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dilauro's picture
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10 Ways to make sure we dont have another surgery

I wish I could list the 10 definite things that we could all do to ensure we never have another surgery.
But I cant, I can only ask for everyone's help in identifying those important things we all need to do.

Lets not have another surgery !!!!

Now, lets start listing them.....

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Ron DiLauro (aka PapaRon)

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Good question, Ron! Well,

Good question, Ron!

Well, there are some fairly obvious ones...

Don't lift heavy weights
When you do lift, lift things correctly (don't bend, but squat)
Don't play particularly physical sports again (no rugby, wrestling, etc., etc.)
Don't have car accidents (yeah right....)
Eat healthily
Keep doing your stretching and core muscle strengthening exercises, FOREVER
Maintain correct posture, particularly when sitting for long periods
......

_____________

Severe Degenerative Disk Disease and severe bilateral foraminal stenosis at L5-S1. Laminectomy & fusion in Dec 2006. Hardware removed due to issues, in July 2007. Now living a back pain free life.

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I think

I put this in another thread but...
1. stay off sons dirt-bike

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na

na

LJ
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10 ways to make sure.........sounds good to me

Well I would sure like not to ever have another surgery. My first thought is to NEVER forget that I have a 3 level fusion in my neck and I need to be careful. Think before I lift (how heavy is it, can someone else do it, will it hurt me, how should I pick it up). Think before I move it, same as above basically, you know how this one works, you go out for dinner, the table is not straight, without a thought you put your hands on the table and there you are moving furniture (NOT). Or amazing how heavy a laundry basket can be and in our house they get carried from the second floor to the basement and then back up two floors when done. Let someone else in the house do the carrying. If there is no one else in the house then I guess I am carrying a few items at a time and calling it exercise. UPS........just got a package delivered and I really want to know what is inside but no one else is home. Guess that package is going to sit on the porch till someone else gets home to lift it.
So anyway I hope I am going to be smart enough to take my own advice LOL
LJ

_____________

9-17-08 ACDF surgery with titanium plates and screws. C3>C6. C6/7 left out of surgery and has damage but NS hopeful this will not cause problems. Strategic choice to do a 3 level rather then a 4 level fusion. Major arthritis in spine as well as DDD. Using Bone stimulator to improve fusion rate. 30+ years of back pain but the neck pushed me over the edge.

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LJ, I like your thinking

You have the right mindset for hopefully not having another surgery. Keep thinking and acting that way and you will know you have done your job.

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Ron DiLauro (aka PapaRon)

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LJ
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thanks Dilauro

dilauro wrote:
You have the right mindset for hopefully not having another surgery. Keep thinking and acting that way and you will know you have done your job.

Thanks Dilauro,
Like I mentioned, I sure hope I remember to take my own advice. I find it very hard to not just do things but I would find it even harder to go through surgery again. To be realistic, I have a lot of issues going on with my spine and with both my Mom and Dad having spine issues I am predisposed genetically to neck and back problems (I haven't had an MRI of my back in more then 10 years but there was a lot of evil stuff the last time I did). The most important things for me right now is to get in as good physical health as possible, which will include lots of walking, losing some weight, gentle stretching exercise, 6 weeks of PT and to never forget about being careful what I do. Easy to say and hard to do. Even this am while I was in bed I moved in someway that has my neck complaining this morning so I guess it means being aware of what you are doing 24/7. I have yet to see what going back to work full time is going to be like but it will be coming up maybe next month.

Keep on encouraging all of us on this great forum,
LJ

_____________

9-17-08 ACDF surgery with titanium plates and screws. C3>C6. C6/7 left out of surgery and has damage but NS hopeful this will not cause problems. Strategic choice to do a 3 level rather then a 4 level fusion. Major arthritis in spine as well as DDD. Using Bone stimulator to improve fusion rate. 30+ years of back pain but the neck pushed me over the edge.

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A fantastic subject from long ago but applicable today!

