25 سنوات
Orthopedic im 25 y /o complain of lombalgie left side..4 months ago ido a laminectomy to l5 s1...after 2 months the pain renewed...so what is the causes??
9 أغسطس 2014
There are many possible factors that could be the cause of pain in those diagnosed with Post-Laminectomy Syndrome. The decompression of the spinal nerve root during surgery may not fully recover, continuing to be the source of chronic nerve pain in the back and/or the legs (sciatica). Other times, scar tissue formed during the healing process may surround the nerves and cause pain. In some instances, the vertebrae adjacent to the surgical site may change structurally. Other causes include recurrent or new disc herniation, post-operative spinal or pelvic ligament instability (such as SI joint dysfunction), altered joint mobility, and spinal muscular deconditioning.
As with all health conditions, the best treatment plan requires an accurate diagnosis. With Post-Laminectomy Syndrome, the cause of the residual pain must be found. Imaging tests such as x-rays, MRIs, EMGs, and x-ray guided diagnostic spinal injections will help diagnose the source of pain.
you may benefit of non-surgical treatment may be appropriate and can include physical therapy, spinal manipulation, anti-inflammatory medications (NSAIDS), spinal cord stimulation, and spinal injections. In some cases, revision surgery may be required to eliminate the pain.
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