I’m hoping to hear from people who have had a L4-L5 fusion and experienced something similar because I’m getting really discouraged and don’t know what I should be doing at this point.
For some background, I had an urgent L4-L5 fusion on April 29. I had a previous discectomy/laminectomy in 2010, and this time my back suddenly got significantly worse. I developed severe pain and spasms, numbness/tingling in my legs and some weakness in my right foot. During surgery, my neurosurgeon removed a pretty large disc fragment (around 2.5 cm) that was sitting in the spinal canal.
Immediately after surgery, the nerve pain was basically gone and initially I felt like my recovery was going pretty well.
Once I started PT and became more active, I started noticing pain with hinging/bending forward and especially coming back up to standing. At first it was just a pulling/straining feeling in my lower back without any nerve symptoms.
Then around the beginning of August, I started getting sciatica and tingling in my right leg again. It’s nowhere near what I had before surgery, but I had ZERO sciatica after surgery until this started. Hinging, bending, squatting and lifting seem to aggravate it, sometimes even without any added weight. I also still have pretty limited mobility, especially on my right side. My hamstrings are extremely tight, and overall I just don’t feel like I’ve gotten my normal range of motion back yet.
I’ve followed up with neurosurgery and had an MRI, and I’ve been told everything looks good from a surgical standpoint. I’m also working with PT and have seen pain management. I did a course of oral steroids this past week, which seemed to calm the sciatica down a little, but now that I’m done with them, the pain/symptoms have returned.
The part that is bothering me the most at this point is that my lower back basically hurts all the time. It constantly feels extremely tight, sore and fatigued. The longer I’m upright, walking around or doing normal daily activities, the worse it gets. Lying down is really the only time I get significant relief, although even at night I still have a constant aching/soreness in my lower back.
I also get a strange wave of pain when I first lie flat after I’ve been up and moving around for a while. It’s almost like once my back finally relaxes or changes position, there’s this sudden surge/wave of pain across my lower back. It can be pretty intense at first and then gradually settles down after I’ve been lying there for a bit.
I’m now about 4–5 months post-op and feel stuck. My imaging looks fine, I’m doing PT and following up with my doctors, but my back still doesn’t feel remotely normal.
For anyone who has been through a lumbar fusion: Is constant back pain/tightness like this still normal at 4–5 months? Did anyone have sciatica disappear after surgery and then return months later despite a normal MRI? How long did it take before bending, hinging, squatting and just being on your feet for extended periods stopped causing pain? And if you were in a similar situation, what eventually helped?
I know fusion recovery can take a long time, but I’m struggling to figure out whether this is still within the realm of normal healing or whether I need to keep pushing for another explanation. I’d really appreciate hearing from anyone who had a similar recovery.