My advice??? Walk walk walk....walk walk walk walk and walk... Did I mention walking? ;o)
I am hopeful that it will help
ouch

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"Come to Me, all you who labor and are heavy laden, and I will give you rest." (Mt 11: 28)
Neck lacks normal curve: kyphosis with apex at C4-C5
C2-3: 2mm broad-based protrusion and radial tear.
C3-4: 3.5 mm disc protrusion
C4-5: 5 mm disc extrusion; posterior displacement of spinal cord with myelopathy; ACDF surgery March 2009
C5-6: 2 mm protrusion
C6-7: disc space narrowing with anterior and posterior osteophytic activity with bilateral neuroforaminal stenosis; 4 mm disc-osteophyte complex

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O_U_C_H

That is so valid....
Walking is about the one form of exercise that almost anyone with spinal problems can and should be doing.
There are a couple of 'warnings' however when you go walking

- Proper foot wear. Do not wear flip flops or other type of shoes that do not give you proper support. There are so many shoes that are comfortable for every day things, but when it comes to walking, look for support.

- Terrain. There is really no problem walking up/down hills.
At worst, it will just tire you more. But what can create problems is if you walk on a terrain that is totally uneven.
For example, you can do a 3 mile walk on paved roads that have some inclines, no problem.. But if you start to walk over a 'nature' trail with logs, streams, etc to circumvent, that could be a problem.

I love this time of year, because I can get out and do more walking. And since I am far removed from surgical procedures, I will head out on those walking trails, taking along by walking stick

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Ron DiLauro (aka PapaRon)

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Gee...that's a hard one Ron

..umm, I don't know..maybe the best way not to have another one is to not blow out the same disc post surgically? D Oh

_____________

Past history: L4-5 central disc herniation, left lateral HNP L5-S1, L4-5 recurrent post op herniation, L4-5 Grade II retrolisthesis,
Current history: Post laminectomy syndrome, scar tissue, permanent nerve damage, severe DDD, facet arthropathy, DJD, OA, chronic degenerative endplate changes

Back Surgeries: Microdiscectomy/ laminectomy,
2 level TLIF/Laminectomy w/ instrumentation
Meds: Methadone 30mg, Oxycodone 15mg, Dilaudid, Cymbalta, Zanaflex, motrin.

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learn to say "I can't do it"

That is a hard one for me...I have had really physical jobs my entire life,I was a seismographer for many years(a drillers helper,hole plugger,lineman,juggie,powderman,etc...)then I went into mining(blaster,drill helper,exploration geotech,lab tech,haultruck driver)In addition to that I have done my own yardwork,home maintenance,and played very hard as well.(have ridden motorcycles since I was 9,later 4 wheelers)And I would give anything to get on the end of a shovel and move drill cuttings all day,or clean my house do my yardwork and make a great dinner in one day! But...my body has been telling me no for a long time,and just recently my brain is finally getting a clue.I have to say NO.So if you can learn to say that,despite other peoples reaction to you,I believe that will help alot! That's my story and I'm stickin to it! Sagehen

_____________

acdf c5-6 1993, acdf c6-7 2004, shoulder surgery ( slap lesion,rotator cuff, impingement) 2005,lash hysterectomy March 08, alif l3-4 l4-5 w/hardware May 2008,
tear in l2-3 ,bone spurs l1-2, l2-3 PLIF L2-L3 April 2009,Diagnosed with carpal tunnel,cervical spondylosis,depression.Starting injections for additional cervical issues...Still dealing with lumbar problems.
all the conservative for years,Norco,flexeril,skelaxin, zoloft,soma,neurontin.
Boy,would I like to give Eve a piece of my mind!

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Nothing

After 15 surgeries I have come to believe there is NOTHING I can do to prevent them!

_____________

Cervical stenosis and myelopathy (most symptoms permanant), DDD, OA, 16 surgeries to date (including 3 level cervical laminectomy, bilateral knee replacements, A-C joint resections in both shoulders), 19 MRI's, and many many many cortisone shots and ESI's


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Never easy.

The predominant opinion for many here is that surgery may be the saviour to all the problems that we have, that may well be true or not, who knows. Even those who had had many surgeries still do not have the answer and why some work and others not will always be a mystery.

All surgery caries some risk and once equated to our current quality of life that minimal risk for positive change may well be an option, my condition itself determined what procedure I needed the fact that it did not work was more to do with me as an individual than the process itself. In that respect I would always support any process that may maintain or improve our symptoms, the finite improvements we are sometimes looking for are not possible with any procedures at times we are encouraged to think that anything is possible with surgery when it is not.

We need all our supporters to be positive and know the risk before we jump that leap of faith. We are all ever hopeful that any list would enable us to only use surgery as a last resort and wish those on this inevitable journey luck and success. I do not regret having my failed fusion done as life looking at the ground was not alternative, certainly all the suggestions will prove of benefit for the future and we would all like to think that in evading this last resort we had some influence.

