Post-Operative Symptoms After Endoscopic Disc Surgery - Neurosurgery

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Endoscopic Discectomy


Hello, I would like to ask about my condition.
I underwent endoscopic discectomy on January 26th, where a portion of the herniated disc at the L5 level was removed due to stenosis.
I was able to walk the day after the surgery, but I am experiencing a tingling and occasional sharp pain in the lower part of my calf down to my foot.
Is this a postoperative complication? How long will it take to recover, and which specialist should I see? Thank you.

Jun, 30~39 year old female. Ask Date: 2022/02/01

Dr. Lai Zhaokang reply Neurosurgery


Hello: You underwent endoscopic disc surgery on January 26th, and it has been about a week since then.
You can start taking the discharge medications prescribed by your original surgeon.
/// Are these symptoms post-operative complications? How long will it take to recover? Which specialist should I see? Answer: You should consult your original surgeon for these inquiries.
Best wishes.
// Dr.
Lai Chao-Kang, Chief of Spine Surgery, Changhua Hospital.

Reply Date: 2022/02/01

More Info


After undergoing endoscopic disc surgery, it is not uncommon for patients to experience various post-operative symptoms, including sensations of tingling, numbness, or pain in the lower extremities. These symptoms can be concerning and may lead patients to question whether they are experiencing complications or normal post-surgical effects.

In your case, having undergone surgery on January 26, you mentioned experiencing a tingling and occasionally painful sensation in the lower leg and foot. This could indeed be related to the surgery, particularly if the procedure involved addressing a herniated disc or spinal stenosis at the L5 level, which can affect the nerves that innervate the lower limbs.

Understanding Post-Operative Symptoms
1. Nerve Irritation or Compression: After surgery, it is possible for the nerves to be irritated or compressed due to swelling or inflammation in the surrounding tissues. This can lead to sensations such as tingling, numbness, or pain. It is important to note that these symptoms may not necessarily indicate a failure of the surgery but rather a normal part of the healing process.

2. Post-Operative Inflammation: Inflammation is a common response to surgical trauma. The body’s healing process can cause swelling around the surgical site, which may affect nearby nerves. This inflammation typically subsides over time, and symptoms may gradually improve.

3. Recovery Timeline: Recovery from endoscopic disc surgery can vary significantly from person to person. While some individuals may notice improvement within a few weeks, others may take several months to fully recover. It is essential to follow your surgeon's post-operative care instructions and attend follow-up appointments to monitor your progress.

4. Physical Therapy: Engaging in physical therapy can be beneficial in your recovery. A physical therapist can provide exercises that promote healing, strengthen the muscles around the spine, and improve mobility. They can also help address any lingering symptoms you may have.


When to Seek Medical Attention
If your symptoms persist or worsen, it is crucial to consult with your surgeon or a specialist in spinal disorders. They can evaluate your condition and determine if further intervention is necessary. Signs that warrant immediate medical attention include:
- Increasing pain that is not relieved by medication
- Significant weakness in the legs
- Loss of bowel or bladder control
- New or worsening numbness or tingling

Recommended Specialists
For ongoing symptoms like yours, it is advisable to follow up with the surgeon who performed your procedure. They will have the most insight into your specific case and can provide tailored advice. If necessary, they may refer you to a neurologist or a pain management specialist for further evaluation and treatment options.


Conclusion
In summary, experiencing tingling and pain in the lower extremities after endoscopic disc surgery can be a normal part of the recovery process. However, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. With appropriate care and time, many patients find that their symptoms improve significantly, allowing them to return to their normal activities. Always prioritize your health and seek professional advice when in doubt.

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