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iSpine Discuss frustrated with meds-- 1 week post op in the Main forums forums; I am one week post op laminectomy/discectomy and then another explorative surgery to relieve extreme inflammation from the previous ...

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Old 02-11-2009, 01:27 AM
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Default frustrated with meds-- 1 week post op

I am one week post op laminectomy/discectomy and then another explorative surgery to relieve extreme inflammation from the previous procedures. Now my docs want me to start decreasing narcotics. I have been doing this all along but they want me to take tylenol-- which does absolutely nothing for my pain. I'm not trying to be a baby and I know the downfalls of narcotics as I am a social worker but going from Morphine to Oxycodone to Tylenol is somewhat extreme. There must be another option?? Sorry to moan but I still have pain (yes it has decreased and I have decreased meds). Does anyone else have these experiences or suggestions on how to manage the pain?? Thanks for all the help as I am still new to this site.

Sarah
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31 Year old social worker
work injury January 2008
Have undergone PT, epidural injections without success
2008 MRI/discogram/CT-scan confirm damages L4-L5 herniation L5-S1 annular tear and protrusion
Jan. 2009 Yale-- Dr. Yue--emergency discectomy/laminectomy L4-L5 exploratory surgery postop 1 week due to increased pain -- swelling complications pressing on nerve roots
Possible candidate for 2 level Pro-Disc

Sarah G.
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Old 02-11-2009, 01:39 AM
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Angry Cutting Meds After 1 Week Post Op?

Sarah,

I'm a bit surprised that your doctor is cutting you back on pain meds so quickly after surgery. I was on Oxycontin & Percoset for 3 weeks after my fusion surgery. I'm off of the Oxycontin now but still on the Percoset & using a pain patch.

Do you have a pain management doctor? If not, perhaps your surgeon could refer you to one? Or maybe you can get a prescription for a Lidocaine patch or Codeine?

I don't see how they can expect you to recover comfortably if you are still in such pain. I agree that Tylenol just doesn't cut it.

Karin
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Disc Bulge C4/C5, Disc Degeneration T11/T12, Bi-Lateral tears L5/S1, Diagnosed w/ Lumbar Disc Derangement w/ Radiculopaphy. Treatment: IDET, Percutaneous Discectomy, SI Joint Injection, Facet Block. All failed. Empire BC/BS Denied Coverage for ADR-lost all of my appeals. MVP also denied coverage.

Anterior/Posterior Fusion L5/S1 -1/20/09
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Old 02-11-2009, 02:09 AM
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Default medication

Thanks Kim I thought maybe I was just being a baby about the pain but Tylenol never has worked for me for anything. Thanks for making me not feel like I'm crazy
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31 Year old social worker
work injury January 2008
Have undergone PT, epidural injections without success
2008 MRI/discogram/CT-scan confirm damages L4-L5 herniation L5-S1 annular tear and protrusion
Jan. 2009 Yale-- Dr. Yue--emergency discectomy/laminectomy L4-L5 exploratory surgery postop 1 week due to increased pain -- swelling complications pressing on nerve roots
Possible candidate for 2 level Pro-Disc

Sarah G.
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Old 02-11-2009, 05:26 AM
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Sarah,

It is a real red flag when i hear doctors trying to get patients to go down to a medication like Tylenol one week post-op. My spine doctor (neuro) let me taper off pain medications slowly and when I started getting an increase in pain at six months post-op ADR surgery, he said I could start taking narcotics again. I haven't had a problem with medications with him which really makes me more relaxed knowing that I don't have to justify my pain levels to my doctor.

I read that only three percent of people who take medications for pain have a problem with addiction. We might become tolerant to medications as a natural physiological process but we take medications for pain and not for the "high". Actually, pain meds do not give me a high at all, they just help the pain.

I did go to an orthopaedic surgeon before my surgery that told me he wanted me to get off pain medication 30 days after fusion surgery and that really made bells go off in my head, knowing that is kind of a blanket statement about pain and pain medication.
That turned me off that doctor. Plus the fact that he dismissed ADRs.

I would tell your doctor: "Don't you think I will heal better with my pain under control?" and "Isn't it important to taper off these medications slowly?"
These are two legitimate questions that a doctor should be able to address.

If he balks, maybe get some info off the internet about pain control and healing. Everyone heals on their own schedule and pain is subjective. Your pain is your pain and if you need to control it, that is your right as a patient. Any doctor that does not try to help you control pain, is not a good doctor.

runner
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Old 02-11-2009, 01:09 PM
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Amen runner. Everything you said absolutely is true. I already don't like this doctor. I think you should ask for a referral to a few pain management doctors, so you have a couple of options to pick from. Switching to tylenol one week after surgery is absurd. You're not crazy Sarah. Your doctor is.

Cindylou
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bicycle accident 6/01: 2 compression fractures @ T12-L1; vertibroplasty; 4/06: right hip labral tear & arthroscopic repair; 4/07: lumbar prodiscs @ 3 levels, L3-6 by Dr. Bertagnoli; 7/02/08: ALIF L6-S1; 7/30/08: reopened to remove bone cement, leaked onto S1 nerve root; 8/08: pulmonary embolism, double pneumonia, collapsed left lung, pleurisy, pleural effusion; ALIF fusion complete; 3/10/09: SI Joint Fusion by Dr. Stark; Jury still out.
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Old 02-11-2009, 05:11 PM
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Ditto everyone,

Get yourself a pain management doctor. Their concern is your pain!

Just for the telling, I was on Dilaudid for 6 months. I had no problem slowly getting off of it.
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