Guest guest Posted July 12, 2008 Report Share Posted July 12, 2008 Oh thank you so much for your kind words. They mean so much. I am still chipper and happy most of the time. My husband feels like this isn't what he signed on for. He's pretty negative about it and it makes it hard for me. He's only 26 and I can see his issue, but it's so hard for me to keep my chin up and keep hoping I'll get some relief from something, when he's so negetive. He says I'll never get better and I'll be in a wheelchair by the time I'm 40. Then when the kids are grown and gone, that along time we're waiting for will be useless as I'll be a " cripple " . We married 2 years ago and he isn't the father of my kids, so we have never had time where it was jsut the two of us. --- Bless Your Heart, ! When I read your post I just wanted to cry! You have been through so much and yet you are still hanging in there!!! You are one STRONG, BRAVE lady! My complete story is not nearly as harrowing as yours, but I do understand the pain and the problems that you have faced! Bless your heart and everything that goes with it! I will be thinking about you and praying for miracles for you on August 4th! Please let us know how you are doing as soon as you can after the surgery! > When I was fifteen, I developed back pain that came on fairly sudden. I was getting achy one monthe and the next it became so severe I was standing in school. My PCP said it was a muscle strain. Uh huh. Who hasn't heard THAT one before! I tried physical therapy, and really stuck with it about as long as any teenager would.I had the MRI which showed that I had a ruptured disk with a free fragment. There was no pain clinic or anything. Just a few weeks of half-assed PT which didn't help and then it was to the OR with me. I wanted it. They gave me the choice of trying more PT or surgery. My parents and I all thought surgery was a quick fix. Plus this doc was chief of pedi neuro surg. At the time we thought it meant something to be chief, like most people. Few people know that it doesn't mean they are the best. It's simply a title given to the doc in charge of the neurosurg stuff for the hospital. It's more administrative. The joke was on us I guess. So I > had the microdiskectomy. Was walking that night, home the next and felt great. Being a teeneger, I went back to life as normal. My parents freaked when my surg gace me permission to go skiing 6 wks after surgery. > Had I known that free fragments will be absorbed by the body over time, I would never had done the surgery. Well, ok I would because I was young and had no idea what was in store for me. > I had a good outcome and was pain free for a year. You see, when there is a tear in the annulus that allows the nucleus pulposus to come out of the disk...OR when a surgical hole is made in the disk to remove the bulging portion of the disk...it allows more pulposus to come out. It's like an open window. Also, with that hole, the disk does dry out and thins which is what we know as DDD. So a year later I started to have pain again. Tried PT. No go. Back to surgery. This time I was eighteen and my last surgeon was pedi and passed me off to a reg neuro guy. So this neuro guy says we can do a regular diskectomy and laminectomy. But he wants to do discography first to make sure my pain is coming from the disk. No prob, except I told him I only would do that if he promised there was no risk of a " spinal headache " which is what happens when after the dura is punctured. The worst pain of my life! I had already had one with a previous Myleogram before my first > surg. No way he says. We don't even go near it! So I go and all went well until that night when I started with a " spinal headache " . My local community hosp ER could do nothing for me as they had no neurosurgeon there, as is the case with many community hosp. I went to three ERs and in the ambulance a few times before it got someone to do a blood patch a WEEK later! My mom brought me on a stretcher into his office. I could NOT sit up. He denied it was from the procedure and said I was being dramatic. He actually got mad at me! He gave me valium and a few other things to shut me up. That night my mom had to call Ambulance to bring me back to this hospitals ER. Now this was the major hospital of the state of Rhode Island which is also the teaching hospital for Brown University. And people think that counts. So I had the surgery and was feeling great for a year and a half. Then the pain came all over again. > This time I decided I was going to Boston. My mom was able to get me an appointment with this " big, up and coming surgeon who was the guypeople come to from all over the world. " Yeah, I thought that must mean something too. He was known for doing impressive brain surgery at the time. So ha says he wants to try a new technique on me that they've just started doing. It's supposed to be the next best thing in fusion surgery. So we were all wowed. I felt ao lucky to be a part of this. I didn't understand that " new procedure that we just started doing " means that they are inexperienced at performing it and they have no long term studies to prove it's so good. Anyway, I had an ALIF/ PLIF. They go in from the front to remove the biggest part of the disk at the place it's bulging at and place a bone graft there (aka from a cadaver). Most people don't realize that the usual place the disk bulges is on the anterior side, facing the front. they cannot access this > from your back. Then they flip you over (buck naked) and operate from the back where they perform more diskectomy and add more bone draft, used to be from your hip, but the big docs are getting away from that as they have something similar to use but since the hip grafting is so painful, they use something else. > Anyway, the main way to fuse your spine is with pedicle screws. They go through a thick and relatively strong bony proninence. There also is not a lot of nerves there. Well, this new procedure was facet screw fixation. Your facets are a joint that is the hinge between each vertebrae. Basically, the analogy I think of is it's like puttin a skinny screw into your funny bone to keep it from moving. Lots of nerves and a much smaller bony prominence to put a screw though. So, I was in hospital 4 day and recovery was a bitch. I wore a brace for 3 or 4 months which was a piece of plastic which was molded to my shape. It went from my nipples to my hip. VERY incomfortable. At this time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great timing. All of my postop visits my surg said my bone was fusing 50% faster than normal. He was ecstatic. He used photos and narrative from my surgery on a Power-Point presentation at Harvard. After I recovered, I had > absolutely NO PAIN for about 3 or 4 years. I thought I could not be hurt as I had all bone and no disk. WRONG!!! What I didn't know was that the bone was NOT fused. An xray before my last surgery showed a crumbled mess. I didn't know it because the screws were holding the joint from moving. Until one day I was jogging and I felt a horrific pain shoot in my back and I couldn't move. I later found out that's when I likely broke my titanium screws. Yes, titanium the worlds strongest metal. > I went back to my surg and he said more PT!!! If that didn't help he would operate again. I was like NO WAY to that! I focused on PT and I seriously got my body strong. Started to feel better, but was taking Ultram for the pain still. Then I started to go crazy on my abs thinking I'd look good and it would be good for my core. Well I was doing bad things to my back in the process and I broke another screw. I went back to see mt neuro who did a CT, MRI and bone scan. He said we'll try facet injections and if that doesn't help, we'll operate. > I then got ahold of my radiology reports and I knew what they said as now I was a surgical tech. What I read made me physically ill. It said there was NO evidence of fusion at all plus a few other things. Oh my world crumbled. I just didn't want to go though another surgery. I held off so long that both of my buttocks were numb at the top and my toes were either numb or tingly. So I gave in after literally trying everything, but with a " non-union " or " pseudoarthrosis " as it is referred to, it had to be fixed. > At this time I was working in another BIG NAME Boston Hospital and went to the man who I trust. Dr. Glazer. He did another ALIF/PLIF, this time he had to go up one level to L4, L5. I have six pedicle screws which are the size of my pinky finger and two fusion rods as well as a crosslink which connects the right and left sides. He did a fantastic job and I was finally able to return to work after seven months. I have to be able to lift up to 50 lbs to go back , so it took a long time! I finally started to really feel like I was on the home stretch at 9 mos and was feeling pretty great. But then I started to ache in the facet areas of L4-S1. I went to the pain clinic at Big Hospital and tried everything. Initially it helped, but only for a while. I even had Botox injections to stop the muscle spasm...it did NOT work. So now my neuro says it's likely the hardware. It happens frequently. Titanium is a pretty inert metal...but it doesn't belong there. > Surgery is now scheduled for August 4. > I have a few bulging disks above with some DDD, but as yet I am asymptomatic. > WHEW!!! Did I lose you yet??? > Sorry, i know it was long! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2008 Report Share Posted July 12, 2008 Bless your heart! I met my second ex-husband right after I was injured, before the surgeries. He was negative like that as well. It's a shame,but the way that it was! Mine had other issues that I would not tolerate, so I left him. After I left he hurt his back and had surgery on it as well. I ran into him a couple of years ago and nothing had changed as far as his attitude and behavior! Hee hee hee! Made me even more thankful that I made the decision that I made! As far as living with the negativity, just keep your chin up and keep doing what you know is right! Once you get your miracle then he will make an about face! When he does, be sure to let me know so that we can laugh together about it! I'm glad that my words hit home with you! I know how good it feels to receive kind words! I try to surround myself with people that will provide me with truth as well as kind words! The world would be a much nicer place to live for everyone if truth and kind words were universal! Hee hee hee! > > Oh thank you so much for your kind words. They mean so much. I am still chipper and happy most of the time. My husband feels like this isn't what he signed on for. He's pretty negative about it and it makes it hard for me. He's only 26 and I can see his issue, but it's so hard for me to keep my chin up and keep hoping I'll get some relief from something, when he's so negetive. He says I'll never get better and I'll be in a wheelchair by the time I'm 40. Then when the kids are grown and gone, that along time we're waiting for will be useless as I'll be a " cripple " . We married 2 years ago and he isn't the father of my kids, so we have never had time where it was jsut the two of us. > --- > > > > Bless Your Heart, ! > > > When I read your post I just wanted to cry! You have been through so > much and yet you are still hanging in there!!! You are one STRONG, > BRAVE lady! > > My complete story is not nearly as harrowing as yours, but I do > understand the pain and the problems that you have faced! Bless your > heart and everything that goes with it! I will be thinking about you > and praying for miracles for you on August 4th! Please let us know > how you are doing as soon as you can after the surgery! > > > > When I was fifteen, I developed back pain that came on fairly > sudden. I was getting achy one monthe and the next it became so > severe I was standing in school. My PCP said it was a muscle strain. > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > and really stuck with it about as long as any teenager would.I had > the MRI which showed that I had a ruptured disk with a free > fragment. There was no pain clinic or anything. Just a few weeks of > half-assed PT which didn't help and then it was to the OR with me. I > wanted it. They gave me the choice of trying more PT or surgery. My > parents and I all thought surgery was a quick fix. Plus this doc was > chief of pedi neuro surg. At the time we thought it meant something > to be chief, like most people. Few people know that it doesn't mean > they are the best. It's simply a title given to the doc in charge of > the neurosurg stuff for the hospital. It's more administrative. The > joke was on us I guess. So I > > had the microdiskectomy. Was walking that night, home the next and > felt great. Being a teeneger, I went back to life as normal. My > parents freaked when my surg gace me permission to go skiing 6 wks > after surgery. > > Had I known that free fragments will be absorbed by the body over > time, I would never had done the surgery. Well, ok I would because I > was young and had no idea what was in store for me. > > I had a good outcome and was pain free for a year. You see, when > there is a tear in the annulus that allows the nucleus pulposus to > come out of the disk...OR when a surgical hole is made in the disk to > remove the bulging portion of the disk...it allows more pulposus to > come out. It's like an open window. Also, with that hole, the disk > does dry out and thins which is what we know as DDD. So a year later > I started to have pain again. Tried PT. No go. Back to surgery. This > time I was eighteen and my last surgeon was pedi and passed me off to > a reg neuro guy. So this neuro guy says we can do a regular > diskectomy and laminectomy. But he wants to do discography first to > make sure my pain is coming from the disk. No prob, except I told him > I only would do that if he promised there was no risk of a " spinal > headache " which is what happens when after the dura is punctured. The > worst pain of my life! I had already had one with a previous > Myleogram before my first > > surg. No way he says. We don't even go near it! So I go and all > went well until that night when I started with a " spinal headache " . > My local community hosp ER could do nothing for me as they had no > neurosurgeon there, as is the case with many community hosp. I went > to three ERs and in the ambulance a few times before it got someone > to do a blood patch a WEEK later! My mom brought me on a stretcher > into his office. I could NOT sit up. He denied it was from the > procedure and said I was being dramatic. He actually got mad at me! > He gave me valium and a few other things to shut me up. That night my > mom had to call Ambulance to bring me back to this hospitals ER. Now > this was the major hospital of the state of Rhode Island which is > also the teaching hospital for Brown University. And people think > that counts. So I had the surgery and was feeling great for a year > and a half. Then the pain came all over again. > > This time I decided I was going to Boston. My mom was able to get > me an appointment with this " big, up and coming surgeon who was the > guypeople come to from all over the world. " Yeah, I thought that must > mean something too. He was known for doing impressive brain surgery > at the time. So ha says he wants to try a new technique on me that > they've just started doing. It's supposed to be the next best thing > in fusion surgery. So we were all wowed. I felt ao lucky to be a part > of this. I didn't understand that " new procedure that we just started > doing " means that they are inexperienced at performing it and they > have no long term studies to prove it's so good. Anyway, I had an > ALIF/ PLIF. They go in from the front to remove the biggest part of > the disk at the place it's bulging at and place a bone graft there > (aka from a cadaver). Most people don't realize that the usual place > the disk bulges is on the anterior side, facing the front. they > cannot access this > > from your back. Then they flip you over (buck naked) and operate > from the back where they perform more diskectomy and add more bone > draft, used to be from your hip, but the big docs are getting away > from that as they have something similar to use but since the hip > grafting is so painful, they use something else. > > Anyway, the main way to fuse your spine is with pedicle screws. > They go through a thick and relatively strong bony proninence. There > also is not a lot of nerves there. Well, this new procedure was facet > screw fixation. Your facets are a joint that is the hinge between > each vertebrae. Basically, the analogy I think of is it's like puttin > a skinny screw into your funny bone to keep it from moving. Lots of > nerves and a much smaller bony prominence to put a screw though. So, > I was in hospital 4 day and recovery was a bitch. I wore a brace for > 3 or 4 months which was a piece of plastic which was molded to my > shape. It went from my nipples to my hip. VERY incomfortable. At this > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > timing. All of my postop visits my surg said my bone was fusing 50% > faster than normal. He was ecstatic. He used photos and narrative > from my surgery on a Power-Point presentation at Harvard. After I > recovered, I had > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > was that the bone was NOT fused. An xray before my last surgery > showed a crumbled mess. I didn't know it because the screws were > holding the joint from moving. Until one day I was jogging and I felt > a horrific pain shoot in my back and I couldn't move. I later found > out that's when I likely broke my titanium screws. Yes, titanium the > worlds strongest metal. > > I went back to my surg and he said more PT!!! If that didn't help > he would operate again. I was like NO WAY to that! I focused on PT > and I seriously got my body strong. Started to feel better, but was > taking Ultram for the pain still. Then I started to go crazy on my > abs thinking I'd look good and it would be good for my core. Well I > was doing bad things to my back in the process and I broke another > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > He said we'll try facet injections and if that doesn't help, we'll > operate. > > I then got ahold of my radiology reports and I knew what they said > as now I was a surgical tech. What I read made me physically ill. It > said there was NO evidence of fusion at all plus a few other things. > Oh my world crumbled. I just didn't want to go though another > surgery. I held off so long that both of my buttocks were numb at the > top and my toes were either numb or tingly. So I gave in after > literally trying everything, but with a " non-union " > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > At this time I was working in another BIG NAME Boston Hospital and > went to the man who I trust. Dr. Glazer. He did another > ALIF/PLIF, this time he had to go up one level to L4, L5. I have six > pedicle screws which are the size of my pinky finger and two fusion > rods as well as a crosslink which connects the right and left > sides. He did a fantastic job and I was finally able to return to > work after seven months. I have to be able to lift up to 50 lbs to go > back , so it took a long time! I finally started to really feel like > I was on the home stretch at 9 mos and was feeling pretty great. But > then I started to ache in the facet areas of L4-S1. I went to the > pain clinic at Big Hospital and tried everything. Initially it > helped, but only for a while. I even had Botox injections to stop the > muscle spasm...it did NOT work. So now my neuro says it's likely the > hardware. It happens frequently. Titanium is a pretty inert > metal...but it doesn't belong there. > > Surgery is now scheduled for August 4. > > I have a few bulging disks above with some DDD, but as yet I am > asymptomatic. > > WHEW!!! Did I lose you yet??? > > Sorry, i know it was long! > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2008 Report Share Posted July 12, 2008 Hi ........ a " cripple " . We married 2 years ago and he isn't the father of my kids, so we have never had time where it was jsut the two of us. I say that he needs to be kicked to the curb. You are a strong, beautiful, gutsy person who deserves far better. Here's how it works in real life: my husband married a woman about your age. A yr. later she started vomiting blood suddenly. She was eventually diagnosed with stomach cancer, and she died at age 32. He stood by her the whole time. Years went by and we met. He had had a major heart attack and was considered terminal (was on social sec. disability). I loved him and married him anyways. I knew I would be a young widow, and I was. I held him in my arms and took his last breath into my body when he passed. That's what love is. You deserve this. Your surgery is the day before my 55th birthday. That's the age he was, when he passed. I will be thinking of you and sending you healing energies. Be well, awesome woman. Sue ^'^ ^'^ ^'^ ^'^ ^'^ ^'^ " She was not quite what you would call refined. She was not quite what you would call unrefined. She was the kind of person that keeps a parrot. " -- Mark Twain Annoying Parrots: http://auroraborealispage.net/parrots.html Sky Paintings: http://auroraborealispage.net/aurora.html Where My Spirit Lives: http://auroraborealispage.net/alaska.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2008 Report Share Posted July 12, 2008 Thank you for your kind words Sue. My husband does have his faults, but he is a good man. I think he's just plain overwhelmed. It's a lot for a 26 year old to take on and no, it really wan't expected to be this way. He wants to be there for me, but he's having some difficulty. We also haven't had any of that crucial bonding time before kids arrive. That makes it even harder. My ex has borderline personality disorder and was very abusive to me, in every way imaginable. My husband now has been so good to us and has helped me heal in many ways. He went from being a young single guy, a police officer with plenty of cash, to at times being the sole provider for me and my three kids and even only parent while I recovered from surgery last year and their dad was away. He has to work at least two double shifts a week plus his regular hours, just to make ends meet while I'm not working. I know he can be cruel at times, but I really think he is very overwhelmed. It sounds as though you've been through a lot yourself. I'm sorry life hasn't been easy for you, but what a blessing to at least be there when your husband passed on. If you have to go, I think that's a good way to do it! That sure does sound like love to me! I hope that our future holds this closeness for us as well. We'll be able to concentrate on each other a lot more when the kids are grown..IF we make it till then! I have my doubts sometimes. So, tell me a little about yourself Sue. What's up with your spine??? --- Re: Bless Your Heart, ! Hi ....... . a " cripple " . We married 2 years ago and he isn't the father of my kids, so we have never had time where it was jsut the two of us. I say that he needs to be kicked to the curb. You are a strong, beautiful, gutsy person who deserves far better. Here's how it works in real life: my husband married a woman about your age. A yr. later she started vomiting blood suddenly. She was eventually diagnosed with stomach cancer, and she died at age 32. He stood by her the whole time. Years went by and we met. He had had a major heart attack and was considered terminal (was on social sec. disability). I loved him and married him anyways. I knew I would be a young widow, and I was. I held him in my arms and took his last breath into my body when he passed. That's what love is. You deserve this. Your surgery is the day before my 55th birthday. That's the age he was, when he passed. I will be thinking of you and sending you healing energies. Be well, awesome woman. Sue ^'^ ^'^ ^'^ ^'^ ^'^ ^'^ " She was not quite what you would call refined. She was not quite what you would call unrefined. She was the kind of person that keeps a parrot. " -- Mark Twain Annoying Parrots: http://auroraboreal ispage.net/ parrots.html Sky Paintings: http://auroraboreal ispage.net/ aurora.html Where My Spirit Lives: http://auroraboreal ispage.net/ alaska.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2008 Report Share Posted July 12, 2008 I have to do a PT for a sprained sacroiliac joint and arthritis on the 5th lumbar. I told my therapist that it wasn't physical therapy it was physical torture. The PT hasn't helped me out at all. It makes me hurt even more. He said that if the therapy doesn't work they may have to do shots or surgery on my back. I told him surgery isn't an option. I'm too chicken for a doctor to cut on my back and take a chance to be paralyzed. Nina From: L. <boom77boom@...> Subject: Bless Your Heart, ! spinal problems Date: Saturday, July 12, 2008, 12:40 PM When I read your post I just wanted to cry! You have been through so much and yet you are still hanging in there!!! You are one STRONG, BRAVE lady! My complete story is not nearly as harrowing as yours, but I do understand the pain and the problems that you have faced! Bless your heart and everything that goes with it! I will be thinking about you and praying for miracles for you on August 4th! Please let us know how you are doing as soon as you can after the surgery! > When I was fifteen, I developed back pain that came on fairly sudden. I was getting achy one monthe and the next it became so severe I was standing in school. My PCP said it was a muscle strain. Uh huh. Who hasn't heard THAT one before! I tried physical therapy, and really stuck with it about as long as any teenager would.I had the MRI which showed that I had a ruptured disk with a free fragment. There was no pain clinic or anything. Just a few weeks of half-assed PT which didn't help and then it was to the OR with me. I wanted it. They gave me the choice of trying more PT or surgery. My parents and I all thought surgery was a quick fix. Plus this doc was chief of pedi neuro surg. At the time we thought it meant something to be chief, like most people. Few people know that it doesn't mean they are the best. It's simply a title given to the doc in charge of the neurosurg stuff for the hospital. It's more administrative. The joke was on us I guess. So I > had the microdiskectomy. Was walking that night, home the next and felt great. Being a teeneger, I went back to life as normal. My parents freaked when my surg gace me permission to go skiing 6 wks after surgery. > Had I known that free fragments will be absorbed by the body over time, I would never had done the surgery. Well, ok I would because I was young and had no idea what was in store for me. > I had a good outcome and was pain free for a year. You see, when there is a tear in the annulus that allows the nucleus pulposus to come out of the disk...OR when a surgical hole is made in the disk to remove the bulging portion of the disk...it allows more pulposus to come out. It's like an open window. Also, with that hole, the disk does dry out and thins which is what we know as DDD. So a year later I started to have pain again. Tried PT. No go. Back to surgery. This time I was eighteen and my last surgeon was pedi and passed me off to a reg neuro guy. So this neuro guy says we can do a regular diskectomy and laminectomy. But he wants to do discography first to make sure my pain is coming from the disk. No prob, except I told him I only would do that if he promised there was no risk of a " spinal headache " which is what happens when after the dura is punctured. The worst pain of my life! I had already had one with a previous Myleogram before my first > surg. No way he says. We don't even go near it! So I go and all went well until that night when I started with a " spinal headache " . My local community hosp ER could do nothing for me as they had no neurosurgeon there, as is the case with many community hosp. I went to three ERs and in the ambulance a few times before it got someone to do a blood patch a WEEK later! My mom brought me on a stretcher into his office. I could NOT sit up. He denied it was from the procedure and said I was being dramatic. He actually got mad at me! He gave me valium and a few other things to shut me up. That night my mom had to call Ambulance to bring me back to this hospitals ER. Now this was the major hospital of the state of Rhode Island which is also the teaching hospital for Brown University. And people think that counts. So I had the surgery and was feeling great for a year and a half. Then the pain came all over again. > This time I decided I was going to Boston. My mom was able to get me an appointment with this " big, up and coming surgeon who was the guypeople come to from all over the world. " Yeah, I thought that must mean something too. He was known for doing impressive brain surgery at the time. So ha says he wants to try a new technique on me that they've just started doing. It's supposed to be the next best thing in fusion surgery. So we were all wowed. I felt ao lucky to be a part of this. I didn't understand that " new procedure that we just started doing " means that they are inexperienced at performing it and they have no long term studies to prove it's so good. Anyway, I had an ALIF/ PLIF. They go in from the front to remove the biggest part of the disk at the place it's bulging at and place a bone graft there (aka from a cadaver). Most people don't realize that the usual place the disk bulges is on the anterior side, facing the front. they cannot access this > from your back. Then they flip you over (buck naked) and operate from the back where they perform more diskectomy and add more bone draft, used to be from your hip, but the big docs are getting away from that as they have something similar to use but since the hip grafting is so painful, they use something else. > Anyway, the main way to fuse your spine is with pedicle screws. They go through a thick and relatively strong bony proninence. There also is not a lot of nerves there. Well, this new procedure was facet screw fixation. Your facets are a joint that is the hinge between each vertebrae. Basically, the analogy I think of is it's like puttin a skinny screw into your funny bone to keep it from moving. Lots of nerves and a much smaller bony prominence to put a screw though. So, I was in hospital 4 day and recovery was a bitch. I wore a brace for 3 or 4 months which was a piece of plastic which was molded to my shape. It went from my nipples to my hip. VERY incomfortable. At this time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great timing. All of my