ALIF / PLIF :: 3 Days Post-Op - L5-S1
Oct 19, 2014
Surgery was 'success' they were originally planning on putting a bracket on the posterior side but said my bone structure wouldn't allow it or something.
So it was mainly an ALIF but they did go through the back to do some bone grafting, so I have incisions on both sides.
So far so good on recovery, obviously very ginger but have been up and moving since 24 hours after and was in hospital for 2 1/2 days.
Have used painkillers when needed but I plan to take it very easy and not push anything. Doing my regular exercises / walking each day has worn me out pretty good but overall so far so good. ANy questions let me know and I will keep updating this thread over the next couple weeks.
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Would like to hear from someone who has had ALIF and PLIF surgery, especially if it was a revision. I joined this board 10 years ago as I was anticipating my first lumbar fusion (L5/L6 and L6/S1 with rods and screws). It was so helpful to me. Now, 10 years later, I am facing more surgery. CT Myelogram shows that my screws have come loose and are moving, my fusion at L6/S1 is no longer fused, and my L4/L5 now has so much stenosis that it is pinching nerves. [Yes, I have 6 fully formed lumbar vertebrae, so that makes it a little confusing.] I have an appt in 2 weeks with the back surgeon to go over details about the surgery. He has already told me that he would plan to go in through the abdomen and through the back, and also get bone graft from my hip. So I think that means 3 incisions. I can't imagine the recovery from that many incisions. Can anyone share anything to help me prepare? Has anyone had successful surgery of this type? I don't see any alternative to surgery, since my hardware is wiggling around.
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Posting on behalf of my father. He is 48 years old and developed severe back pain and leg pain from Feb this year. We've been to a spine surgeon specialist and have been getting some advice. We have been given a nerve root block (steroid injection) and we tried conservative treatment (swimming + physiotheraphy) for 6-7 weeks but the condition has not improved. It is looking like we need to take surgical action as I can't image what type of pain he goes through every day. He is currently off work and on Lyrica 25mg + panadeine forte (basically tylenol a bit of codeine).
Here are the MRI findings for his lumbar back summarised:
* L2/3 - mild broad based disc bulge, minimal impingement on thecal sac.
* L3/4 - mild broad based disc bulge, minimal impingement on thecal sac. Mild narrowing of neural exit foramina on the left.
* L4/5 - broad based disc bulge, right para foraminal bilateral annular tear. Bilateral facet joint hypertrophy noted. Mild narrowing of the neural exit foramina bilaterally with potential irritation on exiting L4 nerve root weight bearing.
* L5/S1 - broad based disc bulge with facet joint hypertrophy causing mild impingement on the thecal sac. Narrowing neural exit foramina on left with potential impingement on left L5 nerve root. Mild narrowing on the right with potential impingement of exiting L5 nerve root weight bearing.
The surgeon has told us that it is basically bilateral foraminal stenosis on L5/S1 due to the disc degeneration on the L5/S1 level that is causing the back pain and the sciatica. He wishes to fuse L5/S1 anterior and posterior. There will be instrumentation (rods, screws, wedge). I was wondering if there was anyone out there with similar problems who elected for surgery. If so, how did it go and how much of the pain went away.
Also concerned if the 1 level fusion is actually sufficient upon reading some posts on this forum and the internet. I'm quite scared at this stage and my father even more so. However, the pain is really getting to him and I understand that we are left with no choice.
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I am new to the board and am now one year out from lumbar fusion. I am a very physical person and a Personal Trainer as well. My low back pain has all but disappeared however neck and shoulder pain,stiffness and numbness are very concerning !!! I am currently treating with acupuncture and muscle relaxers. I also am a chronic migraine sufferer and believe this is partially being caused by cervical issues.
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Had this op performed by Mr Reece at Queen Elizabeth Hospital in Glasgow just over 3 weeks ago. I have 8 screws and two cages in my disc space packed with synthetic bone grafts and injected with bone marrow taken from my vertebrae.
I was up walking the same day, baby steps buy nonetheless, walking. I was in hospital for 4 days (I would have been out earlier if my bowels had moved sooner).
The first 2 weeks were pretty uncomfortable. Very sore to move as the front stomach wound was very swollen and tight. Once this initial period passed things became easier.
I can now get up from lying in bed or on the couch without much pain, it's still there in the background but not all controlling.
I'm walking everyday, not far but doing this a number of times.
I'm taking this recovery very slowly as this is last go at resolving my back pain after having two previous surgeries on the same site (S1-L4).
Only sitting for very brief spells, not driving yet due to wound, plus sitting does bring on the pain. I have had some nerve pain down my left leg, probably every few days or so but it settles after some meds.
I am still on my nerve pain meds as the damage from previous surgeries won't be fixed by the op. Also still on Dihydrocodeine 60mg X 4 daily but I'll try and reduce these over the coming months.
Would I say that it's been successful? Yes! I have greatly reduced back pain which was my dominant pain source.
It is a major decision to have this op but I had been through all conservative methods previously which didn't assist at all.
Hopefully things will continue to improve over the coming weeks and months. I'll report back over this timescale.
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I had surgery exactly three weeks ago. I developed a fever (99.9-101.8) in the hospital two or three days post op. They gave me antibacterial iv and oral meds from the surgery on. As I developed the fever, they gave me antiviral medication to treat a huge and painful fever blister I developed just two days after surgery thinking that this sore was the culprit. The fever had gone down to low grade but now i'm concerned because it does not want to go away. Im taking Norco and the tylenol in it keeps the fever below low grade but when I don't take Norco ( which i take less and less) the fever and chills/ night sweats keep returning. It is generally starting at noon or afternoon, almost always present in the evenings. Usually 99.5-100.5.
Im very worried that it can be some kind of a stubborn infection. I'm three weeks after surgery, i should not have a temp at all. Plus I'm not fever prone, i hardly ever had a fever in my life, flu or any other illness i pull thru with no temps.
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I am interested in how you have recovered and how your nerve pain is.
i just had an alif L5=S1 on oct 22 and i think things are going ok. I only have slight discomfort around my spine, have slight nerve aches in my left leg but my feet ache like i have been standing all day. My surgeon told me to expect nerve pain for up to 4 months but i cant help worrying when i get pain where i never had it before I don't get pain walking or sitting, only the foot pain when standing and nerve pains when lying down.
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I am going to be scheduled for an L5/S1 (ALIF) fusion surgery. While I am in significant amounts of pain, I am nervous about the recovery for this procedure. I would like to think that I have a high tolerance of pain but I am very nervous about this procedure. How long is the typical recovery time and how bad is the post-op pain? I am having a difficult time deciding when to have my surgery because I don't know how long to expect to be incapacitated.
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I am 4 weeks post op from ALIF at L5-S1. I've had discectomy done twice (2002 and 2012) The last one didn't help any so we did injections and that offered no relief so it was on to the fusion. So far I haven't reached that point where I'm feeling any relief. My surgeon acted like I should have felt relief immediately. I'm still having lower back, butt, and all the way down my leg into my ankle and foot pain (all of this on the LEFT side) I've read and been told it could be quite a while before I get any relief. I was told I would only be in the hospital for 24 hours and was in there for 4 days. I used a walker for the first week and a half or so. I can now move around without it, I'm just very careful. I mostly lay flat in bed with ice. I do get up quite often to walk around the house and have started sitting up in a chair that my Home PT set up for me when he came to visit immediately after surgery. I also do the exercises my PT gave me.
