Hello Fellow Pain Sufferers,
I have not posted in a while, but I do check in regularly. I pray for all of you, that you may find relief from your pain.
I would like to see what opinions I could get, on what may be causing my pain. I would greatly appreciate any input.
I will try to make it as brief as possible.
Jan, 2008...Spinal Fusion...PLIF L5/S1. Had a quick healing process....Successful Fusion...Dr. said I was way ahead of normal. Down to one hydrocodone 10 mg per day.
Three months later...started back to work...doing great untill I lifted/moved several very heavy items.
Pain came back in my lower back, and left buttock. Had MRI'S...Nerve Test...Dr. could find nothing.
Sent to Pain Center...Had a series of four Transforaminal Selective Nerve Root Blocks....First two helped quite a bit....third had to be aborted....pain came back...had a fourth Nerve Root Block....did not help. Once the pain restarted after the aborted injection...the pain has never stopped since.
PM Dr. said the Radiologist report said I had abundant Scar Tissue. Nuerosurgeon did not think that was the problem.
PM DR. said that at three months...the Scar Tissue has formed at it's maximum....and that is what is causing my pain. I asked about the fact my Nuerosurgeon could not see anything on the MRI that was causing my pain. He said that happens a lot...He said some of the nerves are so small, they can't be seen on the MRI films.
During this time I had a Piriformis Muscle Injection...to eliminate that...No relief...That was eliminated...It was my request...PM Dr. said it would not help...he was right.
I also just recently had an Ischial Bursa Injection..with no relief...so that is eliminated.
I have had a small amount of relief from Massage Therapy. No relief from Physical Therapy. Tried Accunpuncture...No relief. Have not tried Chiropractic yet.
I am a 55 y/o male in good health otherwise. I am 6'2" tall, and weigh 225 lbs. I had never been to a Hospital in my life...till I had this surgery...so I am not a Hypocondriac. This pain is real...and it is about to ruin my life.
95% of my pain now...is in my left Buttock. I can push as hard as I can over the entire Buttock area, and cannot cause the pain to amplify.
My current Meds are: 300 mg Lyrica...800 mg Tramadol...40 mg Fluoxetine. I have tried Voltaren Gel on the area, and it does not seem to help. Prior to October 30th of 2010, I was taking up to 240mg Oxycontin. My Prescription benefits for the year ran out...so I had to go generic Oxycodone.
My PM DR. could only allow me 120mg IR Oxycodone...so I basically went from 240mg per day...which was providing enough relief that I was able to keep working..down to 120mg. For three days I felt like I was Three Doors Down from the gates of hell.
I was able to continue to work...but many less hours on the 120mg Oxycodone. My PM Dr. had requested that I reduce my intake of Oxycodone, in case I had Hyperalgesia, and also to let my body reset itself, so I would not have to have high doses of Oxycodone.
I went from 240mg to 0mg in six weeks time. The worst time was when I stopped the Oxycontin, and went to Oxycodone, as far as the withdrawal symptoms go. The PAIN...now that's a different story. I really don't think Hyperalgesia was my problem. I never was overly sensitive to pain in other parts of my body.
I had tried in the past to wean off Lyrica, and both times the pain level would sky-rocket. My pain has also sky-rocketed since stopping Oxycodone, so whatever is causing my pain, both meds are needed to help control it.
Sitting, and standing hurt the most. ( having a hard time finishing this!) 50% relief when laying down.
The last day I worked, was the last day I took Oxycodone.
I may have to take it, or some form of narcotic pain medication for the rest of my life, if I can't find something to relieve the pain. I am fortunate that I could still work while taking a high dose of Oxycodone. Morphine made me so sleepy, I probably would not wake up if my house was on fire.
My thoughts on what is causing my pain: I feel that at the three month period when I went back to work...the scar tissue had just finished growing to It's maximum, and while I was lifting/moving several heavy objects....the scar tissue moved onto the nerve at L5/S1...and has been there to this day. The pain came on immediately after that...it was not gradual...it was immediate.....so the moving absolutely had to have had something to do with my pain.
I am sorry for going on so long, I just feel all the factors need to be exspressed. I also have a Spinal Cord Stimulator. It helps some, but not nearly as much as it did during the Trial.
Any thoughts, and opinions would be greatly appreciated.
Thanks so very much, May we all someday, find relief, and peace. Robert in NC