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Pain Management or Surgeon?

mikey1975777mmikey1975777 Posts: 23
edited 06/11/2012 - 8:49 AM in Back Surgery and Neck Surgery
Ok folks, I need some opinions. Since my lumbar fusion almost 3 years ago, the pain in my lower back is now worse than it was before surgery. I'm seeing a pain management doc now, but I lost my job, and along with it, my insurance. I recently acquired state insurance, but my current doctor doesn't accept it.

The PM doc has given me 3 ESI's, none of which were effective. We were discussing the option of an electrical stimulator implant, but now that my private insurance has lapsed, that isn't going to happen (not at his office anyway).

So....I have the option of finding a new PM doctor who will implant the stimulator, or an ortho or neurosurgeon who will most likely recommend surgery of some sort. My most recent MRI shows neural foraminal narrowing and moderate facet disease at L5/S1, along with a 2mm disc bulge.

Fusion surgery was horrible, and I said I'd never have another surgery. On the other hand, the stimulator may not work. What do you guys (and girls)think?


  • If you still have any structural instability issues with your spine, it is commonly understood that an SCS will be limited in it's ability to control your pain and will become largely ineffective in a short period of time.

    If you spine is stable, then having a stimulator trial, will let you know whether or not it will help you with your pain. If you read through the Spinal Cord Stimulation forum, you should find some good information to help you with your decision.

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