Thursday, February 23, 2017

Your Back Pain May Be Worse After Having Back Surgery

foot structure can cause back painBecause surgery to ‘eliminate’ chronic back pain is such a common practice, many people think that it will be the magic solution to end their pain. But after undergoing back surgery, not only is there a long period of painful rehabilitation, many people also find that their pain is the same as (or worse than) before the surgery.

Are you thinking about undergoing the knife to eliminate your back pain? Before you make such an important decision which will definitely affect the rest of your life, it’s important to read the experiences of other back pain sufferers who have had this invasive surgery.

Below are four posts, taken from the Spine Health forum, of people whose pain is worse after their back surgery:


  • Here I’m again posting. 15 months post L3-S1 fusion with iliac bone graft. I just can't get past the pain and spasms.  I thought I'd be walking around and enjoying life. Instead, I have to take pain pills just to do normal daily living tasks.


  • I myself am still in considerable pain post operation {18 months now}.  My first operation in 1996 was a laminectomy L4/L5.  My second operation was in 2007, a bilateral discectomy S1 and redo of L4/L5 laminectomy to release scar tissue from my first back surgery.


I am three years post anterior double fusion L3-SI. I am in the same boat.  I also need medications just to do normal thing.


  • I went through a fusion on L5-S1 10 months ago and it was my second back surgery. The first time around was a bust since I suffered a recurrent herniation among other problems. These two surgeries were supposed to make me feel a whole lot better and get me on my feet again. It didn't go that way in either case!

The failure rate for back surgery is deplorable. In fact, in many cases the surgery actually makes the pain worse then before the surgery was done.

Why do back surgeries fail? 

The answer lies in first understanding the cause of the back pain.  In almost all cases, the herniation (a pathology in the spinal discs) and resulting back pain is caused by an underlying problem.  And surprising enough, that underlying problem is the way your feet function when you walk. 

A direct link has been documented between back pain and bad posture resulting from foot twist (abnormal foot motion).  When the posture is improved by eliminating the foot twist, the back pain quickly dissipates, without the need for surgery. 

Rothbart Proprioceptive Therapy has been proven to be a very effective therapy that eliminates back pain by reprogramming the cerebellum (brain) to automatically improve posture.

Professor/Dr. Brian A. Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot Structure and the PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Inventor and Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain


To read about a four year study that shows a direct correlation between bad posture and chronic low back pain, go to:   Resolution of Chronic Low Back Pain

As you learn more about my innovative therapy, you may find that addressing and effectively treating your foot structure may be the missing link to ending your long time battle with unrelenting muscle and joint pain.

If you would like to make an appointment with me to see if I can help you to permanently eliminate your low back pain, go to:  Schedule a Consultation.

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82 Responses to “Your Back Pain May Be Worse After Having Back Surgery”
  1. Jennifer says:

    Ive had two back surgies. The first surgery left me with a screw hanging loose near my ilica artery in my back. I had to have a second surgery and they removed it. Now I am doing great! Even though I am bitter about the first surgery, I was that I had a better neurosurgeon the second time around to fix the problem. Its all about doing your research and making sure you have a doctor that is qualified and not out for your money.

  2. Rothbart says:

    Dear Jennifer,

    One of the things I have learned as Professor/Dr. Rothbart’s assistant, is that some people do have positive results from back surgery. But unfortunately, many people do not. Even though one may find a skilled surgeon, surgery itself is quite invasive. And the recovery period can be long and painful.

    A more natural therapy, such as Rothbart Proprioceptive Therapy, is non-invasive yet effectively and permanently eliminates chronic back pain.

    The best to you,
    Linda Penzabene
    Assistant to Professor/Dr. Rothbart

  3. Rothbart says:

    Dear Henry,

    Stretching definitely helps to relieve tightness and is also beneficial as part of your daily fitness routine. But if you suffer with chronic muscle and joint pain, stretching isn’t enough as it doesn’t handle the source of the problem.

    Professor Rothbart

  4. pink says:

    I have had back surgery on the 21st of October 2010 on  L5 S1  3 months on I am in a lot of pain in fact worse I have had another MRI scan that shows that I now have a large swelling on the left side S1 nerve I have really bad weakness in my legs now pain in my ankles and numbness in the right leg now and I am considerable pain and I am on morphine and other medication because of this I am worried that something has gone wrong with surgery I went back to visit the consultant and he would not see me and I was so annoyed actually I got really upset I thought I had done something wrong but I complained to the out patients manager and she went and asked him and the answer was still a no I don't know why I feel let down by the consultant so I am seeking a second opinion elsewhere my GP is really not happy with situation I also suffer with meniere's diease  and other problems I just thought I would ask  your opinion

  5. Rothbart says:

    I’m very sorry to hear of your unsuccessful surgery in attempting to solve your back pain. Unfortunately, your experience is not uncommon. That’s why I wrote this post that discusses why surgery can often result in more pain after the surgery is done.

    The key to eliminating your back pain is to first determine the exact cause of the pain. While I was engaged in research at the Italian Ministry of Health Research Center (Instituto Superiore di Sanita), I wrote about an embryological foot structure that can result in the exact symptoms and poor response to surgical intervention that you have written in your email. You can read about this research by going to “Pelvic Syndrome.”
    This site, Curing Chronic Pain, is written for patients. My research web site has a great deal of technical information. You may wish to share this information with your doctors.

    Your pain and frustration are evident and you have every right to be upset and feel let down. My heart goes out to you.
    With kind regards, Professor /Dr. Brian A. Rothbart

  6. Jasmine J. says:

    Well, I’m getting surgerey tomorrow and after reading these comments I’m scared for the big day! I’m getting surgerey to straighten out my back, so I thought it wouldn’t be a big deal. Hopefully tomorrow I’ll just go through the pain and recover from it in not so long. I mean it’s gonna be over somehow, so I’m not really worried about it.

  7. Rothbart says:

    We wish you a speedy recovery and best of health, Jasmine.

  8. Max R. says:

    36 years old &  3 back surgeries in 10 years.  The pain never goes away, only the sciatica……….until it's injured yet again. 

  9. Rothbart says:

    Dear Max,

    Sciatica is only a symptom. Having surgery on a symptom makes no sense. You need to determine the cause of the sciatica. Treat that cause directly and the sciatica will automatically diminish.

