Post-Surgery Concerns After Disc Herniation: What to Expect

Postoperative Issues Following Disc Rupture Surgery

Hello Doctor, I had foot pain for two months, during which I continued rehabilitation with slight improvement.
After that, I underwent an MRI, and the doctor said I had a herniated disc and advised me to have surgery, warning that further rehabilitation could worsen my condition.
I told him that rehabilitation had helped, but he explained that the material from the disc was irritating the nerves, causing fluctuations in my symptoms.
I then had the surgery, but two days post-operation, I still experienced pain and numbness in my foot.
After another MRI, the doctor said it was a recurrence, so I underwent a second surgery three days after the first.
I am now home recovering and being very cautious with my movements, but I still feel some pain in my foot.
The doctor mentioned that the prolonged nerve compression before the surgery would improve gradually.
He performed a leg raise test, which did not cause pain in my buttocks, but I felt a pulling sensation in my thigh.
Although I have already had the surgery, I still have some questions for the doctor: 1.
Is surgery always necessary for a herniated disc? 2.
Is it possible to have a recurrence just two days after surgery? 3.
Is mild pain in the foot after surgery normal? 4.
I saw online that others had nerve conduction studies, but I didn't have one.
Could that have an impact?

Niming, 20~29 year old female. Ask Date: 2016/07/13

Dr. Zhang Junwei reply Neurosurgery

1.
Not necessarily.

2.
Unlikely.

3.
If there is improvement after surgery, mild foot pain can be considered normal.

4.
No.

Reply Date: 2016/07/13

More Info

Post-surgery concerns after a disc herniation can be quite common, especially when patients experience ongoing pain or neurological symptoms following their procedures. Based on your situation, I will address your questions and provide some additional insights into what you might expect during your recovery.

1. Is surgery always necessary for a herniated disc?
Not all cases of disc herniation require surgical intervention. Many patients can find relief through conservative treatments such as physical therapy, medication, and lifestyle modifications. Surgery is typically recommended when conservative measures fail to alleviate symptoms, particularly if there is significant nerve compression leading to weakness, numbness, or loss of function. In your case, it seems that the decision for surgery was made due to the severity of your symptoms and the potential for further nerve damage.

2. Is it possible for symptoms to recur shortly after surgery?
Yes, it is possible for symptoms to recur shortly after surgery. This can happen for several reasons, including incomplete removal of the herniated disc material, the development of scar tissue (adhesions) around the nerve roots, or even a new herniation. The fact that you underwent a second surgery shortly after the first suggests that your medical team was concerned about these possibilities. It’s important to communicate any ongoing symptoms to your healthcare provider so they can monitor your recovery closely.

3. Is mild pain in the leg after surgery normal?
Experiencing mild pain in the leg after surgery can be normal, especially if the nerve was compressed for an extended period before the surgery. Nerve healing can take time, and it’s not uncommon for patients to experience residual pain, tingling, or weakness as the nerve recovers. Your doctor’s reassurance that the pain will gradually improve is a positive sign, but it’s essential to follow up if the pain worsens or does not improve over time.

4. Should I have undergone nerve conduction studies?
Nerve conduction studies (NCS) and electromyography (EMG) can be valuable diagnostic tools in assessing nerve function and determining the extent of nerve damage. These tests can help identify whether the symptoms you are experiencing are due to nerve compression or other issues. If your doctor did not recommend these tests, it may be because they felt confident in their diagnosis based on your MRI results and clinical examination. However, if you have ongoing concerns about your nerve function, it may be worth discussing the possibility of these tests with your healthcare provider.

Additional Insights:
Recovery from disc herniation surgery can be a gradual process. Here are some general expectations and tips for your recovery:
- Physical Therapy: Engaging in a structured physical therapy program can significantly aid your recovery. A physical therapist can guide you through exercises that strengthen your back and core muscles, improve flexibility, and promote healing.

- Pain Management: It’s essential to manage your pain effectively. This may include prescribed medications, over-the-counter pain relievers, or alternative therapies such as acupuncture or chiropractic care, depending on your doctor’s recommendations.

- Activity Modification: While it’s important to stay active, you should also avoid activities that could strain your back or exacerbate your symptoms. Gradually increase your activity level as tolerated, and listen to your body.

- Follow-Up Care: Regular follow-up appointments with your surgeon or primary care physician are crucial to monitor your recovery and address any concerns that arise. Be proactive in discussing any new or worsening symptoms.

- Patience: Healing takes time, especially when nerves are involved. It’s essential to be patient with your recovery process and give your body the time it needs to heal.

In conclusion, while surgery can provide relief for many patients with disc herniation, it’s not a guaranteed solution for everyone. Ongoing communication with your healthcare team, adherence to rehabilitation protocols, and a focus on self-care will be key components of your recovery journey. If you have further questions or concerns, don’t hesitate to reach out to your medical provider for personalized advice.

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