How I perform a TLIF (and what to expect after)

[@DH-gk8vh]

I've just been scheduled for the TLIF on June 14th! I'm excited! It L3 L4. Had a spinal fusion in 2011. I now have spinal stenosis of L3 L4 caused by that joint taking on too much work from the fusion below. I'm in almost constant pain and I'm ready to do it. To everyone here going through back pain of some kind, I send love all around hoping everyone their best possible outcome!

[@frankiewatts4630]

I had TLIF 0n the 16th of May.I am now 3 week out & it’s the best thing I’ve ever done! The Pain I was in was unbearable! I had sciatica for 2 years .i have no sciatica but you do have a little pain but it will be worth it! I’ll be praying for You !!!

[@sharonnagel3384]

I'm in the same boat. I'm going for my TLIF posterior on Tuesday and I'm scared. I'm not even sugar coating this. My fusion were in 2019

[@jefftaylor2595]

I just had this procedure done two weeks ago at the Mayo Clinic in Phoenix. I had grade 3 spondylolisthesis, with L4 and L5 pretty much bone on bone with compressed nerve roots. That pain is gone and I’m on the road to recovery. Don’t fear the TLIF! 😀

[@Jizzoe78.]

Thank Jeff for being brave. No its mu turn in the next couple of months I will have the TLIFT.

[@ArmaghaniSpine]

Great to hear you are doing well!

[@adventuress5772]

@@Jizzoe78. hi did you do the TLIF surgery

[@Jizzoe78.]

@@adventuress5772 not going to need it. I prayed to God and changed my life 70 days ago and I can walk and work. My sciatic never hurts but I wear a brace. All in the name of Jesus Christ ♥️🙏

[@cristalmiller3716]

Gotta have it with the s1 in January...how long did you procedure take?

[@GotYo6]

This is probably THE best description of what TLIF is all about. I just had mine done 18 days ago at Mayo in Minnesota. I’m going to tell you…the first seven days are pure hell but after that every day gets better. Follow the post op directions they tell you. What they don’t tell you is the numbness you will feel in your legs and chest because of the position they put you in. It goes away after a couple days. The back pain after about 1 month is more of your body healing the muscles they cut to get in there. My pre surgery pain was gone immediately and I wasn’t using a walker after 8 days. I was walking on my own at a slow pace but felt great! You will be tired and that’s normal. Rest as much as your body tells you. I was easily talking 2 naps about 3 hours long and it made a huuuge difference! Do be scared…be encouraged!😊

[@maxineking6742]

I was wondering about the lower back pain. I had an L3-5 done 10 days ago and by mid-day it feels as if I've lifted a ton of weight. I still have some residual pain in the muscle in my butt however that feels more like bruising than anything else. You're so right. Rest is so important and wearing thr back brace as well.

[@maxineking6742]

The post-op nerve tingling where I could not tolerate wearing jeans because I would go through the roof or have the linens cover me is finally subsiding now 4 weeks post L3-5 TLIF. The doctors don't tell you that. Rest is so important and yes, the first week is brutal.

[@GotYo6]

@@maxineking6742 My surgeon at Mayo did not want me wearing a brace. I hope by now you are in PT with a good therapist that truly understands fusions. I’m going 15 weeks now post surgery and joined a gym. Best thing going so far with great exercises given to me by therapist. Just remember…it’s a marathon for healing and the body needs that time.

[@karolinakv]

Thank you for this info. 🌞 Fusion ahead next week. Hope you're doing well.

[@mddell58]

60ish year old American woman who has horrible degenerative spine with spinal stenosis, & spondylitis. I've tried to explain that I have literally shrunk a whopping three full inches in my height, all due to my back issues. (Seems that L4 & L5 are very common for the majority of spine issues.) Ten years ago, I had a discectomy, fusion, etc. Docs then told me the exact same thing was happening all the way my spine. Thanks for helping many people to get a full 'picture' of what's happening in/on our spines.)

[@angelasanders2296]

I am 2 weeks post op. My surgeon preform my procedure exactly like you discuss in this video.Im doing very well. My recovery has that bad at all. My surgeon prescribed a back brace for me to use the first 3 months. I also have a machine I have to do for 30 mins a day It's a magnetic field belt that helps bone growth. I think I'm ready to venture out of the house. I pray for us all to heal great and move on with life. If any of you are hesitant to getting the surgery. Don't be anymore. Just get it down. I put mind off through the holidays. But by the time Surgery day came, I was barely making it. Rt leg pain, tingling and numbness was through the roof. After surgery almost Instant relief.im glad I had it done. 🙏

[@ArmaghaniSpine]

Great to hear you had such a good result! good luck!

[@angshumansharma1683]

How are you now brother

[@RCREVIEWS101]

​@angshumansharma1683 I bet not that good.....Fusions cure one pain and you get others due to the pressure the fusion does on adjacent vertebrates, I am going for one year from L4 and L5 fusion, just traded pain in the left leg is gone, but now I have ciatic pain on my right, femural nerve on my right and a numb left foot.....all caused by the adjacent vertebrates from L4 and L5....it is a domino effect. DON'T DO FUSIONS, all about money

[@Marcdrichter]

I am an athletic 53 yr old male in generally excellent hardy physical health but after 30 years of back pain with unsuccessful various other interventions I just had (7/6/22) a successful L4-L5 fusion and Laminectomy to fix my Spondylolisthesis and severe stenosis. Dr. David Bomback in Danbury, CT did the TLIF (sp?) single incision work and I was pleased. That said, I must say watching your educational and instructional videos before and after surgery have been refreshing, reassuring, academically informative and immensely helpful!!! Speaking as a psychotherapist of 30 years I can confidently say (as I'm sure you're already very well aware) your high level of informative and easily accessible, concise and understandable style of communicating truly makes you a striking standout in the medical community. Your animation and accompanying commentary is also totally top notch. You emote confidence, patient compassion, realistic disclosure of what to expect from procedures and I very much appreciate your efforts. They are helpful and impacting. Your patients must love you!!!!! Thank you!!!!!

[@ArmaghaniSpine]

thank you so much for the kind words, Marc. Great to hear you had an excellent result. best of luck!

[@leinad5243]

I agree..genius !

[@dlmj47]

I'VE been through 3 TLIF. in recovery now. Your video is great for those who have never been through this. You are so right with the good and bad days. Today was a bad one for me at week 2. This video made me accept these days, refreshing my mind as to what I've been through. TY.

