A pinched nerve is not always caused by common spinal disorders. In certain cases, severe pain radiating from the buttocks down to the legs may indicate the presence of a spinal nerve tumor compressing the nerve tissue. This was experienced by a 53-year-old patient from Jakarta prior to receiving treatment at Mandaya Royal Hospital Puri with dr. Christian Ariono, Sp.BS-FTB, FINSS, FINPS, FICS.
The symptoms included severe pain in the buttock area radiating to the thigh, calf, and heel. The pain worsened when coughing, sneezing, laughing, and even while lying down, significantly disrupting daily activities and rest.
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Pinched Nerve Symptoms That Did Not Improve with Conservative Therapy
Initially, the patient underwent various conservative treatments such as stretching exercises, swimming, and physiotherapy. However, instead of improving, the pain continued to worsen. For nearly two weeks, the patient had difficulty walking, sitting, and sleeping, and even required a wheelchair due to the severity of the pain.
This condition prompted the family to seek a second opinion at a hospital with a dedicated pinched nerve subspecialty service. After further evaluation through MRI imaging, the doctor suspected the presence of a cyst or nerve tumor measuring approximately 1 cm compressing the nerve in the lumbar area. Although relatively small in size, its location along the nerve pathway caused severe pain radiating down the leg.
Neurosurgical Procedure with Advanced Technology and Intraoperative Monitoring
Based on the medical evaluation, surgery was recommended to prevent the tumor from enlarging and causing permanent nerve damage. The procedure was performed at Mandaya Royal Hospital Puri using advanced neurosurgical technology and a multidisciplinary approach, where the neurosurgeon was directly supported by a neurologist to continuously monitor nerve function throughout the procedure.
This approach aimed to ensure that the surrounding nerve tissue remained protected during surgery. The operation was carried out in the morning, and the patient returned to the recovery room shortly after the procedure was completed.
Rapid Recovery and Early Mobilization After Surgery
Postoperative results showed very positive progress. The patient regained consciousness quickly, the pain that previously radiated to the leg was no longer present, and motor function gradually returned. Within two days after surgery, the patient was able to stand and walk steadily.
Follow-up examinations by the rehabilitation medicine team confirmed the absence of numbness or tingling sensations. Early mobilization was carried out gradually, and the patient’s condition was considered stable enough to allow discharge just two days after surgery.
The success of this treatment was supported by accurate diagnosis, timely intervention, and the comprehensive facilities and experienced medical team at Mandaya Royal Hospital Puri. Managing a pinched nerve caused by a spinal nerve tumor requires high precision, and with the right approach, optimal recovery can be achieved within a relatively short time.
Dr. Christian Ariono’s Practice Schedule at Mandaya Royal Hospital Puri
dr. Christian Ariono, Sp.BS, FINSS, FICS, FINPS is available for consultation at Mandaya Royal Hospital Puri on:
- Monday: 08.00 – 16.00 WIB
- Tuesday: 08.00 – 12.00 WIB
- Wednesday: 08.00 – 16.00 WIB
- Thursday: 08.00 – 16.00 WIB
- Friday: 08.00 – 16.00 WIB
- Saturday: 08.00 – 16.00 WIB
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