    May I suggest you take the Rothbarts Foot Questionnaire.

    with regards,
    Professor Rothbart

  10. Danielle Dodson says:

    I am a 22 year old female and I was diagnosed as having an L5/S1 herniation. I had surgery on July 19th 2011 to have a laminectomy corpectomy. It's been 6 months and my pain no longer includes the sciatica; however, now my pain is on and around the incision site and down the left and right hips spreading down my legs to my ankles. My legs fall asleep very easily and very quickly whether I'm lying down, sitting, or standing. The pain never goes away and I tried substituting my narcotics for OTC medication. I've been alternating aleve, ibuprofen, and tylenol taking is as much as is allowed without killing my liver and it does absolutely nothing for the pain. I cry very often these days just asking myself what kind of quality of life do I possess now after my surgery. Oh, and did I mention I lost 25 lbs after my surgergy as well. So, I was going to meet with a different neurosurgeon to see what he comes up with. I am at my wits end and I have no idea what else to do in order to feel better but this is getting serious. When I walk the outside of my hips in the bone and muscle it feels like hammers and nails being pounded into it (for lack of a better description) any advice would be helpful  thank you . 

  11. Rothbart says:

    Dear Danielle,
    I am truly sorry to hear what you are going through.
    Disc herniations do not usually cause pain unless they are very severe. The surgeon felt that correcting your herniation would have eliminated your pain. But it didn’t. The reason is because your disc herniation itself was not the cause of your pain. (It it was, your pain would have gone away after the surgery).
    One of the most common causes of nerve pain is a nerve entrapment due to an anteriorly rotated pelvis (which compresses the nerve). Look in the mirror. If your buttocks appears to be more posteriorly prominent than you think it should be (for your weight and age), your pelvis is probably anteriorly rotated. If this is the case, the cause of the forwardly rotated pelvis
    needs to be determined.
    The most common cause of the shift in the pelvis is an inherited, abnormal foot structure; either the Rothbarts Foot or the PreClinical Clubfoot Deformity. These foot structures can be effectively treated using rothbart Rothbarts Foot Questionairre.

    with regards,
    Professor Rothbart

  12. Gloria says:

    I am 6 most post op planned l5/S1 spinal fusion.(Aug 2010)  Emergency during surgery necessitated a 2nd cage at L4/L5.  My pain was beggining to improve but is worsening again.  I can't sit for more than about 10 minutes without extreme discomfort and now have pain in my heels that makes standing in one place awful also.  I live in Washington and they are on a major crusade against the use of pain meds for chronic pain patients.  My L5/S1 sciatic nerve root was basically crushed by the time my surgery was done and their was more damage due to the breaking/cracking of my L4 vertabra during the surgery.  Still not quite clear on the details and have.  It is my L5/S1 nerve that is creating the pain however and I am concerned about the increase in symptoms.  Right now I take gabapentin(9 per day/2700mg) makes you sleepy and lethargic and 8 Hydrocodones which are really not killing the pain.  My primary tried to cut my hydro dosage in half in spite of the increase in syptoms, which does'nt make sense.  I have been in pain every day now for over a year and am getting worn down by the whole thing.  Any ideas about what might be causing the pain to worsen so long after surgery ?

  13. Rothbart says:

    Dear Gloria,

    From what you have written, I suspect there’s an underlying cause that is preventing your back from healing. In my 40 years of clinical research, I have found that a common reason for prolonged post operative pain is due to abnormal biomechanics (how the body moves).That is, if the vertebrae do not move correctly, this can prevent your back from healing after your surgery.

    One of the most common causes of abnormal motion within the spine is an inherited abnormal foot structure – the Rothbarts Foot or Preclinical clubfoot Deformity.

    If you have either of these foot structures, it needs to be treated. By doing so, it will eliminate the post operative symptoms that you have described in your letter.


    Professor Rothbart

  14. I am 52 and I had an L4 L5 fusion in 1999. They did my surgery through my stomach and not my back they took bone from my hip to fuse with. I recovered well and did well till about a year ago. I have started to have back pain all over again. I went to the orthapedic surgeon he said the fusion is not a strong as it should be and walked out. I sat there waiting and the nurse came in and said you can leave now. So my question is what do they mean by it's not as strong as it should be. I will be getting another MRI in about 3 weeks. Am I possibly looking at another surgery. My father had 3 back surgeries and my mother has had 1 is this hereditary. Thanks and I will be waiting for your reply. Donna

  15. Rothbart says:

    Dear Donna,

    Many back pathologies not related to direct trauma, is a symptom. In order to eliminate the pain resulting from the back pathology, it is vital to determine the cause, otherwise the problem frequently reoccurs.

    From what you have written, it sounds like this is what happened to you. The problem that created your back pathology most likely was the reason that your fusion did not hold.

    Go to my website at I believe you will find the information therein very useful. If I what I have discussed sounds like you, I may very well be able to prevent the need for a second surgery.

    with regards,
    Professor Rothbart

  16. chuck says:

    I went through a bilateral laminectomy on l4, l5, and s1. It has been three weeks and I have had a staph infection the past two weeks. I have a lot of pain on the incision area and especially on the left side. I am suppose to return to work next week but I am unable to sit in a chair for any period of time due to the pain. When I lay down it sometimes feels like there is a metal rod directly on the incision and I have to alternate just to find any comfort. Is this usual feelings following the surgery? Should I be concerned? I have tingling in my ring finger on my left hand and down my legs into my feet. I am really scared the surgery did not work and I am now going to have much worse pain in my back then before. Am I paranoid or is this what it feels like when the surgery does not work. This is a workers comp case and they are not as helpful as I would have expected.

  17. Rothbart says:

    Dear Charles,

    Yes you should be concerned. What you have described is exactly what occurs when the surgery has failed.

    Go back to your surgeon and insist they find out what the problem is.

    with regards,
    Professor Rothbart

  18. Klaus Pabst says:

    I had a fusin ( L4-L5 ) in Aug.2011 after one week my left leg started to hurt and i have leg pain since then If i lay down at night it gets worse for one year  now i did not sleep a hole night without getting up.Also my Pack pain is getting worse to.My surgent told me this week (07.11.12) that my fusion is completed and that he releases me as his Patient.Than he told me that the screews and the plate my cause the pain im experiencing and that there is also a Bone spore sticking out ! But he would recomment not to do anything about it! I'm hopeless and helpless!i cant go on like this anymore what can i  do? I cant change Doctor because the Workers Comp insurance dont want to pay anymore!

  19. Rothbart says:

    Dear Klaus,

    Workmen Compensation Insurance has marginal financial resources (which is surprising considering where it is funded). They do the best they can with what they have. Your experience, which is not uncommon, is the result of that under funding of the insurance program.

    I am very sorry to hear what has happened to you. I suggest you see your surgeon again and insist that he does something about your condition. That is, do not allow him to minimize or dismiss your pain.

    If he refuses to do anything about it, see his superior or another surgeon.