Evidence here might suggest that multiple surgeries create separate issues at each attempt and nobody goes into any procedure lightly or without some trepidation.

Whatever works for you keep trying and looking for more?

Take care John

_____________

DDD.1990 Laminectomy, Failed spine fusion, hartshill rectangle RLS. 3 stents

Pain is inevitable, misery is optional. Sternbach et al
Pain is a more terrible lord of mankind than even death itself.
Albert Schweitzer 1953.
“It’s not things that trouble us but the views we take of them” Epitectus

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10 ways not to have back surgery

Well for me, I "PRAY"!! sweetpotatoe57

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Ron - I really enjoy the changing pics of yourself!

You always have a smile!

One of my ways, absolutely mindful fo what my back and legs are feeling, during every moment. I know what I can do and what I cannot just by being thoughtful.

I Walk - as much as I can stand and then I have down days where I take time to rest.

I stretch, even when I don't want to. I have stretching for bed and for the office chair and I only stay in the chair for 30 minutes max and then I am away walking.

I keep my self talk - pointing out that I am fine and that I have 3 billion blood cells, washing my spine with healing energy.

I know that I am blessed because I can still move.

A couple from myself.

_____________

25 years, sciatica, severe Central and Lateral Stenosis, L3-L4, DDD, Cervical C6-C7, and finally diagnosis confirmed Oct07 Chronic Pain, too cause no one treated the acute pain.
No surgery yet - but I am going for a consult.

I am not a Dr, only experience, living with this since the early 1980's. I thought for years that I would find a pill or exercise or some magic bullet to fix myself.

"Only when the last tree has died and the last river has been poisoned and the last fish has been caught we will realize that we can't eat money."
Chief White Cloud

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maybe glucosamine may

maybe glucosamine may prevent ongoing DDD.

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What I Learned, The Hard Way

I had a 2 level lumbar fusion in 2003 when my first daughter was 15 months old.

When I finally recovered from that I became pregnant (the reason for going through fusion in the first place). Baby Phoebe was a Godsend, but also a torture for my back again. It took a while, but my 2 discs under my fusion are shot.

Oh, of course as I felt better I was gardening, lifting, etc..... my own worst enemy, but at the time I didn't realize what I was doing to my spine.

Now that I have another 2 level fusion scheduled (discs are almost totally gone), I will not be so foolish and will watch how I move, what I lift, etc.

I wish I was more careful the first time, but I just didn't get it, or really, I did but my kids needed me and there are just too many awkward movements all day long.

Sorry if I am rambling, this struck a cord with me.

_____________

Lisa

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ways to prevent another surgery

Don't vacuum,rake leaves,or mop.ASK FOR HELP-something that is difficult for me.Slow down.It is easy to forget proper body mechanics when one is always rushing. Walk.SMILE at other's and treat people as you would like to be treated.Breathe deeply-it relaxes and oxygenates our body's.Decrease as much stress as you can.Realize what is really important.Eat properly.Don't smoke.Find back appropriate activities to keep from dwelling on pain. Don't twist to retrieve objects from back seat while in the car.Make a list of everything that increases back and read it daily.

_____________

L4-5 laminectomy
C4-5 fusion 2005
L4-5 fusion-2007

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Attitude

I never want to forget the sacrifices that my family, friends and self made to get my health back. I cherish every day I live without pain, and use that as a motivator to take care of myself. I worry that even this is not enough, and still live in fear of another injury. But my resolve is stronger than my fear.

How to avoid another surgery? Positive attitude. Believing in myself.

-Melissa

_____________

Female, 38. L5-S1 discectomy Jan '07, re-herniated Dec '07. Phys therapy, cortisone shots [Mar & May 2008], Previous meds: Topamax, Neurontin, Hydrocodone, Tizandine, Ibuprofin. Current meds: um... none. Whoa.

ALIF January 21st 2009: disc removal, decompression, carbon fiber cage with BMP+ cadaver bone, front plate & screws. Disc height restored (I'm now 1/2" taller!! Thanks doc!) Now I just have to contend with the nerve damage in my left leg, and building the strength back up (in between twitches / spasms - ugh!)

Went from 5 meds a day and unable to walk more than a few blocks (or stand more than a few minutes) to no medications, walking 2-3 miles/day and reclaiming my life.

You can visit Pity City but you're not allowed to live there.

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