I'm hoping someone out there can give me some input on the process of going to pain management. I had A/PLIF on Nov 13, 2013. The cage spacer inserted into the L5/S1 slot was a size too big causing the disc above it to fracture and collapse. I was diagnosed with the fracture/collapsing of this disc space three weeks post-op after having severe persistant pain (like my bum was going to break in half). To make matters worse, my mom died unexpedtedly on my 3rd day of hospitalization. When I was released from the hospital I had to immediately go and help my dad out with the arrangements. It ended up being a very nice service but because of all the pain and emotional overload, I believe it gave me a very poor initial healing period.I would be endlessly crying over my loss and the pain of my two-level fusion even with the meds prescribed by my NS . My regimen of meds is : 20mg oxycontin every 12 hours, 5-10mg of oxycodone every 4-5 hours and 5mg of valium every 12 hours prn I began water-therapy 4 weeks ago (two times a week), About 2 months post-op I noticed my whole body becoming "swollen"; knees, feet, legs, shoulders and neck. It wasn't too bad at the beginning but progressively worsened as time went by. I kind of ignored it blaming it on all the stress I had been going through. At each post-op exam I've had x-rays done showing "no change" with the healing of the fracture.. AT my last exam I told him about the body swelling and he tested me for auto-immune problems, hormonal and arthritic panels. All of the labe work came back with normal results. He started me on Ibuprofen 400mg every 6 hours for the swelling which has worked amazingly for the swelling but not for the fracture/back pain. So he has decided to send me to PM. Is he giving up on me or just can't prescribe these types of medications any longer? At this point he has no idea what is going on inside. My STD ran out two weeks ago and I don't have LTD as a backup. NS wrote letter to my manager keeping out of even part-time work for another 3 months. I am scared about my future. At four plus months post op, is it too early to worry about long-term expectations?
So long story short.......What can PM doc do that NS doc can't????
Thank you for taking the time to read this thread.