    With best regards,
    Professor Rothbart

  20. LaShawn Speller says:

    I had surgery on my back for a herniated and buldging disc in my lower back i hurt my back at work in april 2011 and had surgery september 2011 4 months after my surgery my doctor sent me back to work even though i had numbness in my left leg had nerve problems when my body will flap like a fish and my back was in more pain than it was before i had surgery. i went back to work and a deep shock pain shot through my spine and went through my whole body my neck,knees,ankles and hands  and i cant do nothing active i cant walk or sit or stand for more than 15 minutes im only 22 years old but if i try to do anything active i cant even walk afterwards and i cant sleep at night i dont go to sleep until between 2 to 5am in the morning and it hurt so bad just to lifth my body up to get out of the bed i never felt this much pain in my life and my doctor who did my surgery want even see me no more i need help i dont feel like my back will ever heal but i pray everyday that it will and this september 23rd will make a year since i had surgery and i feel horrible what should i do and i have constally shock pain shooting through my spine and my joints

  21. Rothbart says:

    Dear LaShawn,

    I’m so very sorry to hear what has happened to you. Without knowing more about why you had the surgery in the first place, it’s hard for me to know whether or not I can help you. I urge you to read more posts on this website especially under the category ‘Abnormal Foot Structures’. If you have an abnormal foot structure, this may be the original cause of your chronic back pain and what prompted you to seek surgery for relief.

    If you do have one of these abnormal foot structures (the Rothbarts Foot or PreClinical Clubfoot Deformity) I may be able to help you and reverse the damage done through the surgery. I would know more after speaking with you. I urge you to set up an Initial Phone Consultation – you will find how to schedule a consultation on this site.

    with regards,
    Professor Rothbart

  22. LaShawn Speller says:

    thanks. I’ll get in contact with you

  23. vikas says:

    dear sir,
    i had l4l5 and l5s1 back surgery in may 2009.  post operative period was not so painful and i was recovering. but last year i had back pain radiating to my left leg. mri showed a bulge in l5s1 disc. the orthopaedics doctor has advised me to follow regular exercises, which will reduce my pain but the neurosurgeon is insisting  on another surgery. pl. advice me what to do. i'm very much disappointed which in turn, has let down my morale.

  24. Rothbart says:

    Dear Vikas,

    You need to first find out what is causing your back problem. A buldging disc is only a symptom of an underlying problem. You need to find out what caused the buldging disc. Was it trauma, infection, tumor? If the surgeon can not answer this question to your satisfaction, then you need to find someone who can – before contemplating another surgery.

    Many surgeons (without knowing the cause of your back pain) have the attitude of ‘let’s try this and see if it works’. If the first try doesn’t work, they try something else. But it’s not their back, it’s yours.

    with regards,
    Professor Rothbart

  25. colleen says:

    I just whent under a refusion + laminectomy on l4 to s1 and a hemilaminotomy + facetectomy and fusion l3 to l4 5 weeks ago Pre surgery I had severe pain from the top of my hips all the way to my toes on both legs front and sides when I layed down I was told that I must get up and put a brace on 2 hours after I woke up but that did not happen the hospital did not have the brace untill 3 and a half days later I was stuck in bed for that time and the pain in the legs got worse every hour because I was not allowed to get up Once I was able to get up it stopped the pain but as soon as I layed downed Do you think that because I was not able to get out of bed and had to lay there making the pain more severe every hour has something to do with the surgery not helping at all I have had 8 other fusions on my spine and all of them made the pain go away 100% I was even able to go back to work 2 to 3 weeks after the first 5 surgerys And I was a production welder I can’t lay down anymore at all

  26. J. Smith says:

    I had an L5S1 microdiscectomy 8/29/12. My only symptom was a numb foot and 3 doctors said the surgery would be my best chance for recovery. Now almost 6 months later and I now have excruciating left lower back pain and what feels like hot coals on my knee and thigh…and my foot is still numb. 2nd MRI shows nothing and the surgeon has said he can’t do anything to help. Quality of life is pretty bad. I am only 63 and wonder if this is it for the rest of my life. I did have symptoms in the same area before the surgery occasionally which had never been diagnosed but nothing like this. This is simply awful. I was an idiot to let myself be talked into this operation. Something must have occured in the OR to cause my symptoms (which I started to notice right after surgery.) I am hoping that maybe a nerve got tweaked and will work itself out but after 6 months I am getting more and more depressed. Have never taken any pain meds but may have to consider it if I want to go on living.

  27. Rothbart says:

    Dear Colleen,

    I’m sorry to hear what you have been going through. What you have described is typical when changes in the structure of the spine are treated as the primary problem and not as a symptom of an underlying cause. In order to eliminate your pain, you must determine what caused the changes in the structure of your spine in the first place. In many cases, these changes are due to one of two inherited abnormal foot structures, either the Rothbarts Foot or the PreClinical Clubfoot Deformity.

    I can’t be more specific in my answer to you without receiving more details. I would advise you to return to your surgeon and ask them to screen you to see if you have one of these two foot structures. If they are unable to do so, I suggest you schedule an Initial Phone Consultation with me.

    Professor Rothbart

  28. Rothbart says:

    I am truly very sorry to hear what you have been going through.

    A numb foot is typically due to a compression of the sciatic nerve. What needed to be determined was what actually caused the nerve compression. My research suggests that in almost all cases, sciatica is not directly due to pathology in the spine (e.g., herniations, stenosis, etc.) Almost all cases of sciatica are due to an underlying cause (that resulted in your spinal pathology) which led to your foot numbness.

    The most common cause of sciatica (and resulting foot numbness) is one of two abnormal foot structures, the Rothbarts Foot or the Preclinical Clubfoot Deformtiy.

    It is also typical that if you have one of these inherited foot structures and then have spinal surgery, not only will the surgery fail, but often the symptoms get worse (as happened to you).

    I suggest that you take the Rothbarts Foot Questionnaire, which you will find on this site, to see if you may have one of these two inherited foot structures. When you are ready, schedule an Initial Phone Consultation to talk with me. If you have one of these foot structures, I believe I can help you and my therapy should dramatically reduce or completely eliminate your pain. I say ‘should’ because I need to speak with you and find out more on what the surgeons did.

    I hope to hear from you.

    Professor Rothbart

  29. Merle says:

    My mother had lower back surgery two months ago. Her back seems to be fine, but she has complained about a pain in her right side ever since the surgery. Sometimes this pains goes down her leg. She has had two MRI’s and the doctors say that they cannot see anything there that should be causing this pain. She is living on pain pills, because the pain is so severe. Can you help shed some light on this?

  30. Theresa says:

    I had an L4/5 fusion two years ago. My life has been hell since. I live on a sofa 24/7 and barely can move. I no longer can sleep on a bed and am on a recliner sofa. I can not sleep on my back, left or right side without horrible pain and manage 2 hours a night if lucky. I also have damage to my nerves coming out of my L4/L5 as he “nicked” them in surgery and my sciatica nerve is now trapped in scar tissue. The muscle on my skin is permemently charley horsed. My left ankle is paralysed and does not bend so I had to rewalk on my own. I still have numb spots on my foot and toes. THINK TWICE BEFORE THIS SURGERY!!! Since I signed the surgery papers that said these things happen to less than 1%of patients I can not sue the surgeon who mangled me.

