Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. Whatever info you can provide will be greatly appreciated. Carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? Kate Fontaine " Don't cry because it's over. Smile because it happened. " -Dr. Seuss From: cwarman89134 <cwarman89134@...> spinal problems Cc: Sent: Sunday, January 16, 2011 4:38 PM Subject: L1-S1 Laminectomy this week  My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. Whatever info you can provide will be greatly appreciated. Carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 This would be the entire row -- L1, L2, L3, L4, L5 and S1. The doctor said no fusion or hardware would be necessary. Of course, who knows what he'll find once he gets in there. His PA says there have never been any surprises in five years that she's been working for him. The MRI tells him everything, she said. This surgeon operated on my husband's urologist in November. The urologist was back in his office (off narcotics) in six days. Of course, the urologist is probably 25 years younger than my husband plus I don't know how many vertebrae were involved in his case. Thanks. Carol _____________________________________________________ > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > Kate Fontaine > > " Don't cry because it's over. Smile because it happened. " > -Dr. Seuss > > > > > From: cwarman89134 <cwarman89134@...> > spinal problems > Cc: > Sent: Sunday, January 16, 2011 4:38 PM > Subject: L1-S1 Laminectomy this week > > >  > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > Whatever info you can provide will be greatly appreciated. > > Carol > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 Forgot to mention that the surgeon said this is an overnight stay in the hospital (possibly two nights " if he needs it " ). Carol __________________________________________________ > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > Kate Fontaine > > > > " Don't cry because it's over. Smile because it happened. " > > -Dr. Seuss > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > spinal problems > > Cc: > > Sent: Sunday, January 16, 2011 4:38 PM > > Subject: L1-S1 Laminectomy this week > > > > > >  > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > Whatever info you can provide will be greatly appreciated. > > > > Carol > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 A laminectomy should be an almost painless recovery, unless there were other issues involved, provided it is only a few levels. Laminectomies to the extent your husband is having Carol, would mean a longer recovery due to the sheer length of the incision, muscular and ligamentous dissection. It's the same as for one level, just multiplied by 18 levels. I assume that he's having this surgery done for stenosis It sounds to me like he has bony arthritic type deposits on the foramen of each vertebrae that is pinching the spinal nerves. A laminectomy will alleviate the nerve impingement symptoms by removing the external portion of that bone. Think of what a filled dog bone looks like...if you remove the top part of the bone the filling has all that room to expand and pressure is relieved. --- Babbitt From: cwarman89134 <cwarman89134@...> Subject: Re: L1-S1 Laminectomy this week spinal problems Date: Sunday, January 16, 2011, 7:34 PM  This would be the entire row -- L1, L2, L3, L4, L5 and S1. The doctor said no fusion or hardware would be necessary. Of course, who knows what he'll find once he gets in there. His PA says there have never been any surprises in five years that she's been working for him. The MRI tells him everything, she said. This surgeon operated on my husband's urologist in November. The urologist was back in his office (off narcotics) in six days. Of course, the urologist is probably 25 years younger than my husband plus I don't know how many vertebrae were involved in his case. Thanks. Carol _____________________________________________________ > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > Kate Fontaine > > " Don't cry because it's over. Smile because it happened. " > -Dr. Seuss > > > > > From: cwarman89134 <cwarman89134@...> > spinal problems > Cc: > Sent: Sunday, January 16, 2011 4:38 PM > Subject: L1-S1 Laminectomy this week > > >  > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > Whatever info you can provide will be greatly appreciated. > > Carol > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 Thank you, . You are exactly correct. He has spinal stenosis and foraminal stenosis, the latter especially at L5 left. The surgeon said that this procedure would alleviate the sciatic nerve impingements causing leg pain, butt pain and general sciatica. Just curious, how do you compute 18 levels? I thought it would be 6 levels -- L1 thru L5 + S1. Dog bone -- great analogy! Thanks. Carol ______________________________________________ > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > Kate Fontaine > > > > > > " Don't cry because it's over. Smile because it happened. " > > > -Dr. Seuss > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > spinal problems > > > Cc: > > > Sent: Sunday, January 16, 2011 4:38 PM > > > Subject: L1-S1 Laminectomy this week > > > > > > > > >  > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 The most I can do is wish you luck. My recovery was more complicated b/c of the tumor and compression on the spinal column. Maybe it won't be too bad but I imagine the incison is going to hurt,. Kate Fontaine " Don't cry because it's over. Smile because it happened. " -Dr. Seuss From: Babbitt <tpowell1977@...