I just saw a pain management doctor for the first time the other day, and he prescribed 25 mcg Fentanyl patch for my pain. I have been taking percocets 10 mg and hydrocodone/apap 10 mg which only help a little at this point. My pain is a nerve pain which is in my feet, lower legs and left out thigh. I believe the pain is from my spine surgery which as a t12/L1 laminectomy/fusion with instruments done in a posterior lateral (modified TLIF approach) approach. Other doctors believe that the spinal cord may have been inflammed or moved although the doctor and operative report indicates that the cord was not retracted nor touched. In order to get the cage in, the doctor would have to get near the spinal cord, so it is hard to say if it was damaged/bruised. What I do know is that I have new pain since surgery, which started as a burning left foot with throbbing pain. THe burning pain has subsided in my foot but the burning neuropathic pain is still there and it is now in both feet, both calves, and my left outer thigh has pain which was probably never adequately addressed. I also had an L2 L3 left sided hemi-laminectomy the same day of my surgery for T12/L1 which was 6/29/15. Other doctors that have seen my post op MRI and cat scans feel that l2 l3 should have been full laminectomy as there is still compression going on. Also, it was hard to tell from the MRI if there was damage to my cord at t12/l1, although there was a higher mri intensity singal around the cord which could be due to metal artifact. My latest neurosurgeon, and doctor who performed my surgery both say to give it more time. Both agree the area is too soon after surgery to operate. The neurosurgeon wants to see me in 3 months and do another MRI and flex x rays.
The neurosurgeon indicated that going back into t 12 is risky although there are bone spurs there. However, further surgery on l2 l3 may help but would require a good surgeon due to the scar in that area already.
Meanwhile, I am dealing with the pain, and the pain mgmt doctor put me on 25 mcg Fentanyl patch. I have not tried it yet. I have read it is helpful for chronic pain sufferers and will help with nerve pain which is hard pain to treat with medications.
I am also taking percocets 10 mg about 3x per day. I aslo take klonipin for spasticity. Does anyone have any input on the Fentanyl patch? I understand the withdrawals can be tough, but I have to deal with the pain I have at the present moment.