Herniated disc is not same as an annular tear. One a buldge which can be resolved with stretching and time off to retract the area

the annular tear always requires surgery. Its diagnosed with a fluoroscopy of the disc while injecting dye.

The microdiscetomy will only hold so long and is a stop gep. When they progress. They require fusion of adr.

good luck to us all.

 

Herniated disc is not same as an annular tear. One a buldge which can be resolved with stretching and time off to retract the area

the annular tear always requires surgery. Its diagnosed with a fluoroscopy of the disc while injecting dye.

The microdiscetomy will only hold so long and is a stop gep. When they progress. They require fusion of adr.

good luck to us all.

1. By definition, a herniated disc involves a tear in the anulus fibrosus wherein the nucleus pulposus seeps out. In other words an "annular tear" IS the herniation.
2. Most herniations are diagnosed by MRI.
3. Rates of reherniation are variable and not an absolute given.
4. IF there is a reherniation, fusion may or may not be indicated.

Thank you for playing, we have some lovely parting gifts for you.

 

Herniated disc is NOT a buldge. Where the hell do you get this from? Herniation is what happens when the buldged disc finally ruptures and the stuff from inside gets into the spinal column.

Your post is so full of crap it's going to fly.

 

here you go!

 

Just leave.

 

okay. But before i do.

Note that an annular tear does not require bulge or protrusion. It can be undiagnosed with mri. Discogram is the best way to diagnose the annular tear as the lack of pressure in the syringe and leaking of dye, visible with the fluoroscopy, are clear indications.

SED with rf annuoplasty is the preferred treatment at that point.

though your mileage may differ!

 

@ In2bikes - It seems like there is some confusion over semantics and conflation of terms. For purposes of this thread, we were/are discussing annular tears/disc herniations that are of such a degree that the nucleus disc material has breached the annulus and is impinging on the nerve root. In turn, the severe disc herniation causes one's life to suck ass due to unremitting pain and also impairs one's ability to ride their mountain bike. On balance, it does not appear that the posts add substantively to the discussion - especially w/o any corroborating personal anecdotal account(s) that provide meaningful context or clarification.

 

Anyway are you guys on a mountain bike again? How long after surgery did you start?

I've been riding a hybrid/city bike kinda thing and getting more comfortable. Sometimes pulling a kid in a trailer. I also start PT Monday. I feel like I have no core muscles or leg muscles. Makes sense since I've been off the bike since December.

Thinking about some xc type stuff. Local trails are great, but pretty rocky. Have some calmer stuff nearby though.

My first surgery (microdiscectomy) was in December. Had a debridement in late January because my wound wouldn't close because I had an allergic reaction to something (I do not recommend this). Surgeon said that my disc is where it's gonna get, and let pain be my guide but be an adult about it.

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I finally rode yesterday after half a year break, but only because it took me over two months to build the bike
I am pretty sure I would have no problems riding in february (the surgery being done on 1st december).
Except for extremely sore arse and unable to walk too well, zero problems.

 

Nice thanks. My first surgery was 12/20 so I'm not far off. But yeah quad and hamstring soreness from an ambling 4 mile bike path ride was humbling.

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I had microdiscectomy surgery on 7/15/2022. I started PT at 2 months and then doing some easy road rides on my mountain bike between 5 and 10 miles at about 5 months - so far, so good. I hope to be back on the mountain bike in the mountains next month @ 9 months post-op. I have been cautious on purpose wanting to heal completely and not take any chances.

 

Did the doc tell you that you would be good to go and resume normal activities with no restrictions?

did he mention any risk of surgery failure and a possibility of fusion or adr in the future, should things go wrong?

what percentage of disc was removed?

Back pain is extremely difficult to deal with.

depression and significant strain on relationships with loved ones is very common.

its a dark place to be.

i hope you heal well and get back to regular activities!

 

@ramoer and crj5 - How are ya'll getting along post-op?

 

I'm 3 weeks post op today. Its been a roller coaster in this short period of time. One week ago I felt fantastic with very little pain for a good 4 days or so. Then I woke up one morning 5 days ago and my back had that sharp pain, sciatica was back. Since then its been up and down trying to manage the pain once again. Lots of ice and ibuprofen.

 

My previous post: Lumbar Disc/Sciatica Issues ? Anyone have a Microdiscectomy?

 

My previous post: Lumbar Disc/Sciatica Issues ? Anyone have a Microdiscectomy?

Thanks for the reminder. I really needed to read that as I’ve been thinking that maybe the operation didn’t work or I reherniated. I did order a new coil shock for my bike so I can be excited to ride again which could be 6 months + out

 

@crj5 what did you get? I ordered an ext storia to try out on my ripmo v2. I need that plush smooth ride for my back haha

 

I put a RockShox coil with hydraulic bottom out on a Sentinel. I like the EXT on my DH bike but didn’t want to fork out that much cash again, so hopefully the RockShox is close enough, I hear it is supposed to be good. I moved all the parts from my Hightower over to the Sentinel; loved that bike but it can’t fit a coil and I’ve been wanting to run one for awhile. I could only find a Sentinel as a complete build, though, so I put all the stock parts on the Hightower and am selling it as a complete.

