Post-Surgery Pain and Recovery: Questions on Disc Surgery and Rehabilitation

Q: Post-Surgery Pain and Recovery: Questions on Disc Surgery and Rehabilitation

Hello： The symptoms of numbness are considered negative symptoms, which are generally difficult to resolve. <br>It is recommended that you discuss these three questions in detail with your surgeon for clarification. <br>Sincerely, Dr. <br>Ding Hsien-Wei, Neurosurgery.

Post-surgery for disc herniation?

Hello Dr.
Ding, I underwent surgery on June 21st at the Veterans General Hospital for a laminectomy at the fifth lumbar and first sacral vertebrae.
However, after the surgery, I still experience pain in my left leg, and certain positions cause some numbness.
My attending physician advised me to take medication and that the symptoms would resolve over time, but after finishing the medication, there has been no improvement.
Should I undergo further examination? What exercises or rehabilitation should I do to alleviate the pain? I have heard that taking B12 is beneficial for nerve health; can I take it? Please help me answer these three questions.
Thank you.

Xiao Zhong, 20~29 year old female. Ask Date: 2006/07/18

Dr. Ding Xianwei reply Neurosurgery

Hello: The symptoms of numbness are considered negative symptoms, which are generally difficult to resolve.
It is recommended that you discuss these three questions in detail with your surgeon for clarification.
Sincerely, Dr.
Ding Hsien-Wei, Neurosurgery.

Reply Date: 2006/07/18

More Info

Post-surgery pain and recovery can be a complex and challenging process, especially after spinal surgery such as a discectomy or laminectomy. Based on your description, it seems you are experiencing persistent pain and some numbness in your left leg following surgery on June 21. Here are some insights and recommendations regarding your concerns.

1. Further Evaluation: Given that you are still experiencing pain and numbness despite completing your medication regimen, it would be prudent to seek further evaluation. Persistent symptoms can indicate several issues, including nerve irritation, scar tissue formation (adhesions), or even a recurrent disc herniation. A follow-up appointment with your surgeon or a neurologist may be necessary to assess your condition. Imaging studies, such as an MRI, can provide valuable information about the status of your spine and any potential complications.

2. Exercise and Rehabilitation: Engaging in appropriate rehabilitation exercises is crucial for recovery. However, it is essential to consult with a physical therapist who specializes in post-surgical rehabilitation. They can design a tailored program that focuses on strengthening the muscles around your spine, improving flexibility, and enhancing overall function. Common exercises may include gentle stretching, core stabilization exercises, and low-impact aerobic activities. Avoid any movements that exacerbate your pain, and always listen to your body. If certain positions or activities cause discomfort, it’s best to modify or avoid them until you have guidance from a healthcare professional.

3. Vitamin B12 and Nerve Health: Vitamin B12 is known to play a vital role in nerve health and can be beneficial for individuals experiencing nerve-related symptoms. If you are considering taking B12 supplements, it is generally safe, but it’s always best to consult with your healthcare provider first. They can assess your dietary intake and determine if supplementation is necessary based on your specific needs.

In summary, while it is common to experience some discomfort following spinal surgery, persistent pain and numbness warrant further investigation. Engaging in a structured rehabilitation program under the guidance of a physical therapist can help alleviate symptoms and improve function. Additionally, discussing the potential benefits of Vitamin B12 with your doctor may provide further support for your nerve health. Remember, recovery can take time, and it’s essential to be patient and proactive in your approach to healing.

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