    I am going through horrible depression from the loss of using my foot, guess I am mourning the loss of it. My husband does nothing but call me lazy and worthless and even though been shown on MRI my problems still does not believe it. He refused to take me to PT after surgery saying they are just quacks and if I wanted to do those type of exercises look them up on the internet for free. My surgery left me in horrible pain to which my surgeon said it was not his problem he did surgery not pain and aftercare and he sent me off to a pain clinic, thank God. I was suicidal and my pain doctor saved my life.

    Now 2 years out I find myself feeling horrible cause I am addicted to pain meds but I need them to live. I have spent my entire life scared of medications as I am allergic to almost all and my family has an addiction problem. I was the one child who did not fall down that path and yet here I am now thanks to a surgeon who screwed up. He was highly recommended however I have since met 3 others who he “screwed up” their lives too.

    Please do all alternatives prior to any surgery. I did the epidural shots, PT (took myself prior to stop driving) and other stuff. I now have no clue how to recover if at all possible. I just switched my PCM so hopefully this new doctor will have some ideas. I am ready for this “sofa life” to be over and join society.

  31. Rothbart says:

    Dear Theresa,

    I am very sorry to hear of what you have gone through after your back surgery. Unfortunately, what you have experience is not uncommon. This is why I caution patients against having back surgery unless they have exhausted all other options.

    with regards,
    Professor Rothbart

  32. Rothbart says:

    Dear Merle,

    Pain traveling down the leg is a common symptom of sciatica (compression of the sciatic nerve). Have your mother screened for the presence of Rothbarts Foot or the PreClinical Clubfoot Deformity. Either of these inherited abnormal foot structures can result in sciatica.

    with regards,
    Professor Rothbart

  33. clara says:

    I feel for each and every one of you. I just had my second surgery L4L5 Laminotomy a four weeks ago. My first was in november of 2012. I am bed riddin once again. I feel that it has rehurniated. I have sever pain in my tailbone. I cannot sit for long periods. I cant walk without feeling like my legs are going to give out on me. My left leg is the worst. This has ruined my life in so many ways. Im 36 years old and i feel like im 60. I used to be healthy and happy. Now im a depressed frustrated angry mess. Im seeing a new doctor next week to get a second opinion on this. This shouldnt be happening.

  34. Mary says:

    I’m a 25 yr old female, herniated my l5-s1 disc lifting a heavy pt. did 6 months of chiro therapy and 3 steroid injections w/ no luck. Finally visited a neuro surgeon and decided on a left sided microdiscectomy and hemilaminectomy. Prior to surgery I limped and had bilateral hip and leg pain. She didn’t do a recent MRI and went with the 6 months old MRI. Post op I continued to limp, have right hip/iliac pain and stiffness. I also can’t sit too long (I’m 6 months post op) did 2 months of pt with no progress, did an MRI which showed some disc material on right at l5-s1 displacing the s1 nerve. Surgeon doesn’t believe that’s causing my pain so suggested steroid inj and surgery if needed. I don’t want to Jump into surgery not knowing what this pain is caused with. I’m seeing a pain dr now and he wants emg, nerve block inj and pt done. I requested to see a rehab dr but he said I’m not ready yet. Just tired of the pain and workers comp makes the process so long. Just hate life now, as I can’t sit or walk for too long without pain. I was terminated from work for being on ttd and not ready to go back to work. Any suggestions would be appreciated!

  35. Juan Vasquez says:

    Had back surgery in 2008 L/5 S/1 with fusion. A MRI in Oct 2012 showed screws were placed to high and one had gone thru bone. March 2013 had second surgery all instrumentation taken out and replaced because everything was loose. Surgeon said had scar tissue on nerves and scraped off. Now have numbness in rt foot with severe pain in ft calf ankle thigh and rt buttocks. What can I do he says there is nothing he can do. Didn’t have that severe before surgery.

  36. Rothbart says:

    Dear Juan,

    Your experience post back surgery unfortunately is not uncommon. If the cause of the disc herniation or spinal stenosis is not treated directly, back surgery will fail.

    Professor Rothbart

  37. Vicki says:

    I need major help. I had a hemi laminectomy and a micro disectomy April 8, 2013. I have been in contant pain since from my left lower back through my left butt check, down to my knee. The surgeon sent me for pysical therapy. Not helping. 4 days ago I woke up with severe pain through my entire lower back, both butt checks both legs. Had an MRI and the surgeon said there is still part of a herniated disc but not touching the nerves so surgery is not necessary. He has ordered aquatic physical therapy and then a pain clinic. Now 4 four days later all the pain has shifted down to my left side all the way down to my ankle. The front of my knee feels like it’s on fire and numb. I can barley walk from the house to the car. By the time I get there my leg has given out several times, I’m out of breath, I have to stop and rest, and I’m in so much pain constantly I can hardly stand it. I can’t do anything for my self. The surgeon is minimizing my pain. Doesn’t even return my phone calls until the next day. No amount of pain pills are working. The first day I took 2 valium, 6 vicodin and 4 ibuprofin. Didn’t even touch the pain. I didnt take more because it wasn’t helping. Last night I took 3 ibuprofin no relief. Today I took 2 vicadin and 4 ibuprofin no relief. I don’t know who to turn too. Any suggestions??

  38. Rothbart says:

    Dear Vicki,

    I will reply to you at your email.

    Professor Rothbart

  39. ChronicPainDan says:

    I am a 36 year old male that has been in the landscaping field my whole life. My job has always required heavy lifting and constantly moving up and down. 3 years ago I woke one morning and was literally unable to move and in extreme pain. I saw many different doctors with no relief, and finally ended up having a surgeon fuse my L-3,L-4 and L-5. The surgery was difficult, because they did the fusion by cutting my belly and removing my stomach and other nasty bits to reach the inside portion of my spine, then placing everything back once the repairs were finished. My surgeon also noticed cracks along both sides of my lower back and screwed two titanium plates over the cracks to keep them from getting any worse. Six month after surgery and PT, I was still in much discomfort and was told that I had some narrowing around my nerves, and it could be fixed by making a small incision and widening the area. My doctor once again preformed surgery, and 4-5 months later I started to feel much better. This lasted about three months, until last Thanksgiving I started to have pain once again. This time, it was not only in my back, but down my left thigh as well. This time it was decided that I needed a spinal stimulator implanted in my back. I had the implant done almost 6 months ago and I am still in horrible pain. I find it very difficult to get out of bed in the mornings. Sometimes laying for an hour or two after I awaken, just to be able to move. I’m at my wits end, and feel like I’m out of options. Am I going to be in this much pain for the rest of my life?

  40. Rothbart says:

    Dear Friend,

    Fusion of your vertebrae should never have beeb done until the cause of your pain was determined. Spinal pathologies such as herniation and stenosis are structural changes within the spine, but the question still remains – What caused them in the first place?

