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chronic pain

i have developed chronic lubago and my prognosis does not look to be good as per the study givem below. this came after shovelling. there are foraminal compression on mri but surgeon is not operating . advising physio and pain management. its been a year since the pain started. my options seem to be exhausted. i have visited three spine surgeons.

the extract of study is "Although low-back pain results in significant disability, 95% of these patients return to their previous employment within 3 months of symptom onset.[6] Failure to return to work within 3 months may be considered a poor prognostic sign. In patients who experience total disability after 1 year, the likelihood of returning to work is less than 20%. After 2 years of disability, the probability of returning to work is less than 2%."

my current problem is the sharp pain which wakes me up at night. i have undergone physiotherapy without much help. i sleep om the bedding on the floor. the only position that gives me relief is curled up position . sometime early morning i am woken up by sharp stabing pain. how to deal with this pain is the question. what is the most appropriate position to lie in. taking paracetamol at night does relieve the pain a bit but i am still woken up by it. day time i lie most of the time. if i am up and about ithe pain returns and i cannot stand for long



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    I have found that putting a pillow between my knees or under my legs helps some. It is a big case of trial and error, simply trying to find more comfortable than others way of finding the least uncomfortable position. Why has the surgeon opted not to pursue surgery? What other medications are you taking to ease the pain?
    One of the biggest problems that I ran into is not allowing myself to lay down, because the inactivity makes your tolerance to physical activity lessen, which in turn increases the pain , which leads to even more resting and laying down. It is the worst thing that you can do when you have back pain. Part of learning to cope with chronic pain is to learn to adjust your activity levels, take frequent breaks, and adapt to doing things differently. Physical therapy does help but only if you faithfully do the excercises, no matter what, and it can take some months to show it's benefit. Adding the inactivity in after PT is adding to the problem, so you really need to continue to stay walking, and modifying other activities so that you can build up some strength.
  • mold
    i have had pain in my right leg for years due to the damage to the sciatic nerve when my disc was first herniated. i had numerous surgeries and the pain starated about 5-6 years ago. i hate to be a debbie downer but like you it wakes me up every night. i sleep on the couch with my back against the back of the couch. i wake up 2-3 times a night an have to move positions. i take pain meds and breakthrough meds before i go to sleep but it does not help. i can only say i try to get used to it if possible. it affects my work because if i sit in a classroom listening to a teacher, i have to try to stay awake. when i get home i take a nap. so my best advice is to get as much activity and stay awake as late as possible and if possible learn to cope with it. i have tried to cope but it still is an issue. at least i have one more year before i retire so it won't be that bad eventhough i plan on substituting after i retire. at least i can pick and choose what days to go to work if it really bothers me
    good luck
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • For my bad nights I find Tylenol PM and melatonin makes a huge difference and allows me to sleep. Both are over the counter meds but I'd still suggest calling your PCP or Spine surgeon to be sure these are safe for you.
    33yo mom of two. My surgical history...preadolescence scoliosis, kyphosis, and a hot mess.... 5 spine surgeries and lots of items added I wasn't born with (titanium, peek, surgical steel). Guess cremation is out. TSA loves me.
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