It is the repetition of the complaints immediately after the operation or at a later period in patients who complain of pain in the lower back or leg and were diagnosed with a herniated disc and operated on. It can be seen in 15% of those operated for lumbar hernia.
As for the reasons: If the patient’s pre-existing complaints continue as same or increasing immediately after the operation:
– The diagnosis is wrong
– He was operated from a different distance by mistake
– The operation It is necessary to think that the technique is faulty or incomplete.
If the patient has applied to the doctor again with similar complaints 2-6 months after the operation, the reasons above may be as well as adhesions, granulation tissues or recurrence of the hernia in the same or another region in the operation area, in other words recurrence.
In treatment:
Treatment is terminated by administering cortisone along with tissue dissolving drugs through a special epidural catheter (RACS), and by giving the patient intense saline serum through this catheter for two or three days. Epidural OZONE should be tried in patients who do not respond to this treatment. Despite everything, it may be necessary to insert a pain pacemaker (spinal cord stimulator) on the spinal cord of patients whose pain does not go away.
