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Spinal Fusion Questions
Answered by Ross Hauser, M.D.

L-5 disc fusion
I had a L-5 disc fusion. I have nerve damage to my S1 nerve to the left leg. After 10 months of physical therapy they thought I was really for work. Three weeks into it my right leg started have pain going down from my hip, for weeks my lower back started tighten up, soon the pain was a consistent 24/7. I have been to the doctors expressing my concerns. I changed physical therapist and the new one seems to think it is my SI. two months later I woke up and could not move, at first I thought I was paralyzed, my lower back muscle was so tight and the pain was so awful. When I push with my up body outward the pain travels down to my right hip. I was wondering if you could please help me.

A. It does seem that you have a sacroiliac issue. When you fuse L5-SI this means movement has to come from somewhere. The somewhere is often the sacroiliac joints which become lax. The treatment we have found most helpful at Caring Medical in Oak Park for Sacroiliac injuries/weaknesses is Prolotherapy. Prolotherapy by strengthening the sacroiliac ligaments causes not only the low back pain to go away but also the 'radicular' or 'sciatic' type pains to subside.  

I had fusion surgery and now live on pain pills. Can this procedure help with scar tissue pushing on a nerve and causing chronic pain in the buttock, leg, and knee?

Many people believe their pain is from scar tissue and nerve injuries but we don't. Please get an EMG/NCV test. NCV means nerve conduction test. This is the test you need to see if you truly have nerve injury. If it is a lot of nerve injury then you will need a treatment beside Prolotherapy. If you have mild nerve injury or your nerves are deemed fine, then by all means get an evaluation for Prolotherapy.

In situations such as these, Prolotherapy has a high cure rate. Generally 3-8 prolotherapy treatments are needed. Remember any ligament can give you referral pain at a distance sight. So yes your burning pains down your leg can be coming from your lower back. Let me give you an example. I injured my upper back just before the Ironman Triathlon. I was 100% sure I had a nerve getting pinched and even had consultations to get an EMG/NCV and MRI of my neck and possibly thoracic spine. The total costs of these tests would have been something like $7,000-8,000.

Someone I trusted told me to just do Prolotherapy to the area. I am telling you the pain was excruciating. I could bend my neck to the right and I would get 'electricity' down my arm. I was having trouble working, sleeping, you name it. I received Prolotherapy shortly after the Ironman. I am telling you in about three weeks I was like a new man. It is now 3 months after the Ironman and I am back to full time training. Yes I trained for 18 hours last week (most weeks aren't that much). I cycled for 5 hours straight on Friday! Don't underestimate the power of Prolotherapy.
 

I had spinal fusion following a car accident, I am still in pain. Can Prolotherapy help me I am also a diabetic?

When someone has a surgery like yourself and has continued pain after the surgery, the most logical explanation is that the surgery did not address the cause of your pain (or least their are other causes that it didn't address).  For you this could be the area above or below the fusion or the sacroiliac joints.  In our experience Prolotherapy to these additional areas typically resolves the pain.  Remember it takes generally three to six visits of Prolotherapy and sometimes more.  But don't fear, just get a Prolotherapy evaluation.

 

 

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