My husband had lower back surgery to repair a ruptured disk and partially remove 2 bone spurs in early March 2009. After surgery his leg felt much better (no sciatic nerve pain) and he had some reflexes back in his left leg and the numbness in his left foot and parts of his left leg were gone. He still had fairly significant lower back pain. About 6-7 weeks after surgery he was refered to a pain management doctor for pain management medication and to supervise physical theraphy.
During the pm doctor's initial evaluation he had my husband lay on his right side and he reached behind his hip and mashed forcefully. I could not see exactly where he pressed. My husband screamed in pain. Since that time he has been in alot of pain. His reflexes in his left leg are gone again and there is some numbness. He gets a vibrating sensation in his buttucks and sometimes right foot. Frequently his left leg just gives out and he falls. He has started using a cane most of the time to help catch himself. Falling or nearly falling is almost a daily occurence now. He has also developed some bladder control problems since he saw the pain management doctor. He does not always feel when he needs to urinate and feels it when he starts to urinate. It happens sometimes while sleeping and he wakes up immediately as soon as he starts to feel it on his skin. Sometimes it happens while riding in his vehicle and he doesn't realize it until he starts to urinate.
He had a followup MRI by his neurosurgeon who said that he didn't see anything at the surgery site. He recommended pain management. Naturally my husband refused to go back to the same pain management doctor. He is seeing someone different but so far he has only had increased pain medication. He is now far worse than he was before surgery though surgery seemed to be sucessful before his pain management doctor pressed on his lower back.
He has also had a brain MRI and the nurse just left a voice message that it was normal. He does have a level 1 Chiari Malformation although they say it is nonsymptomatic. The original pain management doctor had recommended the brain MRI because my husband had developed a drooping lip on his right side following surgery. He has also lost some fine motor skills in his right hand. His drooping lip seems to be slowly improving. His fine motor skills are still not what they were.
Is it possible that he has some type of nerve damage as a result of his back being pressed within 2 months of surgery? He was much, much improved after surgery and before that doctor's appt. Each time he falls he risks hurting himself worse or breaking something. He is only 39 years old.
Any guidance on where to go next would be appreciated. He had only fallen once or twice when he saw the neurologist that ran the brain MRI. He also did not tell the neurologist that he was having the bladder control problem. He is taking oxycotin 40 mg 3 times per day. He also takes paxil and xanax to control anxiety.
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