Pain management thoughts after a posterior cervical to thoracic fusion:
I hope to reach someone who is getting a posterior fusion. (7 level C2-T2) can't stress enough about getting your dr.'s words (directly) when it comes to anything. I went to an excellent surgeon and I am nearly 6 weeks posr-op. This was an horrendous surgery pain wise for several weeks after the procedure. With this surgery you are in the hospital for a few days. Prior to the surgery I asked what the pain management was going to be due to hearing others on this sight. The NURSE said for the first few days I would be given morphine or dilaudid. Then switched to oral. When I came to I was alright thanks to the anesthesia. Then the pain hit. It truly was excruciating. Felt like each muscle fiber was being torn off. I know pain due to my face up 9lb 10 oz baby who got stuck after being induced. With that I was able to get an epidural. This pain you just can't imagine. I was given 10mg of oxycodone every four hours and then two hours later a lortab that was given every four hours. I thought there was a mistake. The nurse called and spoke to the surgeon and he said no, this will be the best overall for the patient. Never again. I was allowed xanax every four hours for smoking as needed. Nurse came back to me with a plan thank God. She started me on that with the oxy. Kept me sleeping. What my Dr. did was cruel. I made it through and after a few days went to a rehab hospital. Without me saying anything the dr. changed my pain control to 15 mgs. of the oxy every three hours. I will say that I'm recovering well and at home getting my stamina back. Pain is controlled well post operative by my Dr. With Norco 10/325s. That same nurse also told me my neck brace would be off in 6 weeks. After the surgery the surgeon told me 12 weeks 24/7. The brace isn't too bad if you can sleep with your head elevated in either a hospital bed or with lots of supported pillows like memory foam. I was told my feather mattress cover would be good and has been great. In summary I just want others to make sure you get your dr. to prescribe IV pain meds. I also recommend that you go to a rehab hospital and get some memory foam pillows. I'm doing well still have some rough spasms and don't have very much stamina. Three to four hours is about all I can stay up out of bed, butt yesterday made it eight. It's rough but you just have to go easy on yourself. R set when needed.