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I have severe L4/L5 herniation, with severe pinced nerve, arthritis in lumbar, and scoleosis.. Why c

i have been having problems with my back for about 7 years now. i just got an mri done three weeks ago, and they said i have severe herniation in my l4/l5 and my sciatica is pinched.. also, i have scoleosis and arthritis.. i have all the symptoms to these issues (and they are terrible!) there are times i tell my girlfriend i would rather kill myself then live with the pain i do. i was referred for neurosurgery and just saw the neurosurgeon today. he said that surgery is a must and needs done right away. however, he said he can't do it yet because i need a cat scan done because he wants to know how bad the c a lcium build up is on my discs. (he needs to know if the herniated discs are soft or hard) he said he thinks they're hard as a rock and that will make surgery very hard and complicated. so now i'm waiting for the cat scan. now my problem is, they keep prescribing me muscle relaxants, anti inflammatory, and steroid pills. why am i not getting narcotics!?!?!? i keep telling them all the stuff their giving me is for nothing, they're not helping with the pain, but to no avail, they give me more of the same stuff! (cyclobenzapr, flexaril, meloxicam, prednisone, diclofenac) i'm ready to just give up! :( i feel like i should be getting percocet or something!? and i know the doctor knows i'm hurting cuz he said today ("i see 50-60 mri and xrays a day, and your the worst i have seen in the last 6 months!!!) wow... so why can't i get real painkillers?!?my pain is so bad i can't make it through the day. i wanna give up, and i have 3 kids to take care of. i don't have an addiction or history of substance abuse at all, so that's not a problem, a nd i'm 24. idk if i should just come out and say, i need narcotics/painkillers or not!?!? because this other stuff ain't coming even close to cutting it.. can someone please help!?!?!?

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if the doctor says that your surgery has to be done right away, then what is the ct-scan for? hard or soft discs?, i have never heard of anyone talking about that or any doctor making mention of that when it comes to surgery.
if the doctors are only prescribing muscle relaxers anti inflammatory medications (which steroids is one) then it would seem that your doctors do not recognize the pain level you are in.
the statement, worse mris in 6 months, that has almost become a standard line for many doctors. those are only word.s. what is important, is the type of herniation you have.
its where its happening, location, etc.. not size along. since you have been having these back problems for 7 years, what happened that you went and had a mri? one of your doctors had to see a reason to approve that. did anything happen recently to cause your current problem?
no doctor is going to prescribe any narcotic unless they feel they are justified in doing so and can provide the medical rationale in prescribing that. if your doctor is not prescribing that, then, its simple, ask them why? we really cant help you in getting your doctor to order pain medications

based on
cowboysnation91 said:

there are times i tell my girlfriend i would rather kill myself then live
i should suggest that you call one of these numbers
suicide help resources
suicide hotline numbers
usa: 1-800-784-2433
uk : 08457 90 90 90
roi: 1850 60 90 90
suicide hotline numbers for canada (url link)

welcome to spine-health

one of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. it is so very difficult for anyone to respond when we do not have enough information to go on. this is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.

so many times we read about members who have different tests and they all come back negative. the more clues and information you provide, the better chances in finding out what is wrong, the fact that your test results are negative does not mean that you are fine and without any concerns. many times it takes several diagnostic tests and procedures to isolate a specific condition.

here are some questions that you should answer:
  • - when did this first start? . year, your age, etc
- was it the result of an accident or trauma?
- are there others in your family with similar medication conditions?
- what doctors have you seen? (orthopedic, neurosurgeon, spine specialist, etc)
  • . which doctor did you start with? ie primary care physician . who are you currently seeing?
- what conservative treatments have you had? which ones?
  • . physical therapy . ultrasound / tens unit . spinal injections . acupuncture . massage therapy
- what diagnostic tests have you had? and their results (mri, ctscan, xray, emg, etc)
  • . summarize the results, please do not post all details, we cannot analyze them . how many different tests have you had over the years? similar results?
- what medications are you currently using? (details, dosage, frequency, etc)
  • . name of medication . how long have you been using this? . results
- has surgery been discussed as an option? (if so, what kind)
- is there any nerve pain/damage associated?
- what is your doctor’s action plan for treating you?

providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

please take a look at our forum rules: forum rules

i also strongly suggest that you take a look at our faq (frequently asked questions) which can be found at the top of the forum menu tab or by going to faq there you will find much information that will
  • - help you better utilize the spine-health system- provide pointers on how to make your threads / posts- tips on how to create your avatar (your picture), posting images, etc- general pieces of valuable information

please remember that no one at spine-health is a formally trained medical professional.
everything that is posted here is based on personal experiences and perhaps additional research.
as such, no member is permitted to provide
  • - analysis or interpretation of any diagnostic test (ie mri, ctscan, xray, etc)- medical advice of any kind- recommendations in terms of medications, treatments, exercises, etc

what could be good for someone could spell disaster for another.
you should also consult your doctor to better understand your condition and the do’s and don’t’s.

it is very important that new members (or even seasoned members) provide others with details about their condition(s). it is virtually impossible to help another member when all the details we have are

i’ve had this for years, it hurts, i cant move my shoulder – what could this be, what treatment should i get?

diagnosing spinal problems can be very difficult. in many ways it’s like a game of clue. especially, when the diagnostic tests come back negative – no trouble found! then it’s up to the patient and the doctor to start digging deeper. the doctor is like a detective. they need clues to help them move along. so, you as the patient need to provide the doctor with all sorts of clues. that is like it is here. without having information about a condition, its impossible for anyone here to try to help.

specific comments :

personal opinion, not medical advice :

--- ron dilauro, spine-health system moderator : 08/04/15 23:56 est



  • There are medications that are used to treat nerve pain. Anti inflammatory meds are usually given to people with arthritis since they help reduce inflammation and irritation. Steroids are given for the same reason.
    Since you are being told that surgery is necessary, it may also have to do with pain relief post op, since you will need pain relief post op and it is far easier to manage pain without having a patient who is tolerant to pain medications.
    Surgeons typically don't provide pain medications prior to surgery and only manage acute post op pain for anot two to three months post op.

  • simplysteph711ssimplysteph711 Posts: 2
    edited 08/10/2015 - 8:30 PM
    i started "pain management in 2011, i've been on pain killers until presently!!!
    i am 2.5 weeks post fusion. i will need to get off these pain killers, and since it's been so long, the withdrawal will be enormous! i'm scared of suffering. i will ask for help from my dr, but i'm scared to death of that!!! i wish i was never given them in the first place! i'm a 37 yr old mom of three, military wife with l4/l5 severe stenosis, facet arthr. double sciatica!!
    after my fusion ... while in the hospital, i was in so much pain!! the narcs they gave didn't work because my tolerance was so high!
    get a tens unit, that will interfere with the pain signals to ur brain.... works well with sciatica! get that "as seen on tv" thing for sciatica pain, it helped me!
    my pain in my legs felt like daggers with each step everyday for 2 straight years!!! i'm now 2.5 weeks with no sciatica pain after the fusion. still on pain meds...... i hate them!
    sorry for the babble! i feel so alone in this battle

    welcome to spine-health
    please click on link for helpful information! ~moderator, savage
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  • dilaurodilauro ConnecticutPosts: 13,526
    Been on narcotics , it's more about the plan on how to reduce them and eventually eliminate them. No need for and real kind of physical withdrawal. Done correctly and with your doctors help you may never experience withdrawal
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • I would love to hear more about your story with pain meds. Have you gotten off of them before? How long were u on them and what dosages ? What plan did your Dr have?
    Any advise helps
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