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

**CLICK SHOW MORE FOR IMPORTANT ADDITIONAL DETAILS**
Hello friends, today I'm bringing you a video overview of the transforaminal lumbar interbody fusion or TLIF. This is a procedure I perform on patients with severe nerve compression and bone that are not aligned correctly. I
I'm a board certified orthopedic spine surgeon proudly serving the people of the Bradenton/Sarasota/Lakewood Ranch, FL area in a multi-specialty orthopedic group called 360 Orthopedics (www.360-orthopedics.com).
Timestamps:
00:00 - Intro
00:54 - Anatomy and Overview
06:39 - Surgical Procedure Steps
17:20 - Risks, Recovery, Restrictions,
24:35 - Conclusion
For A Consultation:
- Please call 360 Orthopedics at 941-360-2233 and ask for Dr. Armaghani
- Go to www.ArmaghaniSpine.com and click "Book An Appointment"
Office Locations - 360 Orthopedics
1. 5985 Silver Falls Run, Suite 101
Lakewood Ranch, FL, 34202
2. 2750 Bahia Vista St, Suite 100
Sarasota, FL, 34239
Other Related Videos:
Lumbar Stenosis - • Lumbar Spinal Stenosis...
Lumbar Spondylolisthesis - • Lumbar Spondylolisthes...
Websites:
www.ArmaghaniSpine.com
www.360-orthopedics.com/sheya...
Other Platforms:
Twitter: / armaghanispine
Facebook: / armaghanispine
The content on this KZbin video and channel, including, but not limited to, the text, graphics, images, links, and other materials are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and does not constitute medical or other professional advice. Dr. Armaghani does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the website. Reliance on any information provided herein is solely at your own risk. The information provided on all websites associated with Dr. Armaghani, including www.ArmaghaniSpine.com, is designed to support, not replace, the relationship that exists between patient/site visitor and his/her physician. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this KZbin page or on www.ArmaghaniSpine.com.

[@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 !!!

[@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?

[@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.

[@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!

[@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.

[@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!!

[@user-pb4jq5ok5v]

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

[@MatthewBrigham-1]

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

[@ArmaghaniSpine]

you're very welcome!

[@thomasosborne8579]

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

[@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.

[@JustMissAmanda]

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

[@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!

[@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!

[@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.

[@unitedstatesofbecky]

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

[@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

[@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.

[@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

[@diamondringirl]

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

[@ArmaghaniSpine]

Thank you very much for the kind words

[@kerryalexander9071]

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

[@ArmaghaniSpine]

Glad it was helpful!

[@susanhansen9552]

Agreed! Thank you!

[@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

[@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.

[@yasminharvey9512]

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

[@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.

[@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.

[@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!

[@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

[@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!

[@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?

[@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

[@rdado4898]

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

[@c762x39]

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

[@ArmaghaniSpine]

Thank you!

[@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!

[@alexandercaravitis8859]

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

[@ArmaghaniSpine]

You are welcome!

[@emmabrowning5859]

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

[@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!

[@bettyboop49erfan45]

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

[@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!

[@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?

[@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.

[@beckyklepper315]

I'm having this procedure done soo I very much appreciate the clear and concise explanation of what to expect! Thank you!!

[@ThisTall]

Which vertebrae and how did it turn out?

[@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 !

[@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 🤞

[@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.

[@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.

[@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?

[@erodgzerodgz2517]

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

[@ArmaghaniSpine]

Yes, thank you!

[@mariarobinson4619]

Wonderfully done! Thanks for your time and patience!

[@ArmaghaniSpine]

You are most welcome

[@adyfarr72]

Thank you for your wonderful explanation of an operation I'm due to have in 4 days time. It has alleviated my concerns greatly.

[@ArmaghaniSpine]

Glad it was helpful!

[@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.

[@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!

[@pampam9590]

Wow, I have never watched such an informative video!! Your explanations of everything was mind blowing! So easy to understand! Thanks so much for the information!

[@ArmaghaniSpine]

thank you so much!

[@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

[@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!

[@jclaxina50]

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

[@ofeliagenabe6631]

@@ArmaghaniSpine7yyhb

[@Robkoz705]

Excellent video! The best explanation I’ve found. Thank you!

[@Hibro7189]

Love his explanation, very clear

[@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

[@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?