[@DayOneAdeleFans]

As he said, it’s a marathon not a sprint. Seven months postop from L5-S1 fusion, laminectomy, and other repairs at Mayo Clinic in Jacksonville, Florida. Hands down the most insanely painful operation I have ever had and this is coming from a lady with a freakishly high pain tolerance. This operation will test you in every possible way. Surgeons tend to downplay the pain and lengthy recovery. If you do this, BE PREPARED!

[@ArmaghaniSpine]

Couldn't have said it better myself. I tell my patients that they are really going to hate me for a couple months.

[@DayOneAdeleFans]

@@ArmaghaniSpine Just a couple? Lol. Coming into month nine, finally making the turn and doing much better!

[@susanlicon1353]

Agreed, I had l4 l5 tlif four days ago. Still don’t know when I’ll get discharged but I want to stay in as long as they let me as I live alone. The pain is beyond excruciating, absolutely horrible pain. But I’m going to push through it and heal.

[@DayOneAdeleFans]

@@susanlicon1353 Be patient with yourself. Be vigilant with physical therapy and follow all instructions. This op is def not for sissies. I am making the turn finally and you will too! Best of luck.

[@mstrwankel13b]

I never had more pain in mi life 2 days after mi back surgery. 10mg pain killers,Morphine all the drugs, I was crying like a baby, 1 month after I started getting better and better ,walk for hours every day the best therapy, plus small exercise and after 6 years I feel great

[@meowasaurusB]

I am having this procedure in 10 days. This is the most informative, easily understandable video I have found. This video has helped ease my pre op anxiety. Thank you so much.

[@ArmaghaniSpine]

good luck!

[@j.f-ou812]

how did it go?

[@meowasaurusB]

@@j.f-ou812 the first couple weeks were rough, but I'm doing fantastic. My pre surgery pain is completely gone!!

[@fyrcaster]

Ive had l3-4-5 fused. Getting ready for l2-3. L3-4 was 10 years ago. L4-5 was 2 years ago. Back pain isnt reaaly my problem. Im having severe nerve pain and rls in legs. Never really goes away with the surgery but it does help. Im 45 with degenerate disc disease on both sides of family. Good luck to all having these surgeries.

[@benarimah6125]

I had this surgery 7 weeks ago and I am glad I did. All the pain, tingling sensation & numbness have all gone.

[@jeffwoe]

How are you doing now after the surgery?

[@refine1491]

Where are you from? I was told I the need the spinal fusion for my L5 thru S1 herniated disc. My MRI got worse and I'm so scared I won't be able to be as mobile is I usually will be.

[@davidshrum5784]

A helpful and encouraging video. Dr. Armaghani's explanations and descriptions of risks fills a much needed gap: My surgeon performed the procedure but failed in his explanations.. I had severe numbness in my right quad. When I asked him about it, "sometimes that happens," he said. Does it go away? "Sometimes. Sometimes we have to go back in," he said. Mind you, my back pain is completely gone. It's been 2 months since the surgery and my numbness has diminished. This video fills a gap for many sho have surgeons without the details of Dr. Armaghani. Thank you Dr. Armaghani to step up to your calling to make this video!! Dave in Huntsville, Alabama

[@watchenyou1968]

Great video! I had this surgery over 10 years ago and it was the best decision I made. I was up and walking around a few hours after the surgery. No more electrical pain in my back and legs. The incision pain was very little when compared to the electrical pain before surgery.

[@ThisTall]

Which discs did you have fused? And you never had any issues in the next closest discs over time? I’ve always heard there’s a very high long term rate of major issues.

[@watchenyou1968]

@@ThisTall I had disc 3&4 and 5&6 fused. So far no more surgery needed

[@davido.newell4566]

It is wonderful being a student when the teacher presents information with such transparency, clarity, and intelligence. (Deep Bow) Thank You, Sir !

[@ArmaghaniSpine]

Thank you for the kind words!

[@pmcphi]

I wish I had found you before my surgery. You are clear, concise and helpful when it comes to understanding the process. Thank you!

[@chacallachaise]

Even watching this post-op helps. I had L1-5 about 3.5 weeks ago. While surgical residual pain is intense at times, the back pain itself is gone. Still numbness in legs, however, and still using walker. But, regaining strength every day.

[@desertflyer5123]

Thank you for your very clear explanation. I am 3 weeks out from having exactly this procedure at L4-L5 at Mayo Clinic. The first week or so was very painful, mostly from muscle spasms. In about 1 1/2 weeks I was completely off opioids and now just take an occasional Tylenol as needed. For the next 3 weeks my only therapy is to walk as much as possible. My main advice is get off opioids as soon as possible. They are bad news and mess with your brain and digestive system.

[@ArmaghaniSpine]

I could not have said it better myself. You hit the nail on the head for exactly how the recovery goes. Walking is your friend and get off the opioids as soon as you are able! As time goes on you will have more good days than bad.

[@subirbose170]

⁷⁸⁸uù

[@karenj.5910]

I am in a holding pattern with my spine specialist. I am apprehensive about the surgery (fusing T1 to S1) he proposed to correct my scoliosis. I went through a C6-C7 fusion about 10 years ago when the disc disintegrated and the nerves were literally crushed between the vertebrae. I woke up feeling no pain at all! It was a vast improvement from crying, pacing, and icing my shoulder to be able to bear the pain. Before the surgery, none of the pain meds I took eased the pain for more than a couple of hours. Since that surgery I have developed an allergy to most opioids, so I'm not sure how they will address any pain I have. They also caused me to have strange hallucinations (huge spiders on the walls and ceiling, snakes on the floor, the walls closing in, etc.). I've run thru almost every option my pain management specialist could provide. I'm not sure whether to go through with the surgery or not.

[@bryanb550]

Love it. I appreciate how you made such a complex and delicate procedure digestible for your average person to understand it. Amazing teaching/ learning material.

[@Chuck.S.]

I wish doctors would discuss what the LONG TERM affect to having this surgery. I had my fusion at L5-S1 in 2013. First off, your spine is obviously not meant to be fused. L5-S1 is the worst because there, in the normal function of the human body, is a central point of flex. I have had 4 additional surgeries to relieve severe stenosis and also added scar tissue. I will say that my first "revision" surgery is because 2 of my screws were too long and actually protruded THROUGH my L5 vertebrae. Regardless, and I do not speak for anyone but myself, my body does not like the hardware being there. I know a lot of doctors want to do the surgery, have a follow up of a year or whatever, but this is for life. You have to maintain this just like any other long term injury. Find a GOOD pain management doctor that will listen and understand your challenges.

