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Far lateral disc herniation

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Chronic Pain
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Fauntleroy
Veteran Member
Joined : Dec 2012
Posts : 541
Posted 10/29/2022 9:02 AM (GMT -8)
Just diagnosed with L3 L4 far lateral disc herniation. It’s a large protrusion off to the left side
These types are are not very common.
The discectomy requires partial bone removal to access the disc, which for standard discectomy is not required.
7 weeks in with acute pain left hip crossing to front of leg into the knee. Can’t get real pain meds prescribed due to federal intervention with the physicians right to treat a patient. Needed approval from insurance company for 2 week supply of Tramadol, which does not help anyway. Just so frustrating…..

Has anyone had this type of repair? Any advice appreciated

Post Edited (Fauntleroy) : 10/29/2022 3:03:52 PM (GMT-7)

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straydog
Forum Moderator
Joined : Feb 2003
Posts : 19273
Posted 10/30/2022 9:17 AM (GMT -8)
Hi Fauntleroy, sorry to read about your situation. This forum has slowed down like many forums here at Healing Well. Short of looking in the archives, we have had members have many different types of back surgery over the years. You are right about L3, typically we see L3 involved when it's a multi level fusion.

My husband had a laminectomy 2 years ago at L4 only. He has a wonderful neurosurgeon in his corner. He has a lot of spurring at multiple levels, but due to his age & underlying health issues he's just not a good candidate for a lumbar back fusion. With the laminectomy the surgeon removed a lot of arthritic formation & removed a bone spur that was pressing on a nerve. His 45 minutes surgery ended up being one hour & 50 minutes, he was a lot worse inside than what showed on his myelogram & post myelogram CT.

Are you being seen by a neurosurgeon? If not, I suggest getting a consult with one. I totally understand what you are saying about getting decent pain relief from a dr these days.

Take care.
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Fauntleroy
Veteran Member
Joined : Dec 2012
Posts : 541
Posted 10/30/2022 5:46 PM (GMT -8)
Thanks Susie

Thanks for the reply
Yes to neurosurgeon. It’s a long drawn out process especially with the end of year insanity with physicians being booked up, as patients are scrambling to get procedures before the deductibles and co pays reset at the new year. Keeps getting worse and more costly.
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Fauntleroy
Veteran Member
Joined : Dec 2012
Posts : 541
Posted 10/31/2022 2:30 AM (GMT -8)
So neurosurgeon, not an orthopedic surgeon?
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straydog
Forum Moderator
Joined : Feb 2003
Posts : 19273
Posted 10/31/2022 8:19 PM (GMT -8)
Stick with your neurosurgeon, those guys are the best when dealing with delicate nerves during surgery. Before retiring, I saw surgeries done by both, hands down always a neurosurgeon for any spine surgery.

My husband has a lot of upper thigh pain, the surgeon said when you wake up from surgery you should be able to tell some difference in your pain. After he was put in his room, the first thing he said was he could tell some difference in the leg pain.

Another thing, he was sent home with this ice pack that was attached to what looked like a mini cooler. I put ice & cold water in it, it had a line that I attached to the cold pack & it circulated cold water throughout the pack. It was wonderful, it helped with his pain & swelling. He used it a lot. I hope you are given one.

You should be sent home with a script for pain meds & muscle relaxers. Take them on a schedule, don't try to tough it out. To this day my husband still takes the muscle relaxers as needed.

Surgery that high up is a little easier than down in the lower back. When we sit, we put a lot of pressure on the low back.

They will get you up to walk not long after surgery. Walking at home is the best thing to help you. Don't forget to get a stool softener, pain meds can plug up the plumbing.
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