postop visits my surg said my bone was fusing 50% faster than normal. He was ecstatic. He used photos and narrative from my surgery on a Power-Point presentation at Harvard. After I recovered, I had > absolutely NO PAIN for about 3 or 4 years. I thought I could not be hurt as I had all bone and no disk. WRONG!!! What I didn't know was that the bone was NOT fused. An xray before my last surgery showed a crumbled mess. I didn't know it because the screws were holding the joint from moving. Until one day I was jogging and I felt a horrific pain shoot in my back and I couldn't move. I later found out that's when I likely broke my titanium screws. Yes, titanium the worlds strongest metal. > I went back to my surg and he said more PT!!! If that didn't help he would operate again. I was like NO WAY to that! I focused on PT and I seriously got my body strong. Started to feel better, but was taking Ultram for the pain still. Then I started to go crazy on my abs thinking I'd look good and it would be good for my core. Well I was doing bad things to my back in the process and I broke another screw. I went back to see mt neuro who did a CT, MRI and bone scan. He said we'll try facet injections and if that doesn't help, we'll operate. > I then got ahold of my radiology reports and I knew what they said as now I was a surgical tech. What I read made me physically ill. It said there was NO evidence of fusion at all plus a few other things. Oh my world crumbled. I just didn't want to go though another surgery. I held off so long that both of my buttocks were numb at the top and my toes were either numb or tingly. So I gave in after literally trying everything, but with a " non-union " or " pseudoarthrosis " as it is referred to, it had to be fixed. > At this time I was working in another BIG NAME Boston Hospital and went to the man who I trust. Dr. Glazer. He did another ALIF/PLIF, this time he had to go up one level to L4, L5. I have six pedicle screws which are the size of my pinky finger and two fusion rods as well as a crosslink which connects the right and left sides. He did a fantastic job and I was finally able to return to work after seven months. I have to be able to lift up to 50 lbs to go back , so it took a long time! I finally started to really feel like I was on the home stretch at 9 mos and was feeling pretty great. But then I started to ache in the facet areas of L4-S1. I went to the pain clinic at Big Hospital and tried everything. Initially it helped, but only for a while. I even had Botox injections to stop the muscle spasm...it did NOT work. So now my neuro says it's likely the hardware. It happens frequently. Titanium is a pretty inert metal...but it doesn't belong there. > Surgery is now scheduled for August 4. > I have a few bulging disks above with some DDD, but as yet I am asymptomatic. > WHEW!!! Did I lose you yet??? > Sorry, i know it was long! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2008 Report Share Posted July 12, 2008 Hi Nina, I didn't have great luck with surgery, so I'm not the person to address that with you. I've known a few people that had luck with the surgery,but I've known more that had terrible luck with it, including me!!! I can't say that I blame you for being scared. The shots did not work for me either. In fact they made me worse. It's all according to the person and the surgeon. If you have a great surgeon that explains everything to you then it's not so bad. > > I have to do a PT for a sprained sacroiliac joint and arthritis on the 5th lumbar. I told my therapist that it wasn't physical therapy it was physical torture. The PT hasn't helped me out at all. It makes me hurt even more. He said that if the therapy doesn't work they may have to do shots or surgery on my back. I told him surgery isn't an option. I'm too chicken for a doctor to cut on my back and take a chance to be paralyzed. > Nina > > > From: L. <boom77boom@...> > Subject: Bless Your Heart, ! > spinal problems > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > When I read your post I just wanted to cry! You have been through so > > much and yet you are still hanging in there!!! You are one STRONG, > > BRAVE lady! > > > > My complete story is not nearly as harrowing as yours, but I do > > understand the pain and the problems that you have faced! Bless your > > heart and everything that goes with it! I will be thinking about you > > and praying for miracles for you on August 4th! Please let us know > > how you are doing as soon as you can after the surgery! > > > > > > > When I was fifteen, I developed back pain that came on fairly > > sudden. I was getting achy one monthe and the next it became so > > severe I was standing in school. My PCP said it was a muscle strain. > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > and really stuck with it about as long as any teenager would.I had > > the MRI which showed that I had a ruptured disk with a free > > fragment. There was no pain clinic or anything. Just a few weeks of > > half-assed PT which didn't help and then it was to the OR with me. I > > wanted it. They gave me the choice of trying more PT or surgery. My > > parents and I all thought surgery was a quick fix. Plus this doc was > > chief of pedi neuro surg. At the time we thought it meant something > > to be chief, like most people. Few people know that it doesn't mean > > they are the best. It's simply a title given to the doc in charge of > > the neurosurg stuff for the hospital. It's more administrative. The > > joke was on us I guess. So I > > > had the microdiskectomy. Was walking that night, home the next and > > felt great. Being a teeneger, I went back to life as normal. My > > parents freaked when my surg gace me permission to go skiing 6 wks > > after surgery. > > > Had I known that free fragments will be absorbed by the body over > > time, I would never had done the surgery. Well, ok I would because I > > was young and had no idea what was in store for me. > > > I had a good outcome and was pain free for a year. You see, when > > there is a tear in the annulus that allows the nucleus pulposus to > > come out of the disk...OR when a surgical hole is made in the disk to > > remove the bulging portion of the disk...it allows more pulposus to > > come out. It's like an open window. Also, with that hole, the disk > > does dry out and thins which is what we know as DDD. So a year later > > I started to have pain again. Tried PT. No go. Back to surgery. This > > time I was eighteen and my last surgeon was pedi and passed me off to > > a reg neuro guy. So this neuro guy says we can do a regular > > diskectomy and laminectomy. But he wants to do discography first to > > make sure my pain is coming from the disk. No prob, except I told him > > I only would do that if he promised there was no risk of a " spinal > > headache " which is what happens when after the dura is punctured. The > > worst pain of my life! I had already had one with a previous > > Myleogram before my first > > > surg. No way he says. We don't even go near it! So I go and all > > went well until that night when I started with a " spinal headache " . > > My local community hosp ER could do nothing for me as they had no > > neurosurgeon there, as is the case with many community hosp. I went > > to three ERs and in the ambulance a few times before it got someone > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > into his office. I could NOT sit up. He denied it was from the > > procedure and said I was being dramatic. He actually got mad at me! > > He gave me valium and a few other things to shut me up. That night my > > mom had to call Ambulance to bring me back to this hospitals ER. Now > > this was the major hospital of the state of Rhode Island which is > > also the teaching hospital for Brown University. And people think > > that counts. So I had the surgery and was feeling great for a year > > and a half. Then the pain came all over again. > > > This time I decided I was going to Boston. My mom was able to get > > me an appointment with this " big, up and coming surgeon who was the > > guypeople come to from all over the world. " Yeah, I thought that must > > mean something too. He was known for doing impressive brain surgery > > at the time. So ha says he wants to try a new technique on me that > > they've just started doing. It's supposed to be the next best thing > > in fusion surgery. So we were all wowed. I felt ao lucky to be a part > > of this. I didn't understand that " new procedure that we just started > > doing " means that they are inexperienced at performing it and they > > have no long term studies to prove it's so good. Anyway, I had an > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > the disk at the place it's bulging at and place a bone graft there > > (aka from a cadaver). Most people don't realize that the usual place > > the disk bulges is on the anterior side, facing the front. they > > cannot access this > > > from your back. Then they flip you over (buck naked) and operate > > from the back where they perform more diskectomy and add more bone > > draft, used to be from your hip, but the big docs are getting away > > from that as they have something similar to use but since the hip > > grafting is so painful, they use something else. > > > Anyway, the main way to fuse your spine is with pedicle screws. > > They go through a thick and relatively strong bony proninence. There > > also is not a lot of nerves there. Well, this new procedure was facet > > screw fixation. Your facets are a joint that is the hinge between > > each vertebrae. Basically, the analogy I think of is it's like puttin > > a skinny screw into your funny bone to keep it from moving. Lots of > > nerves and a much smaller bony prominence to put a screw though. So, > > I was in hospital 4 day and recovery was a bitch. I wore a brace for > > 3 or 4 months which was a piece of plastic which was molded to my > > shape. It went from my nipples to my hip. VERY incomfortable. At this > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > timing. All of my postop visits my surg said my bone was fusing 50% > > faster than normal. He was ecstatic. He used photos and narrative > > from my surgery on a Power-Point presentation at Harvard. After I > > recovered, I had > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > was that the bone was NOT fused. An xray before my last surgery > > showed a crumbled mess. I didn't know it because the screws were > > holding the joint from moving. Until one day I was jogging and I felt > > a horrific pain shoot in my back and I couldn't move. I later found > > out that's when I likely broke my titanium screws. Yes, titanium the > > worlds strongest metal. > > > I went back to my surg and he said more PT!!! If that didn't help > > he would operate again. I was like NO WAY to that! I focused on PT > > and I seriously got my body strong. Started to feel better, but was > > taking Ultram for the pain still. Then I started to go crazy on my > > abs thinking I'd look good and it would be good for my core. Well I > > was doing bad things to my back in the process and I broke another > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > He said we'll try facet injections and if that doesn't help, we'll > > operate. > > > I then got ahold of my radiology reports and I knew what they said > > as now I was a surgical tech. What I read made me physically ill. It > > said there was NO evidence of fusion at all plus a few other things. > > Oh my world crumbled. I just didn't want to go though another > > surgery. I held off so long that both of my buttocks were numb at the > > top and my toes were either numb or tingly. So I gave in after > > literally trying everything, but with a " non-union " > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > At this time I was working in another BIG NAME Boston Hospital and > > went to the man who I trust. Dr. Glazer. He did another > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have six > > pedicle screws which are the size of my pinky finger and two fusion > > rods as well as a crosslink which connects the right and left > > sides. He did a fantastic job and I was finally able to return to > > work after seven months. I have to be able to lift up to 50 lbs to go > > back , so it took a long time! I finally started to really feel like > > I was on the home stretch at 9 mos and was feeling pretty great. But > > then I started to ache in the facet areas of L4-S1. I went to the > > pain clinic at Big Hospital and tried everything. Initially it > > helped, but only for a while. I even had Botox injections to stop the > > muscle spasm...it did NOT work. So now my neuro says it's likely the > > hardware. It happens frequently. Titanium is a pretty inert > > metal...but it doesn't belong there. > > > Surgery is now scheduled for August 4. > > > I have a few bulging disks above with some DDD, but as yet I am > > asymptomatic. > > > WHEW!!! Did I lose you yet??? > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2008 Report Share Posted July 13, 2008 Hi Nina How long have you been dealing with the SI joint issue? For me it started in 2003 when I had a massive back spasm and ever since that SI joint just doesnt work well at all. Because it gets stuck and doesnt move than it causes the sacrum to rotate and jam into the L5 and than it gets twisted in the facet joints is what I have read after years of trying to understand and deal. Yes PT always makes it feel worse, and I have had one SI joint injection that was horribly painful, more than the epidurals to my L5. I struggle to figure out how to deal with this after 2 plus years of PT, multiple injections and now I have a small central herniation at L5 which my Physiatrist says is from the wear and tear of the SI joint issues. The pain can be unbelievable and it creeps up the back often through the day if I am very active. Does it do that for you? Have you tried any meds like Lyrica? Any good pain meds that give you sustained relief? For me its been trial and error- small doses of percocet when its really bad, and flexeril and ibuprofen. SI joint dysfunction is worse I think than the Disc because the surgery to correct is pretty severe from what I have read. I wonder if anyone knows anyone out there who has had SI joint surgery? wendy Bless Your Heart, ! spinal problems Date: Saturday, July 12, 2008, 12:40 PM When I read your post I just wanted to cry! You have been through so much and yet you are still hanging in there!!! You are one STRONG, BRAVE lady! My complete story is not nearly as harrowing as yours, but I do understand the pain and the problems that you have faced! Bless your heart and everything that goes with it! I will be thinking about you and praying for miracles for you on August 4th! Please let us know how you are doing as soon as you can after the surgery! > When I was fifteen, I developed back pain that came on fairly sudden. I was getting achy one monthe and the next it became so severe I was standing in school. My PCP said it was a muscle strain. Uh huh. Who hasn't heard THAT one before! I tried physical therapy, and really stuck with it about as long as any teenager would.I had the MRI which showed that I had a ruptured disk with a free fragment. There was no pain clinic or anything. Just a few weeks of half-assed PT which didn't help and then it was to the OR with me. I wanted it. They gave me the choice of trying more PT or surgery. My parents and I all thought surgery was a quick fix. Plus this doc was chief of pedi neuro surg. At the time we thought it meant something to be chief, like most people. Few people know that it doesn't mean they are the best. It's simply a title given to the doc in charge of the neurosurg stuff for the hospital. It's more administrative. The joke was on us I guess. So I > had the microdiskectomy. Was walking that night, home the next and felt great. Being a teeneger, I went back to life as normal. My parents freaked when my surg gace me permission to go skiing 6 wks after surgery. > Had I known that free fragments will be absorbed by the body over time, I would never had done the surgery. Well, ok I would because I was young and had no idea what was in store for me. > I had a good outcome and was pain free for a year. You see, when there is a tear in the annulus that allows the nucleus pulposus to come out of the disk...OR when a surgical hole is made in the disk to remove the bulging portion of the disk...it allows more pulposus to come out. It's like an open window. Also, with that hole, the disk does dry out and thins which is what we know as DDD. So a year later I started to have pain again. Tried PT. No go. Back to surgery. This time I was eighteen and my last surgeon was pedi and passed me off to a reg neuro guy. So this neuro guy says we can do a regular diskectomy and laminectomy. But he wants to do discography first to make sure my pain is coming from the disk. No prob, except I told him I only would do that if he promised there was no risk of a " spinal headache " which is what happens when after the dura is punctured. The worst pain of my life! I had already had one with a previous Myleogram before my first > surg. No way he says. We don't even go near it! So I go and all went well until that night when I started with a " spinal headache " . My local community hosp ER could do nothing for me as they had no neurosurgeon there, as is the case with many community hosp. I went to three ERs and in the ambulance a few times before it got someone to do a blood patch a WEEK later! My mom brought me on a stretcher into his office. I could NOT sit up. He denied it was from the procedure and said I was being dramatic. He actually got mad at me! He gave me valium and a few other things to shut me up. That night my mom had to call Ambulance to bring me back to this hospitals ER. Now this was the major hospital of the state of Rhode Island which is also the teaching hospital for Brown University. And people think that counts. So I had the surgery and was feeling great for a year and a half. Then the pain came all over again. > This time I decided I was going to Boston. My mom was able to get me an appointment with this " big, up and coming surgeon who was the guypeople come to from all over the world. " Yeah, I thought that must mean something too. He was known for doing impressive brain surgery at the time. So ha says he wants to try a new technique on me that they've just started doing. It's supposed to be the next best thing in fusion surgery. So we were all wowed. I felt ao lucky to be a part of this. I didn't understand that " new procedure that we just started doing " means that they are inexperienced at performing it and they have no long term studies to prove it's so good. Anyway, I had an ALIF/ PLIF. They go in from the front to remove the biggest part of the disk at the place it's bulging at and place a bone graft there (aka from a cadaver). Most people don't realize that the usual place the disk bulges is on the anterior side, facing the front. they cannot access this > from your back. Then they flip you over (buck naked) and operate from the back where they perform more diskectomy and add more bone draft, used to be from your hip, but the big docs are getting away from that as they have something similar to use but since the hip grafting is so painful, they use something else. > Anyway, the main way to fuse your spine is with pedicle screws. They go through a thick and relatively strong bony proninence. There also is not a lot of nerves there. Well, this new procedure was facet screw fixation. Your facets are a joint that is the hinge between each vertebrae. Basically, the analogy I think of is it's like puttin a skinny screw into your funny bone to keep it from moving. Lots of nerves and a much smaller bony prominence to put a screw though. So, I was in hospital 4 day and recovery was a bitch. I wore a brace for 3 or 4 months which was a piece of plastic which was molded to my shape. It went from my nipples to my hip. VERY incomfortable. At this time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great timing. All of my postop visits my surg said my bone was fusing 50% faster than normal. He was ecstatic. He used photos and narrative from my surgery on a Power-Point presentation at Harvard. After I recovered, I had > absolutely NO PAIN for about 3 or 4 years. I thought I could not be hurt as I had all bone and no disk. WRONG!!! What I didn't know was that the bone was NOT fused. An xray before