Post-Spinal Surgery: Seeking Solutions for Ongoing Discomfort and Mobility Issues

Post-spinal surgery

1.
Two years ago, I underwent spinal surgery (L5-S1).
Initially, I was unable to get out of bed, but after receiving spinal injections, I was able to get up.
2.
I can stand for 1-20 minutes, but I cannot sit for more than 3 minutes unless I support myself with my hands.
3.
Two hours after eating, I experience painful anal contractions.
After using a syringe for extensive enemas, I find some relief.
4.
I have seen countless specialists (neurosurgery, proctology, traditional Chinese medicine, etc.) without any solutions.
I am unsure if there are any improvement methods available.
Thank you!

JamesW, 70~79 year old female. Ask Date: 2010/09/14

Dr. Ding Xianwei reply Neurosurgery

I sincerely apologize, but due to the lack of clarity regarding your condition prior to surgery, the imaging data from the procedure, as well as the surgical method and location, I am unable to provide specific advice.
(There are 5/6 cervical vertebrae, but none in the lumbar region; however, your description seems to indicate a lumbar surgery.) I recommend that you gather all relevant information and visit a neurosurgery outpatient clinic for a thorough discussion of potential improvement options.

Reply Date: 2010/09/14

More Info

Post-spinal surgery recovery can be a challenging journey, especially when patients experience ongoing discomfort and mobility issues. Based on your description, it seems that you have undergone significant spinal surgery two years ago, and while there have been some improvements, you are still facing considerable limitations in your daily activities. Here are some insights and recommendations that may help you navigate your recovery process.

Understanding Your Symptoms
1. Mobility Limitations: The inability to sit for more than three minutes without support and the need for assistance to stand indicates that your body may still be adjusting to the changes following surgery. This could be due to muscle weakness, nerve irritation, or even psychological factors such as fear of pain or re-injury.

2. Gastrointestinal Issues: The discomfort you experience after eating, leading to rectal contractions, could be related to nerve involvement or changes in your body’s response to digestion post-surgery. It’s not uncommon for patients who have undergone spinal surgery to experience gastrointestinal disturbances due to nerve pathways being affected.

3. Pain Management: The ongoing pain you describe suggests that your recovery may not be progressing as expected. Pain can stem from various sources, including scar tissue formation, nerve compression, or even adjacent segment disease, where the levels above or below the surgical site become symptomatic.

Recommendations for Improvement
1. Rehabilitation and Physical Therapy: Engaging in a structured rehabilitation program is crucial. A physical therapist specialized in post-operative spinal care can help you with tailored exercises that focus on strengthening your core, improving flexibility, and enhancing overall mobility. This can also help in reducing pain and discomfort over time.

2. Pain Management Strategies: Discuss with your healthcare provider about pain management options. This could include medications, nerve blocks, or alternative therapies such as acupuncture or chiropractic care. Sometimes, a multidisciplinary approach can yield better results.

3. Regular Follow-ups: Since you have seen multiple specialists without resolution, it may be beneficial to return to your orthopedic or neurosurgeon with all your medical records and imaging studies. They may recommend further diagnostic tests, such as MRI or nerve conduction studies, to assess the current state of your spine and nerves.

4. Gastrointestinal Evaluation: Given your gastrointestinal symptoms, consulting a gastroenterologist may provide insights into whether there is a connection between your spinal surgery and your digestive issues. They can evaluate for conditions such as bowel motility disorders or nerve-related issues affecting your gut.

5. Psychological Support: Chronic pain and mobility issues can take a toll on mental health. Consider speaking with a psychologist or counselor who specializes in chronic pain management. Cognitive-behavioral therapy (CBT) can be particularly effective in helping patients cope with pain and improve their quality of life.

6. Lifestyle Modifications: Incorporating gentle exercises such as walking, swimming, or yoga can help improve your overall physical condition. Additionally, maintaining a healthy diet can support your recovery and overall well-being.

Conclusion
Recovery from spinal surgery is often a complex and multifaceted process. While it’s understandable to feel frustrated with ongoing symptoms, it’s essential to remain proactive in seeking solutions. Collaborating with a team of healthcare providers, including physical therapists, pain specialists, and possibly gastroenterologists, can help you develop a comprehensive plan tailored to your needs. Remember, recovery takes time, and with persistence and the right support, improvements are possible.

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