> spinal problems Cc: Sent: Sunday, January 16, 2011 7:59 PM Subject: Re: L1-S1 Laminectomy this week  A laminectomy should be an almost painless recovery, unless there were other issues involved, provided it is only a few levels. Laminectomies to the extent your husband is having Carol, would mean a longer recovery due to the sheer length of the incision, muscular and ligamentous dissection. It's the same as for one level, just multiplied by 18 levels. I assume that he's having this surgery done for stenosis It sounds to me like he has bony arthritic type deposits on the foramen of each vertebrae that is pinching the spinal nerves. A laminectomy will alleviate the nerve impingement symptoms by removing the external portion of that bone. Think of what a filled dog bone looks like...if you remove the top part of the bone the filling has all that room to expand and pressure is relieved. --- Babbitt From: cwarman89134 <cwarman89134@...> Subject: Re: L1-S1 Laminectomy this week spinal problems Date: Sunday, January 16, 2011, 7:34 PM  This would be the entire row -- L1, L2, L3, L4, L5 and S1. The doctor said no fusion or hardware would be necessary. Of course, who knows what he'll find once he gets in there. His PA says there have never been any surprises in five years that she's been working for him. The MRI tells him everything, she said. This surgeon operated on my husband's urologist in November. The urologist was back in his office (off narcotics) in six days. Of course, the urologist is probably 25 years younger than my husband plus I don't know how many vertebrae were involved in his case. Thanks. Carol _____________________________________________________ > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > Kate Fontaine > > " Don't cry because it's over. Smile because it happened. " > -Dr. Seuss > > > > > From: cwarman89134 <cwarman89134@...> > spinal problems > Cc: > Sent: Sunday, January 16, 2011 4:38 PM > Subject: L1-S1 Laminectomy this week > > >  > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > Whatever info you can provide will be greatly appreciated. > > Carol > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 My mistake, I thought you said T1 through S1. --- Babbitt From: cwarman89134 <cwarman89134@...> Subject: Re: L1-S1 Laminectomy this week spinal problems Date: Sunday, January 16, 2011, 8:07 PM  Thank you, . You are exactly correct. He has spinal stenosis and foraminal stenosis, the latter especially at L5 left. The surgeon said that this procedure would alleviate the sciatic nerve impingements causing leg pain, butt pain and general sciatica. Just curious, how do you compute 18 levels? I thought it would be 6 levels -- L1 thru L5 + S1. Dog bone -- great analogy! Thanks. Carol ______________________________________________ > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > Kate Fontaine > > > > > > " Don't cry because it's over. Smile because it happened. " > > > -Dr. Seuss > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > spinal problems > > > Cc: > > > Sent: Sunday, January 16, 2011 4:38 PM > > > Subject: L1-S1 Laminectomy this week > > > > > > > > >  > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 Kate, That makes sense. I thought there had to be more going on than just a laminectomy. --- Babbitt From: cwarman89134 <cwarman89134@...> Subject: Re: L1-S1 Laminectomy this week spinal problems Date: Sunday, January 16, 2011, 7:34 PM  This would be the entire row -- L1, L2, L3, L4, L5 and S1. The doctor said no fusion or hardware would be necessary. Of course, who knows what he'll find once he gets in there. His PA says there have never been any surprises in five years that she's been working for him. The MRI tells him everything, she said. This surgeon operated on my husband's urologist in November. The urologist was back in his office (off narcotics) in six days. Of course, the urologist is probably 25 years younger than my husband plus I don't know how many vertebrae were involved in his case. Thanks. Carol _____________________________________________________ > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > Kate Fontaine > > " Don't cry because it's over. Smile because it happened. " > -Dr. Seuss > > > > > From: cwarman89134 <cwarman89134@...