Good evening! I have a tough decision to make. I am having pain control issues and asked my PM office for other suggestions. I have been having this flare since 02/2010 and I am really, really discouraged. Since 02/2010 I have had: physical therapy x 3 (3 month) rounds, 9 epidural steroid injections, I use a Tens unit daily, massage therapy regularily, accupuncture, hydrocodone, oral steroids x 7 rounds of Medrol Dose Packs at various times, muscle relaxers, gabapentin trials, antidepressants, nabumetone, etc, etc. My PM office has suggested I research and decide if I want to switch meds to either a Fentanyl patch or oxycodone or do a Spinal Cord Stimulator trial. I have an appointment with both the pain med doctor and nurse educator on 9/30/13 to discuss both options and see which way is the best to try next. I am torn because if I start down the slippery slope of increasing pain medications I will limit my future options. The spinal cord stimulator is frightening but I am past the point of letting fear control my decisions. Any suggestions, experiences, questions I should ask at the appointment? Thanks in advance for your time, thoughts, and perspectives.
DDD & spinal stenosis L4-S1 since 2001
30+ injections, PT, massage therapy, accupuncture, TENS unit, meds, etc but no surgical intervention
I am not a surgical candidate