Leg Pain After Fusion Surgery

Leg Pain After Fusion Surgery

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cruz1930
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Leg Pain After Fusion Surgery

Hi everyone, my mom got Fusion surgery in August of 2011. It has been 8 months and now she has developed this pain on the muscle above her femur. On both legs. the pain was also present on her arms above the elbow but seems to have diminished. She went back to her orthopedic surgeon and he prescribed Lyrica and these other pills that you take six the first day, five the second and so on. She has not yet taken the Lyrica and we are not sure she should. She has this pain that she says shoots or strikes her muscle area when ever she puts weight on each leg while walking. She is 81 years old and we really don't want her taking this much medication at her age. The doctor has ordered additional MRIs of the upper and middle back. He said he saw some "closing up of the cannal" on the previous MRI. The issue is that she did not have this pain before and was evolving great until about a month or so. She was already walking very good and was upbeat.

Please let us know if this type of pain has bothered anyone else. We are not sure if we should change doctors at this time. It is painful to see her not able to walk again after she had already had her hopes up.

Thanks,

CO

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mandyreese1
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Lyrica

I had a 360 spine fusion in May 2011, back pain is worse and I am suffering leg pain, constant aching. My doctor prescribed me Lyrica, and it helps so much. I can sleep better at night. However, I am a nurse and I do suggest that your mother start out at the lowest dose twice a day and see if it helps. It can cause edema (swelling) in the lower extremities as a side effect, so you will have to watch for that. But, if her doctor recommended it, I would def. try it, because I cant live without it now. It even helps some of my back pain. Just monitor for side effects and give it a shot. I know you dont want her to take more medications, but Lyrica really works. I have had different problems develope since my surgery, for months I just thought it was surgery pain, but never got better just worse, They have scheduled a CT, MRI and a nerve conduction test (EMG) might wanna ask your doctor about that test also. Just some suggestions. Good luck....

wjmcburnie
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Lyrica

I too was prescribed Lyrica for leg pain following a spinal fusion. I had to build these up slowly - not down as your mother has been told
I didnt find these any help at all and was told to stop taking them - by taking less each day rather than just stopping immediately
I have now been told that I have permanent nerve damage following my fusion
Either because the nerve was compressed for too long or because of a build up of scar tissue
The only thing that I find takes the edge off the pain is Tramadol
I am now waiting to have a second root nerve pulsed radio frequency jab to see if this will help
The first one (last year) helped for a couple of weeks but then wore off

doubleusn
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TLIF on 6/16/11 Nerve pain

TLIF on 6/16/11

Nerve pain came back 9/01/11

Neurontin works but my system does not tolerate it for more than a week.

Am on Nortriptlyline now...it helps.

That and/or Amitriptyline may be options if Neurontin and it's big brother Lyrica are not options.

Good Luck Smile

Jun 2011 -TLIF @L5-S1
Mar 2012 -NonUnion @L5S1
May 2012 -Multi Level Discography
July 2012 -XLIF 2Cages @L3L4/L4L5
Aug 2012 -All New Hardware @L34L45/L4L5/L5S1
Mar 2013 -FBSS = Pain Management until they figure it out.

hammons1998
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Joined: 01/02/2012 - 8:44pm
question about your post

I have leg and foot pain following spinal fusion and cage revision in 2/2011. Now I have a bone fragment rubbing the nerve root. Doc wants to do surgery and rotor-rutter around opening of where never root comes from. I've tried both Lyrica and neurontin. I am allergic. Vicodin is like tylenol....no relief. Do you know if these other meds you've taken are in the same family as lyrica and neurontin? Are they for nerve pain? How did they REALLY affect you and how well did they work for you if at all? Thanks for any info you can supply.

doubleusn
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The xxxTriptyline drugs are

The xxxTriptyline drugs are both old school
TCA AntiDepressents. They are used at doses lower than what a starting AD dose would be.

They do help, but they are no miracle cure. More just a reduction if anything. I find they work better for me than Neurontin, as that makes me very very anxious, and a day with chronic pain doesn't need that Wink

Like all they have their sxs. Theirs are sedation more than anything.

With neurontin my memory was getting zapped as well as the sedation from the constant dosing (poor bioavailability)

I only have to take the Nortriptyline once at night.

If anything it may smooth over some of the poor mood that chronic pain gives us.

As always, your mileage may vary...

Jun 2011 -TLIF @L5-S1
Mar 2012 -NonUnion @L5S1
May 2012 -Multi Level Discography
July 2012 -XLIF 2Cages @L3L4/L4L5
Aug 2012 -All New Hardware @L34L45/L4L5/L5S1
Mar 2013 -FBSS = Pain Management until they figure it out.

cruz1930
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Joined: 04/05/2012 - 1:06am
Leg Pain After Fusion Surgery

Thank you all for your kind words and comments. It helps to know that my mom is not the only one with this issue although its not a good thing to be happening to anyone.