The Sentinel may be due for an update, but I wanted this specific one for the external brake, removable headset cups, no in-frame cavity for storage, no headset routing, etc.

 

Guess I’ll throw my two cents in. I have some major back issues. L5-s1 (or 2, can’t remember) has spurs, bulges, stenosis, arthritis, etc. long car rides as I found out (4 hours or more) will absolutely destroy me. Also, a day of riding park used to do the same. That said, I started a workout regimen off the bike. It helped IMMENSELY! So much that the pain reduced about 90%. I still have it, but not to the point of needing assistance to get up when I have a flare up or walking hunched over, pain from back to ankle so bad I’d cry. What made me determine that the working out and focusing on problem areas was working, I recently have had to set my workouts and riding aside, due to needing to get the house in order to be sold, about two weeks in to that, started hurting, I ignored it, got bad, tried pushing through, made it extremely bad. Started at a minimum stretching every night, it helps, quite a bit, I always have a nagging lower back pain, pain in the leg, etc, but the stretching helps keep it small. I need to get all this done, setup the gym at the new house, and get back to it, but life’s forcing my hand at the moment. It will get better, just have to deal.

 

Sounds like you're on top of it and know what works, and working hard at it. Hope it lasts a while for you! Can be a grind going through all that.

Kind of cool during recovery now that core strength, stretching, and posture actually make a decent difference again.

Also...to the folks also recovering: it was volatile and hard for me for a while (getting much better now btw). Some days I was kicking myself having a surgery that didn't work, others I was fresh and spry looking at a mountain bike I knew I shouldn't ride.

Tried to keep busy and get outside the best I could, or at least open windows when I couldn't walk much.

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An update on my recovery: Things are not looking great. I'm 4 weeks post op today. My pain levels are slowly increasing after what I thought was just a flare up. This has been pretty much consistent for the past few weeks, and I've had a few days where the pain subsided. It's the original sciatica butt/hamstring/achilles pain I had but maybe a pain level 5-6 compared to the 9 before the surgery. Ibuprofen helps, but I have to take it consistently everyday. My doctor ordered an MRI w/ contrast, he is thinking a good possibility of re-herniation.

 

Well, that just sucks - I'm sorry to hear this report. My surgeon indicated that the overall rate of reherniation is around 10-15%. When is your MRI? Did your surgeon give you any indication of the what the possible treatment options are going forward if the disc did in fact reherniate?

 

I doubt it's re-herniation if Ibuprofen helps. Of course, that's just my amateur opinion after observing zero improvement with opioid painkillers taken as a cocktail with two other things prescribed by a neurologist in my case before the surgery.

 

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there will be a time in the future when the surgeons can fix these issues more often than not. but that time is not now unfortunately. surgery is to be avoided at all costs unless its real damn bad. these operations create a cascade of progressive spine degeneration

 

And you would know that because? Probably because you're good at googling or graduated from the University of life?

Don't we all love the Mr. Smart, jumping to random discussions about things he knows as much about as me when it comes to nuclear physics?

 

@ramoer did you have your MRI? Any new info?

 

Yes, unfortunately reherniated L5-S1 10mm. Same size herniation as the original in the same place pushing on same nerve. I'm an idiot because I pretty much know exactly when and how this happened (trying to open a box with a boxcutter on day 4-5 after surgery) and the knife slipped and my back seized and i felt the sharp back pain and sciatica immediately. I am trying to get a revision MD for next week.

 

@ramoer don’t blame yourself, none of this is your fault, whether it was opening a box or whatever. We all drew the short straw with this condition in the first place. Lots of normal movements that most people take for granted can be a much bigger deal and cause pain for those of us that have this issue. I’m really sorry to hear this is happening.

At least it’s not a mystery and you know what is going on. I hope you have a resolution soon and you and the medical team are able to get it sorted out even if it means another surgery. Don’t pay attention to some of the negative posts in this thread, those commenters have no idea what it is like to deal with this. Please keep us updated.

 

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Along with a very clean veganish diet here is the kitchen sink supplement cocktail I came up with from research to assist in healing (collagen/proteoglycan synthesis) and it really helped. I still take all of the below with the exception of the Aloe Vera.

Vitamin-C 3grams time release 2x a day
Vitamin-D 5000iu
Glucosamine 3000mg
Chondroitin 3000mg
Glycine 6 grams
Fucoidan Extact 500mg
Hyaluronic Acid 250mg
Manganese 10mg
Pomegranate Extract (ellagic acid 300mg)
Aloe Vera Gel 8oz
Bone Broth Protein 30grams

Go away please.

 

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@In2falling - Cool that program worked for you; it definitely does not work for everyone.

 

He's either intentionally being annoying/trolling or is one of the smartass knowitall people.

 

@ramoer any updates?

 

@crj5 yooo. So I decided after getting a second opinion not to have a revision surgery. Doc said this should heal on its own with aggressive PT. I’ve been doing daily pt stretching and core exercises which seems to be helping. I’d say I’m like 60% at the moment which is a lot better than I was. Still taking celebrex daily for inflammation. I get some leg pain in my Achilles area. No MTB yet, maybe no riding until at soonest fall. How are you doing