7 Months Post Bertagnoli ADR with Continued Neuropathy

[Katherine234]

Jamie,

I would like to talk. When it comes to sharing not so positive stuff I'm pretty private - probaly too much so. Will you send me a number where I can call you using the private message function? I'll call but probably not right away. I'm pretty overwhelmed.

My X-rays look good. No sinking or slidiing. I had vertoboplasty at all 3 levels even though my bone scan was normal. Dr. B got in there and thought I needed it. I've had neuropathies on and off in different places for years but they have always resolved with rest and strength training. I just now can contract my abdomin without making the burning go through the roof. I guess that is progress.

I think your situation requires attention in a way mine does not. I have contacted Dr. FM and got the same advice as from my surgeon here - rest, pain management, time to heal. My sugeon here said he has seen a few anterior patients have nerve irritation post surgery. My surgeon here has done about 40 single level ADR's and has trained with Dr. B so he has some pretty good knowledge although he has never followed a 3 level ADR before.

I do think we share the same feelings of hopelessness and fear. I tend to isolate when things are not going well so beyond a few close friends I have let my social network shrink. It's hard for folks to get it when you can move around fine yet you are talking about being in pain. For me - I just don't want to go anywhere or explain anything or sit there and hurt and pretend to follow the conversation etc. I feel like that sounds so awful but it's how I feel.

I agree with the person who posted about wellbutrin. It's used in patients who don't do well on regular anti-depressants like prozac or cymbalta. It doesen't seem to give folks that bouncing off the wall feelling. I take it with a small amount of zoloft and anti-anxiety meds and that works well for me. Maybe you could tolerate the wellbutrin.

It's good to talk. Take care, Katherine

[jamie5136]

Wow, Dr. B did the cement at all three levels. Wish he did that for me.... Had he done that, I would not be in this position. Maybe he is doing this for all patients now after so many people have had subsidence (I know of three so far) and he does not want to risk it... too late for me.

Yes, I isolate and people don't get it... I just want to curl up in a ball and sleep and sleep and sleep... but, I don't sleep w/out pills, so I have to stay up and worry about my pain and my anger.

Again, I am not a doctor, but honestly, I think that if your discs are in place and you have no issues with the structure, you will eventually heal; it takes time. It has only been 7 months and honestly, I have heard it can take over one year. So, my thought is to follow the doctor's advice.

Interesting to know he did the 3 level vertoplasty on you... guess he learned his lesson there. I hear some doctors do that in ALL cases... I will IM you.

Originally Posted by Katherine234

Jamie,

I would like to talk. When it comes to sharing not so positive stuff I'm pretty private - probaly too much so. Will you send me a number where I can call you using the private message function? I'll call but probably not right away. I'm pretty overwhelmed.

My X-rays look good. No sinking or slidiing. I had vertoboplasty at all 3 levels even though my bone scan was normal. Dr. B got in there and thought I needed it. I've had neuropathies on and off in different places for years but they have always resolved with rest and strength training. I just now can contract my abdomin without making the burning go through the roof. I guess that is progress.

I think your situation requires attention in a way mine does not. I have contacted Dr. FM and got the same advice as from my surgeon here - rest, pain management, time to heal. My sugeon here said he has seen a few anterior patients have nerve irritation post surgery. My surgeon here has done about 40 single level ADR's and has trained with Dr. B so he has some pretty good knowledge although he has never followed a 3 level ADR before.

I do think we share the same feelings of hopelessness and fear. I tend to isolate when things are not going well so beyond a few close friends I have let my social network shrink. It's hard for folks to get it when you can move around fine yet you are talking about being in pain. For me - I just don't want to go anywhere or explain anything or sit there and hurt and pretend to follow the conversation etc. I feel like that sounds so awful but it's how I feel.

I agree with the person who posted about wellbutrin. It's used in patients who don't do well on regular anti-depressants like prozac or cymbalta. It doesen't seem to give folks that bouncing off the wall feelling. I take it with a small amount of zoloft and anti-anxiety meds and that works well for me. Maybe you could tolerate the wellbutrin.