About 4 days ago, I was laying on my side and I reached back to turn my heating pad on. I guess I wasn't thinking and twisted too much. I felt a sharp pain in my back that shot down my leg. Every since then, I have had the worst pain in my back. (I still had the same amount of pain in my back/butt/leg/foot as I did before this surgery 6/10. This new pain has been added to a new place in my back, and when I move it goes up to about a 8/10) I was giving it a few days before I called my surgeon because I don't want to be one of those people who constantly call the dr with small issues that go away after only a few days. This definitely is showing no signs of letting up) The worst part is, they just moved my meds down from hydrocodone 10-325 every 4 hours to Hydrocodone 7.5-325 every 6-8 hours. (Previously to surgery I had been on percocet 10-325/6 hours since June of last year. My surgeon prescribed that for one week after surgery then refilled me with hydrocodone 10-325/4 hours the last 2 weeks. These really didn't do the job, but at least I was somewhat comfortable so I dealt with it.) Now that they changed me down again, I'm getting no relief. Especially with this new pain. Over the weekend I was taking more than I was suppose to and now I'm worried I won't be able to get a refill when I need it. I've been taking pain meds for a little over 2 years now. I look forward to the day I no longer have to rely on them just to be able to get up out of bed in the morning. That day just doesn't seem to be anytime soon. I feel that at the age of 36, I am too young to be in this kind of physical condition.
When I walk, I am bent over to my right side like a little old lady. I can't stand up straight. And each time I take a step with my left leg, it feels like someone is stabbing me in the lower back on my left side. Hopefully I can get some answers tomorrow when I call. I knew this surgery was going to be a long recovery, and I was prepared for that. This new pain really has me worried and I really hope I haven't done something to mess it up. I just don't feel like this pain is something I should be having
Has anyone else injured themselves while recovering from a fusion like this? If so, what was your results? Did it heal on it's own or what? I know everyone is different, it's just good to not feel quite so all alone thru this. No one understands unless they have been thru it. Especially doctors they seem to think that everything goes exactly like the "book" says it should. That's just not always the case.
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I am a 40 year old male that has had two back surgeries. First Surgery February 2014 Lumbar Spine Posterior Discectomy Micro-discectomy on L4 & L5. Surgery failed no improvement. My Second surgery March 2015 Anterior lumbar interbody fusion (alif) surgery on L4, L5, & S1 with cage implants and bone grafts harvested from my own hip bone. I experience sciatica on my right leg and most frequent on left leg ;shooting pain down my right/left hip/buttocks, goes down the back of the leg. The last 3 years left foot numbness. My worst pain is in bed getting up is very painful. Before my ALIF surgery I suffered from sciatica foot numbness and pain in mostly my left leg region. After 6 weeks post ALIF surgery or so I started getting pain in my buttock/hip region. This actually started during my physical therapy. At first I was doing water therapy this is when it started. My last day of water therapy I was literally about to go to ER from P.T clinic. From there on it just had gotten worst, no real improvement. I went back for more P.T sessions stretching and other exercises . What Physical Therapist did notice that my hip motion was very limited and not much improved happen during all my sessions about 40 or so. Its being about 10 months after surgery and 4 months of P.T. and pain on hips doesn't go away. I have to be careful going up or down stairs. Getting out of bed or moving around in bed its a battle. I have spoken to my surgeon and he says it will take more time for recovery and possible have to live with this pain as a fact of life. I have also spoke to other doctor s and pretty much same response. Once thing I just found out recently is about Hip Bursitis. I was diagnosed with Arthritis. My surgeon keeps on saying its my Arthritis causing pain but prior to ALIF surgery I never had this buttocks pain , specially getting in and out bed. I was wondering if anyone has had same symptoms after spinal fusion surgery having Hip Pain From Arthritis or Hip Bursitis?
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Surgery was 13DEC. Today is the 15th day post op for a right ankle arthroscopic debridement, microfracture, and lateral ligament Brostrom procedure.
Last night due my "support" person taking a "personal day" I took it upon my self to take out the trash. I had my first post op this past Monday and the stitches were removed. I'm suppose to be NWB for 6 weeks post op and as of Monday wearing my aircast 24/7 except for showering.
I'm now wondering if I screwed the microfracture up. There is no increase in pain or swelling.
Small background- My husband is my support person but he has decided that he wants a divorce and a social life. Since my surgery he has found it necessary to stay the night at a hotel for at least 4 nights and be gone all day. His response is that he isn't here to babysit me or sit with me 24/7. We have a 6 year old home on winter break as well. We are in Minnesota with no family close and of course it's the middle of winter.
