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Painkillers after a disectomy

RossJamesRRossJames Posts: 18
edited 03/15/2018 - 8:59 AM in Pain Medications

I'm having surgery tomorrow to relieve pinched nerves in my L4 L5 region by having part of my disc cut out and I am wondering what painkillers I'll be on from the moment I wake up.

I've been told that I'll be put on some but they didn't tell me what medication when I asked. 

I'm currently on 900mg of gabepentin a day (which isn't strong enough to manage my pain currently) and am wondering what I'll be given? Have any of you been through surgery before?

Drugs like Tramadol make me feel really sick so that's eliminated. I was asked in my pre-op assessment if I do drugs, I've occasionally done drugs like speed and cocaine on social events but I thought that was just asked in case you're a junkie which I'm not so I said I've never done drugs before to them. Will it matter that I lied? No drugs will be in my system, I last dabbled in 2017 lol. 

Just wondering really. I don't want to be fobbed off with weak opids like coedine for example. I'm hoping for morphine or something like it, would that be possible or am I expecting too much? I definitely won't ask for morphine by name as then I for sure won't get it. 



  • dilaurodilauro ConnecticutPosts: 13,434
    There are a couple of things you need to keep in mind.
    I've tried to combine several Spine-Health articles along with some of my discussions to prepare you for surgery and what happens after surgery.

    Are you ready for surgery?

    As far as pain medications in the hospital. As some of the articles in the above will indicate, the hospital . nurses, and doctors should already have your current medication list and any allergies. When you are in the hospital, they will make every attempt to equal the pain medications you currently take. Some hospitals use a PCA (Patient Controlled Analgesia) which allows the patient to administer pain medications into their IV. The interval allowed and dosage allowed is predetermine and can not be overridden by the patient. For most of my surgeries, the pain medication in the PCA was generally dilaudid, which handles moderate to severe pain. Depending on how long you are in the hospital, they will wean you off the PCA and onto oral format.

    The use of the PCA depends on the hospital and the time you are in the hospital.

    As far as you not admitting to taken illegal drugs in the past, thats more of a morale question for you. Will it show up? If you last used them in 2017, I would doubt it.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • martymarmmartymar Posts: 98
    edited 03/15/2018 - 12:39 PM

    If you get a micro or lam you will probably get the old standbys 7.5 Vic's or 10.325 oxy also if you plan on staying in the hospital depending on your pain level maybe the old push button morphine hard to say. Keep past drug use to yourself don't want to open that can of worms. After my first micro they didn't give me anything and the way things are going now it wouldn't surprise me, so be prepared. 

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  • After my Microdiscectomy I got 12 of the 5 mg oxycodone. Nothing more. Good luck!

  • A co-worker just had a one level fusion and was given five days worth of 5mg vicoden.  That was it.  At this point, I'd say it's 50/50 for anyone having surgery as to if they will get adequate pain relief. 

    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • Long-term pain medicine is typically prescribed by a pain management doctor anyway. No one should expect a surgeon to function as a pain specialist IMO.

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  • I had a laparoscopic umbilical hernia operation in January, and the surgeon gave me 30 10mg oxycodones to be taken 1-2 every 4-6 hours...I was so thankful to him at my follow up that I almost started crying...and thank goodness that he did because they surely were necessary...just brutal for the first three days...actually hurt more than when I got home after my single level fusion

  • My surgeon only gives 3 month supply of 10-325 PEROCET. The laws are changing so it will all depend. Id asked before what will you get when you go home! After 3 months you're still in pain I have no idea what to do. All my pm Drs say we don't prescribe meds! Next....

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