> > spinal problems > Cc: > Sent: Sunday, January 16, 2011 4:38 PM > Subject: L1-S1 Laminectomy this week > > >  > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > Whatever info you can provide will be greatly appreciated. > > Carol > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 katey, Thank you. Carol _____________________________________________________ > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > Kate Fontaine > > > > > > " Don't cry because it's over. Smile because it happened. " > > > -Dr. Seuss > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > spinal problems > > > Cc: > > > Sent: Sunday, January 16, 2011 4:38 PM > > > Subject: L1-S1 Laminectomy this week > > > > > > > > >  > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2011 Report Share Posted January 17, 2011 Carol,If I where you and your husband I would be running away from this neurosurgeon ASAP and getting at minimum, one other opinion and preferably more.You are talking about the entire lumbar spine when you say laminectomy of L1-S1 and your husband is likely to end up in far worse shape after this than before.Laminectomy is the removal of the entire bony lamina, a portion of the enlarged facet joints and the thickened ligaments overlying the spinal cord and nerves.That leaves very little of the vertebrae to support the lumbar spine and severely compromises the vertebrae, likely causing slippage of the vertebrae, pressure on nerves and requiring a fusion in the not to distant future.I'm assuming that your husband has had at least 1 MRI done. Has he had any epidural injections or any diagnostic injections done to determine where the pain is coming from, what level or levels is causing the pain?Just because the MRI shows stenosis at all these levels doesn't mean that they are causing the problems that he is having and it really is important to find out exactly what level is causing the problems and not just assume that the stenosis in all levels is the problem.L4/L5/S1 are usually the levels that are related to foot drop as well as sciatica and it the "tennis ball" treatment is relieving pain, it very well be piriformis sydrome, but it can work to provide some relief for sciatica as well.This doctor may come highly recommended, but there are too many questions that I see to go ahead with this surgery without at least one other opinion.As for the length of time for recovery from this, your husband is looking at a lot longer than 2 weeks and any doctor that tells you that his patients are back at work in a desk job after that length of time is really feeding you a bull line and just not telling you the truth.One can not return to sitting at a desk job 2 weeks after spine surgery, you are not supposed to sit for more than 30 minutes at a time and thats pushing it, for several weeks after this type of surgery. and that's with just 1 level being done. and the odds of a construction worker having spine surgery and returning to that line of work is not very high, and with the number of levels your husband is having done, there is no way they could.I know EMT's that have had 1 laminectomy done and where not able to return to being an EMT because they could no longer lift the weigh that was needed to do their job.You are talking about all lumbar levels.The more levels being done, the longer the recovery. And with this many, the surgeon is probably going to use 1 long incision which would be several inches long. The more tissue, muscle cut, the longer the recovery.The usual post up is no bending, no twisting, not turning, no stooping, no reaching further than arms length, no lifting anything over a couple of pounds for at least 2 weeks, and then a slow return to activity with about 6 10 weeks of physical therapy to strengthen the core muscles, learn to properly move and do things with proper body mechanics, and to fully recover from major spine surgery.It can take 6 months and up to a year to fully recover from this and your husband will no doubt be restricted as to how much weight he can pick up for the rest of his life because of so much of each of his vertebrae being removed.You are going to need help for several months, especially if you are physically disabled. I'm sorry, but in my opinion and unfortunately I have experience as both a spine patient and working for a spine surgeon, your husband's doctor is really not telling you the truth about this surgery and recovery and is putting your husband's spine in severe compromise by doing this surgery.If I where you and your husband, I would not go ahead with this surgery this week, but seek other opinions as fast as possible.I would get an opinion with an orthopedic spine surgeon that specializes in spines and then get another one.It is true that the longer you wait the more risk to develop permanent nerve damage and the foot drop, but at the same time, the surgery presented to you doesn't sound like the best option and you need other opinions first.There are many doctors out their with so called "good reputations" that really aren't that good when checks deeply into them. How much one can find out about a doctor's reputation isn't always all that you need.They may be very good in certain types of spine surgery and not in others, and this sounds like one of those not so good others.Good luck with your decision and I wish you and your husband the best, but I really think you and your husband need to postpone this surgery and get some other opinions ASAP first.FranFrom: cwarman89134 <cwarman89134@...