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I have just had 3 hemorrhoids worked on by THD surgery. This was done Thursday (and Saturday). I am on 2 sachets a day of movicol to soften stools but have not passed anything yet. I am eating fruit and little bit of other stuff such as digestive biscuits a little bit of bread etc. is there anything else I can do to help? When is pushing straining? I tried to go earlier and worryingly passed a jelly like lump of something?
The pain is manageable with occasional paracetamol or ibuprofen.
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I've recently undergone a circumcision and have some queries however the surgeon who performed the surgery is on annual leave for a week. A few days after the procedure I noticed something wasn't quite right so I went to ED and as suspected had an infection. Would the fact that I had an infection mean that it could heal slower/incorrectly. I ask as one side of the stitches seems to be a little stretched and not sitting as tight as the other side. I was also prescribed oral antibiotics as well as an antibiotic cream by the ED doctor. I was told to take the oral antibiotics for 5 days but was given enough for 10 days by the pharmacist. Would there be any harm in taking the antibiotics for the full 10 days?
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I had my THD op 12 days ago. The usual pain and discomfort but no blood until today. Today however I went to the loo and passed enough to make the pan red without straining too much. 4 hours later I passed more with a lump of non poo material in it. Would this be a tied off roid? Bleeding stopped very quickly and no pain. Any ideas?
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I had my hemorrhoidectomy and they also removed my right ovary in the same operation on 30 March 2016.
It is now 3 April 2016 so it has been 4 days since my op. I had no pain the first 2 days and then the local anesthetic wore off!
Now it is excruciatingly painful. I have found that bathing in a little lukewarm water with 2 hands of salt for 15 minutes help a lot.
And for constipation you can go to your local pharmacy and buy an enima ask them for one that you can drink!
Trust me it is much better than to put a tube up your sore bum!!! The doctor can also prescribe a numbing ointment that helps a lot!!
Goodluck to all my buds out there!!! I know how it feels!!!
One question i have is it normal to still have the swollen loose skin on the outside of your anus?
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I ceased heavy pain medication a couple of weeks ago and that was a mistake. I am back on Norspan 10 mg patches and can now do all my exercises and achieve a few hours sleep before I need to top up with a Tramadol. I've lost 12 kgs in weight simply because my appetite diminished but now I'm trying to eat 3 meals a day and include protein at every meal instead of nibbling and feeling like I want to sleep all day.
I am allergic to many pain medications (unknown until post op) so pain was a big issue for me. If you are contemplating TKR's or have already had them, then get your pain medication stabilised and physio will be so much easier. I have also found hydrotherapy (pool walking) to be a god-send. Today is the first day post op that I feel any where like normal. I was a fit, energetic 63 year year old before my op and I hope to return to that state with much improvements in my knees, in the near future. I believe I will be looking at 6 months recovery time before I can resume a "normal" exercise program of spin, walking, boxing and weights.
No one tells you about the pain, the depression, the disruption to your life, especially not your surgeon. Just be patient, eat well, try to get a walk in each day or a swim and stay positive. At nearly 10 weeks I can see the light at the end of that long tunnel.
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I'm 15 days post op. I had heavy bleeding when I left hospital which lasted a few days then stopped. Then yesterday I started bleeding again it's not as heavy as pre op but heavy enough. I wondered if anyone experienced this post op
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I had abortion on 8th Feb. For one week I had bleeding like normal periods. After that, I see blood spots everyday. Its been 21 days now n I can see blood spots. Is it normal?
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Anybody else had severe pain in wrist and new bruising 11 days post op. no issues with movement of hand or scar. Just this horrible pain when i put any pressure on my wrist.
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I had it done and I'm now 9 days post op. I just wondered if anyone knew how long the fever lasts it does come and go and I know everyone is different I just wondered.
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had the above operation done 5 days ago,i would be very grateful if anyone who has had the same operation would be able to advise me as how long the pain and discomfort will last as i am getting like a contraction type pain in my anas area and when braking wind it is very painful.Going to the toilet for a poo is not normal as i was a one a day person.I Am hoping this will all settle down with time.
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