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Si Joint injections do they hurt?

BadDocsBBadDocs Posts: 4
edited 08/21/2013 - 8:00 AM in Sacroiliac (SI) Joint Problems
I have had a total of 4 back surgeries 3 in the past 2 years. The 3rd surgery was to remove the X of the hardware; I had this done in November 2012, this is when my bigger problems started. I was still having leg pain after the fusion (2x operation). The x operation was a 3-hour procedure and when I got into recovery they woke me up to give me meds and control the pain. The nurse told me this is the strongest dose she has ever given, but it wasn’t taking away all my pain. 2 X in recovery the nurses told me they wanted to call my surgeon and get me to stay the night. I finally agreed, but when they called my surgeon. He said “absolutely not” I could hear all the nurses whispering about how unbelievable that this doctor said no, he would not let me stay. I left recovery in 3 hours. When Pre-registration called me before the surgery and verification people from the hospital, I think I talked to 3 different people and they all said this is unusual to be an outpatient procedure and to pack an overnight because this didn’t seem right being my 3X surgery and the procedure itself. I telling you this because I feel that this is an issue for all the new extra pain I have on top of my old pain.
Did anyone else get released after what should have been inpatient and have more problems because of it.
I have been on 10 10/325 Percocet and 800 mg 3 x’s, 600 mg of neurotin 2’x times a day for 3 years. I have taken myself down to 8 Percocet a day because I hate this stuff, but having a lot pain and now hip pain, and leg cramps all the time. I family physician prescribes my meds and wants me to go to the pain management doc. I went and he thinks I need hip injections even though the injections for my back never worked.

I also had a spinal fluid leak after my surgery, my surgeon told me to go home and lie down and drink a lot of caffeine, which I did for 2 weeks. One morning when I woke up I couldn’t stand with the pain shooting in my head. My husband called the surgeon’s office and we waited for 4 hours for a return call… and they of course didn’t call, so we went to the ER.
The ER doc said I probably have a spinal fluid leak and they called my surgeon to get the go ahead on a blood patch. We waited 2 X hours for a call back. The ER doctor came in my room looking baffled and said my surgeon told me to go home and try something else. When my husband said what else should we do? The doctor said I don’t know. The next morning my husband called my surgeon and they acted surprised that a blood patch was not done. (I found a lot of discrepancies from this doctors office I probably have a lawsuit). I had to have 2 blood patches with 15ml of blood in a 2 week time period to fill where the leak was cause they thought it was more than a hole it was a large tear. I wonder if this leak had anything to do with the leg cramps did anyone else have leg cramps with a spinal fluid leak? When I called the surgeon’s office 4 days after my surgery to explain the cramps in my calf, his assistant just argued with me over what meds I take. I said I don’ t want more meds…I want this fixed, she couldn’t get a hold the surgeon and she didn’t know what to do. I fired the surgeon! Now I am starting all over again with a new pain management doctor (YEAH). When I told him that I have groin and hip pain he thinks it might be my hip that caused my sciatica and not my back. I asked him about the cramps in my calf and he said. “That is a different problem and we will start with the hip doing injections. I am afraid these shot will make it worse, I had these in my back and they worked for 2 days


