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POLL: How long did your surgeon manage your pain?

SpiniequeenSSpiniequeen Posts: 8
edited 06/11/2012 - 9:00 AM in Pain Management
Following your surgery, how long did your surgeon manage your pain before he referred you to pain management?

The results should be interesting for everyone to see! I'm still be managed at 2 months post fusion.
Dec10 Fusion due to grade 2 spondylolisthesis and sciatica. L5/S1. Failed.
Aug11 Hardware Removal, Dural Tear, Foot Drop
Dec11 Salvage fusion at same place. Also a failure.
August 2012 Spinal cord stimulator


  • Spine-surgeon managed my pain for 3-4 months. Then referred me to continue treatment with a physiatrist once I was surgically stable, and then she referred me to an anesthesiologist pain specialist later on. However, my surgeon still follows me and communicates with me often, as he and the pain specialist are at the same spine clinic.
    Surviving chronic pain one day at a time, praying for a reprieve because living another 40 years like this doesn't sound too fun!
  • There was nothing more that he could do for me.

    After that I got a SCS Unit plus meds Going on to 3 years

  • dilaurodilauro ConnecticutPosts: 9,833
    for each of my surgeries before my surgeon turned me over to either a pain management doctor and more recently, my Physiatrist.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • My NS was not keen on giving me any meds, so I was only on muscle relaxants for the first 3 months. At 3 months, I was fused, so I was referred to a physiatrist who manages my pain now.
    2011 ACDF C5-6 for Spondylosis with Myleopathy
    2012 L4-5 herniated disc and hernated disc at C4/5 2013 Taking Amitriptyline for headaches
  • j.howiejj.howie Brentwood, Ca., USAPosts: 1,730
    4 mos. on 1 and the rest of my surgeries I've told the surgeon that my P.M. Dr. would handle it after about 6 weeks.
    Click my name to see my Medical history
    You get what you get, not what you deserve......I stole that from Susan (rip)
    Today is yours to embrace........ for tomorrow, who knows what might be starring you in the face!
  • My surgery was late January 2011 and my surgeon is still the "man." I believe he did not want to refer me because he felt that the fusion had not yet resolved and he had primary responsibility.

    To date my pain management challenge has been rather simple. I also believe that has had a lot to do with it.

    If/when I undergo revision surgery then I suspect a lot of things will change.
  • I left the hospital with a prescription that would only last me a week. Then had to go to my general doc to get additional pain meds. Must be the Canadian system. :(
  • my last surgeon released me with a prescription for a week, if I recall correctly, and then my GP (family doc) took over from there. she started providing my medication when i went in to see her to get my staples removed a week and a half after surgery.

    i had a pain management team in place already though prior to surgery so that was great. after having done a 6 week fulltime chronic pain management program at one of the hospitals a year earlier i was stabilized on meds as recommended by the pain doctor there. my family doctor has taken over providing for prescription meds as was recommended by him. i have another concurrent neurological disorder that has been under my neurologists care but my family doctor is now writing scripts for those too. it makes it so much easier for her (one doctor) to prescribe everything.
  • then I was sent to a Physiatrist. That was an absolute joke. Worse doctor I've EVER encountered (as both as patient and provider). Then went to PM that I have now and thank the Lord I made the change.
    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • I had 2 weeks worth then back to my GP I didn't mind cause my surgeon gave me less them my family doc!
  • I must be an unusual case. After my first lumbar fusion my NS kept filling my scripts (to the dismay of the RN for about 18 months). I was not taking very much unless I really needed it. I was literally going through 30 pills in 90 days.

    I only had them filled about every 3 months though just vicoden & flexerile (and I had herniated my neck during that time & they had been seeing me for that as well so I was waiting for an ACDF & they were treating my pain as a favor to me)....

    After the ACDF they pushed me into PM after 12 weeks I didn't care I was desperate for relief. Iadmit I was scared about the "contract" but I really like the clinic I go to and the doctors I see. It has been a life saver for me.

  • then I returned to my local GP to continue prescribing the pain meds I was on before I had the operation.

    I'm in the UK and all my treatments have been on the NHS (apart from 2 microdiscectomies in 2006).
    2 x Microdiscectomy 2005 / PLIFusion 2-level 2010 / revision surgery 2011 / NEVRO Senza spinal cord stimulator implanted February 2013. I WILL NOT GIVE IN / UP !!
  • I would say on average for all 3 neck fusion surgeries...about 1.5 months...

    I was very blessed this last surgery as the PM Dr. is in the same practice/offices as my Neurosurgeon.

    Obviously it all depends on the type of surgery...After my numerous laproscopic abdominal surgeries inlcuding removing my appendix...or my foot surgery for Morton's Neuroma, or knee surgeries....I only needed basic pain meds for about a week.

    The laws are tightening up in most states now where only Dr.s who get additional training and proper licensing will be able to prescribe narcotics past a few weeks before referring to a PM DR.

    It makes sense as pain medicine is not their speciality at all. They are there to cut and repair...not to manage chronic pain...And anything more than a month or two is moving in that direction after normal healing from a surgery.
  • about a month and a half. I would consider the post op pain management that received (or lack there of) was pretty piss poor. Not to mention I had my surgeon tell me that he thought I was chemically dependent after my second surgery and then he turned around and gives me 120 Hydromorphones...
  • and still going.... although it's been a fight lately. My surgeon is telling me he is going to continue treating me through the end, but his practitioners is telling me he can't do that and I need to go to pain management soon. It's like... who's the boss? LOL
  • I have ongoing pain management from my PCP at from post herpetic neulgia, nerve pain from shingles after the rash heals..
    my pcp is amazing (Thank God from the horrible stories I have read on forum)..
    3 surgeries for nerve decompressions s/t peripherial neuropathy..
    my pcp contacted the nurses and NS for their recommendations at pain level post op..and we caculated 1 week post op pain increase which tapered everyday..ie day 1 post op, 2 extra pill and tapered to day 7..not spine surgery but nerve pain is a ""
    I made due with other interventions and I knew if I needed to I could call my PCP, but never needed too, just knowing I had the support was a life raft.

    I have been on low dose opiods since shingles out break..tapering down as able..

    I was horrified to meet with a shoulder ortho
    who upon 6 minutes of eval said we are cutting all meds off ,(prior to shoulder surgery) to deal with post op pain ..I find this really troubling had he loked into hx, full conditions, it's a NOT 1 size fits all, i had 3 successful surgeries and in all 3 i week of post op pain increase..(complete compliance)
    had I proceeded I would not of been able to tolerate surgery..My blood pressure goes up 30-40 degress when pain in not managed at low does (for me) no judgements on what someone else needs..I have recurrent shingle outbreaks when pain is not managed..anxiety ^ depression ect..you get the drill..
    real concerns about the turn in the tide i see with is poor pain management..and no standard of care..every md, ns, ortho md at ER, doing what they want eaisest for them ..and they will say there are people addicted..okay poorly manage my care instead of working on the big picture..shutting down pill factories..setting up level standard of care, education..it worries me what I see coming down the pike..
    I am very lucky so far as my pcp is wonderful as was my PM MD prior to center shutting down..
    but truly I have been complient with every request..
    why should I have substandard care..because we have chronic pain which isn't an easy fix..

    my thought and my thoughts alone..
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