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Exersicse Intolerence Two Years After T5-l2 Fusion. I Cant Walk

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Posted on Sat, 4 Jul 2020
Question: exersicse intolerence two years after t5-l2 fusion. I cant walk more than half a mile without feeling like I have to sit down. I get pain in my sterum and gut. i get lightly winded and feel like i have to sit down. I have chest x ray, abdominal ct, and ekg all come back normal. what could this be?
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Follow up: Dr. Aashish Raghu (0 minute later)
exersicse intolerence two years after t5-l2 fusion. I cant walk more than half a mile without feeling like I have to sit down. I get pain in my sterum and gut. i get lightly winded and feel like i have to sit down. I have chest x ray, abdominal ct, and ekg all come back normal. what could this be?
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

Do you have any back pain?

Since when we you having this problem?

Usually exercise intolerance could be heart related or lungs related.

If the EKG has come normal, you can get an ECHO of the heart to rule out any hypertrophy or other issues.

High blood pressure can also be a cause which can be missed.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

Do you have any back pain?

Since when we you having this problem?

Usually exercise intolerance could be heart related or lungs related.

If the EKG has come normal, you can get an ECHO of the heart to rule out any hypertrophy or other issues.

High blood pressure can also be a cause which can be missed.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (8 hours later)
I've had this issue ever since my spine surgery, I wonder if it could be muscular in nature, does this sound like angina? he discomfort can be felt with slight movements, it's only made worse with exerscise . I burp and fart alot abdominal ct shows constipation. This exersicse intolerence has gone on for about two years. It hasent gotten worse, just about the same level. BP is usually 135/85
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Follow up: Dr. Aashish Raghu (0 minute later)
I've had this issue ever since my spine surgery, I wonder if it could be muscular in nature, does this sound like angina? he discomfort can be felt with slight movements, it's only made worse with exerscise . I burp and fart alot abdominal ct shows constipation. This exersicse intolerence has gone on for about two years. It hasent gotten worse, just about the same level. BP is usually 135/85
doctor
Answered by Dr. Aashish Raghu (3 hours later)
Brief Answer:
Answer

Detailed Answer:
Angina Would more likely cause pain in the chest that can radiate to the left arm but the jar and the back of the head.

Since you suffer from flatulence it is possible that you have indigestion with gastritis there could also be a possibility of an irritable bowel syndrome.

Have you been ruled out of cholecystitis or gallbladder problems?

You should also be tested for gluten sensitivity as this can irritate bowels and cause flatulence. Also lactose intolerance can cause the same.

Include 3 litres of water daily everyday in your diet. Avoid wheat and fatty or oily foods. Also coffee must be avoided. These also are common causes of flatulence and indigestion.


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
Angina Would more likely cause pain in the chest that can radiate to the left arm but the jar and the back of the head.

Since you suffer from flatulence it is possible that you have indigestion with gastritis there could also be a possibility of an irritable bowel syndrome.

Have you been ruled out of cholecystitis or gallbladder problems?

You should also be tested for gluten sensitivity as this can irritate bowels and cause flatulence. Also lactose intolerance can cause the same.

Include 3 litres of water daily everyday in your diet. Avoid wheat and fatty or oily foods. Also coffee must be avoided. These also are common causes of flatulence and indigestion.


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Aashish Raghu (2 hours later)
I've been ruled out of gallbladder issueshad an ultrasound of pancress and liver. Ever since my spine surgery I get tired when walking and feel slightly shorter breathe. When I lay down I get a sore feeling that radiates from my mid back to the front of my stomach and sternum. It's been this way ever since back surgery.

If this were to be angina, can I reverse plaque in my arteries by diet and lifestyle? I had no psychical therapy after my spine surgery and I spend most days sitting or laying I stand about 2 hours a day and walk 30 minutes a day at 10 minute intervals
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Follow up: Dr. Aashish Raghu (0 minute later)
I've been ruled out of gallbladder issueshad an ultrasound of pancress and liver. Ever since my spine surgery I get tired when walking and feel slightly shorter breathe. When I lay down I get a sore feeling that radiates from my mid back to the front of my stomach and sternum. It's been this way ever since back surgery.

If this were to be angina, can I reverse plaque in my arteries by diet and lifestyle? I had no psychical therapy after my spine surgery and I spend most days sitting or laying I stand about 2 hours a day and walk 30 minutes a day at 10 minute intervals
doctor
Answered by Dr. Aashish Raghu (34 minutes later)
Brief Answer:
Answer

Detailed Answer:
Usual after Fusion spinal surgery there will be some degeneration of the discs at higher level which is why you may be experiencing some stiffness in the mid back region.

Physiotherapy is extremely important in regaining the flexibility of the spine especially after spinal surgery which is something that you need to consider.

If there are plaques in your arteries you first need to get an angiogram to find out how severe it is and if it can be reversed with conservative measures like diet and lifestyle because in some cases you may need to do certain procedures to help get rid of the plaques. Also Exercise stress testing will help along with ECHO study of the heart.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
Usual after Fusion spinal surgery there will be some degeneration of the discs at higher level which is why you may be experiencing some stiffness in the mid back region.

Physiotherapy is extremely important in regaining the flexibility of the spine especially after spinal surgery which is something that you need to consider.

