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Back Surgery Thoughts

I had L- 5 surgery in 1974, with it being crushed. Reno Orthopedic/Nv removed the disk and just let things settle, no fusion. Exercise and some watching on lifting heavy items, has not caused me any issues at all, over these years and being 84 now, still no back issues. Glad I had it done, as the pain, back then was horrible.
As for your hips, most have great outcomes, by having them replaced. Wish you well in your progress with what ever venue you take.
 
I have a similar spinal condition which has bothered me since 1985. I won't go into my long journey of medical treatments, medical consultations, etc., but offer a few suggestions:

1. There is not a "one size fits all" treatment since everybody's condition can vary. You need a specific diagnosis from a qualified specialists to access your specific condition, the treatment options, and risks. Yes, there are a lot of bad results but also, many good results too, especially with today's advanced techniques. A complicating factor can be if you have developed arthritis in your spine.

2. I would choose a spinal neurosurgeon, not an orthopedic surgeon if I elected to have surgery. The reason, as advised by my family doctor who has had spinal surgery, is that a neurosurgeon uses a different more precise method. Also, getting a second opinion is always wise.

3. I've managed my condition since 1985 without surgery by employing a set of specialize exercises and when necessary, pain medications. However, I have chronic pain and it has limited my quality of life.

Bottom line: You have the weigh the risks and rewards based on a medical diagnosis and professional assessment of your condition, not from forums, chat rooms, and the rumor mill. I feel your pain and wish you the best.
 
I ruptured a disk in late 2013 (age 57) and had surgery in early 2014. The disk above the ruptured one was bulged, so it got repaired, also. The surgery, VERY successful! At 66 I'm living pain free as long as I behave myself. I think a lot of the after results depends upon the skill of the surgeon and the severity of your ailment to begin with.
 
I've posted before that I have had 5 neck and back surgeries and a lot of titanium implanted. I don't bend very well and I can't turn my head like an owl anymore, but I have no pain. I was fortunate to have a great ortho guy!
 
Hey all.

Have bulged disks at L4-5 and L5-S1. Been struggling the it for years. Dr wanted to put me on pain management several years ago. Told my daughter she is an NP) and she responded “Oh, narcotics”. Hmmm… so I asked the dr if I will do more damage if I just live with it. He said no so I live with it.

Now I need two new hips too. With the back thing and the hips I’m really starting to feel the limitations. Two young grandsons to play with but it is limiting.

Used to be I could do stretching and something would pop in my lower back and I would be good for a few days. No more.

The shoulder thread prompted me to post. (Along with I can’t shoot prone anymore. )

Not looking for sympathy but some of your experiences. Surgery is probably my only option. My wife has had two hips with no issues. Lady down the street still has to use a walker after a year plus. Terrifies me to end up in a wheelchair vs just struggling along. I can walk but standing starts to bother me after a short time.
I have had spinal surgery, and was told this by a neurosurgeon....1/3 of the patients get better, 1/3 stay the same and 1/3 get worse. I was in the worse category.
 
I have had spinal surgery, and was told this by a neurosurgeon....1/3 of the patients get better, 1/3 stay the same and 1/3 get worse. I was in the worse category.
That is my result, but in all honesty, I went back to structural firefighting after 3 of my surgeries for a total of 10 years before the back injury caused me to retire.
 
Back problems can be and are a nightmare for many people, you don’t really appreciate all your back does until it stops doing it or sciatic nerve problems began. I use to drive a lot, averaged 85-95k miles in a vehicle, 25k on motorcycle annually. I grew up on a working ranch, you didn’t loaf or complain you just learned how to work until you learned to enjoy it, at 23 I started my own construction company and instead of being smart and lifting heavy beams and sheet goods with a crane or lift we used our backs to save money, dumb. Did a lot of damage doing that.

One day while returning from a job I was doing on Cannon Air Force Base I pulled in for gas off I40 about 4 hours out from home. Walked in normally, as I was filling up a fountain drink my hips and back felt severe pain, like on fire stabbing kind of pain. It took me 35 minutes to get back to the truck, I could only take 3-4 steps at a time and the pain would make me stop, intense and I’ve dealt with some pain in my life. Once I got back in the truck the pain eased up and I made it home. I spent the next 90 days in a wheelchair, first Doc I saw misdiagnosed the problem as spinal stenosis, a condition where your vertebrates shrink and the spinal canal closes in. I decided to research out a second Spine Doctor for another opinion and found one with lots of positive feedback down in Scottsdale, he was the Doc for a few pro sports teams and other high profile clients. Best thing I ever did. MRI revealed a a severely blown out disc, the second worst he’s ever seen, he said “Air McNair” was worse than mine, he fixed him too. if you don’t remember McNair he was a NFL quarterback. His operating schedule was 67 days out before I could get in during which the pain was intense at times. Post operation I had zero pain but I was foolish and went deer hunting a month later and wore light pack, less than 25 pounds. Some pain came back, mostly due to scar tissue on the nerves he thinks. The pain is nothing compared to before, I can’t do 100% of what I use to be able to do but I can do 80%. I can still hike 10 miles a day if I go slow and don’t wear a pack with more than 20 pounds, still motorcycle, still do construction projects around the house etc. When my back has had enough I stop, it will let me know.

My take away from the experience.

Research your doctor, back problems are tricky, you’re guaranteed nothing but you’ll put the odds in your favor if you find someone who is good at what they do. It’s worth the time it took to research a bit.

I misused my back, lifted too much, lifted it improperly. I would do that different now, obviously.

I should have seen a spine doctor much earlier than I did, I would have avoided much of what I went through.

When driving I should have taken the time to stop and stretch, I stop every 2 hours now or when I feel the pain coming on.

Stretching daily is a tremendous help, I should have been stretching my whole life, still don’t at times, not smart.

Massage therapy gives me tremendous relief depending on the therapist. I found a good one who can really do wonders, it’s lasts a couple weeks and gives me some relief.

Now when I go into town I notice people who suffer with back problems more than I use to. I’ll try and open a door for them, help them get goods back to their car etc. Little things can be a huge help. I always considered myself an empathetic person but after that experience my empathy went up several notches. I’m 56 and still live with back pain, good chance I’ll have more issues down the road. If your back hurts, your hips hurt I’d urge to not procrastinate getting it checked.
 
The OP seems to have disappeared ...

@jbzeus ... as you can see by the number of decreped (absolutely no offense intended) individuals here ... there's still hope to enjoy the sport!

Surgery isn't your only option. Remember this ... if you see a surgeon, he's going to want to cut. Sometimes it's the best option, but not the only one ... and worth exhausting other options as well.
 
I just had back surgery on a large disc bulge at L5-S1. The surgery comletely eliminated the pain in my right leg. I am 79 and I was in the hospital overnight. Recovery is slow but progressing well. Better choice than opioids in my opinion.
 
S1/L5 fusion, 4/5 laminectomy in 2013. I had degeneration, but destroyed them running down a hill and getting to the flat bottom a step before I thought it was coming. I was chasing a kid who had a shotgun and had threatened to kill neighbors so I kinda had to keep going.

Now ten years in.

I was miserable before surgery, unable to do much of anything, even work. I was rather limited in surgeon choices. I was stuck with an ortho. He did a clean, neat job. Screws and rods looked like they were done with CAD.

The recovery has been ten years long. (I was 49, now almost 60.)

I have been using (sparingly, nearly daily) Tramadol, for ten years, and only recently discovered that much of the systemic pain I was experiencing was induced by the back pain, but exacerbated by statins. I stopped the statin. Three months later, after finding the pain to become localized, I went cold turkey off the tramadol. I regained my life. However two weeks ago had a flare up and new symptoms which makes me wonder if l4/5 isn't going. I went back on the pill, but am weaning again.

I go every 6 months for nerve blocks to ease the knots in my legs and the pain in my feet. I did facet joint injections in conjunction with the nerve blocks (for the systemic all over back pain) but stopped a year ago concurrent with the statin intolerance issue resolving a lot of pain.

If I were to do it over, I would chose a neurosurgeon. I would do the surgery again (given my age at the time), because there wasn't a choice. My disc was toast and it wasn't going to heal. I was losing nerve function. That was the determination. Pain is awful, but its the neve loss that makes the call. At my age now, I tell myself I would never do it again (which is evidence I tolerate pain more now, and that I still lie to myself!)

Do your diligence trying physical therapy, exercise, chiropractic, massage, etc. When it gets to nerve function loss (drop foot etc) it is time. Follow up with lots of PT. Go into surgery with the best health you can deliver to that operating room. Plan on a long recovery and realize your focus for a year will be regaining strength and overcoming pain.

I can't offer anything regarding hips except by observation. Friends that have had them seem to do better than people who have knees done.
 
The OP seems to have disappeared ...

@jbzeus ... as you can see by the number of decreped (absolutely no offense intended) individuals here ... there's still hope to enjoy the sport!

