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spinal fusion l4-l5 for the obese patient need feedback please

lorhelllorhel Posts: 1
edited 05/11/2015 - 9:32 PM in Back Surgery and Neck Surgery
hello. I had my first back surgery in 2007 for a L-4-5 Laminectomy. Prior to that I had 3 epidurals which didn't really help so we proceeded with that surgery. Things went well and the pain I did get back was managed up until 2012 with Aleve. However, after being diagnosed with high blood pressure I discontinued that, and have taken tylenol when it gets bad. I do not want to have to rely on pain medicine, however it has gotten so bad that I am leaning towards that on an as needed basis.

I had an mri in March which shows very little left of L4-5. The L3 area is slightly bulged but not enough concern at this point.
I am 43 and due to other health problems and medication have been morbidly obese for some time now. I am trying to avoid spinal fusion, although i work from home i do live alone and would have to have some help if I did opt for the surgery.
The ortho doctor himself did not make this comment, but rather his nurse stating that with someone as heavy as I am (350) that they really wouldn't want to do it, again not the doctor, who mentioned the only other option besides epidural (I had one injection a month ago, but it didn't help and shot my glucose so high i couldn't do another one anyway).

I am seeing them tomorrow to at least get some pain meds as the pain has become unbearable in the sciatic and leg pain etc.
I have read of course being obese has greater risks, but I would like hear from anyone who had undergone and how they have recovered, etc. On top of that i have a herniated disc in my neck that I am living with the pain because at this point it has not spread into my arms,etc. My BP is managed with medicine, I am type 2 diabetic, taking metformin.

Thank you very much.



  • LizLiz Posts: 7,832
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    Spinal stenosis since 1995
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