Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
180 Doctors are Online

Doctor's opinion on surgery for back pain with weakness - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2479 Questions
User :   Hi
Doctor :   Hi
User :   Hello, My mother is scheduled to get operated on THU, I was wondering if I can get 2nd opinion
Doctor :  
How can i help you?
User :   My mother in India, ager 60 is suffering from extereme pain in lower back
Doctor :   Ok
User :   An orthopediac Surgeon did all the diagnosis, ECG, MRI, Blood Test, X- ray etc
Doctor :   Ok
User :   and has finally decided to operate on THU - 07-01
Doctor :   Ok

User :   but we are worried for this operation....
Doctor :   May i know since when is the back pain been?

User :   first time she got this pain about 2 weeks ago... extreme pain from waist to feet
Doctor :  
Ok.
User :   but some injection and medication she was fine.
Doctor :   Ok.
User :   Now, she to pain 4 days ago, even extreme than two weeks ago
Doctor :  
Does she have any weakness in the legs?
User :   the only time she has 20-40 % less pain, if she is on traction
User :   yes, she has weakness in leg as well as less sensation
Doctor :  
Does she have any problems during urination?
User :   as per the current doctor treating her - he was taking 2-3 days to observe if the weakness and sensation in leg gets better but no improvement of mnedication and injection and traction
Doctor :  
And what was the MRI reports?
User :   how can I send the reports to you sir?
User :   I have them scanned with me.
Doctor :   You can send those to this mail Id.
Doctor :  
YYYY@YYYY
Doctor :  
YYYY@YYYY
Doctor :  
You can send those to us.
User :   any special subject or attention to?
Doctor :   No
Doctor :  
just send us the whole MRI report as it is mentioned.
Doctor :  
The treatment for the back pain is generally decided on the patients symptoms.
User :   it is being send - from YYYY@YYYY but the login ID for me on this site is YYYY@YYYY
Doctor :  
Pain is not the criteria for surgery
Doctor :   however the presence of weakness is.
Doctor :  
That is ok.
Doctor :  
You can send them to us through the other id.
User :   as the the surgeon - a very tiny piece of broken bone is pushing a nurve
Doctor :  
Yes.
Doctor :  
the weakness develops when there is compression of the nerve.
User :   and thats what is creating the problem. The broken bone has grown further.
Doctor :  
this has to be treated surgically.
User :   and in the surgery - he would like to remove that extra bone, do the filling and put a cage around either L3/L4
Doctor :  
there might be complication's otherwise.
Doctor :  
Have you followed?
User :   do you mean to say, we must do this surgery urgently
Doctor :   It depends on the severity of the weakness.
User :   Thanks
User :   Is surgery is the only way forward sir?
Doctor :   I am a general physician
Doctor :  
and according to me surgery is needed.
User :   I spoke to a Chriopractice specialist and she was mentioning about Ozone Thery or Micro Scopic surgery...
User :   Do you think we should get any Neuro Surgeon to look at the case first?
Doctor :   We can get a second opinion from one of the neurosurgeon's among our panels and get back to you if you want to
Doctor :  
A neurosurgeon is a better option then a orthopaedician in treating a back pain with weakness.
User :   That will be a great help sir. I would be very much keen to get opinion from neurosurgeon's
Doctor :   We have to option's
User :   ??
Doctor :  
You can have the treatment plan can be mailed to you or you can talk to them over phone.
User :   I have sent those reports in scanned format to email ID you suggestted
Doctor :   You can get to our homepage.
User :   ok
Doctor :  
there is one option of second opinion.
Doctor :  
click on this.
Doctor :  
Then a list of doctor's will be shown.
Doctor :  
You can click on the spine surgeon
Doctor :   Are you following?
User :   I have written an email to and then I saw the option of Live chat, so I took this option too
Doctor :  
Ok.
Doctor :  
Then you shall be getting a report from them too.
User :   thats great then
Doctor :  
But i would think the surgery is needed to avoid the complications.
User :   Just another quetion plz
Doctor :   Please proceed.
User :   could I explain the surgery to you in brief?
Doctor :  
Yes i shall.
User :   does this surgery will have a bad effect in her life afterwards?
Doctor :   The surgery is one of the major surgeries.
User :   ok
Doctor :  
If performed by a skill full person then there should not be a problem
Doctor :  
She may have to be under bed for a period of time
User :   as per the doc who is treating my mother is quite confident that -
User :   1) in 4-5 days time, she will be able to sit on her own
User :   2) In 10-14 days time, she will be able to walk
User :   3_ in 2-3 months time she should be able to do the normal work
User :   when you say period of time? what it can be?
Doctor :   i meant it is 1 to 2 months.v
Doctor :  
The less activity that is performed during this time the better the healing occurs.
User :   ok
Doctor :  
Apart from these the other complications that may arise may be infection
User :   as the doc said - infection and internal bleeding are general risk of any surgery
User :   what happenes when infection takes place? Another surgery?
Doctor :  
And there may be chances that there can be stenosis of the spinal canal which might need a repeat surgery.
User :   opps.
Doctor :  
This options should be taken care of if the surgery is performed and the rehabilitation process is good.
Doctor :  
Infection can be treated with antibiotics.
User :   Doctor, sorry I completely forgot to ask your name
Doctor :   Other complication' which the doctor discuss include complications of anaesthesia
User :   ok
Doctor :  

Doctor :  
Anaesthesia complication are also part of all surgeries too.
Doctor :  
not limited to the present surgery.
User :   Thanks.... Please do not take this as I was rude or anything. It is just that I am quite worried.
User :   ok
Doctor :  
I under stand your concern
Doctor :   SO it is of no problem.
Doctor :  
do you have any other query?
User :   As the current the Corent doc has given us the date on 07-01, and up to now we have not taken any opinion from any Neuro specialist
User :   Do you suggest that we should not go ahead with surgery without having the 2nd opinion from a NS
User :   or if I beleive the doctor who is currently treating her, we can go ahead?
Doctor :   I have been exposed to many neurosurgery patient's
User :   ok
Doctor :  
and according to my opinion if there is weakness because of nerve compression that has to be treated surgically.
Doctor :  
Medical drugs may not be able to help the weakness and the compression
Doctor :   Have you followed?
User :   what about Chiropractic and Ayurvedic Massage?
Doctor :   I am not sure of how effective the chiropractic and ayurvedic massage are
Doctor :  
as i do not have any knowledge on these subjects
User :   Okay sir, Thanks for all the suggestion you gave.
Doctor :  
So i may not be able to give a proper opinion on them.
Doctor :  
Do you have any other query?
User :   No Dr.
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Question is related to
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor