For those of you suffering from back pain, disc problems, and who may have stumbled upon my blog in search of support or advice, I can only tell you that things get better with time and patience. There is no magic bullet, nor is there a perfect exercise, physical therapy regiment, or pain pill to rid you of what ails you. What I can tell you unequivocally is that proper diet, regular exercise, and perhaps compromise to trying new things in the gym are pretty solid areas you should focus on. A combination of all 3 are what have helped me feel 100% back to where I was pre-injury. (details in some of the blog posts further down)
Over one year ago, I was in the worst pain of my life from hip to toes, with a weakness in my right ankle that made me feel like I was 67 years old instead of 37. After microdiscectomy surgery of my disc between L4-L5, and probably up to 6-8 months after, I still had lingering pain that was so random and frustrating that I really began to doubt the effectiveness of my surgery. I went through PT, tried my best to get back into the gym, but had forgotten that 6 months pre-surgery I had reverted to a fairly sedentary lifestyle, drinking alcohol a little more often that I wanted to keep the pain at bay, and gaining at least 15lbs of fat while feeding my face watching episodes of Lost, Dexter, and Mad Men. I rushed into things. I tried to run 3-4 miles a few times a week, as I had done years previous and probably came back too soon.
Somewhere between August and October of this year, I noticed that pain, tingling, and tightness in my muscles I had been feeling throughout recovery sort of magically disappeared. I’m not saying this will happen to you, but I’m sure it gives hope to some of you who are 4-6 months out of surgery asking yourself “When the heck is this going to end?”
I tell everyone to stay in touch with your neurosurgeon or go see your orthopedist to make sure you’re on track or just to have them check any irregular pain or tightness you’re feeling.
Now I train at least 3 days a week, and I use light weights and do some ample interval cardio on the elliptical, stairmaster, + stationary bike. I’ve abandoned running outdoors for now, because the pounding still aggravates my lower back and hips.
I’ve sought the advice and training of fitness guru Anthony Ellis, who’s muscle building/fat bashing programs I’ve followed for years. One of the things he helped me with was strengthening my back muscles. There’s not a day I’m not in the gym anymore where I’m not working my legs, back or shoulders and these are areas that are most ignored and dreaded by most fitness buffs out there to begin with. These are important muscle groups you should be working. Below are a list of a few exercise that I enjoy doing now, and are really helping me get stronger. Keep in mind that I started out doing some of these with as little as 5lb dumbbells. Be careful and consult your doctor before trying any of these excercises!
1.) Split Squats (dumbbell)
2.) Lunges (dumbbell)
3.) Crunches w/ Swiss Ball
4.) Rows
5.) Step Ups (with or without dumbbells)
6.) Calf Raises
7.) Back Extensions
8.) Deadlift (dumbbell)
9.) Squats
With a steady regiment of the workouts Anthony created for me and about a 2,000 calorie diet of 40% protein 40% carbs and 20% fats (all healthy foods), I’ve lost about 12lbs of fat and put on 3 lbs of solid muscle. I’m feeling the best I’ve felt in 18 months and can’t wait to update you again in about 6 weeks on progress.
Just stay positive and pace yourself in the gym. Don’t worry about using light weights. It’s all about moving your body, working your muscles out, and please, please, whatever you do – don’t forget to stretch!!
Even on days I don’t work out, I stretch for 10-15 minutes a day. Make it part of your morning routine and this will help you feel great!
Hey Rick –
first off – massive thanks for these posts. I just had the same surgery l4-l5 on November 11th and am on my way back, following your advice of keeping moving. For me, it was a whack in the back during a game of soccer that sent me in 6 mos of conservative treatment and pain management. I dug around the web and read and your post convinced me to go for the microdiscectomy. My only regret is that I didnt do it 4 months prior!
Had questions about your stretching regimen. I’ll admit that while I’ve been continuously active (running, soccer, basketball and snowboarding) until 7 months ago (37 now) – I have no idea how to properly stretch. Would really appreciate learning what you’ve done for a stretching routine, so I dont ruin the doc’s work. He’s holding me off the rehab program until I have the post-op visit on Dec. 22.
thanks again ~
Greg-
Hi Greg,
Nice to hear from you and hope you’re feeling well. I’m glad that sharing my experiences here have helped you in some way. If you are recently post-op and haven’t done your follow-up, it’s best you follow doctor’s orders before you start stretching just yet. I remember my doc asking me to specifically wait to do any stretching til I started therapy. His only prescription after surgery was to try walking 20-30 min per day. The site of your incision is still tender and they did have to cut through some muscle so you should really let that heal first. Sounds like you’re a pretty active guy and like me are probably anxious to start moving again. Your physical therapist will likely give you a stretching routine to bring home but generally, make sure to stretch out the hamstrings, quads, calves, groin, (all traditional stretches you’d probably do before soccer or boarding). P90X has fantastic 45 minute stretching routine that I will do on a Sunday after a long weekof workouts. (though the entire workout program itself is probably not suited recovering back surgery patients!). Good luck in your recovery and please visit again to update on you progress. All the best! – Rick
Hello Rick,
I just stumbled upon your blog and it’s so nice to finally find a recent one. I have an L4/L5 herniated disc and sciatica (which is I think what you had?). I’ve decided to have surgery, and am going to schedule my surgery tomorrow! Scary decision, but I realized I just need to do it. I’ve been dealing with this for a little over two years…and regret not doing it sooner. I do have some numbness in my first three toes of my left leg where I have sciatica. Just curious if you had numbness and if the feeling came back? I don’t have complete numbness..just some…but I do feel pain in the ball of my foot when I walk too much..very weird feeling, and don’t feel comfortable wearing closed toed shoes because of the numbness..good think I live in AZ! I was told that I have some nerve damage. It amazes me to see anyone that has gone through microsdiscectomy start running again. I think I would be terrified to re-herniate the disc, but it’s awesome to know what people can go back to running. I miss being active and I can’t wait to get back to working out….of course very cautiously. Thanks for sharing your story!
Hi Kathleen,
Thanks for your comments and I hope your surgery is a success. I had all kinds of feelings before and after surgery in my leg, foot, hip, and butt area. Sometimes numbness (although not too often), tingling, cramping, etc. Sometimes I even felt like the bottom of my foot was on fire. I actually didn’t have pain in my feet until a month or so after surgery. Weird I know, but it’s part of recovery and just goes to show how intricate and delicate our nervous system really is. The numbness, pain, tightness all come and go, but I can honestly say that it’s been quite awhile since it’s returned. Good luck to you and remember to take it slow and be patient in your recovery!
Hey Rick,
This blog is just the boost I needed. I had an L5/S1 microdiscectomy on December 1st and still have moderate tingling and occasional jabs of pain. The first two weeks after surgery I felt like my foot had the worst sunburn ever, but after no feeling for 3 weeks it was an annoying reminder that I was on the mend.
But the pain that hobbled me tremendously is largely gone.
I am walking a great deal and am really keeping conscious thoughts to be patient. It is so reassuring to hear of your recovery and that you are able to run again. That is my goal also, I ran my first Half Marathon last June at the tender age of 52 and am hopeful to do another one.
Take Care and Saty Safe!
Pingback: Road to Recovery – Life after Microdiscectomy « Rick's Rants
I am 4 days post surgery after the worst pain in my life for three weeks. Although I have been having trouble off and on for about 8 months, but not severe. Post surgery have had no pain until yesterday. A slight pain in my hip and my foot is still numb, which I was told may take a bit to recover. Have a trip planned to Costa Rica in approx. 1 month and am concerned about the long flight. Was searching the internet looking to see if this was common when I came across many blogs stating how bad they were several months after surgery. I was beginning to get discouraged when I came across your blog that has given me renewed hope. I am anxious to get up and around, am walking on my treadmill 20 minutes 2 times a day. Thank you for your blog and I have renewed hope that I will again be feeling great. I am dedicating the next year to me, doing what I need to do healthwise to feel great again. Thank you again.
Hi Rick,
I’m 2 weeks post op for a L4/5 discectomy. After the usual physio etc for the past 2 years ended up having surgery, i’ve been told nothing more strenuous than gentle walking until i have my follow up which is 6 weeks away now, although to be honest thats all im capable of as i still have a numb left foot and calf which limits what i can do.