She has now only pain in one leg. The left one and she can hardly walk. What is strange is that laying down or sitting it really doesn't hurt that much. Its only when she stands and tries to walk.

She has another MRI this coming Thursday and will schedule a follow up appointment with her doctor.. I will take notes on all the comments you posted to ask the doctor.

I will keep everyone posted.

Thanks again..

Bradley for CO

phurrballe
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wjmcburnie

wjmcburnie wrote:
I too was prescribed Lyrica for leg pain following a spinal fusion. I had to build these up slowly - not down as your mother has been told
I didnt find these any help at all and was told to stop taking them - by taking less each day rather than just stopping immediately
I have now been told that I have permanent nerve damage following my fusion
Either because the nerve was compressed for too long or because of a build up of scar tissue
The only thing that I find takes the edge off the pain is Tramadol
I am now waiting to have a second root nerve pulsed radio frequency jab to see if this will help
The first one (last year) helped for a couple of weeks but then wore off

Boy, your story sounds like it could have been written by me. Except I had a special "gift" from my fusion surgeon, dural nerve tear (leaking spinal fluid), that needed surgical repair 2 weeks after my fusion surgery. Other than that, we are on the same path, including the tramadol. I tried to cut back but it works the best for my pain when taken with prescription strength ibuprofen.

I am interested in the root nerve pulse you had - is that nerve ablation? I have heard such hugely positive things about this procedure. Any additional info that you can provide would be wonderful. Thank you.
Lee Ellen

doubleusn
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My Nortriptyline was doubled

My Nortriptyline was doubled today, I'll report back if it keeps batting the neuropathy down.

Jun 2011 -TLIF @L5-S1
Mar 2012 -NonUnion @L5S1
May 2012 -Multi Level Discography
July 2012 -XLIF 2Cages @L3L4/L4L5
Aug 2012 -All New Hardware @L34L45/L4L5/L5S1
Mar 2013 -FBSS = Pain Management until they figure it out.

wjmcburnie
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Joined: 08/02/2010 - 4:34am
Radio frequency block

As requested above -

I had the radio frequency block last Tues and it was horrendous
I didn't get a sedation, as had done previously and so felt everything, thank goodness I couldnt see it.
Had a dead leg that evening which wore off and then went back to normal -pain all the time
On Monday morning(6 days later) I noticed something was different when I got up, and it took me some time to realise that I wasn't in pain!
It was bliss, but short lived as only lasted until lunch time
This was repeated for a couple of hours on Thursday and so far that has been it

The Dr said the nerve will basically keep trying to reset itself, and I may feel funny sensations like twitches etc
and he also said it could take up to 12 weeks to work fully, if at all
So fingers crossed

Have you found anything that helps with the pain?
I just seem to be popping more and more pills, and wonder what on earth these are doing to my insides

cjp1986
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Joined: 08/23/2012 - 11:32am
leg pain after 2 level lumbar fusion

i had 360 (anterior and posterior) lumbar fusion of L3/4 and L4/5 fusion, done on 9-17-12. I just got home on yesterday, ( 9-11-12). I too woke up after surgery screeming in pain and paralyzied left leg. I thought i would be like this for life, and sobbed like a baby. The spinal surgeion said this was nerve damage and would get better with time. On day 5 after surgery, I was sent to a inpatient facility for rehab of left leg. I was in rehab from 9/21 until 10/11/12. The rehab department did nothing for me.
They also let me fall and break three toes on my left foot. I had to see a Orthopedic doc for the leg pain, weakness, and toe fractures. he put me in a black shoe, and a leg brace to support the paralyzied leg. PT did not even try to walk me until 7 days befor discharge.
I take neurontin 300mg 3 times a day and Percocet 10mg every 6 hrs for pain. I can now feel my leg, but it turns cold at the thigh and down to the calf, every so often. Then i can not walk or bear weight on the left leg until that cold feeling and numbness goes away. My pain never goes below a 6 on the pain scale. Today a PT guy came to give me 10 visits of at home therapy of the left leg, to strengten it and get me to walking on the walker. My doc says it is nerve damage from the fusion surgery and the feeling will come back over time, it may take up to 12 months.
I wish you all the best. I will be praying for you all as well as myself. The lumbar fusion did help my Right hip and thigh pain so i guess you can say that the surgery was a success for that, but it has caused me so much trouble with my LEFT leg. I was not ready for this at all. What a surprize.
And the neurontin makes me so sleepy and soooo forgetful.

Carol in atlanta.

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