my last surgery showed a crumbled mess. I didn't know it because the screws were holding the joint from moving. Until one day I was jogging and I felt a horrific pain shoot in my back and I couldn't move. I later found out that's when I likely broke my titanium screws. Yes, titanium the worlds strongest metal. > I went back to my surg and he said more PT!!! If that didn't help he would operate again. I was like NO WAY to that! I focused on PT and I seriously got my body strong. Started to feel better, but was taking Ultram for the pain still. Then I started to go crazy on my abs thinking I'd look good and it would be good for my core. Well I was doing bad things to my back in the process and I broke another screw. I went back to see mt neuro who did a CT, MRI and bone scan. He said we'll try facet injections and if that doesn't help, we'll operate. > I then got ahold of my radiology reports and I knew what they said as now I was a surgical tech. What I read made me physically ill. It said there was NO evidence of fusion at all plus a few other things. Oh my world crumbled. I just didn't want to go though another surgery. I held off so long that both of my buttocks were numb at the top and my toes were either numb or tingly. So I gave in after literally trying everything, but with a " non-union " or " pseudoarthrosis " as it is referred to, it had to be fixed. > At this time I was working in another BIG NAME Boston Hospital and went to the man who I trust. Dr. Glazer. He did another ALIF/PLIF, this time he had to go up one level to L4, L5. I have six pedicle screws which are the size of my pinky finger and two fusion rods as well as a crosslink which connects the right and left sides. He did a fantastic job and I was finally able to return to work after seven months. I have to be able to lift up to 50 lbs to go back , so it took a long time! I finally started to really feel like I was on the home stretch at 9 mos and was feeling pretty great. But then I started to ache in the facet areas of L4-S1. I went to the pain clinic at Big Hospital and tried everything. Initially it helped, but only for a while. I even had Botox injections to stop the muscle spasm...it did NOT work. So now my neuro says it's likely the hardware. It happens frequently. Titanium is a pretty inert metal...but it doesn't belong there. > Surgery is now scheduled for August 4. > I have a few bulging disks above with some DDD, but as yet I am asymptomatic. > WHEW!!! Did I lose you yet??? > Sorry, i know it was long! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2008 Report Share Posted July 13, 2008 The only thing that I have found to help a little with the pain is Tylenol arthritis, it doesn't take all the pain away, but makes it easier to cope with when I have to stand on my feet for 3 hours or more. Nina > From: L. <boom77boom@ ...> > Subject: Bless Your Heart, ! > spinedisorderssuppo rtgroup@gro ups.com > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > When I read your post I just wanted to cry! You have been through so > > much and yet you are still hanging in there!!! You are one STRONG, > > BRAVE lady! > > > > My complete story is not nearly as harrowing as yours, but I do > > understand the pain and the problems that you have faced! Bless your > > heart and everything that goes with it! I will be thinking about you > > and praying for miracles for you on August 4th! Please let us know > > how you are doing as soon as you can after the surgery! > > > > > > > When I was fifteen, I developed back pain that came on fairly > > sudden. I was getting achy one monthe and the next it became so > > severe I was standing in school. My PCP said it was a muscle strain. > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > and really stuck with it about as long as any teenager would.I had > > the MRI which showed that I had a ruptured disk with a free > > fragment. There was no pain clinic or anything. Just a few weeks of > > half-assed PT which didn't help and then it was to the OR with me. I > > wanted it. They gave me the choice of trying more PT or surgery. My > > parents and I all thought surgery was a quick fix. Plus this doc was > > chief of pedi neuro surg. At the time we thought it meant something > > to be chief, like most people. Few people know that it doesn't mean > > they are the best. It's simply a title given to the doc in charge of > > the neurosurg stuff for the hospital. It's more administrative. The > > joke was on us I guess. So I > > > had the microdiskectomy. Was walking that night, home the next and > > felt great. Being a teeneger, I went back to life as normal. My > > parents freaked when my surg gace me permission to go skiing 6 wks > > after surgery. > > > Had I known that free fragments will be absorbed by the body over > > time, I would never had done the surgery. Well, ok I would because I > > was young and had no idea what was in store for me. > > > I had a good outcome and was pain free for a year. You see, when > > there is a tear in the annulus that allows the nucleus pulposus to > > come out of the disk...OR when a surgical hole is made in the disk to > > remove the bulging portion of the disk...it allows more pulposus to > > come out. It's like an open window. Also, with that hole, the disk > > does dry out and thins which is what we know as DDD. So a year later > > I started to have pain again. Tried PT. No go. Back to surgery. This > > time I was eighteen and my last surgeon was pedi and passed me off to > > a reg neuro guy. So this neuro guy says we can do a regular > > diskectomy and laminectomy. But he wants to do discography first to > > make sure my pain is coming from the disk. No prob, except I told him > > I only would do that if he promised there was no risk of a " spinal > > headache " which is what happens when after the dura is punctured. The > > worst pain of my life! I had already had one with a previous > > Myleogram before my first > > > surg. No way he says. We don't even go near it! So I go and all > > went well until that night when I started with a " spinal headache " . > > My local community hosp ER could do nothing for me as they had no > > neurosurgeon there, as is the case with many community hosp. I went > > to three ERs and in the ambulance a few times before it got someone > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > into his office. I could NOT sit up. He denied it was from the > > procedure and said I was being dramatic. He actually got mad at me! > > He gave me valium and a few other things to shut me up. That night my > > mom had to call Ambulance to bring me back to this hospitals ER. Now > > this was the major hospital of the state of Rhode Island which is > > also the teaching hospital for Brown University. And people think > > that counts. So I had the surgery and was feeling great for a year > > and a half. Then the pain came all over again. > > > This time I decided I was going to Boston. My mom was able to get > > me an appointment with this " big, up and coming surgeon who was the > > guypeople come to from all over the world. " Yeah, I thought that must > > mean something too. He was known for doing impressive brain surgery > > at the time. So ha says he wants to try a new technique on me that > > they've just started doing. It's supposed to be the next best thing > > in fusion surgery. So we were all wowed. I felt ao lucky to be a part > > of this. I didn't understand that " new procedure that we just started > > doing " means that they are inexperienced at performing it and they > > have no long term studies to prove it's so good. Anyway, I had an > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > the disk at the place it's bulging at and place a bone graft there > > (aka from a cadaver). Most people don't realize that the usual place > > the disk bulges is on the anterior side, facing the front. they > > cannot access this > > > from your back. Then they flip you over (buck naked) and operate > > from the back where they perform more diskectomy and add more bone > > draft, used to be from your hip, but the big docs are getting away > > from that as they have something similar to use but since the hip > > grafting is so painful, they use something else. > > > Anyway, the main way to fuse your spine is with pedicle screws. > > They go through a thick and relatively strong bony proninence. There > > also is not a lot of nerves there. Well, this new procedure was facet > > screw fixation. Your facets are a joint that is the hinge between > > each vertebrae. Basically, the analogy I think of is it's like puttin > > a skinny screw into your funny bone to keep it from moving. Lots of > > nerves and a much smaller bony prominence to put a screw though. So, > > I was in hospital 4 day and recovery was a bitch. I wore a brace for > > 3 or 4 months which was a piece of plastic which was molded to my > > shape. It went from my nipples to my hip. VERY incomfortable. At this > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > timing. All of my postop visits my surg said my bone was fusing 50% > > faster than normal. He was ecstatic. He used photos and narrative > > from my surgery on a Power-Point presentation at Harvard. After I > > recovered, I had > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > was that the bone was NOT fused. An xray before my last surgery > > showed a crumbled mess. I didn't know it because the screws were > > holding the joint from moving. Until one day I was jogging and I felt > > a horrific pain shoot in my back and I couldn't move. I later found > > out that's when I likely broke my titanium screws. Yes, titanium the > > worlds strongest metal. > > > I went back to my surg and he said more PT!!! If that didn't help > > he would operate again. I was like NO WAY to that! I focused on PT > > and I seriously got my body strong. Started to feel better, but was > > taking Ultram for the pain still. Then I started to go crazy on my > > abs thinking I'd look good and it would be good for my core. Well I > > was doing bad things to my back in the process and I broke another > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > He said we'll try facet injections and if that doesn't help, we'll > > operate. > > > I then got ahold of my radiology