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chronic pain management during non-spinal surgery

tknow1978ttknow1978 Posts: 30
edited 06/11/2012 - 7:44 AM in Chronic Pain
I posted this under chronic pain because it is not about a spinal surgery. I would like to get any advice or experiences you have had with non-spine surgeries while you have concurrently dealt with chronic pain issues. my chronic pain is greatest in my right leg, but also includes low back. I am having a laproscopic abdominal surgery soon and am nervous about a few issues. #1 pain management - I am especially nervous about being flat on my back in the OR and then needing to make sure I walk soon after surgery to prevent complications. I have been doing all I can to limit my pain meds right now so they will be as effective as possible after surgery. #2 blood clots - I am worried that if pain prohibits optimal activityy levels that I could develop a clot. Any suggestions or personal experiences? And yes I do plan on talking to my doc about it all at my pre-op apoitment so I got that covered. More curios about others personal experiences. Thanks, Tamara
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Comments

  • Best wishes for your upcoming abdominal surgery. I hope you won't have issues with walking and activities post-op but if so your Dr. may order TED stockings to prevent a DVT. Perhaps you had them after your back surgery? I'm only going for a colonoscopy soon and I wondered if the position on the OR table might make my back uncomfortable or all that air put in? Other than that I haven't had an surgeries. I know Lulusheart Jenny had abdominal surgery. I wonder if she had a difficult time managing her pain after surgery? I hope someone can help and make you feel more at ease. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • I just had an upper endo and they had my lay on my left side which is my best position. I have heard that they have you lay on your left side for colonoscopies too. my upper endo was pretty quick and I was given diprivan so I was totally out for it. some places give versed/fentanyl combo which is conscious sedation and you may or may not feel or remember the pain with those drugs. Thanks, Tamara
  • I have had to deal with the same issues of not being able to lay flat on my back during surgery. I have been able to have pillows placed under my knees so that I am not flat on my back and it has really helped.

    I feel sure that your doc will be able to give you suggestions in order to prevent blood clots. Those air beds that inflate and deflate moving your body to different positions may be an option. Also there are anti embolism stockings that can be worn to prevent clots.

    Surgery is often done on totally immobile people so there are ways to address the issues that you are facing.

    Good luck with your surgery and keep us posted.
  • i will have heparin pre-op, lovenox post-op until discharge, and SCD's to prevent DVT while in bed. Maybe I will bring some pillows from home in case i am not able to lay on my side after surgery. You know there is always a shortage on pillows when you need one. I am actually a nurse and I work, well maybe I should say worked although I am still technically an employee, on a post-op surgical unit. I just thought it might be helpful to get some insight from people who have been there. there is no substitute for first hand knowledge. Was there anything that any of you found especially helpful in your recovery once you got home from the hospital?
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