Surgery isn't your only option. Remember this ... if you see a surgeon, he's going to want to cut. Sometimes it's the best option, but not the only one ... and worth exhausting other options as well.
No, I haven’t disappeared. Been down with a cold, bronchitis for two days.

Of course I will do a lot of research and not rely on the internet (blindly that is).

I was overwhelmed by the graciousness of people willing to write lengthy posts to share their experiences. I really appreciate the extent some have gone to provide their experiences.

While many times people disappoint the responses in this thread really make me think how helpful and kind some can be.
 
get it done before you have nerve damage i waited to long and now i regret it lost power in my right leg can shoot f class but its hard and can not walk to far wished i had it done a year early i would be a 100% now i am 75 and a lot off people told me not to get it done.
 
50% of all doctors graduated in the bottom half of their class.

If you have the luxury of time, do lots of research before choosing a surgeon. Some docs talk a great game but not much more.
 
Hey all.

Have bulged disks at L4-5 and L5-S1. Been struggling the it for years. Dr wanted to put me on pain management several years ago. Told my daughter she is an NP) and she responded “Oh, narcotics”. Hmmm… so I asked the dr if I will do more damage if I just live with it. He said no so I live with it.

Now I need two new hips too. With the back thing and the hips I’m really starting to feel the limitations. Two young grandsons to play with but it is limiting.

Used to be I could do stretching and something would pop in my lower back and I would be good for a few days. No more.

The shoulder thread prompted me to post. (Along with I can’t shoot prone anymore. )

Not looking for sympathy but some of your experiences. Surgery is probably my only option. My wife has had two hips with no issues. Lady down the street still has to use a walker after a year plus. Terrifies me to end up in a wheelchair vs just struggling along. I can walk but standing starts to bother me after a short time.
I have those exact same bulged disks that I’ve been living with also. I too avoided surgery and the drs “pain management “
But it never gets better. The only thing that’s ever really helped me was aqua therapy. Not a long term fix but it helps.
 
jbzeus, a TLIF is a common procedure, or method of repairing damage to the lumbar spine. You can Google it and read more. The YouTube video below is pretty good IMO. I’ve had two of these fusions done. One in ‘15, the other in ‘22. The first was done by a Neurosurgeon in Manhattan, the second by an Orthopedic surgeon closer to home. In the 7 years time, they have gotten better at many things. The incisions are smaller, and other details have been refined. The second hospital did a much better job than the first. Much better. My primary nurse was excellent. 24 hour turn around after the first fusion, 4 days stay after the second. Recovery is rough. If you need this type of repair, you will need help for quite a while. Do your research as others have said. Try all the options that are appropriate in your situation. Lose weight, stretch, walk, exercise to strengthen if possible. Surgery is a last resort. Many surgeons will tell you that. In my experience, you will most likely be better. Never the same as before you got hurt or damaged. Better is relative. The recovery seems to be less challenging or painful for smaller, or petite body sizes (women). I am not small, but don’t consider myself big. Doctor says I’m a big guy. Pain in recovery was something that I won’t soon forget, but wish I could. Stay away from opioids. They are terrible IMO. They are a necessary evil at times, but get off them ASAP. Epic constipation, mood and temperament will decline, impairs your ability to rationalize what is occurring around you at a time where you need to be paying attention. Current philosophy is no NSAIDS prior and for 12~ weeks after. They claim it inhibits bone growth and healing. Tylenol and ice. Ice is excellent. Was easier on my 3 shoulder surgeries than the back. Just easier to apply. I don’t envy you with what you are contemplating.

Best of luck to you. Peter.

 
after 20 years there's some settling but still good! Prodisc's in lumbar spine.
 

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Any medical procedure that has the potential to impact your quality of life needs several expert opinions, and at least two must agree with each other.

Don't take what one doctor says as the gospel.
 
after 20 years there's some settling but still good! Prodisc's in lumbar spine.
Another good use for a borescope. Just kidding. I’m glad yours worked .
I’ve had 4 low back surgeries and severe pain . Never again . It didn’t help that the first Dr removed the WRONG disc . This was all in 1981- 1984 .
I had 8 mylograms ( spelling ) , thats pre mri imaging, the remove spinal fluid ,inject dye , roll you head to toe on a big table take pictures, remove the dye and you have severe headaches. Sometimes only for days , sometimes forever .
Do your homework, use a well known neurosurgeon, confirm he will do the surgery and pray .
Good luck , sometimes they can stabilize you but the nerve damage has been done and the pain remains.
Gary
 

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