If there are plaques in your arteries you first need to get an angiogram to find out how severe it is and if it can be reversed with conservative measures like diet and lifestyle because in some cases you may need to do certain procedures to help get rid of the plaques. Also Exercise stress testing will help along with ECHO study of the heart.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Aashish Raghu (20 minutes later)
Do my symptoms sound typical of atherosclerosis? Or more muscluar in nature? I mean if these symptoms were related to atherosclerosis, they would have progressed forgotten worse in two years right?
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Follow up: Dr. Aashish Raghu (0 minute later)
Do my symptoms sound typical of atherosclerosis? Or more muscluar in nature? I mean if these symptoms were related to atherosclerosis, they would have progressed forgotten worse in two years right?
doctor
Answered by Dr. Aashish Raghu (4 hours later)
Brief Answer:
Answer

Detailed Answer:
Since you have pain in the mid back it's after a T5-L2 fusion surgery so we need to rule out any fusion problems.

Your symptoms are more suggestive of indigestion and gastritis rather than angina but even with the normal ECG there is a possibility of exercise induced angina which needs to be revealed by an exercise stress testing or treadmill test.

Hence in order to rule out one of these problems you need to do a CT scan of the thoracolumbar spine and an exercise stress test or treadmill test for the heart. It is very difficult to tell which one it is by just the history which you have provided.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
Since you have pain in the mid back it's after a T5-L2 fusion surgery so we need to rule out any fusion problems.

Your symptoms are more suggestive of indigestion and gastritis rather than angina but even with the normal ECG there is a possibility of exercise induced angina which needs to be revealed by an exercise stress testing or treadmill test.

Hence in order to rule out one of these problems you need to do a CT scan of the thoracolumbar spine and an exercise stress test or treadmill test for the heart. It is very difficult to tell which one it is by just the history which you have provided.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (33 minutes later)
But if it started right after the spine surgery,could that be inductive that it may a muscular issue?
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Follow up: Dr. Aashish Raghu (0 minute later)
But if it started right after the spine surgery,could that be inductive that it may a muscular issue?
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Follow up: Dr. Aashish Raghu (1 minute later)
Also can soft plaques be reversed? I had a calcium ct score done four years ago that showed I had zero calcium in my arteries
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Follow up: Dr. Aashish Raghu (0 minute later)
Also can soft plaques be reversed? I had a calcium ct score done four years ago that showed I had zero calcium in my arteries
doctor
Answered by Dr. Aashish Raghu (45 minutes later)
Brief Answer:
Answer

Detailed Answer:
If the backpain is present since the day of surgery it could indicate muscular problem although the pain should subside with physiotherapy.

A normal coronary calcium CT indicates no atherosclerotic plaques but be aware that angina can also occur with spasm or heart arteries without a plaque. If you think you have shortness of breath based on activity with chest pain it is best to do the exercise stress test to rule out spasm of the arteries as a cause of the pain.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
If the backpain is present since the day of surgery it could indicate muscular problem although the pain should subside with physiotherapy.

A normal coronary calcium CT indicates no atherosclerotic plaques but be aware that angina can also occur with spasm or heart arteries without a plaque. If you think you have shortness of breath based on activity with chest pain it is best to do the exercise stress test to rule out spasm of the arteries as a cause of the pain.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (14 minutes later)
The back pain I get feels like a soreness that extendes from my back, all the way to my chest and abdominal muscles its felt when I first lay down and than gets better with rest. If i sit up to quick i can feel light pressure behind my lower sternum and gut and I usually fart or burp.
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Follow up: Dr. Aashish Raghu (0 minute later)
The back pain I get feels like a soreness that extendes from my back, all the way to my chest and abdominal muscles its felt when I first lay down and than gets better with rest. If i sit up to quick i can feel light pressure behind my lower sternum and gut and I usually fart or burp.
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Follow up: Dr. Aashish Raghu (1 minute later)
The calcium ct score was 4 years ago though. I was 21 when I did it, I'm 25 now. Can soft plaques be reversed?
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Follow up: Dr. Aashish Raghu (0 minute later)
The calcium ct score was 4 years ago though. I was 21 when I did it, I'm 25 now. Can soft plaques be reversed?
doctor
Answered by Dr. Aashish Raghu (20 minutes later)
Brief Answer:
Answer

Detailed Answer:
if you feel radiating pain from the back to the chest and the abdomen then there is a possibility of nerve compression after the surgery. Also fusion can lead to decreased flexibility of the spine which can lead to pain when you try to burp or take a deep breath or twist your body.

There are some studies which show that diet and exercise can reverse soft plaques. Omega 3, HIIT exercises and diet low in fats and sugars will help.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
if you feel radiating pain from the back to the chest and the abdomen then there is a possibility of nerve compression after the surgery. Also fusion can lead to decreased flexibility of the spine which can lead to pain when you try to burp or take a deep breath or twist your body.

There are some studies which show that diet and exercise can reverse soft plaques. Omega 3, HIIT exercises and diet low in fats and sugars will help.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

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Exersicse Intolerence Two Years After T5-l2 Fusion. I Cant Walk

exersicse intolerence two years after t5-l2 fusion. I cant walk more than half a mile without feeling like I have to sit down. I get pain in my sterum and gut. i get lightly winded and feel like i have to sit down. I have chest x ray, abdominal ct, and ekg all come back normal. what could this be?