[@evelinbrinich7574]

Very clear to understand and the graphics are excellent. Thanks much.

[@ArmaghaniSpine]

Not a problem!

[@randallpatrickc]

Brilliant - found it I think. SO useful doctor. Again, very good graphics and explanations. THANKS!

[@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.

[@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!

[@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 😊🙏🏽.

[@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

[@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?

[@irisgamble9653]

Thank you so much for the explanation. As a new Neuro surg-tech, it helped me A LOT to understand the procedure. I really appreciate your video! Thank you!

[@ArmaghaniSpine]

You're very welcome!

[@VivekRaj-xz7jo]

great video and animation. very good for patients and young residents ..

[@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

[@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!

[@drs4649]

I am prob. going to have this one and you have reduced my fear a lot! Thank You!! Great video! Excellent!!👍

[@richiestaklinski5499]

Best explanation I have seen. 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!!??

[@Almadanim]

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

[@ArmaghaniSpine]

Wonderful to hear, Joao!

[@radiomanze1296]

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

[@radiomanze1296]

@@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

[@Mrkelpme]

this is a well done video from the start to finish !!!

[@16Florencesiziba]

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

[@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!

[@jimparackal]

Great effort doctor. Really useful for patients and clinicians.

[@ArmaghaniSpine]

Thank you!

[@DoOlazaki94]

Thanks for that video doc, you really help me and other people thanks a lot 🙏🙏

[@ORTHO_BASICS]

Excellent video for students!

[@michellewood9646]

That was so informative thank you so much it was clear easy to understand and in simple medical language. Cheers

[@ArmaghaniSpine]

Thank you!

[@markthomas1291]

Thank you. Very helpful video.Just had an MRI scan...last week. Last one before my Op. Living in the Uk so all Ops on hold until Covid 19. Im not looking foward to the Op but I know its got to be done. This Video has helped me understand the procedure. Thanks again.

[@ArmaghaniSpine]

Thank you for the kind words, Mark. Good luck with your procedure

[@erikplaczek6665]

Excellent breakdown and video! Thank you for your work.

[@ArmaghaniSpine]

My pleasure!

[@MrDaveyboysmitt]

Best explanation ! Great Videos keep them coming

[@ArmaghaniSpine]

Thank you!

[@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.

[@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.

[@OhadRodeh]

Thank you for an excellent and well-thought-out presentation. You clearly laid out the procedure and the recovery.

[@ArmaghaniSpine]

Glad it was helpful!

[@kayfitzgerald309]

I wish I had found your video before my procedure on 6/14! my Dr. explained,but not as thourghly! thanx again!

[@timhalleran3514]

Wow! Incredible video! Well done Sir!!

[@17monkeybaby]

Really well done video and explanation. Thank you for your hard work and simplified video explanation.

[@logancampbell6091]

due for a l5-S1 early next year and this was very helpful, thank you

[@rattandev6777]

Very clear information of the procedure which everyone can easily understand.

[@ArmaghaniSpine]

Thank you so much!

[@sergiomanon2143]

Excellent orientation.Thank you very much.

[@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

[@Papasquatch73]

Thank you for the video. I have the procedure scheduled for March 30. This helps me understand a lot.

[@ArmaghaniSpine]

Best of luck!

[@alaanialaani5105]

Amazing video. Easy to understand. Thanks a lot for teaching us.

[@ArmaghaniSpine]

Thank you, Alaani!

[@ayhatunermis5283]

5 ay oldu amiliyat olalı yatakta zor dönüyorum ve kalkarkan belimde aşırı şekilde baskı sanci var neden olabilir

[@deirdregraziano5959]

Outstanding teaching video. Kudos and Appreciation for such an exemplary video

[@ArmaghaniSpine]

Thank you, Deirdre!

[@kathkor]

This is exactly what I needed as I prepare for my TLIF

[@ArmaghaniSpine]

Good luck!

[@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.

[@annaleyenaar8431]

Great visual presentation. Thank YOu!

[@ArmaghaniSpine]

Glad you liked it!

[@faujidoc]

Very well articulated and presented.

[@ArmaghaniSpine]

Thank you so much

[@rickyadams9433]

Thank you for the it was very knowledgeable more than other videos. I’m still nervous but not as bad at least I know what to expect thank you

[@ArmaghaniSpine]

You can do it!