What should I expect removing the other lipoma, near herniated L4/L5? (Photo)

Thank you for sharing your experience and concerns. Lipomas located near sensitive areas such as the lower back, especially in proximity to a herniated L4/L5 disc, can indeed present unique challenges both during and after surgery. Here are some key points to consider:

Healing Expectations:

Recovery Time: Since you have already undergone a similar procedure on the right side, your experience can provide some insight. However, each surgery can differ slightly. Generally, recovery from lipoma excision can take a few weeks, but given the location and your previous experience, it might be a bit longer.

Post-Operative Pain and Discomfort: You may experience pain and discomfort similar to your previous surgery. Swelling, bruising, and tenderness are common initially but should gradually improve with proper post-operative care.

Physical Activity: Given that your work involves lifting, moving, and being on your feet, it's crucial to allow ample time for healing. Your surgeon might recommend limiting strenuous activities for a certain period to avoid complications and to ensure proper healing.

Balance and Sensation: The sensation of imbalance and the "pulsating" feeling you described may be due to the pressure the lipoma is exerting on surrounding tissues. Removing it might alleviate these symptoms, but it's important to discuss this with your surgeon for a personalized assessment.

Cost Considerations:

Procedure Cost: The cost of $10,000 for your first lipoma removal might seem high, but surgical costs can vary widely based on factors such as the complexity of the procedure, the surgeon's expertise, geographic location, and the facility where the surgery is performed.

Insurance Coverage: Lipoma removal can sometimes be covered by insurance if deemed medically necessary. It would be beneficial to check with your insurance provider regarding coverage for your upcoming procedure.

Consultation with Your Surgeon:

Pre-Surgical Assessment: A thorough pre-surgical assessment by your surgeon is essential. This will help to tailor the procedure to your specific situation, especially considering the proximity to the herniated disc and your previous surgical history.

Post-Surgical Care: Discuss post-surgical care and pain management strategies with your surgeon. This can help you prepare better for the recovery phase and manage expectations.

Final Thoughts: While your previous experience gives you a reference point, each surgery is unique. Open communication with your surgeon about your concerns, the expected recovery process, and cost considerations is crucial for a successful outcome.

I hope this information helps you feel more prepared for your upcoming procedure. If you have any further questions or need more personalized advice, please don't hesitate to reach out.

Best regards,