I was a very active person gym/snowboarding and running which i thought was going to be a thing of the past until i read your blog. Please keep up the good work because after reading your blog you’ve given me hope again which had long since faded.
Thankyou so much Rick !!!
I have been looking for help and this the first i have heard of hope I had fusion of L4/L5 in 2008 and everthing went well i was back to a normal active life style and then in oct 2010 my sciata was pinched and i had severe pain waiting for surgery microdisctomy i fell and sprained my left ankle making things worse i had the surgery in oct and was left with a numb left foot and calve spasms and irritated hamstring the docor said this should all improve with time so i just kept going .then in january2011 the pain came back in the back and the left leg so doctor did a mri and the disc had herniated again so a second micro was done on jan 15 2011 the pain was gone but i am left with severe tightness in left ankle and calve muscle pain and still a spasming hamstring I am trying to stay active but my activetys are limited i stretch and excercise the leg and some days are better than others i am looking for more help with coping with this and i can maybe get back to some normal life please excuse some spelling still on pain killers and valium Help!!! John
I herniated L4-5 in Boot Camp class 2 weeks ago. Immediate back pain along with right leg weakness and loss of sensation, MRI showed large herniation and I had emergency microdiscectomy 72 hours after injury. I’m now completely free of back pain but still have no feeling or movement in my lower leg. I cannot wait to get back to working out and running. I am doing what the doc said (walking, no lift or twist), but frustrated that my leg is not yet responding. Your blog gives me hope that I’ll be running again sometime in the future (I’d rather it be sooner rather than later). I’m interested in hearing how long it took to get your function back.
Rick,
Just stumbled across your blog as I feel frustrated. Long story short, 25-year-old, super freak athlete all my life and have a very active, physically demanding job as a photojournalist.
Herniated a disc in August 2010, had some cortisone shots and PT with rest. Felt great, but reherniated my L4/L5 at work. So much pain I collapsed in my apartment. Had surgery in December which was an L4-5 laminectomy, discectomy with foraminotomy.
I am about 12 weeks post op and in physical therapy two times a week. Like you said, when I am moving, walking or working out at PT I feel great. But if I sit too long, I am miserable. Not so much pain as I am sore and throb.
Just really, really eager to get back to work and doing what I love. I know I need to be patient, but also sick of the pain. Just last week I stopped having pain in my foot.
Just looking for any advice other than what you’ve given.
I’ve also been blogging daily since surgery: http://www.backfocusing.com/
Thanks,
Patrick
I am 10 days post-op L4-5 microdiscectomy and kinda bummed. I know it’s too soon to expect the leg weakness to disappear but I hoped to see some kind of improvement. I herniated 6 weeks ago and had 3 epidurals with some pain relief but lost feeling and strength in my left leg and foot. I was a Zumba addict before but now don’t do much but try to walk and limp around the neighborhood. Any advice?
Kathy – Sounds like you’re a lot like I was. I can’t stress enough how important it is to follow doctor’s orders. My doc told me to just walk for the first month of recovery. Keep moving.. but I doubt Zumba is going to be a part of your physical therapy regiment. Back surgery of this nature takes a long time to heal. You just have to be patient and understand that with time, thing will feel a lot better and then you can start getting back to old workout routines. Good luck!
Rick
Hey Rick,
Sir I truly appreciate your blog. I have been searching for info on people who have had surgery because I have been dealing with this pain since May of 2010. I have what they say is a mild to moderate bulge in L4-L5 area, and Mild in L5-S1. I have had two steriod epideral injections in those areas since, and changed doctors because he told me he couldn’t do anything more for me. I have been to a new dr., who thinks by my MRI that it is facet joints, and is going to do some diagnostic injections to be sure. I tried a bit of running the other day, and had serious pain in both calfs that is finally subsidding. Just can’t do any activity with pain in the sacral area (which they say the pain radiates) I have played indoor soccer every Firday for the past 6 years, although not in many months lately. I did all the PT they have prescribed, and am by far not over weight at 6’3″ 185. I just want to get back to playing, and doing the things I love. I have a 4 year old boy whom i haven’t picked up for 7 months. I am not working right now, and do manual labor, but have discussed this with my employer, and we are working on a new job with less labor.
