Fusion Surgery Pain Management

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Hard place Says:
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Had back fusion surgery. Only 6 weeks of low dose norco. Ended up with nerve pain in my foot (zapping shocks that will take the strongest person down). Ortho doc said It would go away possibly in 6 weeks, maybe longer. Ortho surgeon they will never give anyone any opioids past 6 weeks no matter what. He tells me to go to pain management but he does not recommend or refer for any one of his patients to a pain management clinic. Says he does not want the responsibility of that. Truth is he doesn't want docs asking why he give very little pain meds or have his patients being referred back to him. He said to go to my regular doc.

So I did see my regular doc and they said I have to go back to my surgeon as it's his responsibility. One time the pain was so bad I went to ER, they said my ortho must work on the pain meds. I can only go to them so many times. My PT guy is shaking his head over all of this. We are working on the mental part of pain with a book called Explain Pain. However we are only able to get the pain and use of pain meds only so low because the shocks I get from the nerves.

I cannot take Tramadol. Does not mix with Zoloft and had a seizure on half a pill. Cannot take NSAIDs or Ibuprofen because it hurts my stomach and ulcer. No matter what I try and because it stops the growth of fusion in back. I am on such a high dose of Gabapentin that my glands are swollen. I am concerned with going to any pain management, I don't want to waste time and money just to be told NO. Anyone can help with advice in central IL??



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Carla Says:
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Hello,

I’m a 44yo female that had 4 major surgeries on my back in March. 1st one was a spinal fusion from L2 to S2. A week after the initial surgery I fell and broke 2 bones and dislocated all my hardware. Had 3 more surgeries in one week to fix it.

I’m 8 months out and have an amazing pain management doctor. She is conservative and smart yet understands pain. I’m so sorry you’re going through this. I know what it’s like. Everyone treats you like you are drug seeking and it’s not fair. I’m supposed to move in 5 months and am scared to because of my med situation. What do you do if a new doctor disagrees with your current meds?

I’m 8 months out and still hurt even with Morphine. Hope you find a doctor that can help you.

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Optimistic Says:
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It’s your PCP’s responsibility to refer you to pain management. It sounds like they thought you wanted your pcp to give you pain meds.
If your insurance doesn’t require a referral you may be able to find pain management that lets you self refer if you send them records.

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Hard place Says:
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Re: Optimistic (# 2)

Every pain management I checked in town said they will not dispense pain meds either because because I as not referred by surgeon or they want to give me injections 6wks after surgery even though over time this will heal. I'm blown away how the patient is trapped in the middle. I don't need but them to not feel the majority of the shock in my foot. I'm learning how to deal with the pain but I need something higher than IBU and no more than 5/325.Norco. This has gotten out of hand. I would love to take something electrical on whoever foot that made this one size fits all rule.

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DrTim Says:

Go to a pain management doctor. Gabapentin is usually dosed at 1800-3600 mgs. That is likely to work better for you than opioids.

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IN2B8U Says:
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If You had a lumbar fusion done then most likely prior to surgery you had something called epidural steroids injections done? How many epidural steroids injections did you have done?

Have you ever heard of a condition called Arachnoiditis????

I bet there is a 90% chance you have Arachnoiditis and your doctors caused it And that's why you are getting the run around from one doctor to another doctor to another doctor to the hospital then to another doctor.

If I were you because I've been there, I would definitely be looking at the am arrive for evidence of arachnoid adhesions or even lipomas in the epidural space.

There is a reason that the drug manufacturers add steroids have said not to use the drugs by epidural route. There is also a reason why the Food and Drug Administration has never ever approved steroids to be injected into your spine.

Why? Because they cause lipomas or lipomatosis and Arachnoiditis. The thing about that is, If you're still having significant pain following all of this then there was most likely caused by your doctors.

If I were you I would be writing everything down who you talk to, what they said, when you talk to them, what reasons they refuse treatment.

If a doctor causes a failure of back surgery it is his fault !!!

Don't let them push you around. Be demanding. Take a pen and paper and show then you are taking notes of everything.

If you have not had a recent MRI then you need to get 1. And you need to have someone with the expertise that is capable of interpreting the imaging to see if the doctors messed up.

Good luck. It isn't normal to still have significant pain after

surgery. Isn't that the whole reason why you had it done in the 1st place?

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Hard place Says:
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Re: DrTim (# 4)

I am already at that level of Gabapentin. At the point where my glands are swollen from it but so keep taking it. Contacted men PMC and they said they would give me a shot in my just repaired back before meds. My surgeon said no yet my foot keeps zapping Lennon stop. Very painful. I've soaked my foot in epsom salt, you name it I've tried it. Thx for your recommendation but already take the GABA and already contacted PMC.

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Kjane Says:
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This is crazy. When are we chronic pain patients going to stand up together and say WE NEED OUR LONG TERM OPIOIDS. WE ARE NOT DRUG ADDICTS!!!

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