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ALIF L5/S1 17th Feb 2011

Hello everyone

Im due soon to have my ALIF procedure due to DDD and foraminal narrowing which causes pain sitting, standing, lying flat, sciatica and numb toes, which i must say im really really nervous about it. Ive had a discectomy done via the back, but i think im more worried about the abdominal pain i will have afterwards.

Im a poor pain threshold person, being im on 30mg morphine sulphate twice a day, with gabapentin, paracetamol and dihydrocodeine regular. I also use diazepam occasionally.

Im told i will have a pca (patient controlled analgesia), but this didnt ward off the pain after my discectomy. Being im now on so much more opoids than when i had my discectomy, scared doesnt touch it :(.

Not sure if there is a february operation thread, but i thought i'd put my tuppence in. Im from uk.

Could i also ask where straker is? i used to liken with him being he was from the uk and was waiting a 360 fusion.

L5/s1 discectomy & decompression 2009
ALIF l5/s1 2011
Awaiting X-ray & consultant to see if fused, but experiencing a lot of pain again :( 2013


  • I'd talk with your doctor about your pain med concerns.

    I had an ALIF in 09 and like any abdominal surgery, there is a lot of pain. My pain was controlled really well in the hospital (and afterwards)and it was Fentanyl that was in the pca. One of the nurses said I wasn't pushing my pain pump enough!


    XLIF L2-4 20.8.15
    ALIF L4/5 2009
    Laminectomy/discectomy L4/5 2008
  • not pressing enough!blimey sounds like you did really well.

    Ive got my pre-op next week, where i'll get to talk to a nurse/doc about it. Before the op when imeet the aneathetist, im going to speak to him about it too.

    looking at your signature, you are a success, excellent news!
    heres hoping i will be able to say the same :)
    L5/s1 discectomy & decompression 2009
    ALIF l5/s1 2011
    Awaiting X-ray & consultant to see if fused, but experiencing a lot of pain again :( 2013
  • hi Carol,
    I had alif nov 1 st 2010 and im not gonna lie to you the abdominal pain is bad but they will control your pain with the pca and oral medications i was on percocet every 4 hrs along with lyrica muscle relaxers morphine in my pca if i can tell you anything it is this when you get home walk daily even if its just down the hall and each day increase it more!...the 1 st month isnt easy but you can do it!....my thoughts and prayers are with you!....

  • O:) O:-) :angel:

    thank you for a true picture. i really appreciate knowing about the 1st month. I was told the first 72hours are horrendous, but day by day it'll get better.

    I will also take your advice to walk.


    carol x
    L5/s1 discectomy & decompression 2009
    ALIF l5/s1 2011
    Awaiting X-ray & consultant to see if fused, but experiencing a lot of pain again :( 2013
  • The best advice i can give is walk, walk and walk some more. My neuro's nurse told me that and he was absolutely right. It was hell at first but each day I felt a tiny bit better and there was a sense of accomplishment with each step. It really helps physically and mentally.
    4 level posterolateral fusion L2-S1 with rods and screws and cadaver bone. Spondylolisthesis, spinal stenosis, scoliosis, sciatica, DDD, facet disease and arthritis. September 2002
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