    Unless you’ve had some kind of severe accident/trauma at your job, working as a landscaper would not cause these structural changes in the spine – unless there’s an underlying cause that would predispose you to these structural changes.

    It’s apparent from your comment that the primary cause of your problems was not determined, and instead surgery was done. This is why you are still having problems and they are getting worse.

    On this website, I spend a great deal of time talking about two abnormal inherited foot structures that can produce structural changes in the spine (such as those you have occuring in your body). If you do have one of these common foot structures, the only way to eliminate your chronic pain is to directly treat your abnormal foot structure (and certainly not to have more surgery).

    with regards,
    Professor Rothbart

  41. Tracymc says:

    Though out my back nightmares i was diagnosed with Osteopenia.
    i have had 2 lower back surgeries first was (uk) disc herniation i had a discectomy and decompression on the L4 L5 S1 (left side), i was virtually pain free for 3 years after 18 months of not being able to hardly walk. Then came the 2nd operation,(i had moved to Germany with the forces by this time) again the remaining disc material had burst its banks again so to speak so i had another discetomy again L5 (left side) the German surgeons didnt even mention the Osteopenia i had told them about.In less than 24 hours post op i couldnt feel my right leg and was told it was due to postion i was in during the operation i thought ok im no expert then when i got out of bed after numbness wore off and my right leg returned to normal i was in horrendous pain left hand side back of pelvis it felt like nothing i ever felt before (child birth pain was a breeze compared)i thought it was again positioning i was in during op, now some 2 years 6 months i still have that horrendous pain, i have told my GP about this but he doesnt listen i went to physio for 6 months i mentioned this to him he got together with my GP and they decided that i needed to see a head doctor or go on anti depressants as they said their words “get your head right and the pain will go away” like i told them both im not depressed its not in my head i am just fed up of none of you listening to what i have to say. In the mean time after nagging my GP for a bone density scan for 2 years (i have had these scans every 2 years) he finally agreed but only after he had to look through my notes to check up on what i was telling him i finally got one, only to be diagnosed with Osteoporosis in my spine worst being lower spine, left hip and neck. The German doctor who did the scan asked me what osteopenia was!!!!.This was a year after my 2nd operation, in my opinion i think it should have been questioned which got me thinking instead of osteopenia i had had osteoporosis when they operated and they might have done damaged during the op that is causing the pelvic pain im still in now. I got sent back to see surgeon and he put it down to failed back syndrome again i was passed off. I went to see pain management and she found something on my vertebra and ordered another MRI to discover the little spot on my vertebra she spotted had got bigger so off to see the surgeon again to be told it could be inflammation but they couldnt be sure without operating again and having a look, the surgeon refused point blank to investigate further and he told me no other neuro surgeon will operate a 3rd time even to look what it was. Still in horrendous pain with the back of my pelvis they decided to do lumbar puncture with contrast to see if nerves were compressed again test came back inconclusive so they put it down to failed back surgery and suggested i have a SCS when i get back to uk and that was that and numerous pain medications later. I moved back to UK a year ago still in pain with pelvis issue and limping as i walk.Then i stepped off a curb a little too hard and a shocking vault of pain surged through my spine rendering me unable to move or walk for 10 mins. I went to see new GP explained all problems and history i was having with my back i was sent for yet another MRI and the remaining L4 disc material had gone i have leg pain and foot pain again to go with the pelvic pain and back pain, i went to see new surgeon to be told i need a 2 level fusion now so waiting for that after he has done disco-gram to make sure its the right level of fusion but again i am finding that after telling him about my pelvis pain as well as the inflammation on my vertebra he like the others ignored it. This is very frustrating 1 step forward 5 back. To top that my GP wants to take me off fentanyol 75mcg patch as he says its not for back pain even after i tell him over and over again its the only thing that actually helps for 2 days im comfortable he wants to put me back on the meds i have tried before and didnt help in any way. My quality of life as gone from being active to nothing even doing the simple house chores im in horrendous pain, like many of you all i cant walk without limping or pain i struggle to actually bend to wash in a morning i cant sit for long i struggle standing and getting up from a seated position and turning over in bed is a joke,my legs also go dead if i lie on my side for too long! so frustrating and ive suffered since 2005, hats off to you all that has suffered longer i know this drives me crazy. wish i could just wake up pain free i forgot how that feels but i keep on smiling!

  42. Kristie says:

    I had a double discectomy November 1, 2012. I had a bulging disc and degenerative disc, one on top of the other. I lost feeling in my right foot from the herniated disc pushing down on my nerve so bad. I am now having worse pain than before surgery. I have been on almost every pain medication out there, with no relief. I do not understand why I was left with a gap in-between and nothing to fill it. When I tried to tell my surgeon about how much worse the pain had gotten, he treated me like I didn’t matter and refused to believe me. Life is not easy feeling this way all the time, and I feel for all of you living the same way. I now have severe pain on my right side (same side as the surgery) which feels exactly like it did before surgery but worse. My numbness never went away and is worse.
    I feel as tho I’m falling apart. My back problems started the day after I turned 25, and I am now 31. I just feel like I have another bulging disc. I switched doctors, but now not having insurance I cannot afford the testing he wants me to go through. It’s so frustrating, and I’m at my wit send in trying to deal with the pain and have a normal life when everyday my pain gets worse. I feel I’m going to end up having to have a fusion..I just want to feel better. I can handle living with pain, but not this sort of pain, when the simplest everyday things are now a challenge.

  43. Rothbart says:

    Dear Kristie,

    I am very sorry to hear of your nightmare experience following back surgery. Unfortunately, what you have gone through is not uncommon.

    A bulging disc is a symptom. The cause of the disc pathology needs to be determined and treated directly. When this is done, surgery would not be necessary.

    Professor Rothbart

  44. emery says:

    The year 2010 feb had 2 surgerys to remove herniations in my l3 l4 l5 s1 did not do its job resulting in a l3-s1fusion in july of 2010 i have been on pain meds since i feel that in at the end legs r in constant pain right foot numb outer of my legs numb upper thighs numb and back pain still there the dr told me the fusion would fix all of this been to pain management got kicked out for not having another surgery i should not have to live my life on pills and having a hard time getting out of bed trying to work full time is getting harder but it has to be done i just dont know what to do anymore and these pills are not working controlling my pain so why take them my surgery was 10.5 hours due to 360 fusion withbone graph i just feel this will never end and is how im going to live the rest of my life

  45. Rothbart says:

    Dear Emery,

    I completely understand what you are going through.

    Don’t lose hope. There is a very probable solution that can lead you out of debilitating pain. Take the Rothbart Foot Questionnaire If you answer at least 6-8 of the questions in the affirmative, you most likely were born with one of the two inherited abnormal foot structures that I have written so much about.

    Both of these foot structures can produce the exact type of pain history that you have described. And both of these foot structures are associated with failed back surgeries.