[@andrelangley9297]

Ive seen it too many times one op leads to a second and 3rd

[@DayOneAdeleFans]

@@Chuck.S. Same. Initial fusion failed, thought I was making the turn but could not figure out why I began to get WORSE every day. Never felt truly right after first TLIF. Was at work, felt something snap in my back. Turned out, all hardware loose and a broken screw had dropped into my sacrum, they used a trap to get it out. Now recovering from a SECOND fusion with bigger longer screws, more hardware & rods, a full laminectomy and facetectomy. 44 staples, almost 6 days in hospital cause of a spinal fluid leak and three drains that did not want to stop. Five weeks rehab after. Just hoping for the best this time, it’s brutal stuff. Best of luck to you!

[@Chuck.S.]

@@DayOneAdeleFans First off, God Bless and I pray you recover and get some relief. It is unfortunate that you had to suffer through all of that. I don't think I would wish any of these issues on my worst enemy. Currently, I am dealing with trying to find ( yet another ) pain management system. All of the good doctors are leaving Pennsylvania. Certainly pales in comparison to your issue. But, it kind of re enforces my point. Did they make it seem like it was no big deal in the beginning? And you were going to be "as good as new" after the surgery? Getting to be as bad as politics within the medical community. Again, I hope you recover well. Take care - Chuck

[@DayOneAdeleFans]

@@Chuck.S. Oh absolutely. Rip your back apart and downplay the pain lol and I have a real high pain tolerance so did not expect it to be so awful. They never told me that it would affect my middle back and hips and stuff. I hope you can get some pain relief, God love pain management. They have tried very much to help.

[@thomasosborne8579]

Probably the most informative video on this subject that I have viewed. Thank you.

[@marthah8815]

This is by far the best presentation that i have found. it is a real comfort for me going into my L1-4 .TLIF in several days

[@ArmaghaniSpine]

Thank you, Martha. Good luck on your surgery!

[@grumpybear689]

You had a 3-level TLIF? I was told by my doctor this is not a possibly surgery. Multi level fusions are not successful. I’d be interested to know how yours went?

[@LauraCone-o3w]

I am so impressed with your presentation. Thank you for your clarity, graphics, and your patient pace.

[@kerryalexander9071]

Best explanation and animation on the net! Thanks so much.

[@ArmaghaniSpine]

Glad it was helpful!

[@susanhansen9552]

Agreed! Thank you!

[@unitedstatesofbecky]

Thank you for the most straightforward, easy-to-understand presentation of this subject, including the anatomical parts of the spine.

[@vargasalberto5878]

This is the most educational video I have ever. My mother is going have that surgery in 3 week. It was a very outstanding video. Many thanks.

[@tamisthe1]

Thank you for creating these informative videos. I'm facing this surgery in August and it's really helpful to have a clear understanding of the procedure. I found the step by step in your video on ACDF strangely calming before I had that done last summer. It's good that you offer these clear explanations!

[@rafiashton8186]

The best and most effective explanation on the subject. I have undergone Laminectomy and TILF surgery ,thanks to this video and comprehensive explintionsI have been able to go through this with less concerns and worries with a great understanding on my recovery and what to expect.

[@ArmaghaniSpine]

Thank you, Rafi. Patient education is of the greatest importance. Spine surgery is a very technical, complicated thing to try and explain without figures, models, and videos for someone not in the field to understand. With all these materials, the patient is able to make the best decision possible and they are confident in their decisions.

[@diamondringirl]

it is comforting how detailed you are about what this procedure involves.

[@ArmaghaniSpine]

Thank you very much for the kind words

[@JustMissAmanda]

This is a fabulous presentation - thank you for your time & detail provided!

[@eltoro6064]

Your lesson on TLIF is both clear, and frightening. I had stenosis of my spinal canal at L4/L5 with the presentation of sciatica and all the pains, numbness you mentioned. I went for surgery ten years ago and am struggling with all the horrifying effects from that botched surgery to this day. I didn't know the details of the surgery until your video, the surgeon gave a simplified version of the procedure which gave me confidence. Your description of the procedure lists at least 6 stages with each stage having the possibility of something going wrong. Imagine going through 6 tasks with 0% error. In my case, I lost all ability to pee almost immediately after the surgery. A doctor (not the surgeon) later told me my spine was like a serious car wreck with severe spinal cord injury. The brain lost all communication with the bladder, like a phone line totally snapped. I have to use a catheter to drain the urine to this day. I also had numbness to my cheeks, thighs, knees to my ankle, and feet. I have pain and muscle spasms from my arse down to my ankle. My groin is totally senseless, if I shoot water to my genital region, I feel no sensation of heat, pressure, nothing. It is like shooting the spray of water into empty space. My point to potential patients with this spinal problem is to seek and exhaust all other options before going for surgery. I hope your surgery ends in complete success.

[@KateStellar]

Sounds like you ended up with surgically caused Cauda Equina. I hope you had a good attorney.

[@bikramkar6310]

Do not worry . This is work of a surgeon

[@stitch2499]

I understand what you are going through. my back surgery went wrong big time. bowel bladder issues.. loss the use of my left leg..and the pain is worse..on total disability.. God bless everyone here..

[@harunap.7475]

It was very kind and courageous of you to provide such graphic details of the unfortunate outcome of your own procedure and to warn potential candidates of the need to first exhaust all possible nonsurgical options. I had a spinal surgery and now live in agonizing pain. The surgeon completely avoids any contact with me knowing full well that he has put me in misery for life. It's unfortunate how spinal surgeons mislead patients about the high and dangerously permanent complications that can arise from this procedure.

[@ofeliagenabe6631]

@@harunap.7475 i

[@tomdebough8763]

My wife just went through this procedure. After watching this I know what she is going through is normal. Took some of the worries away. Thank you for the video.

[@ArmaghaniSpine]

Thankful to hear the video helped with some of your worries. Remember it's a marathon but the more time elapses after surgery, the more good days she will have than bad.

[@MatthewBrigham-1]

What an unbelievably easy to understand video. Thank you for putting this together!

[@ArmaghaniSpine]

you're very welcome!

[@swolfdo]

Fantastic, thank you. I am a gynecologic surgeon up in PC with this procedure scheduled in a month and a half. You explained it so well without oversimplifying it or rushing through it.

[@ArmaghaniSpine]

Thank you for the kind words and best of luck!

[@LoraineTomocik-fj7ju]

Great!

[@karioney9430]

I just had a T-11 to S-1 TLIF spinal fusion about 6 weeks ago. I stayed in the hospital for 4 days and I did have pain but most of it was from the staples in my back. I now am so happy I did it. Choose your surgeon carefully though. You must recruit your family to help do housework etc. I now do not need a walker just a cane and sleep comfortably.

