Post-Operative Symptoms After Minimally Invasive Lumbar Surgery - Neurosurgery

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After undergoing minimally invasive lumbar surgery for a herniated disc, it is quite common to experience a range of post-operative symptoms, including pain, numbness, and altered sensation in the legs. These symptoms can be concerning, especially when they persist or seem to worsen after surgery.
In your case, you mentioned experiencing pain on the outer side of your left calf, decreased sensation compared to your right leg, and a tingling sensation in your left foot. These symptoms can be attributed to the nature of the surgery you underwent. During the procedure, the surgeon likely removed a portion of the herniated disc that was pressing on the nerve root. While this can relieve pressure and potentially alleviate pain, it does not immediately restore normal nerve function.
The recovery of nerve function can vary significantly from person to person. In many cases, it can take weeks to months for the nerves to heal and for symptoms to improve. The timeline for recovery depends on several factors, including the severity of the nerve compression prior to surgery, the extent of any nerve damage, and individual healing rates. It is not uncommon for patients to experience lingering symptoms such as pain, numbness, or tingling for some time after surgery.
Your surgeon's explanation that the surgery involved "moving the stone" (the herniated disc material) away from the nerve is accurate. However, it is essential to understand that the nerve itself may have been affected before the surgery, and the recovery process can be gradual. In some cases, physical therapy may be recommended to help facilitate recovery and improve strength and mobility.
If your symptoms do not improve or worsen over time, it is crucial to follow up with your healthcare provider. They may recommend additional imaging studies, such as an MRI, to assess the surgical site and ensure that there are no complications, such as re-herniation or scar tissue formation that could be contributing to your symptoms.
In terms of managing your current symptoms, here are some recommendations:
1. Rest and Activity Modification: Avoid activities that exacerbate your pain, and allow your body time to heal. Gradually reintroduce activities as tolerated.

2. Physical Therapy: Engaging in a structured physical therapy program can help improve strength, flexibility, and overall function. A physical therapist can provide exercises tailored to your specific needs.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. Always consult with your doctor before starting any medication.

4. Follow-Up Appointments: Keep your follow-up appointments with your surgeon or healthcare provider. They can monitor your progress and make necessary adjustments to your treatment plan.

5. Nerve Recovery: Be patient with your recovery. Nerve healing can take time, and while it can be frustrating, many patients experience significant improvement over several months.

In conclusion, while your symptoms are not uncommon following lumbar surgery, it is essential to maintain open communication with your healthcare team. They can provide guidance tailored to your specific situation and help ensure a smooth recovery process. If you have any concerns about your symptoms or recovery, do not hesitate to reach out to your surgeon for further evaluation and support.