Im 24 yrs old and I have recently had a major lower back surgey going on a little over a year now, and the pain has only gotten worse and worse and now its unbarable. I just got a family doctor to help me and he wont give me anything to make it stop or at least make it standable. Does anyone know what meds will help me or what I should do in this case? Sean
Would recommend a web site which you should read and perhaps take a second opinion, with no offense to your family doc: http://www.emedicinehealth.com/back_pain/page7_em.htm#Medications
Please do let me know if the site could be of help?
I'm a physician with chronic, severe low back pain since a 1992 work injury. The first thing you need to do is have your primary care doctor refer you to a "pain management specialist."
These specially trained physicians deal with our problem day in and day out. You should be able to find a very good one that will take what steps are necessary to stop your pain. (You may need to see more than one before you find one you are comfortable with - and that's okay,) There is no reason for someone to go through life with untreated severe back pain in this day and age.
However, family practice doctors just are not comfortable prescribing the powerful pain killers usually necessary to treat this type of pain. Also, the state licensing boards cause problems for doctors not afraid to treat pain aggressively with narcotic pain killers, such as Vicodin or Percocet. You can blame that on Richard Nixon and the foolish 'war on drugs' he started, among other very bad things.
Additionally, you may also benefit from nerve root injections. This is a mode of treatment also available from a pain management specialist, as most of these folks are also anesthesiologists.
The second, and last thing you need to do, is avoid additional surgery unless and only if nothing else works. Even then, get a second and third opinion beforehand. Second surgery for this problem most often makes things worse rather than better. Then, never go back to the first guy for the surgery, if you happen to be wrongly convinced there is no other hope.
If my answer is helpful, please indicate such.
You definitely need a pain management physician, they are not afraid to prescribe what you need. It appalls me that a physician supposedly there to take care of your health thinks it appropriate for you to suffer.
I myself do use the patch along with something for breakthrough, and find it gives good even relief.
One thing that would help is for you to keep a pain log describing your level of pain and also when you need to use the percoset ( you did not mention how much or how strong a dose you have- that should help some).
I think doctors react well to your being factual about what you are feeling, when, etc. (I myself HATE quantifying pain- am no good at assigning a value).
You have the right to be heard and helped. Look for a pain management clinic or doctor in your area and ask for the help you need. Good luck and keep us posted. We care!
I know how you are feeling. I was involved in an accident and shattered my L-1 and L-2. Several bone fragments entered the canal and put tremendous pressure on the spinal cord. My surgeon was the only one who had the confidence to attempt this surgery. It was a grueling 9 hour operation. I am 9 months post op. I am having major problems too. The hardware is protruding through my back due to major muscle loss. I also have permanent nerve damage, and still need assistance to walk. I am grateful to be able to walk. Since my surgeon decided against the Harms Cage, he did the repairs without using a "bridge" So when he goes back in to remove/replace/repair the hardware, I shouldn't need the full incision. He may be able to drill small holes to remove parts of the hardware. It all depends. Prior to my accident, I had been under his care for a bad disc @ L 4-5. Epidural steroid injections were useless and a guessing game as to where the meds were really going..
What helped me the best was the Radio Frequency Thermo coagulation. It's a procedure where they inject needles in to the exact spot, live view on a monitor. Then he fed a thin tube down the needles to put the medicine exactly where it needed to go. I believe they can use this procedure to do a facet block, nerve block, and even "zap" the nerve root. If I were you, I would revisit the surgeon who operated on you. Insist on an MRI to see what's going on. It may be scar tissue, really no saying what it is, but there is something wrong. You should not be feeling worse if the surgery were a success. Please see your surgeon asap. I hope you find the answers. Be persistent. Have you had any post op exams done? MRI? Did they use plates, screws? HOW exactly did they repair your back? Did you do the full 2-3 months of PT? Sorry so many questions but the more info, the better we can help you prepare on how to approach your surgeon and questions to ask. I sincerely hope you see the surgeon. It's a MUST you find out what happened. And never let any doctor make you feel rushed. Be prepared ahead of time with a list of questions you have.
My very best wishes,
Totally agree with the others. Find a pain management Dr and get back to your surgeon. There are many good pain medications out there that may give you the relief you need. Also injection into local areas of pain but you you usually need to find a pain specialist to get these done. I don't know where you live but check the yellow pages in your area. On the internet look up pain management and put in zip code. Also try a large metro hospital & see if they have a clinic there that may help you. Hope this helps. Feel free to contact me if you have any questions. Carol
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