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Pain management after fusion surgery

anjuanaanjuan Posts: 236
edited 06/11/2012 - 7:24 AM in Back Surgery and Neck Surgery

If you had a pain management physician prior to your fusion surgery, who perscribed pain meds for you after surgery? Your surgeon or pain management Dr? I signed a contract with my pm physician that I wouldn't get pain meds from other physciains. Was this a problem for anyone?

I do have a call in to my pm Dr. to double check everything. He referred me to my NS, and he said he would do the PM for me at the hospital. Well, my NS has chosen to perform my surgery at a hospital where my pm physician doesn't have privaleges (he prefers it, says it is a better hospital, and it has all private rooms). My PM dr isn't the best one I have ever had, so it doesn't bother me that he won't be doing my pm at the hospital.

Thanks for your input. It is now one month until my surgery so I am starting to fret over the details. :S


  • I also signed a contract so I know what you mean. I am having my ALIF/PLIF fusion with hardwear in 7 days! I am fretting a little too but the surgeon will handle your meds since he is responsible for you while in the hospital. If you want to ask for some post-op meds from your PM doctor ask for them prior to surgery so you have some when you get home. I am sure the surgeon will make sure you have what you need but the PM doc will probably be the one to handle your meds and your eventual withdrawal when your ready. Relax, make a list of what you need to do and try and do a little each day. See the list of post-op items to have on this website. If you want you can private message me. I plan on keeping up with the posts as much as I can after my surgery. Best Wishes
  • Hmmm. I never had a PM doctor. My specialist has taken care of pre-surgery meds and post-op meds. There has been no problem getting any of them. Is there a reason for getting a pm doctor? Just curious.
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  • My surgeon did pain management for six weeks post-op, then I went back to my PM doc. I think its rare to find surgeons that want to do any long-term management if there are PM docs available in your area.
  • Love your name!

    Thanks for the info...my surgeon doesn't usually prescribe pain meds after 6 months post-op. A pm has never been mentioned. If I still need the vicodin after 6 months, I will try my pcp first and then look into getting a pm. Again, thanks for the input.
  • Your surgeon is best suited for prescribing meds after surgery. If your PM has a problem with that - fire him. I've been through a couple PM doc's until I found one that I felt comfortable with. He is very conservative with medications, but understands situations happen. Plus, I've never had to sign any contract. I am supposed to report any other pain medicine I get to the PM. Take for example, if you get hurt at home and break your arm. You go to the hospital and they give you a pain medication. That in itself isn't a crime of any type. But you do need to call your PM the next day and let them know what happened. Not to mention, your not supposed to take a prescribed medication intended for one purpose for another. Taking something like Lortab for pain that Tylenol 3 can handle is just bad medicine. (no pun intended)

    Your surgeon will typically give you a couple rounds of meds post surgery, but after that, they will refer you to pain management. It isn't because they want to pass on problems, but instead is driven by DEA regulations which require strict adherance.

    Hope this shed's some light!

    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
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  • Thanks for the input. At least I'll be prepared if I still have pain issues 6 months post-op.
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