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Big Al Pain Update-Need Input

asignor908aasignor908 Posts: 339
edited 06/11/2012 - 8:54 AM in Back Surgery and Neck Surgery
Hi all my fellow spineys

When we last spoke I was going to see my NS at which time I was sure he was going to inform me of the need for a 3rd surgery in less than 1 year for my continued pain in my lower back and both legs and left hip. Well I was partially right, but first he wants me try spinal injections in a more targeted manner (which didn't work before). Not sure until I see the pain doc who will be doing them (I see him in the morning) wether it is steroid or a nerve block.

2nd would be a temp implant of a bone stimulator or like a tins unit on steroids. Again low hopes as the regular tiins did nothing at all for me but we'll see.

Last bu not least would be another surgery much more extensive with fusion and he gives that a 50 50 shot of helping. All sounds good so far right?

As of now I take Oxycodone 10mgs 5 x a day and I'm barely managing at times. I also take Oxcarbezapine 600mgs 2 times a day for neuropathy. My fear is simple, that if this pain doc takes over my meds will he keep me at the same levels or try to cut them back. Many pain docs around here love to cut pain meds down and frankly I am fearful of that at this time.

As I said i struggle many days at the 50mg level and cutting would terrify me, and it does.

All I can do at this point is hope for the best since my back is a mess and he should be able to see that on my most recent MRI.

That's my update and I await your feedback.




  • Howdy Al,

    Good to see your smiling face back with us!! As to what all is going on, and what they are offering. Think of it this way, they are basically going through the conservative methods once again to see if that route can help vs surgery.

    I know for me, I would want to know (regardless of conservative treatments) *what* they've determined is causing my pain? As for SCS, I've not had one, so I can't speak to that.

    Medications. Try not to pre-think what this doctor might do. If he talks with your surgeon, he most likely will stay with what you have, or maybe even add things to make you more comfortable. Try to relax and wait before you put the cart before the horse, okay? *HUGZ*

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
  • Can understand your anxiety and fear that the new pain specialist may try to reduce your meds when you're in so much pain all the time. As Brenda said, try not to pre-think what this doctor may do - easier said than done, I know.

    Let us know what happens.



    XLIF L2-4 20.8.15
    ALIF L4/5 2009
    Laminectomy/discectomy L4/5 2008
  • MetalneckMetalneck Island of Misfit toysPosts: 1,364
    In my experience - the efficacy of using only a short acting pain med was like a daily roller coaster ride with pain releif accomplished at pain serum concentration levels and then diminished as the short acting med began to clear my system.

    On a day that I work later or was up longer then the usual 14+ hours - the math on the (sig)meds - didn't work out.

    I have never and still don't like the idea of taking a medication that is intendeded for 24 hour use as why do I need pain relief while I am sleeping?? But the combination of a short acting and longer acting pain med regimen as (in addition to others) has provided the best and only truely consisant pain relief.

    It sounds like they have yet to try all of the conservative treatments and work out all of the mechanical interventions.

    Maybe it would be a timely time- to discuss the addition of a long acting pain med with your treating
    physician. I have found that providers are actually more comfortable RX'ing long actiting pain meds than short acting as they tend to be safer - in the delivery method and abuse potential.

    Hope some of this makes sense.


    Spine-health Moderator
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  • As always you offer great wisdom and I do pre-think too many things. I met with the new pain doc and he seems fine. He did keep my meds just as they are which was a relief, so far so good.

    He will try the first series of shots on the 21st and see if it helps, if not we move to a nerve block, then the stimulator and finally surgery.

    Just have to wait and see.

    AL S
  • I just started with him so on our next visit I may bring that up, although i have never had an abuse issue with the pain meds. I'm limited by me to my daily doseage..


    AL S
  • Glad to help where I can darlin! It seems that your PM is doing what I would want to happen - keep your pain medications "as is" and then go from there.

    It's good too to hear that he does have a treatment plan as well. I know that must make you feel better. Good for you my friend, good for you! I see your stress meter is back in the green. :)

    PCTF C4 - T2, Laminectomies C5, C6 & C7. Severe Palsy left arm/hand.
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