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Already on alot of Pain Medication before Spinal Fusion Surgery

wendih6wwendih6 Posts: 1
edited 12/09/2015 - 6:37 AM in Pain Medications
I was just wondering if being on 150 mg of pain opioid medicaion before spinal fusion causes your treating physician trouble keeping your pain under control during and after surgery in the hospital. Also, if you know how they control your pain if you have been on alot of opioid medications before surgery.



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Specific comments :

Personal Opinion, not medical advice :

Being a chronic pain patient and having been using narcotics for a long time to manage that can present challenges to a surgeon when it comes to controlling your pain during and after surgery.

I have been a chronic pain patient most of my life. I've been on narcotics daily for the past 10 years, various types, dosages, etc. So when I go in for new surgery (as I have), a modified plan needs to be put in place. To illustrate (not meaning to be exact)

  • - Patient normally takes between 4 and 6 Oxycodone IR 5mg to keep pain in control
    - This keeps the patients pain level at around 4. Without the narcotics, the pain level could be up to 7
    - Normal patient goes in for surgery, normal pain level is 0 (putting aside the pain leading up to the surgery)
    - Therefore the surgeon needs to provide enough narcotics to keep that pain level in control.
    - But a patient who's normal pain level is 4 even with the narcotics may require higher dosages and/or different time intervals
For something more concrete. When I had my last hip replaced (2013), I was given a higher dosage of narcotics and the frequency was changed from every 3 hours to every 90 minutes. Using Patient-controlled analgesia (PCA) But each individual is different and each situation is unique.

The bottom line, you need to have discussions with your doctor regarding this. Having a plan prior to going in for surgery is key.

--- Ron DiLauro, Spine-Health System Moderator : 12/09/15 12:26 est



  • And how often. I'll be glad to offer my experiences and understanding of controlled pain medicines but you'll need to make decisions on meds and dosages with your doctor.

    By the way 150mg doesn't sound right, not in one dose, unless you are talking about a mixed antagonist/agonist opioid or a nerve pain specific medicine.
  • edited 12/11/2015 - 4:06 AM
    I was on 15mg hyrdo q 4 preop fusion rx'd by neurosurgeon. Post op pca of morphine had me screaming and my family constantly pushing the button. Was moved into NeuroICU for pain issues (basically fentanyl ivp every hour). Be very vocal about your concerns. Wish you the best.
  • SavageSavage United StatesPosts: 5,427
    edited 12/11/2015 - 9:17 PM
    Your question re pain control is a very good one for your surgeon!
    Curious if you have pain management specialist Doctor overseeing your pain meds?

    For myself, I would double check with surgeon about pain control post op.
    if not seeing PM doctor now, surgeon may want you to see pain management post op to help with your pain control during your recovery.
    Everyone is different with the healing process and you want your spine, your body, to have the time it needs for proper healing.
    Spine-Health Moderator
    Please read my medical history at: Medical History

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