Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test


I am currently taking oxycodone 10/325 x 4 daily. I am having the 360 alif/plif 2 level fusion at l4-s1 on 7/1/14. I am curious as to what type pain medication one would be placed on for pain control if already taking the aforementioned med? Would they put you on something stronger as youre body has now become accustomed already to the med currently taken? Or would that just be used as a breakthrough med? Im just curios if anyone has had the same experience and would please share. I am worried about post op pain as i do not tolerate pain very well. All comments/ experiences welcome. Thank you!
Grade 1 Anterolisthesis/Spondy L5/S1 with Modic changes and mild disc protrusion, DDD, Osteoarthritis L2/L3, Stenosis, Sciatica, Herniation L4/L5. Scheduled for 360 spinal fusion/decompression July 1, 2014.


  • So I would think the same meds would work on new pain. I was on something that started with a d in the hospital which made me itchy. I get itchy with oxycodone, so I am taking hydrocodone with acephetamine. It's working ok especially if I have Valium with it. Good luck!
    Julie K
    L4/L5 fusion TLIF for spondylolisthesis on 5/12/14
  • My wife recently had a L5-S1 fusion revision with hardware removal and replacement. Post surgery she came out with a PCA with Dilaudid for 24 hours and then transitioned to Oxcodone / APAP and dilaudid IV for breakthrough pain. She came home with Oxycodone 10 / 325 APAP 2 every 4-6 hours. She has slowly transitioned down to Vicodin 5 after 3 months and she is only taking that from time to time now.

    Every hospital / doc is different on their pain management, some like Dilaudid (hydromorphone) some like morphine. When I had my first ACDF there was a Dilaudid shortage in the city where I live and they used morphine. I found the hard way that I do not tolerate morphine and almost ended up in ICU because the bottomed out my blood pressure. You should get some form of muscle relaxers as well. Some use Valium, others use flexeril; it all depends on the doc / or the hospital formulary. If you have questions, ask your doc or their assistant. We have a great relationship with our doctor as he did my wife's back and will be doing my revision surgery as well. We have never had an issue with this doc on pain management, we actually discussed what his plan for pain management would be, how long he would provide medications and what the process would be if I needed to be referred to a pain management specialist for long term pain management. My first surgeon was not very good on pain management and thought I should not need narcotics after 3 weeks. For any other surgery this might not be an issue, but with any fusion surgery you will need to avoid any NSAIDS for 2 weeks prior to your surgery and 3- 6 months after surgery. Without narcotics there is not many non narcotic pain reliever options available.
    2012 C5-C7 ACDF with fixation - failed to fuse
    June 2014 - Planned revision surgery
  • What medications you may be given in the immediate post op period for acute pain is determined by the surgeon, the hospital and the anesthesia/pain management department. But it is important for you to coordinate your pain needs with both your surgeon and your pain management doctor once you are discharged as well. Most surgeons will only write for the first 30-90 days, so it is important that you discuss any ongoing pain medications from the surgery and develop a plan between you, your pm doctor and your surgeon.
    Some pm doctors want themselves to be the only provider giving a patient opiates and will write any necessary medications once the patient is discharged, allowing the prescription for acute meds from the surgeon be filled once, on discharge but after that, the patient needs to return to their PM doctor, others allow the surgeon to handle the acute surgery meds, for the first 30 days, then require the patient return to pm for their regular meds and any additional meds..so you need to make sure that you know, heading into this surgery, how and who is going to handle your med needs and for how long.

Sign In or Register to comment.