[@georgealderson4424]

Thank you for your very interesting video sir. I am myelomeningocele and I worked in a small general hospital (albeit in medical records but no one is perfect!) in UK. I have always found surgery fascinating and picked up a little knowledge in my working life even though, unfortunately (only for me!), I was not able to actively cut and sew! It amazes me to see how advances have been introduced in leaps and bounds over the years and the benefits they have brought. I am in awe of your abilities and wish you blessings and peace in what you achieve. Thank you sir.

[@ArmaghaniSpine]

Thank you so much for the very kind words

[@jamieclayton8744]

this KZbin video was the most informative on surgery that I have ever witnessed and I want to thank you so much for taking the time to make the video along with your extended explanation for everything that will go on from good to bad. I’ve had cervical fusions basically on all my C 3456 getting into my thoracic. now I’m into my L5 and they want to do TLIF. This KZbin video was the most informative on surgery that I have ever witnessed and I want to thank you so much for taking the time to make the video along with your extended explanation for everything that will go on from good to bad.

[@erodgzerodgz2517]

I can tell this video required a tremendous amount of work and preparation. Commendable work.

[@ArmaghaniSpine]

Yes, thank you!

[@randyg7147]

Thank you so much for this presentation! I am two weeks out for my L4/L5/S1 fusion to repair a 25 year old failed bone fusion. I'm told the recovery time should be faster, due to this procedure being less invasive than my previous fusion. I feel more comfortable now thanks to your in-depth depiction of what's to be expected. Thank you.

[@Sabrina37]

I am so impressed with your clarity and visuals. I’m having my third surgery soon and am sure this time it’s going to require fusion. My most recent MRI was a hot mess. My concern is that at 52, I will have a lot of years of life left with continuing issues and pain. I hope my surgeon is as steady and sure as you are!

[@ArmaghaniSpine]

Thank you for the kind words

[@Lynn-yo2tz]

I’ve (unfortunately) had 4 fusions and the next one in a couple days. Each surgery has been successful. I’m walking the Camino de Santiago (500 miles) in the spring. It’s all doable. Fusions have given me pain relief. Fusions get a bad name but it’s mostly from the past. I have a great surgeon and that’s critical.

[@ThisTall]

@@Lynn-yo2tzwhat surgeon did you use, and why did you need so many of them?

[@srs3572]

I’m just being discharged today. Wowsers without the pain meds it is rough but I’m able to walk. I’m proud of us here who went through with this when options ran out.

[@ravisankarkatragadda4194]

Beautifully explained, I am so impressed and I am a spine surgeon

[@ArmaghaniSpine]

Thank you for the kind words especially coming from another colleague!

[@karinorsi485]

I had a TLIF in December 2022 at Mass General Brigham in Massachusetts. I’m 6 1/2 months postop. It took about 4 1/2 months for the nerve pain in my legs to resolve. Currently I’m experiencing a lot of back pain as I continue to heal. But I’m on the road to recovery! This video was extremely informative. Thank you so much for posting it.

[@ArmaghaniSpine]

good luck!

[@zizapop]

now about 45th day Post ops.. my left foot has electric shock sensation since the 15th day, it·s painful... i am now taking painkiller.. my back is stiff. looking fwd to healing soon.

[@karinorsi485]

@@zizapop hang in there. Better days are coming. Are you walking everyday? It will help stimulate the nerves to heal. Gentle stretching is helpful too.

[@zizapop]

@@karinorsi485 almost 60 days rehab now.... my legs & lumbar back to normal, no pain, no stiff... but just like I am carrying a baby at my back while I am walking.☺

[@karinorsi485]

@@zizapop Sounds like you're doing better than me. I have regular pain and stiffness in me back. We'll get there!

[@TheGmtcomm]

Awesome video!!! Your explanation of the surgery took off the fear and worries about the TLIF surgery that I’m having in three weeks. Hopefully this will take the horrible pain that that I’ve been living for the last 7 years. No life with this type of injury.

[@ArmaghaniSpine]

Glad it helped, Guillermo!

[@jeffwoe]

How are you doing now after the surgery?

[@ThisTall]

How did it turn out, and what vertebrae did you have fused?

[@markshepherd7367]

You are unbelievable in the way you have explained what happens in this operation, much more than a top man. Thank you for this video.

[@Nancy-Pooh]

Dr. Armaghani: Thank you for this video! It is so well done including noting the time stamps if one wanted to go to a certain section. I am studying for IONM and this video is such a great learning tool!

[@mariofernandez7435]

I work at the operating room providing instrumentation for surgeries. Knowing how things work tells how important they are. I feel smarter already! Thank you for the video. Have a great and successful new year!

[@ArmaghaniSpine]

thank you so much! you all provide a great service to the patients and us

[@zachh4406]

I had TLIF 7 weeks ago. Wish I had watched this prior. This is really good information.

[@ArmaghaniSpine]

Hang in there! Recovery is a marathon, not a sprint.

[@colin101981]

Thank you doctor for such a comprehensive and easy to follow explanation. You've really helped me understand what's happening and hopefully what will help. Greetings from North Wales UK

[@ArmaghaniSpine]

Glad it was helpful!

[@janebaxter5835]

Triple spinal fusion recently lots of pain neuropathy I’m at the lowest in my life severe pain depression Am I going to get rid of this ankle swelling pain and distended stomach from incision

[@ontiretseboikanyo2510]

I'm so impressed with your explanation and the video. Big up to you Dr... I had this procedure 4 weeks ago at Peglarae Hospital in Rustenburg, South Africa 🇿🇦 exactly on the L4 and L5 didsc, due to disc bulge nerve compression, after suffering lower back pains for a very long time and the sciatica nerve pain for quite some time. I was discharged from hospital on the fourth day after surgery and now I'm on the recovery process. So far I'm taking 1 X 200mg celecoxib Celebrex capsule after every 12hrs and I was also taking 1x Tramazac capsule. I'm using a back brace for support but I'm happy with my recovery progress 😊🙏🏽.

[@alexandercaravitis8859]

Great presentation, easy for anyone to understand. Thanks doctor!

[@ArmaghaniSpine]

You are welcome!

[@emmabrowning5859]

Hi Alex! I just watched this too .., after surgery!

[@MichelleShield]

I had L3-L5 fused 10 years ago, I have a moderate to severe bulge in my L5. I will be having the L5-S1 fused on 10/29/24. I have sciatic nerve pain that goes down my left leg to my foot/toes. Had an MRI thinking it would be a simple sciatic nerve release, nope! I work out almost every day, walk 5 days a week average 3 miles. I do stretches for hamstrings, glutes, I do clamshells, bridges(with my feet on the wall) planks(both sides, down facing). I had both my hips replaced in the last 3 years as well. I am 66 /12 and am not looking to slow down any time soon. I am not in a lot of pain, but enough to know something needs to be done before it’s too late. I am not nervous about the procedure and was excited to hear that I can pretty much keep my life normal within limits after the surgery.