    Professor Rothbart

  46. Betty says:

    I recently had spinal fusion of the l5 S1. Everything went well. That was 7 weks ago. Now if I stand longer than 30-40 minutes my right thigh goes numb. Will his get better or should I call he doctor.

  47. Rothbart says:

    Dear Betty,

    Definately call your doctor. What you are descrbing sounds like a nerve compression.

    There are several possibilities that would cause this to happen. It could be the result of the surgery itself, in which case it must be brought to the attention to your surgeon to remedy. Or it could be the result of a forward rotation of your hip bone, which is compressing one of the major nerves leaving your hip and going into your thigh.

    If it is the latter, you will find a great deal of information on this website describing what can be done to help you.

  48. dawn relph says:

    I had my l4/5 op 2 yrs ago I havent been right in pain all the timr in my bottom right leg and bottom of spine.since the op my nerves have never been same and my muscles have gone terrible.ehen I walk im in alot of pain and my legs swell up at the back of calves also I have no feelings in mr right arm and all tis as started since I had the op,im on highest pain killers plus morphine please help me.

  49. tang says:

    Please can anyone shed some light on this, so far ive had 2 micridiscectomies to 4/5 and a laminectomy to 3/4…that didn’t work my left leg nerve pain got worse till I couldn’t walk so I got 3/4 fused and a mechanical disc on 4/5.. its been over a yr and now in having awful pain in my right leg now not unlike the rightvkeg pain i had when i had my spinal surgery it was always ny kefr leg befire ny op….its goin numb around my right inner ankle and pain on my right inner thigh wen I rotate my foot is horrid or even just walking is painfull…They said my hip could be buggrred to cause that pain but it was not my hip..anyone else that can relate or has had this please post…im desperate now xxvthanx xx

  50. Michael says:

    I am a 40 year old male, and have had 2 L5 microdiscetomies, last 12/19/13. On 1/27/14 felt another “pop” ended up in ER carried by my father. New MRI showed additional fragments, prescribed epidural shot 2/14/14. Injecting Doctor said I will need another surgery. Pain is in left buttock, hip, down my leg and numbness and unresponsive foot. Does this mean 3rd microdiscectomy or fusion? Next appointment with my neurosurgeon is 3/3/14 (he is on vacation). I have been out of work in bed since October, and I feel completely insignificant in there eyes. Is this normal? Any advise or suggestions would be appreciated.

  51. Danys187 says:

    I had a titanium plate put in at the L5 S1 in June of 12. They were suppose to fix the sciatic nerve as well but didn’t. My back hurts double what it did before the surgery. Come to find out my left leg is about a half inch shorter than the right. I have a lift in that shoe now. However, the pain is still the same. With any activity (i.e. working out lightly, walking, bending, etc) my back hurts extremely bad after I sit down for a few moments. I don’t know what to do. I was taking Meloxicam but stopped a week ago, but need to start again. It helps just slightly but no where near stops the extreme pain. I don’t care for pain pills bc I would have to take morphine or Oxy & I don’t want either. What do I do? The back surgeon & my doctor keep saying nothing.

  52. Rothbart says:

    Dear Tang,

    I’m very sorry to hear what’s going on, but what you are going through is not uncommon. Ssurgeons are quick to do back surgery when their patient is suffering with unrelenting pain, the problem is that they often do not identify the cause of the pain.

    Herniations,stenosis and osteodegenerative changes in the vertebra are all symptoms of an underlying cause. What has happened, in your case, is the surgeon has treated your symptoms (your laminectomy) without identifying the cause. This is why you pain has continued.

    Have your surgeon to run the necessary tests to find out if you have either Rothbarts Foot or PreClinical Clubfoot Deformity. Either of thee two inherited,abnormal foot structures can cause the spinal problems you’ve been experiencing.

  53. Rothbart says:

    Dear Michael,

    No, this is not ‘normal’. The frustration you are feeling is most likely a reflection of what your surgeon is feeling in not knowing what is going on.

    My best advise is that, before having any other surgeries, have your neurosurgeon research on both the PreClinical Clubfoot Deformity and Rothbarts Foot, for there is a high probability that what you are experiencing is the direct result of having one of these two abnormal foot structures.

    If this is the case, your foot structure must be treated directly which will automatically decrease or eliminate the paresthesia (numbness) that you are experiencing in your leg, without the need for further surgery.

  54. Rothbart says:

    Dear Dawn,

    The most common cause of numbness and pain down spine and into the leg, as well as the symptoms in your right arm are almost always the result of compression of the nerve that innervates these areas of your body. Regarding your leg; an anterior rotation of your hip bone can compress the major nerves leaving your spinal cord, entering your leg and running down to your foot. This can result in the symptoms that you have described.

    Have your surgeon evaluate for this possibility. If it is present, the cause of it must be identified and treated directly. This will, in turn, eliminate or greatly reduce the debilitating symptoms you are experiencing.

    Two of the most common causes of an anteriorly/forwardly rotated hip bone are the Rothbarts Foot and PreClinical Clubfoot Deformity. Information on these two inherited, abnormal foot structures is available on my research website:

  55. Rothbart says:

    Dear Danys,

    There are many different possibilities that can lead to sciatica. One of the most common is a forwardly rotated hip bone that mechanically compresses the sciatic nerve. Clinically, a leg length discrepancy strongly suggests that one or both of your hips are rotated anteriorly (forwardly).

    If this is the case, it would explain why your titanium plate inserted at L5 S1 did not resolve your pain.

    In my opinion, another surgery or pain medication is not indicated. What needs to be done first is to determine the cause of your forwardly rotated hip bones. Then, directly treat that cause.

  56. Marion P says:

    I have had two double fusion operations L4 to S1. The second op was a success and the bones fused. But I was told i would never be pain free but better as the discs had worn. I have had good and bad times. I am 58 and now work part time in the West End – as a receptionist. Had many stresses in my life such as marital problems, depression, hearing, stomach problems from the op. Recently I had an extremely bad flare up and was put on 14 painkiller and now are coming off them slowly because I seem addicted. Then my job requires me to work to work full time to cover my job share and I feel exhausted and my back has flared up again to the point that I was in tears along with the exhaustion. I need to keep the job for financial reasons but feel that this time it could have been the cause to my problems. We moved over a year ago to the country mainly cos my husband wanted to. Also not just because of the move, my friends has not bothered with me and I have made an effort to call them. Quite a few friends I have lost and two new in the area who were keen to start with and then didnt bother. I am beginning to feel low with the pain and losing my confidence. My husband had a one night stand 8 years ago and I forgave him but truly am very unhappy and want to have a better life.

    Regards. Marion

  57. Rothbart says:

    Dear Marion,

    Having chronic pain will certainly make you unhappy and I’m sorry to hear what you’ve been going through.