reports and I knew what they said > > as now I was a surgical tech. What I read made me physically ill. It > > said there was NO evidence of fusion at all plus a few other things. > > Oh my world crumbled. I just didn't want to go though another > > surgery. I held off so long that both of my buttocks were numb at the > > top and my toes were either numb or tingly. So I gave in after > > literally trying everything, but with a " non-union " > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > At this time I was working in another BIG NAME Boston Hospital and > > went to the man who I trust. Dr. Glazer. He did another > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have six > > pedicle screws which are the size of my pinky finger and two fusion > > rods as well as a crosslink which connects the right and left > > sides. He did a fantastic job and I was finally able to return to > > work after seven months. I have to be able to lift up to 50 lbs to go > > back , so it took a long time! I finally started to really feel like > > I was on the home stretch at 9 mos and was feeling pretty great. But > > then I started to ache in the facet areas of L4-S1. I went to the > > pain clinic at Big Hospital and tried everything. Initially it > > helped, but only for a while. I even had Botox injections to stop the > > muscle spasm...it did NOT work. So now my neuro says it's likely the > > hardware. It happens frequently. Titanium is a pretty inert > > metal...but it doesn't belong there. > > > Surgery is now scheduled for August 4. > > > I have a few bulging disks above with some DDD, but as yet I am > > asymptomatic. > > > WHEW!!! Did I lose you yet??? > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2008 Report Share Posted July 13, 2008 I'm glad that you found a nonnarcotic that works well for you! I tried it, but it didn't do a thing for me. I try not to take the narcotics unless it's absolutely necessary, usually at night before bedtime. There are those days when I need them all throughout the day, but luckily that's not every day!!! > > > > The only thing that I have found to help a little with the pain is Tylenol arthritis, it doesn't take all the pain away, but makes it easier to cope with when I have to stand on my feet for 3 hours or more. > Nina > > > > > From: L. <boom77boom@ ...> > > > Subject: Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 I've been taking Ultram (Tramadol) for about 5 years now and find that it works well for me. It is a synthetic narcotic so it is not a controlled substance, but it works on the opoid receptors so it does give fairly good pain relief. I take two three times a day, every day. It's the only thing that enables me to keep up with the house and kids. Lidoderm patches were a Godsend, but only if worn 24 hours a day. But I had to stop with those as well as the Neurontin (Gabapentin),Topamax and Skelaxin bevause they were all just so expensive! We were spending $100's of dollars every month as my copay for RX is 20%! So now I take a small dose of Amitryptaline but I don't think it's doing anything and the Tramadol. Of course when I have bad days, really BAD days, I have pretty much nothing to help. I have three Percocets left which a take so sparingly because they're like a rare stone or something. The other night I was in the worst pain I'd been in since my surgery. I almost went to the ER(which I haven't done in years) but I was home with my kids and hubby was at work. I cried for an hour and broke down and took a whole 10mg percocet as well as the ice. Now you know what really pisses me off??? My husband had to get that for me from a fellow back pain sufferer because my pain clinic doc refuses to prescribe them! It's so wrong to leave people suffering like that! What about " First do no harm " ? It's unacceptable! It's neglect as far as I'm concerned! I have had 5 back surgeries. What do I need to prove that I'm in enough pain at times to justify the occasional use of a good strong narcotic?--- Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 Gosh where do you live? Arent there any Physiatrists around where you are? Im in DC and I met a woman who drove in from West Va- (2 hours ) to come to the group I go to here in the Washington Metro area. They are very good and are not stingy with pain meds. You may have to check a metro area to find a group that is willing to go the extra mile. God we all have bad days and good days and the bad days you need something extra. wendy Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 Bless your heart!!! I agree with you on the do no harm and you are right, what about those of us that have to go to the ER in the middle of the night when we can't stand the pain any longer? These are the issues that I'm talking about that need to be changed!!! I'm sorry that you had to suffer like that!!! I almost went to the ER(which I haven't done in years) but I was home with my kids and hubby was at work. I cried for an hour and broke down and took a whole 10mg percocet as well as the ice. Now you know what really pisses me off??? My husband had to get that for me from a fellow back pain sufferer because my pain clinic doc refuses to prescribe them! It's so wrong to leave people suffering like that! What about " First do no harm " ? It's unacceptable! It's neglect as far as I'm concerned! I have had 5 back surgeries. What do I need to prove that I'm in enough pain at times to justify the occasional use of a good strong narcotic?--- > > > > Bless Your Heart, ! > > > > > spinedisorderssuppo rtgroup@gro ups.com > > > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > > > been through so > > > > > > > > > > much and yet you are still hanging in there!!! You are one > STRONG, > > > > > > > > > > BRAVE lady! > > > > > > > > > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > > > > > understand the pain and the problems that you have faced! Bless > > > > your > > > > > > > > > > heart and everything that goes with it! I will be thinking about > > > > you > > > > > > > > > > and praying for miracles for you on August 4th! Please let us > know > > > > > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > > > > > severe I was standing in school. My PCP said it was a muscle > > > > strain. > > > > > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical > therapy, > > > > > > > > > > and really stuck with it about as long as any teenager would.I > had > > > > > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > > > > > fragment. There was no pain clinic or anything. Just a few weeks > of > > > > > > > > > > half-assed PT which didn't help and then it was to the OR with > me. > > > > I > > > > > > > > > > wanted it. They gave me the choice of trying more PT or surgery. > My > > > > > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > > > was > > > > > > > > > > chief of pedi neuro surg. At the time we thought it meant > something > > > > > > > > > > to be chief, like most people. Few people know that it doesn't > mean > > > > > > > > > > they are the best. It's simply a title given to the doc in charge > > > > of > > > > > > > > > > the neurosurg stuff for the hospital. It's more administrative. > The > > > > > > > > > > joke was on us I guess. So I > > > > > > > > > > > had the microdiskectomy. Was walking that night, home the next > > > > and > > > > > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > > > > > parents freaked when my surg gace me permission to go skiing 6 > wks > > > > > > > > > > after surgery. > > > > > > > > > > > Had I known that free fragments will be absorbed by the body > over > > > > > > > > > > time, I would never had done the surgery. Well, ok I would > because > > > > I > > > > > > > > > > was young and had no idea what was in store for me. > > > > > > > > > > > I had a good outcome and was pain free for a year. You see, > when > > > > > > > > > > there is a tear in the annulus that allows the nucleus pulposus > to > > > > > > > > > > come out of the disk...OR when a surgical hole is made in the > disk > > > > to > > > > > > > > > > remove the bulging portion of the disk...it allows more pulposus > to > > > > > > > > > > come out. It's like an open window. Also, with that hole, the > disk > > > > > > > > > > does dry out and thins which is what we know as DDD. So a year > > > > later > > > > > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > > > This > > > > > > > > > > time I was eighteen and my last surgeon was pedi and passed me > off > > > > to > > > > > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > > > > > diskectomy and laminectomy. But he wants to do discography first > to > > > > > > > > > > make sure my pain is coming from the disk. No prob, except I told > > > > him > > > > > > > > > > I only would do that if he promised there was no risk of > a " spinal > > > > > > > > > > headache " which is what happens when after the dura is punctured. > > > > The > > > > > > > > > > worst pain of my life! I had already had one with a previous > > > > > > > > > > Myleogram before my first > > > > > > > > > > > surg. No way he says. We don't even go near it! So I go and > all > > > > > > > > > > went well until that night when I started with a " spinal > headache " . > > > > > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > > > > > neurosurgeon there, as is the case with many community hosp. I > went > > > > > > > > > > to three ERs and in the ambulance a few times before it got > someone > > > > > > > > > > to do a blood patch a WEEK later! My mom brought me on a > stretcher > > > > > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > > > > > procedure and said I was being dramatic. He actually got mad at > me! > > > > > > > > > > He gave me valium and a few other things to shut me up. That > night > > > > my > > > > > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > > > Now > > > > > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > > > > > also the teaching hospital for Brown University. And people think > > > > > > > > > > that counts. So I had the surgery and was feeling great for a > year > > > > > > > > > > and a half. Then the pain came all over again. > > > > > > > > > > > This time I decided I was going to Boston. My mom was able to > get > > > > > > > > > > me an appointment