Post-Surgery Back Pain: Symptoms After Disc Removal

Postoperative complications of disc surgery?

Hello, doctor.
I previously asked you about related issues.
After my discectomy on May 31, I experienced pain at the incision site, and I was concerned about nerve adhesion.
At that time, you mentioned that nerve adhesion does not occur immediately after surgery.
On June 15, when I returned for suture removal, everything seemed normal, but I noticed that standing for too long caused lower back discomfort.
However, this morning, I suddenly felt severe pain on the left side of my lower back.
It is more difficult and painful to sit up from a lying position than usual.
When I try to stand, I experience a sharp pain that forces me to sit back down immediately.
After a few minutes of moving around, I can stand without pain.
Walking does not cause pain, but when I turn to the left, I cannot turn too far without experiencing pain.
The pain extends from the left side of my spine down to my hip.
This pain feels similar to the early stages of my previous herniated disc pain, but I haven't lifted heavy objects or bent over; I've been very cautious.
Since I'm only wearing a soft brace, my activity level is low, and I try to avoid standing for long periods or walking far.
Even when watching TV, I lie on my side.
Everything was fine until this sudden pain occurred.
What should I do? I am very worried and scared.
Could it be that my disc has herniated again? What should I do if that is the case? It has only been a short time since my surgery; how could this happen? Is it possible that I simply strained my back? Or could it be that I slept in the same position for too long, causing pressure? Or did I turn incorrectly while sleeping? Please help me with a detailed answer.
Thank you so much!

Lele, 30~39 year old female. Ask Date: 2010/06/19

Dr. Ding Xianwei reply Neurosurgery

Hello, the internet is not a suitable place for diagnosing your condition.
Without an in-person examination, we cannot determine your actual problem.
Additionally, it seems you did not follow the previous recommendations.
We suggest that you rest properly by lying flat and consult your surgeon for a detailed inquiry to identify the cause.
If you truly need our advice, please prepare the imaging studies from before and after your surgery and come to our clinic for a thorough discussion to address your concerns.

Reply Date: 2010/06/19

More Info

Post-surgery back pain, particularly after a disc removal procedure, can be a concerning experience for many patients. It is essential to understand that pain following such surgeries can arise from various factors, including surgical trauma, inflammation, muscle strain, and potential nerve irritation or adhesion.
In your case, it appears that you are experiencing significant discomfort on the left side of your lower back, which has become more pronounced after your surgery on May 31. The sudden onset of pain, especially after a period of relative stability, can understandably cause anxiety about the possibility of a recurrent disc herniation or other complications. However, it is important to consider several factors that could contribute to your current symptoms.

1. Postoperative Pain: After any surgical procedure, especially one involving the spine, it is common to experience pain as part of the healing process. This pain can be due to inflammation at the surgical site, muscle spasms, or even the body adjusting to changes in spinal mechanics after the removal of a disc.

2. Muscle Strain: Given that you have been cautious with your movements and have limited your activity, it is possible that you may have strained a muscle in your back. This can happen even with minimal activity, especially if you have been compensating for discomfort or adjusting your posture to avoid pain.

3. Nerve Adhesions: While you mentioned that your doctor indicated nerve adhesions typically do not occur immediately post-surgery, it is still a possibility that could lead to discomfort. Adhesions can develop over time and may cause pain if they irritate surrounding tissues or nerves.

4. Positioning During Sleep: The way you sleep can also impact your recovery. If you have been sleeping in a position that places undue stress on your back, it could lead to increased pain upon waking. It is advisable to use supportive pillows and maintain a neutral spine position while sleeping.

5. Psychological Factors: Anxiety and stress about your recovery can also amplify the perception of pain. It is essential to address any emotional or psychological concerns you may have regarding your surgery and recovery process.

Given your symptoms, here are some recommendations:
- Consult Your Surgeon: It is crucial to communicate your symptoms to your surgeon or healthcare provider. They may recommend imaging studies, such as an MRI, to rule out any complications like recurrent herniation or other issues.

- Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen your back and improve flexibility, which may alleviate some of your pain.

- Pain Management: Discuss pain management options with your doctor. This may include medications, heat therapy, or other modalities to help manage your discomfort.

- Activity Modification: While it is essential to remain active, be mindful of your limits. Gradually increase your activity level as tolerated, and avoid positions or movements that exacerbate your pain.

- Mind-Body Techniques: Consider incorporating relaxation techniques, such as deep breathing, meditation, or gentle yoga, to help manage stress and improve your overall well-being.

In conclusion, while it is natural to worry about the possibility of complications after surgery, many factors can contribute to postoperative pain. It is essential to maintain open communication with your healthcare team and follow their recommendations for a safe and effective recovery. Remember, healing takes time, and with the right support and care, many patients experience significant improvements in their symptoms over time.

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