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Surgical Outcomes and Blogs Discuss Nairek L5-S1 ALIF Fusion January 2009 in the Main forums forums; Nairek- I am post op two weeks from a lami/discectomy and have many of your same issues so I' ...

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Old 02-17-2009, 08:25 PM
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Nairek-
I am post op two weeks from a lami/discectomy and have many of your same issues so I' m thinking that they must be pretty "normal" as the body recovers from such trauma. Aren't those steri-strips such a pain when they catch on to something!!! The doctor told me they would fall off but I finally had my husband cut them down a little at a time and eventually peel them off. It is hard to tell pain from incisions and pain that was there beforehand. I also have that issue. I still hurt from the incision in my back but I also have other back pain at times. In addition, leg pain that was there before surgery comes and goes as well. I think that we are still early in the healing process and just have to give it time. Wishing you luck in your recovery!

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 03-15-2009, 07:10 AM
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Unhappy 6 Week Post-Op Visit

I had my 6 week post op visit a week & a half ago. Sorry for the delay in the update. I've just got a lot going on along with an increase in discomfort when I sit for too long. I basically have good news/bad news.

The good news is that I had x-rays taken & they show that the cage is right where it should be. It would have been nice if I was able to see the x-rays that were taken but I guess for whatever reason, the doc just doesn't do that. I know, I should ask but I didn't. I just take the word of the doc.

I seem to be doing fairly well since the surgery. The doc seemed happy with my progress. So much so that he didn't prescribe physical therapy & said that I can go back to work whenever I want. Here's the problem though. The new pain that I have in my back since the surgery hasn't let up. As a matter of fact, it's more intense now. On top of that, when I sit or walk for too long, I get a burning feeling in my right foot & pain in my lower left buttock area. Now when I told my doc this, he dismissed it as something that will go away. It's probably still being caused by the muscles in my back being cut. I'm also still dealing with pain/discomfort in my abdomen if something touches it. I hope that goes away really soon. (It actually bothered me to wear jeans the other day. )

So I went from his office to my pain management doctor's office. I lucked out that I was able to see him that day. It saved me & my husband $60 in train fare

I explained to my PM doc that the Lidocaine patches he prescribed do nothing for the "new" pain. When I showed him again where the pain was, he tells me he's positive it's coming from my SI Joint. Sacroiliitis strikes again. The pain feels like I am being stabbed or like it's a nasty burn. It's gotten so bad that it hurts to sneeze, lift up my left arm, & believe it or not, even a chill will set it off. So it's back to NYC this Wednesday & we're going to try an SI Joint injection on the left side. I am praying that this works. Otherwise I swear I am going to have a nervous breakdown!

I then tell my PM doc about the weird burning feeling that I am getting in my right foot. Now before I had the fusion, that same foot was numb & tingly & all sorts of whacked out. After the surgery I was just dealing with the warm sensations. When I was in the hospital, they couldn't explain why I was having that reaction. My PM doc took a good look at both of my legs & feet & was really quiet. So I asked him if maybe he thought it was the nerves just trying to re-adjust. Dead silence. I'm thinking great, he doesn't know what it is either. So after another half a minute of silence, he says to me don't shave your legs for a few weeks. I just looked at him like dude, you have got to be freaking kidding me right? So I asked him why. He thinks that I may be suffering from Reflex Sympathetic Dystrophy. He said that it happens after surgery & he's not sure if this is something that I have or not but the hairy leg thing or lack there of is a symptom of it.

So right now I'm just kind of at a loss. I'm stressed out. Between the surgery, having to put a beloved pet to sleep, the after affects of this surgery, disability checks not coming in, & the possibility of having to move because "The Evil Empire" (aka my husband's job) is sending his job over to India, I'm afraid that I'm going to have that nervous breakdown that I spoke of before.

