big bone implants as they had to emove a lot of vertebræ bone) I was very well treated with pain relieve - and was told it was important not to let myself go hurting and also not force myself to so things which made me hurt bad..... After a lot of training (starting 3 months after surgery) I could walk more and more (starting out with 50 metres) - 6 months later I could walk 5 km without pain. I can ride my bycicle and walk all I want.
My muscles still get tight and I'm still going to physiotherapi - if any of you should experience pain in the soles of your feet - it has to do with after effects of the operation - please get your muscles on the lower legs stretched properly...
It's a game of balance to do enough and not too much to recover properly.
Also, some people develop scar tissue inside and may experience discomfort from that. I was lucky not to be one of those.
I finally can walk without cane, go up and down stairs normally, get out of bed fast and if I ever do too much I don't hesitate to take paracetamol... if it gets too bad I still can take a week dose of morphine which cuts the memory of old pain totally...Please take care - I wish you a good recovery .. oh ... by the way .. I'm also 66...
patricia4866 heidi80870
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Thank you so much for your words of encouragement and you take care also.
patricia4866
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Patricia
heidi80870 sandra38042
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therafter i was introduced to more and more extensive training - and when i got pain i took painkillers - I was told (also by the psychologist who works there) that it is very important to teach the body to forget the old pain...I hpoe you are dpoing well now and I feel sorry you were not given the treatment you derserved...
lmfb sandra38042
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DonnaL lmfb
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DonnaL lmfb
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tamel15202 lmfb
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hang in there.
sheila68761 sandra38042
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I have had these excruciating leg and back pains for years from spondylothesis. The problem is getting worse and I cannot walk or stand for more than ten minutes but I am petrified of having a spinal fusion in case of more problems.
Can you tell me how yiou are now and do you think it is worth having this major surgery.