Leg Pain After Back Surgery

Leg Pain After Back Surgery-It is an unfortunate fact that back surgery does not always achieve a significant analgesic for many patients with symptoms such as sciatica, back pain, neck pain or foot pain. In fact, in some cases, pain in the patient’s leg after surgery may worsen, or new pain may occur. This often leads to the need for a long-term analgesic treatment to help patients cope with leg pain, and additional surgery is usually dismissed as ineffective or too risky unless there is a clear mechanism behind the pain. pathology.
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Pain that develops gradually after surgery suggests scar tissue that affects or clogs the spinal cord that preserves the lower back and lower legs. Acute pain is more likely to be the result of recurrent disc herniation after a change in the distribution of weight across the vertebral level. Adjacent segment syndrome (also known as a transitional syndrome) may exist where spinal fusion surgery has occurred and pressure has been placed on the spine and discs on both sides of the fusion.

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There may also be a surgical accident that causes a direct trauma to the spinal cord and the nerves have been bruised or cut during surgery. The most invasive procedures may involve the removal of the spinal cord to push them aside and allow access to the operation field; This can cause bruising and trauma that causes nerve pain after surgery.

In most cases, the nerve will only take time to heal, but in a small percentage of patients, the damage may be permanent. Other possibilities include the possibility of blood clots or edema that compresses the nerves, and anticoagulant or diuretic medications may be prescribed.

Discussing treatment options with your doctor is important to avoid permanent nerve damage if possible. The combination of physical therapy and pain treatment is the usual treatment for postoperative pain in the foot. The pain may disappear over time if the nerves can heal and the strap can be avoided or overcome.

Recurrent disc herniation, hardware failure, or fractures are more likely to require additional surgery of the spine, especially in cases where acute nerve damage can occur that can cause permanent damage, such as paralysis. If the infection causes inflammation and nerve compression, antibiotics are the main form of treatment, with surgery used to drain the infection or remove the infected tissue in cases of deeper infections.

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Throat and pain in the foot
After the surgery again, there is usually damage to the scar tissue in the area near the nerve roots. Patients who experience significant relief from surgery also have evidence of epidural fibrosis, which makes the connection between postoperative pain and healing controversial.

The body forms scar tissue as part of a protective mechanism after a trauma to reconnect tissue and wound wounds quickly, and to maintain structural integrity among other things. Unfortunately, this fibrosis can cause the spinal cord to become bound or compressed by adhesions that can cause pain in the legs after surgery. The scar itself does not contain nerve endings, and the pain in the legs originates mainly in the compression of the nerve roots by fibrous adhesion.

Prevents scarring and pain in the legs after surgery again
If the patient is in good health, has an optimal weight, does not smoke, drinks excessively or tries to accelerate recovery, scarring should not cause any problems after surgery. Of course, it is very possible that a patient has all the surgical tips and still suffers from epidural fibrosis and pain in the legs, but it is unlikely.

There are techniques available for surgeons to limit the extent of epidural fibrosis, but most have not been tested (except in animals). Fat transplants, gelatin sponges, and sheets of intermediate silicone-based membranes can limit the potential for adhesion around the nerve roots, but their use is rare.

It is important to stay active to prevent leg pain after back surgery to keep the nerve moving and prevent it from being blocked by scar tissue. On the other hand, when performing physical activity too quickly after surgery, the patient may involuntarily trigger an inflammatory response in the body and worsen the healing, causing pain in the foot and back, or even failures in the surgical hardware.

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It is recommended to perform a common exercise after surgery to prevent nerves blocked by scar tissue, where the patient pumps the ankles up and down while stretching the hamstrings. This movement moves the nerve through the surgical site near the disc space and can prevent the fibrous adhesion from fully growing and suppressing the nerves.

Treatment of foot pain after surgery Back

Unfortunately, the choice is limited when it comes to treating leg pain after surgery. If healing has occurred and is considered a cause of pain in the legs, then the patient may undergo additional surgery to remove the scar tissue. However, in most cases, it is not clear if epidural fibrosis is actually the cause of pain in the legs and the possibility of a return surgery is often considered too small compared to the risk of such a procedure.

The additional surgery can, in fact, lead to greater instability of the spine and an increase in healing, with patients with more extreme pain. If patients manage to control their condition through the use of medications, physiotherapy, and other conservative treatments, they are usually not considered for surgery. Pain medications such as Neurontin can be prescribed during the recovery period, and physical therapy can help alleviate the nerve roots of adherence to some degree. After this time, pain treatment is the usual therapy for patients with leg and/or back pain.

It is possible that pain in the leg after back surgery is an indication that the patient is misdiagnosed and the surgery does not address the root causes of their pain. Perhaps different vertebral levels are actually responsible for their pain in the legs and that the diagnostic images identify real asymptomatic lesions.

Additional imaging procedures may be necessary and the surgeon may decide that selective nerve root block will help the patient, both with pain and by isolating the location of the pain. Further surgery may be suggested at different levels, which is often very successful in treating pain in the patient’s foot above and above the initial surgery.

For patients with leg pain who were not treated well with a back surgery, also consider that sciatica is not due to compressed nerves in the lumbar spine but, more precisely, to the thigh itself.

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The piriformis muscle in the thigh, which is responsible for moving the legs from one side to the other, can lead to nerve compression of the ski crowd and become the main reason for the pain of the sciatic nerve in the legs and feet. In addition, osteoarthritis in the hip can cause pain in the sciatic nerve and pain in the legs, as well as inflammatory conditions such as rheumatoid arthritis.

This condition can not be diagnosed by mistake before back surgery, but it is still considered as an alternative diagnosis or complication. Treatment will vary greatly if the cause of pain in the leg is not associated with spinal cord compression, hip surgery, physiotherapy in the thigh muscles or targeted anti-inflammatory injections potentially discussed with the doctor.

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