    First, you need to identify the cause(s) of your back pain. Fusing your vertebrae or taking pain medication is not eliminating the cause, it is only treating (managing) your pain symptoms.

    On my website I have written a great deal about two abnormal inherited foot structures that can result in chronic back pain. I encourage you to take the Rothbart Foot Questionnaire. If you have one of these two foot structures, I can help you.

    Life will be much brighter once your pain becomes a dim memory of your past.

    Professor Rothbart

  58. I did the Rothbart Foot Questionnaire and only came up with two problems so I obviously dont come into that category. So what would you suggest now.

    Kind regards.


  59. Rothbart says:

    Dear Michele,

    The Rothbarts Foot Questionnaire is a good way to quickly determine if you may have one either a Rothbarts Foot or PreClinical Clubfoot Deformity. But the questionnaire is not infallible. For example, if you have both an abnormal foot structure and a malocclusion (bite problem) your responses to the questions can be skewed. That is, your answers may not accurately access whether you have one of these foot structures.

    If you do have a malocclusion and/or problems with your 1st cervical vertebrae (neck problems) I suggest you consider setting up an Initial Phone Consultation to determine the probability of you having one of these abnormal foot structures.

    Even if you do not have a Rothbarts Foot or PreClinical Clubfoot Deformity, your consultation will still be very helpful for you because I can most likely advise you on what type of therapy will help you to solve your chronic pain problem.

  60. Phong pham says:

    Hi ,
    I need help! I got lumbar fusion 18 month ago, I have CT scan and MRI, show L5S1 bones graft did’t fuses! Now my both leg get a lot a pain and numbness , can you tell me what I can do,,,,

  61. Rothbart says:

    Dear Phong,

    At this point it is best for you to see your surgeon and find out why your lumbar fusion didn’t hold. Your failed fusion is probably what is causing the pain and numbness in your legs.

    Professor Rothbart

  62. Rothbart says:

    Dear Michele,

    The Foot Questionnaire is a good scanning tool that will pick up a majority of patients having either Rothbarts Foot or the PreClinical Clubfoot Deformity. But this questionnaire is not infallible. That is, it is possible that you answer only a couple of the questions in the affirmative and still have one of these abnormal foot structures.

    I suggest you consider setting up a phone consultation with me.

    Professor Rothbart

  63. Phong pham says:

    Hi Rothbart
    Yes I did , doc say don’t fuses , doc say I need to treat vitamin D first , but they can’t do nothing now it a new doc, my doc surgery he telling I want put more bones I wiil but more bone , how do you think?

  64. Al says:

    I’ve had L5/S1 herniations for 3 years now. There’s also an element of arthritis/bone spurs going on down there. The first time it got better on its own, but after a year I re-ruptured it, and it has been miserable ever since. My neurosurgeon flat out told me that there is little they can do to eliminate the pain, in fact sometimes it worsens after surgery. He comes into play when there is chronic nerve damage (numbness, lameness). “That we can usually fix, but we can’t help you with your pain problem.” Right now he’s putting off surgery. Meanwhile, some days the pain is almost unbearable.

  65. Rothbart says:

    Dear Phong,

    I am not sure I understand what you are saying. If your surgeon is suggesting redoing the fusion, before he does so, he needs to explain why your initial fusion failed.

    I suggest you consider setting up a phone consultation with me so that we can discuss this in more detail.

    Professor Rothbart

  66. Rothbart says:

    Dear Al,

    Herniations and spinal bone spurs are common symptoms seen in the PreClinical Clubfoot Deformity. If you have this congenital abnormal foot structure, there is a non surgical therapy that can permanently reduce your pain, numbness and lameness.

    I suggest you take the Rothbarts Foot Questionnaire ( and also read the categories on this website: Foot Structures and Rothbart Proprioceptive Therapy.

    Professor Rothbart

  67. Cheri says:

    4 months post op for a L4-5 fusion with instrumentation and grafting with a pretty unremarkable recovery until now. After lying in bed, my lower back, more in the sacral area and around the front to my iliac crests on both sides feels painful and tight. I have been stretching my muscles in this area thinking this might help but no. Any thoughts as to why this is happening?

  68. Rothbart says:

    Dear Cheri,

    The pain and tightness you are experiencing 4 months after your low back fusion is very typical of patients having a PreClinical Clubfoot or Rothbarts Foot Deformity. I suggest you take the Rothbarts Foot Questionnaire to see if you do indeed have one of these abnormal foot structures.

    Professor Rothbart

  69. I am writing to your from srilanka , i have had the laminectomey in Disc l4 and l5 , its been 10 months now , i still have the pain in my back , it get worse when i am standing sitting after long period of time , and also my spine is not stable , it looks like am limping and going one side down

  70. Rothbart says:

    Dear Chandra,

    The fact that you are still having pain 10 months after having the laminectomy indicates that the cause of your pain was not identified and treated.

    An oblique pelvis (one hip appears lower than the other) and pain after standing for a long period of time are common symptoms associated with the abnormal foot structures I have described on my website.

    Take the Rothbarts Foot Questionnaire. If you do have one of these foot structures, I can help you.

    with regards,
    Professor Rothbart

  71. DT says:

    I had back surgery, Fusion and bone graft. I am now 6 months now still in pain with limit of function’s I went and had spinal decompression, 46 injections at a time and nothing helped. I went to two well known doctor’s and both said that surgery was the only thing that would make me almost whole. ( After having surgery having metal put in your back to support your back will limit on what you can do). After surgery my doctor came out and said that their were two broken bones that he removed and used them for the bone graft, He also told my family and friends and a doctor friend of mine that if it was not done that I would be wheel chair bound in 6 to 12 months. That would be the only consideration of having back surgery. Their is a doctor in Texas that developed a two part like epoxy that he can inject in your disk that will level them back too original shape and seal them so it will give your disk time to heal and produce the liquid that is back in your disk. ( If the FDA hurry’s up and it will cost between 10 to 20 thousand dollars instead of the 160 thousand that it cost me, and you will have your original parts in your body.) Please research before you would ever think about having back surgery ( Doctor’s sometimes only see the $$$$$$$$ in their eye’s!!! I hope that this help’s a little.

  72. Mick says:

    Had 3 lowest disc fused with screws, rods, plates and wire mesh. Neurosurgeon was supposed to be best of best at a well known hospital in Wisconsin. Here I am 8 years later and it is hard for me to even move without severe pain! Hurts worse in the morning. I can’t stand this anymore and my wife is sick of it too. HELP!

  73. Rothbart says:

    Dear Mick,

    I’m truly sorry to hear what happened to you. Unfortunately, what you are experiencing happens all too often when back surgery is performed without first identifying the underlying cause of the pathology. That is, why was it necessary for the neurosurgeon to fuse your sacral vertebrae with screws, rods and plates?