I also asked the previous Dr. about surgery, and he said he knew many neurosurgeons he could send me to, but he knows none of them would touch me with surgery. Frustrated, but with your blog have hope. Please keep the updates coming.
Jeff – Sounds like a pretty complex issue you have there. Did your ortho say why the neurosurgeons wouldn’t help you? Am thinking because you have a bulging disc rather than a fully herniated one.. I would go see a few neurosurgeons anyway to get their opinions (find some who specialize in micro-discectomy) and see what THEY say. In the end it’s going to be your decision to move forward with the surgery. When PT failed for me, then I went to see the neurosurgeon and he gave me the choices of more PT, surgery, or doing nothing. I chose the surgery and never looked back. Am glad I did it. I played ice hockey for the first time the other night after a long hiatus, and am in the gym 3 nights a week lifting, running, and even doing back strengthening exercises. good luck and let me know how things turn out for you.
THANKS VERY MUCH FOR YOUR ADVICE,I I DID MY OPERATION 4 WEEKS AGO IM FEELING GREAT BUT JUST STARTED TO GET A LITTLE PAIN DOWN MY LEG BUT AFTER READING YOUR ADVICE IT HAS MADE ME FEEL RELAXED SO THANKS AGAIN.
Wow, am I glad I stumbled across this blog – my first discectomy was 27 Dec 08, followed by another discectomy 3 Feb 09 – I am (was) a fitness freak, working towards my class instructor exams, i’ve competed in triathlons, marathons, half marathons and now I do hardly anything!! I have tried to run but I just get constant pins and needles in my foot, any type of stress goes straight to my back, I walk alot more and swim but I don’t enjoy it at all, i’m a runner and sometimes feel very depressed. I’m only 38, i’m a single mum with 2 young kids. Part of the reason I hardly exercise is because i’m scared of the pain and going through another operation. I’ve had an MRI scan in Jan this year, it showed no further degeneration of discs which is great – the weight is creeping on which is getting me down, I realise that as i’m not training as much, it will creep on – anybody have any advice for me?? Keep the blogs coming, its good to know i’m not the only one going through this!!
sorry, second op was feb 2010 not feb 09!!
Hi Michelle –
Would love to hear how your recovery is coming along!? I’d love to do a triathalon one day, but am still nervous even 2 years later to even attempt that type of vigorous training schedule. Sorry it’s taken me so long to respond her.. but would love to hear what you have to say.
Rick
I had my surgery of l4 l5 s1 on may 17 2011. I am 22 years old and to this day I have no idea how I herniated my discs. I was bed-ridden for 2 months before they finally got me in for surgery. I had been experienceing the pain off and on for 2 to 3 years.4 weeks out of surgery and i feel amazing. I have some mild numbness and tingling in my foot and random ancle pain, but other than that I cant believe how amazing I feel. I have a ton of stretches I do daily and physical therapy twice a week. My advice for anyone out there with this type of pain is do not rule out surgery. I thought i would mend on my own and i put myself threw months of pain.
Hi Rick,
Thanks for your post. I had discectomy surgery for a severely herniated disk (L5-S1) on June 6th. Overall, I feel great. No more pain in my leg and the numbness/pins-&needles sensation in my foot is slowly going away. The pain from the surgery is also decreasing, but I still do have some tenderness around the incision.
My only real concern at this point is that I too still have some random pains in my lower back and occasionally in my leg. I’ll feel pretty good for a few days and then have a couple of days where I am achy and sore and completely paranoid that I’ve re-herniated myself. While I have been trying to keep active and walk as much as is comfortable, I have been very careful about not over-doing it. Would you say that this is similar to your experience? Over the holiday weekend, I did some traveling, including a short flight (made sure to get up and walk around frequently) and a couple of hour-long car rides. I’m completely paranoid that these might be contributing to the discomfort I have right now. Do you think this is related to being weak and out of shape from surgery and the preceding period of inactivity due to the original injury?
Thanks again and hoping to hear from you and anyone following the post regarding their experiences and suggestions.
