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Rx pain management

janiebjjanieb Posts: 1
edited 06/11/2012 - 8:40 AM in Chronic Pain
I am trying to consider options to surgery for spondylolosis, grade II spondylolisthesis, severe degenerative disc disease & related nerve pain. This moderate to severe, chronic pain is currently somewhat manageable on one to two oral doses of vicodin 7.5 mg per day. I have no past personal issues or family history of drug dependence. Does anyone have an opinion on my chances of being able to maintain this regimen without requiring more, over time, to be effective? I am an active, otherwise healthy 74 year old. The "back doctor" I was referred to thinks the condition will become markedly worse without surgery.


  • Based on you diagnosis, I assume your Doctor is recommending a fusion. If you're able to live with the way things currently are on 2 vicoden's a day, I'd go for the status quo. No sense beating a dead horse when he's already down.

  • I agree with Dave. Especially given the fact that as we age, the risk of complications from anesthesia and surgery start to increase tremendously.

    The only real questions, does your doc feel there is a risk of permanent nerve damage without surgery? Is there any weakness associated with your condition? Have you been able to seek out a second opinion?

    Welcome to Spine Health Janieb

  • janieb If i had the chance to do it over I would have stayed on pill .Instead of surgery. Failed surgery l4 l5 Now nerve damage at age of 61

  • To look at surgery this way.
    Where am I?
    What is the surgery supposed to do/help?
    What happens if I do nothing, am I in danger of doing real harm by doing nothing?
    What happens if the surgery goes right?
    What happens if the surgery goes wrong?

    I agree with "C" and Dave, if there is no danger of doing permanent harm right now, I would suggest you are probably doing pretty well and maintain the status quo.

    The one thing to add to the equation that has no real hard set answer. If it is progressing and getting worse, the longer you wait the older you will be when/if you surrender and have surgery. My dad had quadruple bypass surgery at the age of 78. He was told the average age for the surgery was 82! So, there are a lot of questions that can be asked before you make any decision!

    EDIT: Get a second and or third opinion!
  • If you can live with it, let it be. Surgery was the worst thing I did, I wish I hadn't but I was told by the surgeon, oh if you want to ride that horse again, if you want to garden again, blah, blah, blah, this is the surgery for you! They lie...
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