Post L4/5/S1 PLIF 16th Feb, I am having great difficulty finding a balance on my medication. I have been prescribed 4*100 mg Tramadol and 4* 1g Paracetamol daily, although my surgeon suggested I look to reduce my Tramadol over the next couple of weeks. During the day I am finding things ok, I am able to sit up for an hour at a time, am walking between 2-3 miles once or twice a day, and feel small improvements daily. However, my problems come at night, where my sleep is disturbed most nights due to excruciating pain on waking up within about 4 hours of getting to sleep. The pain feels mainly sciatic in nature, running from my lower back through my right leg to my toes. It takes around half an hour to get under control on taking my medication, irrespective of whether I take Tramadol or Paracetamol.
I have been trying various medication patterns over the last week, trying to eek out my Tramadol to reduce down to three times per day, but just can't find a way to aid sleeping / pain upon waking. Has anyone got any suggestions? I was thinking perhaps I should switch my last Tramadol to a slow release one perhaps?