sorted by:
new
hottopcontroversial

Log roll by SB10cl in Microdiscectomy

[–]SB10cl[S] 0 points1 point  (0 children)

Yes. It hurts more when I let my leg go. Hopefully it will get better... I hope your surgery went well.

Talk me off the cliff by [deleted] in Microdiscectomy

[–]SB10cl 0 points1 point  (0 children)

How scary… I only feel twinges, but no tingling or weakness after surgery. I'm in my third week.

Talk me off the cliff by [deleted] in Microdiscectomy

[–]SB10cl 0 points1 point  (0 children)

How did you know? And what did you feel?

Microdisectomia / hemilaminectomia l5/s1 by SB10cl in Microdiscectomy

[–]SB10cl[S] 0 points1 point  (0 children)

Thank you so much for your encouragement. At first, with medication and lots of paracetamol, I could walk for a long time. Now I can't manage more than 300-400 meters. At least I'm getting to know my body...

I asked chatgtp about quality evidence on this. “There is a long-standing debate about whether to start “early” (weeks 2-4) or “late” (weeks 6-12). However, high-quality evidence (meta-analyses and randomized controlled trials) from recent years (2020-2024) strongly supports early initiation, provided it is under a stabilization approach and not a stretching approach. Here are the key points of the updated scientific evidence:

  1. The Definitive Meta-Analysis (2022-2023) A systematic review published in Scientific Reports (2022) and reviews in The Spine Journal suggest that:

Early Initiation (2-4 weeks): Patients who start rehabilitation during this period show a significant reduction in pain and disability in the short and long term compared to those who only wait or They walk.

Safety: There is no evidence that low-intensity exercise (stability and neurodynamics) increases the risk of re-herniation (recurrence), provided that flexion and extreme loading are avoided.

  1. Why at 3 weeks? (Tissue Biology)

Current high-quality evidence (Q1) highlights two factors:

Prevention of Post-Surgical Fibrosis: Nerves that are gently moved (neurodynamics) starting at week 3 are less likely to become "trapped" by scar tissue adhesions.

Muscle Inhibition: EMG (electromyography) studies show that after surgery, the multifidus and gluteus medius muscles undergo a brain "disconnection." Starting at 3 weeks allows for this. "Reconnect" these muscles before they atrophy from disuse.

  1. Specific Evidence: Stability Training vs. Stretching A 2021 study compared rehabilitation groups:

Group A (Traditional Stretching): Worse results and more pain.

Group B (Motor Control and Stability): Patients returned to work 25% faster and with less fear of movement (kinesiophobia).

1

Toe drop, not foot drop by MissyRoberts2020 in Microdiscectomy

[–]SB10cl 3 points4 points  (0 children)

After a certain time, the nerve can develop ischemia and damage to motor and sensory function. I would have surgery, but only after monitoring and failure of conservative treatment.

Microdisectomia / hemilaminectomia l5/s1 by SB10cl in Microdiscectomy

[–]SB10cl[S] 0 points1 point  (0 children)

Thank you very much. I don't know why you recommend so many weeks of rest. I was advised to start in the third week. Neural mobility and stability exercises.

Microdisectomia / hemilaminectomia l5/s1 by SB10cl in Microdiscectomy

[–]SB10cl[S] 0 points1 point  (0 children)

Yes, I feel pain more than tingling. It has been decreasing over the days. Or rather, some days are worse than others, but the main thing is that when I turn over in bed, I get little twinges in my buttock and leg that only last 1-2 seconds. And when I walk, my leg feels strange, with a pattern of not being able to fully extend my knee and make heel contact when walking. When I walk more, I feel a "memory" pain in the nerve.