[@Almadanim]

I did this at Portugal where i live. I live Now without pain.

[@ArmaghaniSpine]

Wonderful to hear, Joao!

[@FirsteMann1929]

@@ArmaghaniSpine question the bone graft that forms would it interfere with the nerves protruding from the sides of the spine?

[@FirsteMann1929]

@@sanjoyforever I can tell you I just had a spinal fusion L2-S1 and laminectomy. It has been 3 weeks and the nerve pain I was experiencing is gone and right now going through physical therapy, and making progress

[@ramcotex]

@@ArmaghaniSpine Hello doctor... I have disc herniations at l4 L5 and l5-S1.. doc's are suggesting fusions at two levels.. my age is 34 .. I'm obese .. can you please tell me if this two level fusions are successful ? And even if it is successful will it again being instability and issues to my upper discs and my hip ?

[@peejaylal353]

Hi Joao, can you please give contact details of Portugal hospital . It is coler to where I live. Thank you

[@g-manw7885]

Thank you for making this video, I sent it to my husband to watch, he is a nervous wreck...This was an excellent info video on this particular procedure. My husband is 57 yo and he is going Tuesday March 28th 2023 to have this done and his doctor will be removing as much arthritis from his spine as he is able to at that time as well. He's been suffering for years with the hip pain but the past two years have been horrible pain all the way down his legs almost to his feet and I can't even tell you how many times he has fell because his legs just gave out and he's landed on his face, he's fell off the porch and face planted in the rocks, I mean this stuff is so dangerous, he's done so much damage to himself from his legs just giving out whenever. It's scary. I'm very happy he is having the surgery. His surgeon told him this would also relieve is bowl problem too that he's had for almost 20 years. He told him so much is going on with his nerves from the bone spurs and the nerves being pinched. His procedure is called [L3-L5 Posterior spinal fusion with L3/4 and L4/5 Transforaminal lumbar interbody fusion]. He is on medications for A-Fib & A-Flutter, and has some other challenging health concerns, plus he started smoking AGAIN about a year ago, after we both stopped, his quit date was 9-08-2005. I am worried about him being alone at home after the surgery, I think he should come stay at my house for that first month or at least for the first two weeks and let me help him, I'm afraid he will hurt himself trying to do this or that. [yes, I said he's my husband and we are separated since April of 2022, but it's not because I don't love him or care about him, and there is no one else for either of us]. One day, I hope the situation will change for us.

[@ArmaghaniSpine]

good luck this week. the first month is up and down particularly with the back muscles healing but after that road bump the nerves start to heal.

[@cherylk6752]

Thank you so much for this very informative video, Dr. Armaghani. While my surgeon explained this in the office - to have this video as a reference is so helpful, as it will take multiple viewings before the information is integrated in my mind. Your teaching style is exceptional. Many thanks.

[@ArmaghaniSpine]

Thank you, Cheryl. I'm glad to provide an additional resource to help patients in their decision making!

[@robertkelly8384]

I agree. I am scheduled to do the same and after the step by step process explanation, I shared this video with my surgeon. He was impressive and impressed!

[@mollisworldwithmuralsbymol6977]

@@ArmaghaniSpine I have had a ACdf in November woth volume loss in my cervical . I feel off my ladder and sustained a compression fracture chronic non union , they did a ketopasty in novermver and the did the rifle whatever I. In so much more pain and my right leg is numb my hands have been tugging etc when will thi get better

[@johnkelley7525]

I am on day 10 post op of MIS-TLIF This video convinced me to go ahead with the surgery boy I am glad I did. Even in the recovery room I had relief down my left side. I have some pain at the surgery site however the nerve pain is gone. I do not know if I am just lucky in this experience or not. I feel I had a great surgical team I carefully follow the recovery guidelines. Dr. Armaghani's Video is very good accurate as to what the surgery was like and initial recovery has been. I had suffered with this condition for several years maybe I should have done it sooner. My Surgery was called MIS (minimally invasive surgery) as opposed to Open TLIF it could be the reason I feel optimistic and happy about my chances of a good recovery.

[@draywriter84]

Great outstanding presentation Doc. You made me feel much more comfortable doing my procedure in a few weeks Thank you very much

[@ArmaghaniSpine]

You are most welcome!

[@jclaxina]

hello, how are you now sir, how's your recovery

[@ofeliagenabe6631]

@@ArmaghaniSpine7yyhb

[@miloinaz]

Best informational video for this procedure. I'm scheduled for this on TLIF L5 LLIF/DLIF L4 L4. You've helped me understand. Thank you!

[@joepublisher166]

This is so well done… I need back surgery and I am scheduled in early March 2022 - S1/L5. The only problem is that I am so scared of what can go wrong. Having a hard time getting the negative thoughts out of my mind.

[@gmill7911]

I also am slated for a fusion, late March 2022. This will be my third back surgery, eleventh surgery total. My first laminectomy, while painful post-op, was a complete success. My second laminectomy failed, and my new surgeon informed me that the other surgeon should have done a fusion. I was much more selective this time and chose a neurosurgeon who is also a professor at the "local" (250 miles away) medical school. Sending you best wishes and healing!

[@joepublisher166]

@@gmill7911 Interesting. I asked my neurosurgeon if there was something else he could do, short of a fusion. He said "no", you need a fusion. So, I found your comment about the failed laminectomy to both interesting and sad [for you, that you had to go through another surgery]. Thanks for the encouragement - wish you the best, too! My neurosurgeon is also a teacher in a Boston hospital. Seems these are the best.

[@ArmaghaniSpine]

Good luck Joe. Stay positive!

[@joepublisher166]

@@ArmaghaniSpine Thank you for your kind reply! And, thanks for what you do for your fellow man. I have a deep respect for doctors and especially surgeons!

[@mikesecondo2254]

I'm with you!!!! My surgery is in 4 days on 3-18-22....yeah..very nervous!!??

