I'm at a little more than 6 months post-op from a TLIF at L5-S1 and my pain is worse than before surgery. I have no doubt that the fusion was performed flawlessly. A CT Scan and MRI seem to confirm that. Nonetheless, my pain is in exactly the same place and it is more intense than before surgery.
I've tried to get my NS to look at my situation holistically. I even obtained a second opinion from another NS. The second NS admitted to me that they can get tunnel vision and tend to look at everything from a surgical perspective. Now my first NS is arbitrarily telling me to reduce my medication even though my pain is worse. I don't get it, and I'm convinced that he is actually confusing me with other patients based upon some inaccurate comments about his recollection of my history of symptoms and treatment. To be fair to him, it wouldn't surprise me if we all started to sound the same after awhile.
I have posted in other threads that I am trying just about everything available to resolve this pain. I do feel that it's time to find a PM doctor who can help manage the whole picture. I found a great PM doctor, but he only does injections. His office tells everyone flat out that they don't prescribe narcotics. If he could manage my pain without narcotics I would stick with him, but I get the sense that they really don't even want long-term patients.
I've searched on my insurance website for Physiatrists and there are none on our plan. In fact, I can only find 3 in the entire state of CT. Again, none are on our plan (and this is one of the largest Healthcare providers!). Also, every doctor that I have looked into who is listed under Pain Management will only do interventional PM (i.e. injections).
I feel stuck between an NS who doesn't seem interested in treating my pain any longer, and I don't think that the injections alone from my PM doctor are going to be the complete answer. Unless I can find someone to take over my holistic PM treatment soon, I fear that I am going to be left out in the cold.
Any ideas as to what type of doctor I should be pursuing?