I know that I just need to chill out but that's easier said then done. I'm going to shut up now. I just needed to vent. Thank you in advance for understanding.
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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

Last edited by Nairek; 03-15-2009 at 07:20 AM. Reason: Had a brain fart & misspelled something ; )
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Old 03-15-2009, 01:57 PM
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Nairek, I'm sorry that you are still suffering. I do believe it is still very early days for you yet, since surgery. That said, I know that is easier said than done. "Waiting" seems to be something we spiney's do alot of. I am so sorry for the loss of your beloved pet as well. And, are you saying you might have to relocate to India?? You do have a ton on your plate. Are you on an anti-depressant? I would highly recommend it if you aren't, or increase your dose (per doctor's instructions) if you are, temporarily. Hang in there. We are here for you.

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 03-15-2009, 06:34 PM
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WOW Karin. A lot on your plate right now. I hope that the symptoms disappear after awhile more of healing. Did they recommend Lyrica for the nerve pain? That sure was helpful too me in my first year of recovery. I hope things start looking up for you. It may be a good idea to discuss upping the dosage of the anti-depressant for awhile. make sure you discuss this with your Primary Care Physician so it does not cross react to other medications you may be on.

Hang in there.

Terry Newton
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1980 ruptured L4-L5
1988 ruptured SI-L5
1990 ruptured C5-C6
1994 ruptured C6-C7
1995 Hemi-Laminectomy C5-C6, C6-C7 Mayo Clinic
Bicycle Accident 2004
MRI, EMG, Facet Injections, Epidural Blocks, Lumbar Discogram.
Stenum Hospital Surgery November 4, 2006
Prestige Disc C5-C6, C6-C7
Maverick Disc S1-L5, L4-L5
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Old 03-15-2009, 07:49 PM
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Karin,
I wholeheartedly agree with Cindylou and Terry. Cocktails of drugs are very helpful during the recovery especially with the symptoms you are having. Being in less pain can help you heal faster and different drugs can effect the different symptoms you are having. Feeling like you are going to have a nervous breakdown is not good. We know that you are venting but you must be stressed by all you are going through and 6 weeks is not that long after having surgery. BTW I think that your doctor should show you your x-rays. That was the first thing my doctor did at the 2 week visit. He wanted me to see the bone, the pins, and screws etc and how they were placed. While your nerves are healing lyrica or nuerontin can help. An antidepressant may help with the stress and your pain meds should help with the pain. I am not sure what you are on right now? Maybe you can call your Drs. instead of a long train ride into the city. Sitting still for long periods of time is not that great, walking would be more helpful but if you are having pain from walking too then maybe shorter walks will do. I was prescribed a muscle relaxer before surgery to help with muscle spasms and I have used it after the surgery when i feel tightness in my muscles. I also think when you feel really stressed you should try to relax and maybe visualize something peaceful and relaxing. Take deep breaths and try to think of things you love to do that are fun. Try to stay in that peaceful pain free place. I know this is harder said than done but it may help. I know when I am stressed all my muscles tighten up and make everything worse than it really is. Is there someone you can talk to? Any family member who can be your confidant. I know that your husband must also be stressed thinking his job is going overseas. What a bummer. We are all here for you too so vent away. I am sending good thoughts your way.
Phylly
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Fall on tailbone causing sciatica and back pain April 05
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Discogram concordant pain @L4-S1 Aug. 07
Prodisc ADR's at L4-S1 November 2007
Foraminotomy July 08 for Sciatica
Continued problems and back pain worsened
Prodiscs removed and discs fused at L4-S1 Feb. 09
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Old 03-15-2009, 08:09 PM
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Quote:
Originally Posted by Terry Allen Blackburn View Post
WOW Karin. A lot on your plate right now. I hope that the symptoms disappear after awhile more of healing. Did they recommend Lyrica for the nerve pain? That sure was helpful too me in my first year of recovery. I hope things start looking up for you. It may be a good idea to discuss upping the dosage of the anti-depressant for awhile. make sure you discuss this with your Primary Care Physician so it does not cross react to other medications you may be on.

Hang in there.

Terry Newton
Terry,

Indeed, I have a lot going on. Of course my life is always full of some kind of drama. Kinda sad that it almost seems normal to me.