[@Tampo-tiger]

What would we do without your efforts sir? This surgery is quite a mystery, particularly for an older chap like me who was always told as a child to studiously avoid anyone working near the spinal column due to the proximity of so many important nerves. With the development and perfecting of new techniques, new tools, adhesives, metals etc things have advanced enormously, and at my initial consultation with the surgeon yesterday (here in the UK) he told me that this is now a very common procedure for him to perform. It all reminds me of the first heart transplant carried out by Dr Christian Barnard in the late 1960s (?), whose name became known across the globe. Now hearts are flying out of warm dead bodies and into live ones at an insane rate (I may be prone to exaggeration, but you get my point). Thank you so much for this beautifully made and clearly explained video, helping to colour-in some of the mysterious aspects of your amazing work. Bless your heart from every effort you make.

[@ArmaghaniSpine]

Thank you so much for the kind words.

[@tomwood1261]

Just had an open L5-S1 tlif for recurrent disc herniation and need for complete facetectomy b/c of horrible leg pain. Two weeks out, apart from muscle pain and spasms, no nerve pain whatsoever. If you can gut out the early post op period, it should be worth it.

[@supernova44]

That's awesome! You're so lucky, I wish I could say the same. I can't remember what it's like not being in pain (I posted my experience here). God speed on your recovery and take it easy, ok?

[@ArmaghaniSpine]

Great to hear, Tom!

[@michaellalli7693]

Wow, that was an excellent presentation- Thank you. Your description and video were very helpful. I am scheduled for this procedure in 12 hours

[@ArmaghaniSpine]

Best of luck!

[@pryhosm]

Great video!! All patients should have access to this type of information. Thanks Doc! Will all practices did this type of thing!

[@ArmaghaniSpine]

Thank you, Scott!

[@ricardorivera1529]

Just came from my appointment with the doctor and blew my mind when he said I need Fusion 😮.. feeling down right about now till I watch this great video and feel more informed of what’s happening if I go in this direction…Thanks

[@mason8997]

Thanks Doc! Going in for my TLIF next week on July 20, 2021. This was very informative.

[@ArmaghaniSpine]

Best of luck!

[@ramcotex]

@Irwin how are feeling now .. my doctor is suggesting TLIF for L4 L5 S1 .. please share how you are recovering .. it will be very helpful

[@BKK-Japan1]

I've super fine after 3 years L5-S1 TLIF, nothing any problem good luck 🤞

[@c762x39]

You have a very good demeanor, your patients must love you! Good job Dr.!

[@ArmaghaniSpine]

Thank you!

[@katemakeuplooks]

Thank you very much for this very clear explanation. I am due to have this procedure at the end of January and I was scared to be honest but I feel a lot better after watching this. I have L4/L5 Spondylolisthesis and am looking forward to having some relief from my leg pain and hopefully to get back to hiking and skiing again eventually. Many thanks again!

[@rkmassine]

Hey Kate, I had this exact surgery 10 weeks ago for the same condition you have, and a neurosurgeon did the fusion in Cody WY. It will take you time to heal and they will have you walking as much as possible. It will be painful, but you will get meds to help with the pain. You will need PT so plan on that as well. They will take x-rays again at 6 weeks and then 12 weeks which I am about to do.It takes time and you will be limited in what you can do so helpfully you have someone to help you. Good Luck. Ron

[@katemakeuplooks]

@@rkmassine Thank you very much, hope you’re healing well. I already have the physio planned. May I ask which kind of pain meds you have? They are really not too keen on prescribing meds here in Germany! All the very best for your recovery.

[@rkmassine]

Hey Kate, they had me on oxycodone5/325 which is Tylenol and codeine for 2 weeks and that helped. Then they switched me to Tylenol arthritis 650 mg and nsaids like ibuprophen. you take them together. This was and has been tough because they don't have the power to kill pain like a Narcotic. I wore a big clam shell brace for support for 6 weeks as well after surgery. Glad you will do PT as well. I hope it goes well for you. They will have you walk a lot and right from the start and that actually helps the pain subside. Have something to do like reading or visiting with someone and I hope you have someone to help you the first weeks after surgery. Take care of yourself.

[@samanthaunderwood2445]

I am doing exactly the same operation 😀Good luck to you 🌈🙏🏼

[@katemakeuplooks]

@@samanthaunderwood2445 Thank you so much 😊 All the very best to you too!

[@jamiegrace9635]

I am having this procedure tomorrow and I was terrified. You have completely put me at ease with your gentle and informative delivery of this information. Thank you SO MUCH.

[@tonyrohers7143]

How are you doing?

[@ThisTall]

Which vertebrae and how did it turn out?

[@sahid_rl]

How are u bro

[@stevefraser4603]

Thank you so much for this information! Awesome job! I just went through the Posterior Cervical Laminectomy Fusion and Surgeon and Hospital Staff!

[@ArmaghaniSpine]

good luck in your recovery!

[@jamesenglund4319]

I will have this procedure done at The Mayo clinic in Rochester MN. In about 60days. My MRI showed I will need if I remember correctly si L5 L4 L3 L2 done. I have a broken bone and severe spondylosis. I met with a surgeon who recommended a consult with one of five specialist in this area. A little nervous but know I'm in good hands. Thanks for the excellent video.

[@ArmaghaniSpine]

always a great idea to get a few different opinions and go with whoever you feel most comfortable with

[@sandramurkerson9041]

That was very well explained....my surgry is April 19,2021.....severe stenosis.....many pinched nerves...no major back pain. ....wide gait....weak legs left leg....drags....pain is mostly in rt.leg....very painful at times

[@shawndapowell7824]

How are you doing now? My mom was just diagnosed and I know we have to prepare

[@rbuettner100]

I have similar symptoms with left leg and foot weakness. I was told that I have severe stenosis too and needed surgery. Can you tell me how you are currently doing. Did the leg weakness get better?

[@dm19609721]

Great video! I will have this surgery in 4 weeks....scared as hell but living with this pain for 15+ yrs. I hope it will be the best decision I made.

[@crisa0390]

Thank you for this video!!!! I'm having this surgery in 2 weeks and haven't gotten much information from my surgeon other than what the procedure is.

[@ArmaghaniSpine]

Thank you, Cris. Good luck!

[@donnaleeclubb119]

Same with me. I am waiting for my cardiac clearance and I am a diabetic. I am waiting for my Endocrinologist clearance for surgery. I thought I just had sciatica. Was not expecting to need surgery. The doctor did extensive X-rays, nerve tests and an MRI. I still am in shock.

[@yasminharvey9512]

Thanks so much for this. I’m having this surgery in 2 weeks and it made me feel so much better

[@shanebinding5282]

Would love to get your expertise down at Providence RI and hear you speak to our company “Nerves and Bones” about the TLIF and PLIF procedures

[@adub59]

Thanks for the video Doc. Super informative. After two years of conservative treatment, I am pulling the trigger and getting this procedure done at the University of Washington in Seattle. I have pain and numbness down to my toes in my right leg. At 61, I was a highly active guy spending four days a week in the gym and cycling many miles. Now, at 63 I am just surviving. In a couple of month my road to recovery begins.