    In my 45 years of research and clinical practice, I have found that the most common cause of chronic low back pain is the abnormal foot structures – PreClinical Clubfoot Deformity and Rothbarts Foot. You will find much information about these common foot structures on this website.

    If you have one of these common foot structures, your feet are continually forcing your back into a mal alignment, which in turn is placing a lot of stress on the implanted hardware in your back. This is the reason why you still have so much pain.
    By permanently correcting the alignment in your back, your pain will go away. The only way to permanently correct your alignment is by the therapy I have developed, which specifically addresses and effectively treats the Rothbarts Foot and PreClinical Clubfoot Deformity.

    If you have one of these foot structures, I can help you. Complete the Rothbarts Foot Questionnaire and Posture Self Analysis. These will tell you if you may have one of these abnormal foot structures. Then, when you are ready, set up a phone appointment.

    Professor Rothbart

  74. darleen young says:

    I had back surgery in 2013 and now have screws in back I can not do the type of work I know how to do which is food service because my back constantly bothers me I cant stand long periods, lift,push, pull ,like I used to and I am having pain in bend of knees is there any help I can get. Im only 58

  75. Rothbart says:

    Dear Darleen,

    I am sorry to hear about your failed back surgery.

    There is a great deal of information on that will help you understand why your back surgery failed. Take the Rothbarts Foot Questionnaire. If you answer more than 6 questions yes, you probably were born with one of the foot structures I frequently write about. These foot structures frequently cause back and knee pain.

    Professor Rothbart

  76. Jason mizhir says:

    After eight years of physical therapy and pain from a slip L5 S one disc I decided to have a spinal fusion after the disc had sliped so bad I could hardly walk… Not to scare too many people but I woke up from the sound of the saw the pressure on my Loback ….. I started squirming to get out …. The nurses GL for me not to move to stay still …. I heard somebody ask where is the anesthesiologist … A few minutes later I saw the mask over my face and went back out …..they say only one and 1000 people wake up and remember things while in a surgery…… After surgery I felt a little better ….. But as time went by it started hurting more and more when I sit or walk even laying down …… The doctor I was seeing would just give me morphine sulfate and Percocet and I didn’t like the way the morphine sulfate made me feel …… It took my pain away but I felt like I was looking through a window at my life it wasn’t really me ……. As time went by it spread worse and worse I think it was the degenerative joint disease or arthritis ….. Lotta pain in my feet Lotta pain in my calves a lot of pain in my hands my shoulders …. After taking opiates for a long time they don’t have the same effect on you anymore …. And you realize the more you do the more pain you’ll be in ……. Now the discs of Bob the L5 S one L4 and Ella three are both herniated …… Before the surgery they just had annual tears …. Now the pain is everywhere in my feet and my calves and my thighs and my drawing in my stomach and my sides in my arms and my elbows in my wrist and my hands ….. In my eyes and my head hurts ……. My goal isn’t to scare people if they just have one desk and they get a spinal fusion I think it may help them ….. But this is been my experience ….. Now I seem to have problems circulation and bloodflow .. When something like this happens you have damage the damage is already there the attempt to fix the damage doesn’t necessarily mean it’s going to get better it’s going to create more damage ….. You may just want to stay the way you are….

  77. Alex Brown says:

    Your article is very interesting! I have back pain since as far as I can remember.

  78. Rothbart says:

    Dear Alex,

    I am pleased that my article was helpful.

    Two of the most common causes of chronic back pain are the PreClinical Clubfoot Deformity and Rothbarts Foot. Take the Rothbart Foot Questionnaire – if you have either of these two foot structures, your back pain can be eliminated permanently.

    Professor Rothbart

  79. Doug says:

    I am 4.5 weeks post second surgery for L4-L5 disc double herniation. The first surgery was in early January where the surgeon clipped the two herniations. There was a lot of “junk” floating around, too, and he tried to get it all. 11 days later, two days after removal of the staples in my back, I developed an infection and I was leaking spinal fluid. The surgeon put me urgently back under the knife. The second surgery involved removal of the remaining L4-L5 disc, scraping around to get as much infection as possible, and some bone trimming. The internal wound was not sutured as the surgeon wanted me on a antibiotic wound flush for a week.

    I have been doing PT for a week now and it is helping my recovery. My PT is under the McKenzie Method. This is probably too late a site to say this, but for anyone having back problems, if you are put into PT initially for a conservative approach get to a McKenzie PT facility. It is really helping me in my recovery and the certified PT said that he wishes he had gotten me ten years ago – I would never have had to have surgery. Bottom line: This is almost entirely all about POSTURE. I was a lifelong sloucher and I paid a heavy price for that. I see improvement and actually like doing the exercises. They don’t take a lot of time and my back feels much better (I don’t have pain, just stiffness and soreness, which goes away with the exercises) after each exercise set.

  80. Rothbart says:

    Dear Doug,

    What you went through was terrible and avoidable, as you commented. Most chronic low back pain problems (other than trauma or pathology) are linked to postural distortions (poor posture).

    Professor Rothbart

  81. Leandra says:

    good day,

    Hope someone will be able to give me answers.
    i had a microdiscectomy on the 18 March 2016, in my L5 and S1.
    reason for my surgery, i bent down to feed my doggie, i felt a sharp pain and could not move after that, i ended up in casualty with severe back pain. i was given meds and injection, went home was booked off for a week with bed rest, the very next day i started feeling pins and needles in my right leg down to my foot, also numbness. i insisted with my gp to send me to a neuro surgeon, went for an MRI, and the result was i needed surgery as the “disc” is bulged out. had my surgery, 3 weeks bed rest, and back to work, started to notice i feel sharp pains in my back on the right hand side….. made appointment with neuro and was send for another MRI, showed that the disc herniation, neuro wanted to operate again, this was the 7th of may. my medical was full of nonsense so i did not have the surgery, was on painmeds…. the 6 sep 2016n i had my 2nd microdiscectomy same discs, all went well 4 weeks of bed rest.. first check up was good i felt so much better, 2 months after surgery, i cant sleep at night, i have terrible pains when i sleep that i actually get up. once i am up 5 min after that im okay then im mobile and can walk and sit,,,, why will this be so painful when i lie down? please tell me. i went back to surgeon and told him about my pain, he wants to do a fusion in january thru my tummy, all i want is my life BACK. please talk to me and give me advice? thank you kindly.

  82. Rothbart says:

    Dear Leandra,

    Your back surgery experience, unfortunately, is not uncommon. This is because, in many cases, the cause of the herniated disc is not determined. Instead, surgery is advised to repair the disc protrusion Result – post surgery the disc protrusion returns.

    The saga continues. Frequently, the surgeon reacts to this surgical failure by advising a more invasive surgical intervention (in your case fusion of the vertebrae). This surgery will also fail.

    My advice: Stop treating the symptom (e.g., the disc protrusion). Instead, identify the cause of the disc protrusion and treat that cause directly.

    Professor Rothbart

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