I have a herniated disc problem?
Hello, three years ago I had a herniated disc at the L4 and L5 levels that was compressing a nerve, causing numbness in my left calf.
Three months ago, the doctor performed surgery to remove the herniated disc.
Although the surgery has been completed and I have gone through the three-month recovery period, I still experience lower back soreness and numbness in my left calf.
The doctor has recommended that I undergo traction therapy for my back.
Will this be effective?
Xiao Lin, 20~29 year old female. Ask Date: 2010/06/27
Dr. Xie Bojun reply Neurosurgery
Based on your inquiry, the issues you are currently facing are post-surgical lower back pain and numbness in your left calf.
The purpose of the discectomy is to relieve nerve compression, so symptoms of nerve pain should improve after the surgery.
However, the stability of the spine may be affected following the discectomy procedure.
If your symptoms persist, further investigation may be necessary:
1.
For lower back pain - Consult your physician about the extent of the discectomy and consider a dynamic X-ray to determine if there is any spinal instability.
2.
For numbness in the left calf - An MRI should be performed to check for any residual disc fragments or narrowing of the neural foramen.
Based on the results of these two examinations, we can better understand the effectiveness of rehabilitation treatment for your condition.
Reply Date: 2010/06/27
More Info
Post-surgery recovery for herniated discs can be a complex process, and the effectiveness of traction therapy in your case depends on several factors. After undergoing surgery for a herniated disc, particularly at the L4-L5 level, it is common to experience lingering symptoms such as pain and numbness in the legs, even after the surgical site has healed. This can be due to several reasons, including nerve irritation or damage that occurred prior to the surgery, or the presence of scar tissue that may still be affecting nerve function.
Traction therapy is often used in rehabilitation settings to relieve pressure on the spine and improve spinal alignment. The goal of traction is to create space between the vertebrae, which can help alleviate pressure on the spinal nerves. In your case, since you are experiencing ongoing symptoms such as left calf numbness and lower back discomfort, traction may provide some relief. However, it is essential to approach this therapy cautiously and under the guidance of a qualified healthcare professional.
Here are some important considerations regarding traction therapy post-surgery:
1. Consultation with Your Surgeon or Physical Therapist: Before starting traction therapy, it is crucial to discuss your symptoms and recovery status with your surgeon or a physical therapist. They can assess your spinal stability and determine whether traction is appropriate for your condition. If there are any concerns about the integrity of your spine post-surgery, they may recommend alternative therapies.
2. Type of Traction: There are different types of traction, including manual traction performed by a therapist and mechanical traction using specialized equipment. Your healthcare provider can help determine which method may be most beneficial for you based on your specific symptoms and recovery progress.
3. Monitoring Symptoms: If you proceed with traction therapy, it is vital to monitor your symptoms closely. If you experience increased pain, numbness, or any new symptoms during or after traction, you should inform your therapist immediately. Adjustments to the treatment plan may be necessary.
4. Complementary Therapies: In addition to traction, other rehabilitation methods such as physical therapy, stretching exercises, and strengthening programs can be beneficial. These therapies can help improve flexibility, strengthen the muscles supporting your spine, and enhance overall function.
5. Time for Nerve Recovery: Nerve recovery can take time, and it is not uncommon for symptoms to persist for months after surgery. The nerves may need time to heal, and while traction may help alleviate some pressure, it is essential to have realistic expectations regarding the timeline for recovery.
6. Long-term Management: After surgery, it is crucial to adopt a long-term management plan that includes regular exercise, proper body mechanics, and lifestyle modifications to prevent future issues. Engaging in low-impact activities, maintaining a healthy weight, and avoiding heavy lifting can contribute to a healthier spine.
In summary, traction therapy may be effective for alleviating some of your symptoms post-surgery, but it should be approached with caution and under professional supervision. A thorough evaluation by your healthcare provider will help determine the best course of action tailored to your specific needs. Remember, recovery from a herniated disc surgery is a gradual process, and patience, along with a comprehensive rehabilitation plan, will be key to your long-term success.
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