>Subject: L1-S1 Laminectomy This WeekSpinal Stenosis Treatment Date: Monday, January 17, 2011, 7:45 PM My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full "drop foot". He already has a "flop foot" on the left side, whereby he can't control how the foot hits the pavement when he walks. He also has leg pain when arising from bed. He can usually "walk it off". Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the "tennis ball" trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. Whatever info you can provide will be greatly appreciated. Carol Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2011 Report Share Posted January 18, 2011 Carol, did he see the other 2 surgeons in 2007 or in the last few weeks?Where their surgical opinions the same as now and based on the Nov MRI or an MRI in 2007?If those opinions where based on MRI's done in 2007, then they are no longer relevant opinions. Those opinions need to be based on the present MRI, the situation at present and the exhibiting symptoms.You are meeting with the PA prior to surgery and not the surgeon himself? Where is the surgeon in all of this. He is the one you should be meeting with prior to surgery and he is the one that you should be discussing all of this with, not a PA.If that is what I was presented with, prior to my spine surgery, meeting with the PA before surgery in 2 days and not the spine surgeon who was actually going to do the surgery, I would have walked out the door and found another surgeon.My questions are asked to the spine surgeon in his office prior to my surgery and if I am passed of to the lower level for questions and meetings prior to surgery, that is a bad sign and a red flag goes up to me.The doctor works for me, I don't work for him and if he is going to take his tools and cut me open, regardless of the type of surgery, he has to make himself available to me for questions, explanations etc. If he is too busy and I have to settle for someone else, then he can stay busy like that and operate on others, but no way would he be touching me in the OR, let alone operate.If that is part of his reputation, it isn't a good one, and believe me, I've been around hospitals, worked in many of them and worked for many a doctor, including surgeons and I have never, in my life, over 40 years working within the medical field have I ever known a surgeon of any kind, including spine surgeons, who pass off their patients to a PA to talk to in the office prior to surgery.Good luck Carol, but I'd be running the other way and sure wouldn't allow any doctor who is doing this to operate on anyone in my family either.Odds are the PA will tell you that there is nothing to worry about in terms of spine instability with this surgery. It would appear that they have no concern for that, besides, when it does happen, they just do more surgery on your husband and make more money. I mentioned this surgery to my own spine surgeon today, while working and his mouth fell open and couldn't believe that any spine surgeon would do this without fusing the spine. He also said that there was a high probability that in the end, your husband will have a fusion done in the OR as the spine will not stay stable and collapse during the surgery.I do wish you and your husband the best, but all I can see is this is a set up for future surgery that could have been prevented if this surgery wasn't done.Again my best and good luck.FranFrom: cwarman89134 <cwarman89134@...>Subject: Re: L1-S1 Laminectomy This WeekSpinal Stenosis Treatment Date: Tuesday, January 18, 2011, 5:26 PM Fran, This is not a new problem. He has had sciatica since 2007 and has seen two other surgeons (one neurosurgeon and one orthopedist who specializes in spines). He has also had epidurals (2 rounds) which did not work. He had an MRI in 2007 and a second MRI in November 2010. So this neurosurgeon is actually the third surgeon we've seen. The others both said if the non-surgical treatments didn't work, then surgery was the only other option. We are going with this surgeon because of his reputation and because the "flop foot" symptom has started within the past 2-3 months. We are meeting with the surgeon's PA tomorrow and I will ask about vertebrae slippage and future fusion potential. Thanks for your input. Carol __________________________________________________ > > From: cwarman89134 <cwarman89134@...> > Subject: L1-S1 Laminectomy This Week > Spinal Stenosis Treatment > Date: Monday, January 17, 2011, 7:45 PM > > > > > > > > > > > > > > > > > Â > > > > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full "drop foot". He already has a "flop foot" on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > He also has leg pain when arising from bed. He can usually "walk it off". Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the "tennis ball" trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we > > know of had their backs done by this surgeon. > > > > Whatever info you can provide will be greatly appreciated. > > > > Carol > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2011 Report Share Posted January 18, 2011 , We've been doing a bit more reading on this procedure and see that it can be done with or without fusion. This surgeon says that he will do it (Thursday) WITHOUT fusion. We were wondering about the stability of the spine after a laminectomy at 6 levels without fusion. Do you know anything about this issue? Thanks. Carol ____________________________________________________ > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > spinal problems > > > > > > > Cc: > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2011 Report Share Posted January 18, 2011 I personally would ask at least one additional neurosurgin for an opinion. I had T2 & T3 laminectomy and b/c it is high I have good stability but the " sawed " bone pain is very much there and I can pinpoint exacally where it was done and did so and it surprised my neurosurgen. Kate Fontaine " Don't cry because it's over. Smile because it happened. " -Dr. Seuss From: cwarman89134 <cwarman89134@...> spinal problems Cc: Sent: Tuesday, January 18, 2011 8:26 PM Subject: Re: L1-S1 Laminectomy this week  , We've been doing a bit more reading on this procedure and see that it can be done with or without fusion. This surgeon says that he will do it (Thursday) WITHOUT fusion. We were wondering about the stability of the spine after a laminectomy at 6 levels without fusion. Do you know anything about this issue? Thanks. Carol ____________________________________________________ > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > spinal problems > > > > > > > Cc: > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2011 Report Share Posted January 18, 2011 We've had two other opinions on the general issue of surgery in 2007 based on the same symptoms. The MRI done in 2007 and the one done in 2010 were very similar. We have not asked another surgeon about the fusion issue. We are scheduled to meet with his PA tomorrow (Wednesday) and I have requested that the doctor " join " us. I intend to ask him about this. Thanks. Carol ______________________________________________ > > > > > > > > > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row?ÃÆ'‚ I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > > > > > spinal problems > > > > > > > > > > > Cc: > > > > > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2011 Report Share Posted January 18, 2011 Every time that you have surgery on a disc it can get worse it can weaken either the one below or the one above. A fusion will hold you together but sometimesa fusion will stabalize the whole area. I had 3 regulat operation then the last 2 were stabilization procedure and the last operation was to remove all the hardware. I am proof that a fusion will work. It worked very well for me but after 5 years I began to have problems that were telling mo to havethe fusion removed so I did just that and I have been fine since then. Janice L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2011 Report Share Posted January 18, 2011 Carol you cannot ask enough questions when it comes to your body. Especially your back it will tell you for the rest of your life on a daily basis whether your decision was wright or wrong so get as many opinions as you can. Janice L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ÃÆ'‚ > > > > > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 Just what is the definition of an " unstable " spine? In a message dated 1/19/2011 7:55:24 A.M. Eastern Standard Time, tpowell1977@... writes: Good Morning Carol, You can do a a fusion yes, but your husband's spine in not unstable which is what fusion is generally for. Laminectomy is not so much a procedure in and of itself. It can be such as in your husband's case, where that is all he is specifically going in for. A laminectomy is almost ALWAYS done in ANY spine surgery. All is means is the removal of a small area of bone which allows access to where the surgeon wants to go. A discectomy can't be done without removing this bone first. It's like taking off the car tire to change the brake pads. It's not really a procedure in and of itself. In your husband's case it is because removal of this bone is therepeutic. It's being done to relieve the pressure on the nerves. To my knowledge, removing the lamina will not lead to instability of the spine. It is discectomy that is the big spine destabilizer. Good luck to your husband! --- Babbitt > > From: cwarman89134 <cwarman89134@...