[@nephijorgensen9813]

How are you doing now? How is the recovery going?

[@adub59]

I ended up having a PLIF at L3/L4. No minimally invasive here.....six inch incision, staples, blood bags, with three nights in the hospital. Just under four months out of surgery, and I have started PT and riding our Peloton. The first three months you only can walk and do light stretching. You have to build bone before muscle. Before the surgery, I could not walk a mile. I could not sit for very long. Now, I can walk three miles at speed. Just did a 3+ hour drive with no issues. Numbness is going away, nerve pain is gone and I am getting response from muscles in my lower back, abs, hip, glutes and leg that were effectively dead. Those muscles are not happy to be awakened from their slumber, but no pain, no gain. Although it will be a year to see the full effect of the repair, based on my quality of life, I am glad I had the surgery.

[@parnianalikhani1277]

Thanks for all the great information. Dr, do you recommend PT after surgery? (For someone had rest 70% of the time during the last three months before surgery) If so, when do you suggest to start PT? Thanks again!

[@ArmaghaniSpine]

Good question! In general, for my patients, I tell them to take the first 6 weeks to just let their body heal. They can walk as much as they like but not much more because we need their muscles and nerves to continue to heal. After 6 weeks we start loosening up what they can do and that includes initiation of PT if they would like. I don't like to allow exercises that involve bending or twisting at the waist, however, for at least 3 months after surgery and sometimes longer depending on the patient and surgery done.

[@Marcdrichter]

@@ArmaghaniSpine At what time points post surgery do you recommend x-rays to assess healing/bone fusion process?

[@inezvillafan3748]

I had this done 1 month ago and I wish I would've done more research but it was all fast all due to a car accident 😞!!!! I hope therapy helps I need my life back 😢

[@ArmaghaniSpine]

Good luck!

[@louietalabis5247]

Im still have tinggling and numbness on my left leg down to my foot after 18 months of my TLIF.Asking if this pain normal for a nerve damage.

[@ItsTheRealMrMaD]

Hello, it’s been 2 years since you mentioned having complications of your TLIF procedure..can I ask how you’re doing nowadays? Has anything improved for you?

[@apar1560]

Wow, most definitely the most informative video / info on my TLIF procedure done 4-11-2023. Thank You. 😊 ...Alan in 🇨🇱

[@ArmaghaniSpine]

good luck!

[@aprilgideon4093]

I’ll have this procedure in 2 weeks, thank you so much for this information. I’m one month post op Anterior cervical disc replacement and still healing but doing fine.

[@srs3572]

Thank you so much Dr. Armaghani for explaining this procedure honestly and in-depth. I really appreciate it as I face an MIS TLIF soon.

[@thepoboy9698]

Just had this done on my L3 S1 on Jan 4th, I'm only hoping for the best so far I'm doing fine, had to stay in hospital till the 8th because i was draining bad and my blood count was low so I had to have a couple of transfusions to get my blood levels back up. The pain is slowly subsiding and I'm getting stronger, walking is good, 15 minutes at a time.

[@garyellis1862]

Just got mine done 3 days ago. So far so good. Thk you great video

[@maevakennedy6324]

Thanks for this video. I had a tumor removed 2013 LLS, followed by spinal fusion,10 months post-op, pain is ever present, controlled by pain meds. Lots of weakness, drop foot, left, difficulty walking. Late start physio, still going, hopeful that healing will come in time. Video very informative.

[@johnhertenstein5778]

Excellent video. I am a doctor (pediatrician) but have been confused about the procedure from reading and other videos. The quality of the graphics and Dr. Armaghani's description has made the procedure understandable. Thank you.

[@ArmaghaniSpine]

Thank you for the kind words, Dr. Hertenstein!

[@BioWolff]

Excellent description, thank you doctor. My wife had the surgery done at Cedars Sinai and I didn't truly understand it until viewing your clear description. Even more important, the recovery process in its entirety was not explained in advance at all. You have done a true service with this explanation. I'll be telling everyone who needs it to review your fine work.

[@ArmaghaniSpine]

Thank you so much, George. Hope your wife is recovering well. It's a marathon not a sprint. How patient's feel at 1 year is about how they will feel long term. About 65% of the total recovery potential is within the first few months and the rest of the time is needed to get to that individual patients maximum recovery potential. We don't know what the maximum recovery potential is until the very end. Example) If a patient has about 85% recovery at 1 year post-op it probably means the remaining 15% is permanent damage. Most patients will get at least 65% and many more much higher but this is based on numerous factors.

[@BioWolff]

​@@ArmaghaniSpine I was delighted and surprised to see your practice is just south of us (we're in St. Pete) in Sarasota and Lakewood Ranch, just a stone's throw away. We will fly home soon...I hope not too soon...after her surgery in Los Angeles. (Feb 8th may be too soon for air travel). Nevertheless we are so impressed by your attention to the recovery process, we would like to establish a doctor-patient relationship with you. Here's a bit of background: My wife wound up at Cedars Sinai after 3 years of misdiagnosis by a Tampa neurologist leaving her wheelchair dependent. Fortunately a neurosurgeon at Cedars Sinai diagnosed severe spinal stenosis and performed a transforaminal lumbar interbody fusion a week ago. She's walking small distances now. But unfortunately her doctor doesn't have a specialist in LA to help oversee her recovery in addition to monitoring ongoing cervical pain once she is able to return to our home in St Pete. My wife may eventually need treatment of cervical vertebral issues). Since we have both been impressed by the specificity of your knowledge combined with your practical approach to healing and pain management, we wonder if you would consider taking her on as a patient upon our return from California. (If so we will call your office after our flight home.) Thank you again.

[@muhammadafzal5804]

@@ArmaghaniSpine Hello Iam Dr. AFZAL from Lahore Pakistan. Sir u have wonderful command on ur subject & the way u explain is amazing. Where u practice. How much u charge for TLIF. Will be glad if u reply

[@Velez8669]

Definitely don't need to search Tlif after watching this video. Hell, I think I could perform the surgery myself. Wonderful video!!!

[@ladonnacutshall9544]

This was very informative!! I had a Posterior lateral lumbar fusion L4/L5. I searched for videos regarding my surgery and didn’t find one that was as detailed as this. I know this is not the specific surgery I had but, it was close enough. This made it clear the healing process and time frame. I am 3 months out and have been very impatient to get back to “normal” activity. After watching this video I have a greater understanding of the healing timeframe as well as what activities I am allowed. Thank you!!!