It's good to talk. Take care, Katherine

[dshobbies]

Katherine,

Just had a surgery myself and promised myself I would stay off the forum for awhile but I too had legs on fire. This is nerve pain. I was taking 2700 mg of Neurontin daily, (switched to Lyrica, supposedly less side effects) for two years. My ankle and foot still bother me. The big difference is my pain began right after surgery and yours began after four months. My nerve damage was caused during surgery thus the immediate pain. Why yours started after four months IMHO, I think needs investigation. If you don't already have a pain management doctor, find one and like all doctors, some are better than others. Perhaps this is some kind of delayed reaction??? but you should find out for sure. I doubt you caused it. FYI, I should probably still be on either N or L but choose to live with the now very controllable pain. This is a personal choice.

Jamie, this is quite different from sitting difficulties which I don't think relates to nerve pain but comes from, among other things, the tailbone pushing up on the spine. For the time being, until you either have revision surgery or ???, you might try using something called a Tush Cush, a pillow with the tailbone section cut out, available at Relax the Back stores. Others have them but their quality is the best and they're not terribly expensive. While sitting, it takes some of the pressure off your tailbone.

Also tried wellbutrin and reacted quite badly. Caused permanant tinnitis, a lesser side effect.

Good luck, Dale

[Katherine234]

Dale and Jamie - Thanks

I posted a picture on my profile. It's with a nurse at St. Elizabeth's hospital in Straubing. I think her name was Helga but she spoke no English. At first she seemed very stern but we warmed to each other and I was sad to leave her. We had to practically drag her into the picture. Turns out she was rather shy.

I have a celiac like syndrome (no gluten) so food was an issue for me. I brough some of my own food including jello and Helga was the one who brought it to me once I was ready for more than broth. Things really were going beautiful for me until 4 months. I hope I'm just going through healing pains. Please keep the support coming. It's helping. Thanks so much.

[dridobits]

Katherine and Jamie, I so understand the emotional aspect of what you guys are going through. I didn't have ADR but fusion and the thought of going back to work at 3-4 months astounds me. I know ADR and fusion are not the same obviously but these are both major surgeries.

Seven months is still a matter of months and it seems things can take a long time to heal.

My life is so different now from before my accident I have no idea what normal is and barely remember it but know it was a lot better than things are now. I just have to keep that saying in mind that I can't change my circumstances but I can my attitude. I've been using this on myself when I get really depressed as this stuff obviously can get pretty discouraging to say the least.

Please hang in there, your still recovering. I'm impressed your working!!!

[Rob Wilson]

If you had leg pain and stenosis before ADR and you still have leg pain then there is always the possibility that the stenosis is still there. Just by placing ADR in between the discs does not necessarily widen the foramen. It is very tedious surgery to widen posterior foramen with anterior ADR surgery. Many OS's state that ADR is mainly for back pain not leg pain.

[fuzzy]

My lumbar adr surgery killed most of my legpain.

My cervical killed the remaining leg pain in my right leg.

Leg pain can be triggered by cervical myleopathy, just like headaches.

BUT, I still have plenty of burning, termperature insensitivity which I believe is cause by nerve damage to my myleon. I hope it will resolve over the next several years. It is documented it can take a long time.

Regarding 5 month in the brace, that is a little long. Chance is that your nerves are waking up, just as you are also starting to use your back more.

Hang in there!

[Katherine234]

Originally Posted by Rob Wilson

If you had leg pain and stenosis before ADR and you still have leg pain then there is always the possibility that the stenosis is still there. Just by placing ADR in between the discs does not necessarily widen the foramen. It is very tedious surgery to widen posterior foramen with anterior ADR surgery. Many OS's state that ADR is mainly for back pain not leg pain.

Rob,

I had both low back & leg pain as well as stenosis (at L3-L4 I think) before the surgery. I don't understand what could cause stenosis besides a blown disc or congenital spinal canal narrowness. In my 20's one doc said I had congenital narroowness but no one else has made this comment - including Dr. B or FM). Will you explain in more detail what you mean? Would continued stenosis show up on MRI? Thanks for your comments

Katherine

[Katherine234]

Originally Posted by dridobits

Katherine and Jamie, I so understand the emotional aspect of what you guys are going through. I didn't have ADR but fusion and the thought of going back to work at 3-4 months astounds me. I know ADR and fusion are not the same obviously but these are both major surgeries.

Seven months is still a matter of months and it seems things can take a long time to heal.

