I am being referred by my PM dr. to a neurosurgeon in a month. My latest MRI showed problems with C2 through C7. The worst being C4 thru C7. I have bulging discs alot of bone spurring and central canal stenosis as well as foraminal stenosis at every level being either moderate or severe. My pain dr. feels it is probably time for surgery.
My question is how is pain management handled during and after the surgery? I have been on opiates for the past 2 years and I know that I am physically dependent on them. Currently I take 60mg. of oxycontin 3 x daily and morphine IR 15mg. up to 4 x daily for break thru pain. I have had two rounds of PT, used a tens unit, and had 3 epidurals with one being a facet injection. My pain runs at a 5 on a really good day on meds and sometimes a 7 on a bad day. How will my pain be controlled after surgery? Will I just stay on my current meds and dosage? I worry that it won't control the pain after surgery since I have a tolerance to the meds. I have also read that people on high levels of narcotics can have a more difficult time with anesthesia. Has anyone experienced this?
Of course I plan on asking the neurosurgeon these questions but thought someone here may have first hand experience with having surgery while on pain management. It would be a dream come true if after surgery I could come completely off the narcotics. Has anyone experienced this? I know they tell you not to count on being pain free after surgery but there is still a part of me that hopes.