Best,
Jon
Hi Jon,
Glad your surgery was a success. The anxiety you feel is so normal. I was so nervous about getting another herniation as well. The pains you feel are normal, and believe it or not, I’m almost 2 years out of surgery and occasionally I’ll get a foot pain, or ankle pain. The traveling you did is fine. I flew to China 2 weeks after surgery, so was also paranoid about doing damage then. In general the first year after surgery will provide you with all kinds of feelings in your leg, back and feet. MY doc told me it was normal. I think it’s time to post another update, because as I said, it’s almost 2 years, and my experiences now are so different than what I felt after surgery. I feel really good, and am staying fit. Keep in mind that when you have the injury, you’re not working out and your legs get weaker. It’s normal, and you should have a lot of patience. Eventually you’ll be strong enough after PT and you can begin strengthening those muscles and getting back into shape. Good luck and thanks for reading / posting!
Rick
Hi again Rick,
Thanks for the reply (insert heaving sigh of relief here).
As you know, it’s a tough road. And, while I am very fortunate to have a terrific doctor who I like, nothing can replace the words of advice from those who have gone through the experience. Much appreciated.
Taking is slow will continue to be the order of the day.
Take it easy,
Jon
PS. I like your “Riding Trains with Slobs Post.” I live in NYC, ride the train daily and come in contact with pretty much everyone on your list over the course of a week. What’s more, of all the nasty things a New Yorker puts up with, it never ceases to amaze me how gross and completely inappropriate subway riders can be. Not sure if you saw this recent video (NSFW) of a subway patron…. http://gawker.com/5818011/woman-uses-nyc-subway-train-as-shower
Enjoy!
Jon
Hi Rick, Thanks for the Rant.
I had surgery in June for a herniated disk that to relieve sciatic pain. I had almost imiediate relief from the surgery but was sick with killer headaches for 5 weeks before another MRI showed I had a spinal fluid leak that required another surgery and a much slower recovery. Anyway, even before I knew what was going on with the spinal fluid I would go back to your page and read your encouraging words. Two months after my initial surgery I remember to be patient, eat right and try to keep moving. Its been a crappy summer. Ready to get back to golf, racquetball and WORK.
Thanks!
Hey Mike,
Thanks for reading. Hope your recovery has been going well. How are you doing? I love reading everyone elses updates, so hopefully you’ll see this and will post your story too.
Thanks!
Rick
Hey Rick I know you probably don’t even check this because its been so long. But incase you do, I just wanted to say thank you for posting you journey through recovery. I has L5 S1 micro done about 4 months ago. I am feeling MUCH better than pre surgery but still getting those “reminders” that I am no where near healed. So I sat here shake my head in acknowledgement for almost every thing you mention. Is my surgery successful. When will these pains stop. I have to remind myself that not too long ago I couldn’t walk. I yearn to return to physical lifestyle I once had but now see it’s a long and hopefully successful process.
Thanks
David.
Hi David,
You are welcome! Am glad things are going well and you’re recovering nicely. I do check this blog when I can and you’ve inspired me to a post on 2 year recovery piece. I think when you’re facing the surgery, you want to look far far ahead but just can’t because no one is around to give you perspective (except for your surgeon). Literally 2 years ago, all I could find were a few message board posts by people who have had negative experiences. I started this blog to talk about my positive experience with the surgery and hopefully that has helped everyone else make their own educated decisions. Good luck and I look forward to an update in 6 months from you!
Rick
Pingback: 2 Years Later – Microdiscectomy Follow-Up « Rick's Rants
Rick, thanks for your blog. I feel much comforted after reading it. I had a very bad prolapsed disc between L4 and L5 and suffered in pain for over 1.5 years. Finally I could not stand and walk and was in such agony that I decided to go for a micro discetomy in April of 2011. I felt great immediately after the surgery as all the leg pain was gone. Compared to prior surgery, I definitely have a better quality of life as I can walk and stand now. But what bothers me was the lingering back pain as well as the muscle tightness that wouldn’t go away even six months post surgery. I was so worried that I may have re-herniated my disc. After reading the experiences of folks on this blog, I feel comforted that this is normal…
Jaclyn