[@ArmaghaniSpine]

You're most welcome. Good luck!

[@angelasauer4644]

This is what I have scheduled to have done on Aug 8, how are you feeling?

[@GM-cf6jv]

Thankyou for presentation. A surgeon at Steadman Clinic in Vail CO has recommended TLIF with excelcius gps pedicle screw placement for L 3/4 and L 4/5. I have severe central and foraminal stenosis L4/5 and severe foraminal stenosis L3/4. Non fusion MIS decompression probably will not address foraminal stenosis plus mild spodylolisthesis in 4/5 apparent on flexion/extension xrays. Painful spasms in butt and back and side of legs occasional down to feet with hard hiking. Have to sit alot to reduce pain and its been there a long time with front quad atrophy that happened largely 10 years ago. 10 injections over the years. I guess from what your saying I may not come out of fusion pain free in butt and legs and probably new back pain. Plus I am worried 2 level fusion will increase probability of adjacent disc/nerve degeneration. Why is artificial disc placement not a solution? Such is life at 71 year old avid hiker, mountain climber/backcounty skier facing severe degeneration spine changes

[@sigrid889]

Well explained. Better than my neurosurgeon did even. Glad it’s done but a question. The matter of not sitting, please count you elaborate on this in layman’s terms… thanks 😊

[@bryantgarza]

Thank you so very much for this video! The service you are providing is greatly appreciated. My doctor blew through the explanation of the procedure and just left me with a form to sign and a bad copy of the MRI with scribbles. First, it is a rather shocking diagnosis that takes some time to digest, especially if one is on the younger side like me. And second, should be explained thoroughly to every patient before asking them to sign a consent form (as you have done here).

[@ArmaghaniSpine]

I appreciate the kind words. This is very technical surgery and difficult to understand without pictures, in my opinion. I create these videos for specifically this purpose. So patients and their families could go home and on their own time see exactly what we do during surgery then come back with their decision. I almost never ask a patient to make a decision during the same visit that i bring up surgery because it is too much information to process.

[@marinagarvin8795]

I am going to have this surgery August 20th on L5-S1..Hade pain after sleep and fell from 2022..my life changed from able do all to disabled..pain is become always with me...can't wack much,I hade spend in bed 80% of the day ..Hoping this surgery will give me some relief..

[@jyeshtanaresh6224]

I have never found such illustration vedio in the entire you tube ,you the angel of God doctor 👌

[@ArmaghaniSpine]

Appreciate the kind words!

[@rdado4898]

Thank you Dr. for these videos you put out. As a Medical Coder it helps me understand the procedures.

[@marciacoe4610]

Thank you as I’m having this procedure on Oct 18, very informative and comforting. I’m not happy about going without anti inflammatories asI have degenerative arthritis. and fibromyalgia and spondylosis. Is it even worth having this will all those problems. Surgeon said the arthritis is very bad in left side of lower back. Why can’t they remove arthritis.

[@16Florencesiziba]

A close relative of mine will be doing this surgery in a week. Thank u for the explanation.

[@chucksmith9289]

I had this done to me at Cleveland Clinic a little over a month ago. I was not explained in this detail how this was going to be done at that time. I am pleased with what was done but wanted to know various things, I have had a follow up visit with the dr and was finally shown what was done to my back and the various hardware that was put in my back. I had the cage as well as the rods & screws your explanation was much better & now I realize it will take some time I wanted to start working out but now realize the best thing I can do is walk for six months, with some core exercises at the local Y for now, I can use the stepper, walking machines, & eplicatial for some variety. Thanks for your help

[@ArmaghaniSpine]

Thank you, Chuck. It's important to me that patient's understand what we are doing in there because it is their bodies and they need to be comfortable and confident with their decision to undergo surgery. You hit on the key thing. Recovery is a marathon not a sprint. It takes time to recover from this but keep pushing and slowly but surely you will see improvements. I tell my patients that how they feel in a year will be how they feel long-term. During that year though recovery can very much feel like a 2 steps forward, 1 step back but the more time elapses from surgery the more good days you will have than bad. Good luck!

[@bettyboop49erfan45]

Thank you so much. Im only thinking about this operation. You did a great and patient job in explaining explaining explaining.

[@jpmri5]

Thank you for the great presentation!! I am 2 weeks post-op after a L-4-5 TLIF at a well known NYC hospital. I am very familiar with all the anatomy as I am an Imaging Service Manager, but your explanation of the procedure will potentially help so many patients who like myself are terrified of this procedure. I tried putting this surgery off for the past 3 years after having multiple epidurals, facet blocks, PT, massage, and even tried a Boston Scientific Spine Stimulator. I had unbearable pain in my left buttock, left thigh down to my knee. It had gotten so bad that I had to stop everytime after a few steps. After finally giving in and finding a great Neurosurgeon and Orthopedic Surgeon i scheduled my surgery for Dec 16, 2022. I am now definitely improving where the thigh and knee are better but the left buttock and surgical incision site are still painful but are much less as it is now being controlled with Tylenol and an occasional Advil. I am very optimistic that I will continue to see improvement over the next few weeks and months. thank you again for your great explanation and presentation!

[@lisarose56]

I am having L4-5 and S1 done January 9th. I'm in imaging too. Been the tech in these same procedures. None of this is explained to us in the OR. At least I have a much better understanding of what I will be having done to me now. I hope you are progressing well.

[@jpmri5]

Thanks Lisa, I am doing better but still have pain in lower left side but leg pain has lessened. True his presentation was excellent and I have also been in the OR during many procedures. Good luck, I wish I had done this sooner but you know we make the worst patients!

[@ArmaghaniSpine]

hope youre doing well! thank you for sharing.

[@supernova44]

I had an L4-S1 TLIF and the surgery was technically successful, but I developed epidural fibrosis at the nerve roots and permanent nerve damage. The nerve stayed compressed for a long time after an initial microdiscectomy on L4-5 that failed due to post op disc herniation and retrolisthesis at same level. Had both surgeries within a year. So I ended up with FBSS, 2 spinal implants for pain, countless of injections and ablations, and arthritis/facet degeneration and central canal/foraminal stenosis on multiple levels.

[@izatrini439]

I would not consider that successful surgery. Yikes!

[@lisarose56]

Best video. My fusion is January 9th and I feel much better after watching your video

[@ArmaghaniSpine]

good luck!

[@susansarts4426]

Reading some of your positive comments encourage me to go further to healing 🙁

[@lrb3989]

Met with neurosurgeon on Tuesday-he said he is going to do minimal invasive tlif the incisions will be on my side