  • sandisandi Posts: 6,343
    edited 08/21/2013 - 8:20 AM
    I am sure that you will find your time on Spine-Health very rewarding. This site is a powerful and integrated system that is dynamic and continues to grow.
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    Not all surgeons feel it is medically necessary to keep a patient overnight or longer post op, depending on the findings during surgery and how the patient has tolerated the procedure. If there were a dural leak or tear during your surgery, that information would be found in your medical report from the surgery. Those incidents have to be documented as part of the surgical record. It is possible that there was a small tear or pin hole but you would have known it right away if that were the case.
    What tests were done to confirm that you did have in fact, a tear or hole in the dura? It would have shown up on certain imaging tests if it were there.
    No doctor is going to order a blood patch unless they are medically certain it is necessary since any puncture into the spinal cord covering can result in an infection, so it is far too risky a procedure to just do for a suspected tear without confirmation that that was in fact the cause of the headache.
    Are you taking any muscle relaxers? It is common after any back surgery to have leg cramps/muscle spasms in the legs, back and buttocks, but this usually eases with the use of muscle relaxers, stretching, and of course time as the nerves recover from the surgery.
    Surgeons typically can not return a phone call from a patient right away as they are usually in surgery, depending on the day of the week that the call is made. Surgeons typically have several days a week when they are not in the office but at various hospitals doing surgery, so it is not all that unusual that he didn't return your call until 4 hours later. I've had surgeons that I did not hear from until some 8 hours after a call but again, it was because they were in the midst of another surgery.
    As far as the injections go, it is standard in the beginning stages of treatment for chronic pain to be given injections . They are done for several reasons, they can be diagnostic- include or eliminate an area as the cause of pain , to relieve pain, or to attempt to soothe any inflammation in the area, so they are worthwhile doing, to see what the benefit/purpose of them are, and to see if they offer you any relief.
  • BadDocsBBadDocs Posts: 4
    edited 08/22/2013 - 4:13 AM
    The doctor had left the hospital right after surgery he wasn't there to evaluate my condition, whether I should stay or go, the nurses called him because they were concerned about my condition and thought I needed to stay. How could he make that call when he left right after my surgery? I honestly believe that this is why I have all these extra problems with my leg today. I should have had some type of compression stockings. I got nothing. It's all fine to comment and you would like to think a doctor should do and maybe some do what they are suppose too. That doesn't seem to happen where I live. I never received a test for the blood patches, not even in the ER on the 9th of January. All doctors assumed that's what it was because I had a headache from the beginning of December until January 10th when they did the 1st blood patch the headache subsided but still got them upon standing. They told me the only way they would know is if they did the blood patch, and the surgeon said he had to operate very close to the dura. I took Valium and Flexiril for the cramps and they didn't help. They even put me on steroids and that didn't do anything but keep me up, so I could stay awake all night and enjoy this new extended version of leg pain. As for the surgeon not calling back I understand that I am not the only patient he has, and he has surgery on certain days, but on normal days I would call leave a message and wait a week and nothing even on his emergency line, so I would call again and still wait for at least 3 or more days This happen numerous times and it was always blamed on the phone system. For the last 3 years when all this pain got unbearable, I have been to more doctors, pain management specialists and more, spent a ton of money on doctors telling me there was nothing wrong with me and not fixing the problem. (even though I was in terrible pain and my foot would drag, nothing wrong). Then I go to an orthopedic surgeon who says I need surgery and she can fix it 75%. She operates for 5 hours and says she couldn't find anything but a bone spur that's not what she said according to the MRI before the surgery. When I woke up from surgery in the same pain, she told me she was baffled. I then go to another doctor 2 months later per my husband begging me to see someone else cause all I do is cry. My daughter now has anxiety issues, thinking I am going to die. I go to the next doctor who is a neuro-surgeon he looks at one MRI's from before the 5 hour operations and one after the operation and shows me the MRI's side by side that my discs are almost on top of each other, which I can see plain as day so I get the fusion, and what about the doctors that said nothing was wrong with me? Now 1 year later I had to have half of the hardware removed because he thinks, it is irritating the S1 nerve root. Some of the different doctors I saw in a 3 year time period had comments like ... I just wanted attention (I am old enough that I don't need attention). Go home and get off the meds. They didn't even take time to listen to my husband or me. It was frustrating. I fell in a grocery store 8 years ago and broke my radial head in my elbow from the fall and 7 months later my back goes out I never had back problems before I fell. I live with chronic pain every day and take meds everyday just to be able to function and try to put on a happy face when deep down my life is half a life and I am miserable. I have a new pain management doctor is doing injections today without taking any x-ray or any tests should I be concerned?
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