> > Subject: Re: L1-S1 Laminectomy this week > spinal problems > Date: Sunday, January 16, 2011, 8:07 PM > > > > > > > >  > > > > > > > > > > > > > > Thank you, . You are exactly correct. He has spinal stenosis and foraminal stenosis, the latter especially at L5 left. The surgeon said that this procedure would alleviate the sciatic nerve impingements causing leg pain, butt pain and general sciatica. > > > > Just curious, how do you compute 18 levels? I thought it would be 6 levels -- L1 thru L5 + S1. > > > > Dog bone -- great analogy! Thanks. > > > > Carol > > ______________________________________________ > > > > > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > spinal problems > > > > > > > Cc: > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 Hmmm..just wondering, since my spinal surgeon says that while the rads are ugly, my spine is " stable " and thus he's the first to say " You really don' t want to even think about a fusion. " Which is nice, other than it leaves a lingering sense of " What can I do to avoid it becoming UNstable? " In a message dated 1/19/2011 11:22:15 A.M. Eastern Standard Time, tpowell1977@... writes: Taken from a webpage: The vertebral bones, discs, muscles, and ligaments are no longer held together in a tight and proper fit. The spine is designed to provide support, structure, and protection for the body and its organs. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 Well that ties into my other issue, which is why in almost every case, those who talk about " pain management " just want to give epidurals? I was expecting to find a wider range of options in such a speciality, including PT, balanced use of pain medications, weight control if need be, etc. I don't' see injections as an answer to lifetime pain and the term " pain management " made me think that those who talk about that would be into a much more wide-ranging approach than " Short term " management. In a message dated 1/19/2011 12:45:07 P.M. Eastern Standard Time, tpowell1977@... writes: Ah! That is an excellent question. But sadly many people ignore the reality that you CAN PREVENT spinal instability and you can reverse many of the SIDE EFFECTS of instability when you do have it. The only way to maintain stability in your spine is to strengthen your core muscles. These muscles are not just your abdominals. They are in your hips, groin, spine, buttocks, back and abs. I can attest to the fact that you CAN reduce a lot of your pain by doing this. Also, it is common for those of us who have bad backs to have tight quad muscles as well as others. This also is a force pulling against the proper alignment of the hips and spine. This is a commitment that many back pain sufferers ignore or refuse to challenge themselves with...because it's work and it's hard. But trust me, you will feel so good when you do! You will especially notice that sleeping is more comfortable. Even I have gone off the wagon many times, I know it's hard. Once I worked at it for real, I reaped the benefits quickly and swore I would NEVER go back to the way I was before, yet here I am. I went to a physical therapist with a Masters' degree who also employed a massage therapist as a PT assistant. He also taught yoga, taught you how to stretch properly (which almost none of us do), cranio-sacral therapy...all these things as adjunct to my PT. The goal of my PT was strengthening my core. Many insurances who cover PT will cover the massage therapies when used in PT. The doc has to write massage therapy on the script for PT. It usually will say " Strengthen core, increase ROM (range of motion), massage therapy, hydrotherapy...etc. If your doc didn't write a particular therapy that you want and your therapist office offers, they can call or fax your doc and can also work with your insurance co to get the coverage. GOOD physical therapy IS OUT THERE....but we have to do our part. You HAVE to actually do the home exercises several times a day...the payoff is huge though when you find a great reduction in your pain. This is especially true for folks who have had a fusion like me. All back pain sufferers can prevent further damage and decrease pain by properly strengthening your core. --- Babbitt From: jarcher107@... <jarcher107@...> Subject: Re: L1-S1 Laminectomy this week spinal problems Date: Wednesday, January 19, 2011, 12:24 PM Hmmm..just wondering, since my spinal surgeon says that while the rads are ugly, my spine is " stable " and thus he's the first to say " You really don' t want to even think about a fusion. " Which is nice, other than it leaves a lingering sense of " What can I do to avoid it becoming UNstable? " In a message dated 1/19/2011 11:22:15 A.M. Eastern Standard Time, tpowell1977@... writes: Taken from a webpage: The vertebral bones, discs, muscles, and ligaments are no longer held together in a tight and proper fit. The spine is designed to provide support, structure, and protection for the body and its organs. [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] ------------------------------------ Groups Links Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 Good Morning Carol, You can do a a fusion yes, but your husband's spine in not