I have to go for an SI Joint injection on Wednesday. Hopefully it helps with some of the issues I'm having. When I go back for an office visit with my PM doc, I'll ask him about the Lyrica. I was taking 25mg once per day before bed up until 2 weeks before the surgery. I wasn't able to function on it if I took it during the day hence why I'm a tad hesitant to go back on it again.

We'll see what happens. I'm just taking it 1 day at a time for now.

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 03-15-2009, 10:10 PM
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If Lyrica didn't work for you, have you tried neurontin? They are similar drugs. I take neurontin and I don't have any side effects, but I know some people do have weird side effects from different drugs. You might give that a try.

Six weeks is very early, but I can understand wanting to start feeling better now. I hope that things get better for you very soon. Take it slow, and try to focus all your energy on healing.

That sure is a lot of stress you've got going on. If your husbands job moves, but you are not thinking of moving with the job, does that mean there is a job in Florida for him? What about for you? You also must be worried about the follow-up care that you might need, though hopefully that won't be an issue. I hope everything works out, in the most stress-free way possible.
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46 years old. 12-15 years of intermittent pain, 2 years with constant pain.

DDD, L4-5 and L5-S1, pain confirmed by discogram.
PT, ESI's, Facet injection and block, Acupuncture - all no help.

2-level (Prodisc-L) ADR surgery with Dr. Bertagnoli, May 26, 2009.

Currently taking Opana-ER (tapering off) and oxycodone
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Old 03-16-2009, 05:59 PM
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Karin,

Tried posting this yesterday but ((&%^#$*. When you have so much to deal with you simply can't think straight. Your pain is controlling your thoughts and though you don't like the way they make you feel, perhaps an anti-depressant will get you to a better place. No one likes taking drugs, and more drugs and yet more still but sometimes we just have to bite the bullet and give in, undoubtedly feeling better and chastising ourselves for waiting so long.

Pain attacks our existence and we have to fight back anyway we can. I wish you better days,

Dale
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Old 03-15-2009, 08:02 PM
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Quote:
Originally Posted by Cindylou View Post
Nairek, I'm sorry that you are still suffering. I do believe it is still very early days for you yet, since surgery. That said, I know that is easier said than done. "Waiting" seems to be something we spiney's do alot of. I am so sorry for the loss of your beloved pet as well. And, are you saying you might have to relocate to India?? You do have a ton on your plate. Are you on an anti-depressant? I would highly recommend it if you aren't, or increase your dose (per doctor's instructions) if you are, temporarily. Hang in there. We are here for you.

Cindylou
Hi Cindylou,

How are you feeling since your SI Joint fusion? Hopefully better. I know that it's still the early days since the surgery. I'm a NY'er & we're not known for being very patient when it comes to waiting Even my OS told me that it will take time. I work 2 jobs & I just want to make sure that I don't lose them. Well the 1 job is very understanding, the other 1 is understanding but my supervisor is a real witch. Besides, daytime tv is just garbage & I can actually feel braincells dying when I watch it.

Thank you for your condolences on the loss of my dog. I had Peanut for close to 10 years. She was a rescue who turned out to be a sick little girl. I've been told by many people that I gave her the best life possible & that not many people would have taken care of her or kept her like I did. I was blessed that my vet gave her a sedative that enabled her to pass away while she was sleeping. It was the hardest thing I've ever had to do but I know it was the best thing to do as her quality of life was suffering. It's been tough on all of us, including her siblings.

My husband's job will eventually move to India or China or somewhere else over that way but without him. If we move, it will be to Florida. We were there a few weeks ago & of course fell in love with the climate & palm trees all over again. This happens every time we go down there. We have to get in touch with a Realtor down there & fly back down there to look at houses. Then we have to hope that we can sell ours. The market tanked up here so it's a stressful situation for us both.

I'm not currently on anti-depressants. I was on them years ago & hated the way they made me feel. I gained a lot of weight when I was on them as well. I've been doing fairly well without being on them. I just tell myself that eventually things will get better. Probably not the best thing for me but it's worked so far.
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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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