Please hang in there, your still recovering. I'm impressed your working!!!

The emotional aspect is so hard. I'm wondering if I did the right thing, if my actions have somehow brought the burning on, or if I can continue to work at the level I did before the surgery. The angst is hugh and it makes it hard to concentrate on much of anything, work or otherwise. The emotional part - sometimes I feel better physically and therefore emotionally and vice versa is hard for my family (and others) to understand. I really am scared I won't be able to keep up at work or if I am the cost will be so high it won't be worth it. I don't really want to go on disability but in some ways it would be a hugh relief. Thanks for your support

[Katherine234]

Originally Posted by dshobbies

Katherine,

Just had a surgery myself and promised myself I would stay off the forum for awhile but I too had legs on fire. This is nerve pain. I was taking 2700 mg of Neurontin daily, (switched to Lyrica, supposedly less side effects) for two years. My ankle and foot still bother me. The big difference is my pain began right after surgery and yours began after four months. My nerve damage was caused during surgery thus the immediate pain. Why yours started after four months IMHO, I think needs investigation. If you don't already have a pain management doctor, find one and like all doctors, some are better than others. Perhaps this is some kind of delayed reaction??? but you should find out for sure. I doubt you caused it. FYI, I should probably still be on either N or L but choose to live with the now very controllable pain. This is a personal choice.

Good luck, Dale

Dale,

I've been wondering about Lyrica. My psychiatrist prefers neurontin, I haven't asked my PM specialist about it (I do like my PM and to date think he's pretty good). I work with doctors (rheumatologists) for my job and one of them suggested Lyrica and said he himself was on it and thought it was better than neurontin. What was your experience? If I would feel less sedated/have better memory and motivation, or better pain control etc. it could be worth it to switch. Did you taper down your N before switching to L? For me I go into withdrawal pretty quick with N and will have to taper off it slowly if things ever settle down.

Mark has also suggested looking into other causes - I have so little energy and I wonder/hope it's just taking a long time for my nerves to heal.

What's IMHO? Did you have surgery for the leg nerve pain? If yes, what did you have done? Thanks for your support.

Katherine

[jamie5136]

Well, the pain originates about 3 inches above where the butt crack starts, so lower back. So, when I lay down slightly reclined, it hurts and then sitting hurts. I consulted with a tailbone "guy" and he said my tailbone was not broken and hence was not the issue. I have also had three unsuccessful ganglion impar injections and I have tried every pillow available with zero success. the pain is hot and stabbing, so is some type of nerve pain. Also understand that even before I had the ADR, I still had sitting type pain, but assumed it was discogenic; it obviously is not.... but, nobody can seem to tell me what it is.. doctor's seem to ignore me when I say I have sitting pain. And yes, I have to have a fusion due to the subsided disc. Just trying to decide if I should do the DSS tooling with Dr. Pettine or a plain hard fusion... Dr. B said to use the DSS...TBI does not do this much, I think, so this is why they have said a plain hard fusion. I never know who to believe or trust anymore. I am going to get like 4-5 opinions and then go from there.

Originally Posted by dshobbies

Katherine,

Just had a surgery myself and promised myself I would stay off the forum for awhile but I too had legs on fire. This is nerve pain. I was taking 2700 mg of Neurontin daily, (switched to Lyrica, supposedly less side effects) for two years. My ankle and foot still bother me. The big difference is my pain began right after surgery and yours began after four months. My nerve damage was caused during surgery thus the immediate pain. Why yours started after four months IMHO, I think needs investigation. If you don't already have a pain management doctor, find one and like all doctors, some are better than others. Perhaps this is some kind of delayed reaction??? but you should find out for sure. I doubt you caused it. FYI, I should probably still be on either N or L but choose to live with the now very controllable pain. This is a personal choice.

Jamie, this is quite different from sitting difficulties which I don't think relates to nerve pain but comes from, among other things, the tailbone pushing up on the spine. For the time being, until you either have revision surgery or ???, you might try using something called a Tush Cush, a pillow with the tailbone section cut out, available at Relax the Back stores. Others have them but their quality is the best and they're not terribly expensive. While sitting, it takes some of the pressure off your tailbone.

Also tried wellbutrin and reacted quite badly. Caused permanant tinnitis, a lesser side effect.

Good luck, Dale