unstable which is what fusion is generally for. Laminectomy is not so much a procedure in and of itself. It can be such as in your husband's case, where that is all he is specifically going in for. A laminectomy is almost ALWAYS done in ANY spine surgery. All is means is the removal of a small area of bone which allows access to where the surgeon wants to go. A discectomy can't be done without removing this bone first. It's like taking off the car tire to change the brake pads. It's not really a procedure in and of itself. In your husband's case it is because removal of this bone is therepeutic. It's being done to relieve the pressure on the nerves. To my knowledge, removing the lamina will not lead to instability of the spine. It is discectomy that is the big spine destabilizer. Good luck to your husband! --- Babbitt From: cwarman89134 <cwarman89134@...> Subject: Re: L1-S1 Laminectomy this week spinal problems Date: Tuesday, January 18, 2011, 8:26 PM  , We've been doing a bit more reading on this procedure and see that it can be done with or without fusion. This surgeon says that he will do it (Thursday) WITHOUT fusion. We were wondering about the stability of the spine after a laminectomy at 6 levels without fusion. Do you know anything about this issue? Thanks. Carol ____________________________________________________ > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > spinal problems > > > > > > > Cc: > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 , That is VERY usuaual and definitely the exception to the rule. Many people have slight differences in their one, muscle and nerve pathology and physiology, so that's why occasionally these different experiences come up. --- Babbitt From: Katey Fontaine <fuzzyfontaine@...> Subject: Re: L1-S1 Laminectomy this week " spinal problems " <spinal problems > Date: Tuesday, January 18, 2011, 8:32 PM  I personally would ask at least one additional neurosurgin for an opinion. I had T2 & T3 laminectomy and b/c it is high I have good stability but the " sawed " bone pain is very much there and I can pinpoint exacally where it was done and did so and it surprised my neurosurgen. Kate Fontaine " Don't cry because it's over. Smile because it happened. " -Dr. Seuss From: cwarman89134 <cwarman89134@...> spinal problems Cc: Sent: Tuesday, January 18, 2011 8:26 PM Subject: Re: L1-S1 Laminectomy this week  , We've been doing a bit more reading on this procedure and see that it can be done with or without fusion. This surgeon says that he will do it (Thursday) WITHOUT fusion. We were wondering about the stability of the spine after a laminectomy at 6 levels without fusion. Do you know anything about this issue? Thanks. Carol ____________________________________________________ > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > spinal problems > > > > > > > Cc: > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 Oh, and they do not saw the bone in a laminectomy. It's too close to the spinal nerves. They use a tool called a rongeur to grasp and tear the weal bone of the lamina. --- Babbitt From: Katey Fontaine <fuzzyfontaine@...> Subject: Re: L1-S1 Laminectomy this week " spinal problems " <spinal problems > Date: Tuesday, January 18, 2011, 8:32 PM  I personally would ask at least one additional neurosurgin for an opinion. I had T2 & T3 laminectomy and b/c it is high I have good stability but the " sawed " bone pain is very much there and I can pinpoint exacally where it was done and did so and it surprised my neurosurgen. Kate Fontaine " Don't cry because it's over. Smile because it happened. " -Dr. Seuss From: cwarman89134 <cwarman89134@...> spinal problems Cc: Sent: Tuesday, January 18, 2011 8:26 PM Subject: Re: L1-S1 Laminectomy this week  , We've been doing a bit more reading on this procedure and see that it can be done with or without fusion. This surgeon says that he will do it (Thursday) WITHOUT fusion. We were wondering about the stability of the spine after a laminectomy at 6 levels without fusion. Do you know anything about this issue? Thanks. Carol ____________________________________________________ > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > spinal problems > > > > > > > Cc: > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 While discectomy will definitely lead to the destabilization of the spine, it is confined to the disc or discs operated on. A fusion will cause destabilization of the upper and lower adjoining levels. Each vertebrae is slightly different from the others as they all have their very own " job " and are designed to move a certain way and bear a certain amount of weight. When a fusion is performed, those vertebrae don't function anymore. They become a rigid column so all the motion and weight bearing is constantly transferred to the adjoining levels...and these guys just aren't designed to handle it. This is where the biggest problem with fusion lies. You are forever going to live with this which can cause bulging discs which may necessitate further surgery or intense myofascial pain due to all your other parts trying to compensate for the changed movement demands placed on it. This is especially noticeable in the lumbar spine. --- Babbitt From: Janice <faraway1@...