Post-Surgery Numbness After Lumbar Disc Surgery - Neurosurgery

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Hello, doctor?


I underwent a discectomy for a herniated disc on May 27, and I have a stabilizer installed.
Before the surgery, I experienced numbness in both feet, but now, 20 days post-operation, my feet are still numb.
Is this normal? Will it get better? My doctor prescribed B12 for me, and when I asked my attending physician, he said it will take some time.

Bill, 30~39 year old female. Ask Date: 2022/06/17

Dr. Lai Zhaokang reply Neurosurgery


Hello, I suggest that in this post-surgery situation, you should consult your original surgeon for further evaluation.
Since you chose him initially, it's important to trust his expertise.
Additionally, you have not provided any pre-operative imaging or post-operative images.
For a spine surgery case, there are many factors to consider, and the information you provided is too limited for me to offer assistance.
If you return for a follow-up and there is no improvement, you may consider scheduling an appointment with another doctor or with me for further consultation.
Wishing you the best.

Dr.
Lai Chao-Kang, Chief of Spine Surgery, Changhua Hospital.

Reply Date: 2022/06/17

More Info


After undergoing lumbar disc surgery, particularly for a herniated disc at the L4-L5 level, it is not uncommon for patients to experience lingering symptoms such as numbness or tingling in the legs and feet. This can be concerning, especially when these sensations persist for weeks or even months post-surgery. In your case, having had the surgery on May 27 and still experiencing numbness in your feet 20 days later is something that can happen, but it is essential to understand the underlying reasons and what to expect moving forward.


Understanding Post-Surgery Numbness
1. Nerve Recovery: During surgery, the surgeon may have relieved pressure on the affected nerve root, but it can take time for the nerve to heal fully. Nerves regenerate slowly, and it is not unusual for numbness or tingling to persist for weeks or even months after surgery. The timeline for recovery can vary significantly from person to person, depending on factors such as the severity of the nerve compression before surgery, the extent of the surgery, and individual healing rates.

2. Inflammation and Swelling: Post-operative inflammation can also contribute to ongoing symptoms. After surgery, the body responds with inflammation, which can temporarily exacerbate nerve irritation. This inflammation may take time to subside, and as it does, you may notice gradual improvement in your symptoms.

3. B12 Supplementation: Your doctor has prescribed Vitamin B12, which is essential for nerve health. Deficiencies in B12 can lead to neuropathy, and supplementing it can support nerve healing. It is crucial to follow your doctor's advice regarding this supplementation, as it may help in the recovery process.

4. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises that promote nerve healing and improve mobility. They can also help you learn how to manage your symptoms effectively.

5. Monitoring Symptoms: It is essential to monitor your symptoms closely. If you notice any significant changes, such as increased pain, weakness in the legs, or loss of bladder or bowel control, you should contact your healthcare provider immediately, as these could indicate complications that require prompt attention.


Will It Get Better?
In many cases, patients do experience improvement in their symptoms over time. While it may take several weeks to months for the numbness to resolve completely, many individuals find that their symptoms gradually diminish as the nerves heal and inflammation decreases. However, it is essential to maintain open communication with your healthcare provider about your recovery process. They can provide guidance tailored to your specific situation and help manage any concerns you may have.


Conclusion
In summary, experiencing numbness in your feet 20 days after lumbar disc surgery is not uncommon, and it can be attributed to nerve recovery and post-operative inflammation. Following your doctor's recommendations, including taking Vitamin B12 and possibly engaging in physical therapy, can support your recovery. While it may take time, many patients do see improvement in their symptoms. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and support.

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