> Subject: Re: L1-S1 Laminectomy this week spinal problems Date: Tuesday, January 18, 2011, 9:23 PM  Every time that you have surgery on a disc it can get worse it can weaken either the one below or the one above. A fusion will hold you together but sometimesa fusion will stabalize the whole area. I had 3 regulat operation then the last 2 were stabilization procedure and the last operation was to remove all the hardware. I am proof that a fusion will work. It worked very well for me but after 5 years I began to have problems that were telling mo to havethe fusion removed so I did just that and I have been fine since then. Janice L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2011 Report Share Posted January 19, 2011 Well that's not quite what they told me. Kate Fontaine " Don't cry because it's over. Smile because it happened. " -Dr. Seuss From: Babbitt <tpowell1977@...> spinal problems Cc: Sent: Wednesday, January 19, 2011 7:58 AM Subject: Re: L1-S1 Laminectomy this week  Oh, and they do not saw the bone in a laminectomy. It's too close to the spinal nerves. They use a tool called a rongeur to grasp and tear the weal bone of the lamina. --- Babbitt From: Katey Fontaine <fuzzyfontaine@...> Subject: Re: L1-S1 Laminectomy this week " spinal problems " <spinal problems > Date: Tuesday, January 18, 2011, 8:32 PM  I personally would ask at least one additional neurosurgin for an opinion. I had T2 & T3 laminectomy and b/c it is high I have good stability but the " sawed " bone pain is very much there and I can pinpoint exacally where it was done and did so and it surprised my neurosurgen. Kate Fontaine " Don't cry because it's over. Smile because it happened. " -Dr. Seuss From: cwarman89134 <cwarman89134@...> spinal problems Cc: Sent: Tuesday, January 18, 2011 8:26 PM Subject: Re: L1-S1 Laminectomy this week  , We've been doing a bit more reading on this procedure and see that it can be done with or without fusion. This surgeon says that he will do it (Thursday) WITHOUT fusion. We were wondering about the stability of the spine after a laminectomy at 6 levels without fusion. Do you know anything about this issue? Thanks. Carol ____________________________________________________ > > > > > > > > > > > > > > Are you talking just two vertebra or the entire row? I had two done and went back to a desk job (after inpatient physical therapy for 2 weeks and a hospital stay for a week also) with in 3 days of coming home. So I went to work about 3 weeks later. I would honestly say that if you are diasbled as well you will need to find care for the both of you. I am 8 weeks out from surgery and still in pain from only having a laminetamy on my T2 & T3 vertebra has taken a tremendous amount of time to heal. I would think a whole spine row would need a fusion as well???? > > > > > > > > > > > > > > Kate Fontaine > > > > > > > > > > > > > > " Don't cry because it's over. Smile because it happened. " > > > > > > > -Dr. Seuss > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > From: cwarman89134 <cwarman89134@> > > > > > > > spinal problems > > > > > > > Cc: > > > > > > > Sent: Sunday, January 16, 2011 4:38 PM > > > > > > > Subject: L1-S1 Laminectomy this week > > > > > > > > > > > > > > > > > > > > >  > > > > > > > My husband is having an L1-S1 laminectomy this Thursday. The neurosurgeon feels that the sooner it is done the better the chances are that the nerve pressure will diminish and that he won't develop a full " drop foot " . He already has a " flop foot " on the left side, whereby he can't control how the foot hits the pavement when he walks. > > > > > > > > > > > > > > He also has leg pain when arising from bed. He can usually " walk it off " . Two months ago he developed butt pain (which caused us to make the appointment with the neurosurgeon, in the first place) but that has largely been ameliorated by the " tennis ball " trick used for Piriformis syndrome. The surgeon says this is not Piriformis but the tennis ball thing seems to be working for the butt pain. > > > > > > > > > > > > > > Anyway, I was just wondering what people's experiences with laminectomies of this length are. I am physically disabled and we will have help for me 24/7 for a month. The surgeon says some of his patients go back to work in two weeks (those with desk jobs, I guess) and the rest (construction workers) in 4-6 weeks. He says he does 700 (that's not a typo) of these procedures a year. We've checked him out and he does have a very good reputation. Two physicians that we know of had their backs done by this surgeon. > > > > > > > > > > > > > > Whatever info you can provide will be greatly appreciated. > > > > > > > > > > > > > > Carol > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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