with this " big, up and coming surgeon who was > the > > > > > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > > > must > > > > > > > > > > mean something too. He was known for doing impressive brain > surgery > > > > > > > > > > at the time. So ha says he wants to try a new technique on me > that > > > > > > > > > > they've just started doing. It's supposed to be the next best > thing > > > > > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > > > part > > > > > > > > > > of this. I didn't understand that " new procedure that we just > > > > started > > > > > > > > > > doing " means that they are inexperienced at performing it and > they > > > > > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part > of > > > > > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > > > > > (aka from a cadaver). Most people don't realize that the usual > > > > place > > > > > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > > > > > cannot access this > > > > > > > > > > > from your back. Then they flip you over (buck naked) and > operate > > > > > > > > > > from the back where they perform more diskectomy and add more > bone > > > > > > > > > > draft, used to be from your hip, but the big docs are getting > away > > > > > > > > > > from that as they have something similar to use but since the hip > > > > > > > > > > grafting is so painful, they use something else. > > > > > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > > > > > They go through a thick and relatively strong bony proninence. > > > > There > > > > > > > > > > also is not a lot of nerves there. Well, this new procedure was > > > > facet > > > > > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > > > puttin > > > > > > > > > > a skinny screw into your funny bone to keep it from moving. Lots > of > > > > > > > > > > nerves and a much smaller bony prominence to put a screw though. > > > > So, > > > > > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > > > for > > > > > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > > > this > > > > > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not > great > > > > > > > > > > timing. All of my postop visits my surg said my bone was fusing > 50% > > > > > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > > > > > from my surgery on a Power-Point presentation at Harvard. After > I > > > > > > > > > > recovered, I had > > > > > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could > not > > > > > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't > know > > > > > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > > > > > holding the joint from moving. Until one day I was jogging and I > > > > felt > > > > > > > > > > a horrific pain shoot in my back and I couldn't move. I later > found > > > > > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > > > the > > > > > > > > > > worlds strongest metal. > > > > > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > > > help > > > > > > > > > > he would operate again. I was like NO WAY to that! I focused on > PT > > > > > > > > > > and I seriously got my body strong. Started to feel better, but > was > > > > > > > > > > taking Ultram for the pain still. Then I started to go crazy on > my > > > > > > > > > > abs thinking I'd look good and it would be good for my core. Well > I > > > > > > > > > > was doing bad things to my back in the process and I broke > another > > > > > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone > scan. > > > > > > > > > > He said we'll try facet injections and if that doesn't help, > we'll > > > > > > > > > > operate. > > > > > > > > > > > I then got ahold of my radiology reports and I knew what they > > > > said > > > > > > > > > > as now I was a surgical tech. What I read made me physically ill. > > > > It > > > > > > > > > > said there was NO evidence of fusion at all plus a few other > > > > things. > > > > > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > > > > > surgery. I held off so long that both of my buttocks were numb at > > > > the > > > > > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > > > > > literally trying everything, but with a " non-union " > > > > > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > > > and > > > > > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > > > six > > > > > > > > > > pedicle screws which are the size of my pinky finger and two > fusion > > > > > > > > > > rods as well as a crosslink which connects the right and left > > > > > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > > > > > work after seven months. I have to be able to lift up to 50 lbs > to > > > > go > > > > > > > > > > back , so it took a long time! I finally started to really feel > > > > like > > > > > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > > > But > > > > > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > > > > > helped, but only for a while. I even had Botox injections to stop > > > > the > > > > > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > > > the > > > > > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > > > > > metal...but it doesn't belong there. > > > > > > > > > > > Surgery is now scheduled for August 4. > > > > > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > > > > > asymptomatic. > > > > > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 I live in Rhode Island on the Massachusetts line. My docs are all in MA. How do you find a pain doc who is willing to work with narcotics? Am I supposed to cll them all up and ask if the docs will prescribe narcotics. Then I'm just labeled " drug seeking " ...you bet your sweet a** I am! I have a right to proper pain control! I don't know how to go about it. Any ideas? There are physiatrists around, yes, but that doesn't mean they will all prescribe it. My pain docs are anesthesiologists who I worked with! My occupation is a surgical technologist. I am currently unemployed due to the pain, and not receiving disability ar anything.--- Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 What can we do? I am really getting to the point of getting a meeting with a legislator or something. Bless Your Heart, ! > > > > > spinedisorderssuppo rtgroup@gro ups.com > > > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > > > been through so > > > > > > > > > > much and yet you are still hanging in there!!! You are one > STRONG, > > > > > > > > > > BRAVE lady! > > > > > > > > > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > > > > > understand the pain and the problems that you have faced! Bless > > > > your > > > > > > > > > > heart and everything that goes with it! I will be thinking about > > > > you > > > > > > > > > > and praying for miracles for you on August 4th! Please let us > know > > > > > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > > > > > severe I was standing in school. My PCP said it was a muscle > > > > strain. > > > > > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical > therapy, > > > > > > > > > > and really stuck with it about as long as any teenager would.I > had > > > > > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > > > > > fragment. There was no pain clinic or anything. Just a few weeks > of > > > > > > > > > > half-assed PT which didn't help and then it was to the OR with > me. > > > > I > > > > > > > > > > wanted it. They gave me the choice of trying more PT or surgery. > My > > > > > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > > > was > > > > > > > > > > chief of pedi neuro surg. At the time we thought it meant > something > > > > > > > > > > to be chief, like most people. Few people know that it doesn't > mean > > > > > > > > > > they are the best. It's simply a title given to the doc in charge > > > > of > > > > > > > > > > the neurosurg stuff for the hospital. It's more administrative. > The > > > > > > > > > > joke was on us I guess. So I > > > > > > > > > > > had the microdiskectomy. Was walking that night, home the next > > > > and > > > > > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > > > > > parents freaked when my surg gace me permission to go skiing 6 > wks > > > > > > > > > > after surgery. > > > > > > > > > > > Had I known that free fragments will be absorbed by the body > over > > > > > > > > > > time, I would never had done the surgery. Well, ok I would > because > > > > I > > > > > > > > > > was young and had no idea what was in store for me. > > > > > > > > > > > I had a good outcome and was pain free for a year. You see, > when > > > > > > > > > > there is a tear in the annulus that allows the nucleus pulposus > to > > > > > > > > > > come out of the disk...OR when a surgical hole is made in the > disk > > > > to > > > > > > > > > > remove the bulging portion of the disk...it allows more pulposus > to > > > > > > > > > > come out. It's like an open window. Also, with that hole, the > disk > > > > > > > > > > does dry out and thins which is what we know as DDD. So a year > > > > later > > > > > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > > > This > > > > > > > > > > time I was eighteen and my last surgeon was pedi and passed me > off > > > > to > > > > > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > > > > > diskectomy and laminectomy. But he wants to do discography first > to > > > > > > > > > > make sure my pain is coming from the disk. No prob, except I told > > > > him > > > > > > > > > > I only would do that if he promised there was no risk of > a " spinal > > > > > > > > > > headache " which is what happens when after the dura is punctured. > > > > The > > > > > > > > > > worst pain of my life! I had already had one with a previous > > > > > > > > > > Myleogram before my first > > > > > > > > > > > surg. No way he says. We don't even go near it! So I go and > all > > > > > > > > > > went well until that night when I started with a " spinal > headache " . > > > > > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > > > > > neurosurgeon there, as is the case with many community hosp. I > went > > > > > > > > > > to three ERs and in the ambulance a few times before it got > someone > > > > > > > > > > to do a blood patch a WEEK later! My mom brought me on a > stretcher > > > > > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > > > > > procedure and said I was being dramatic. He actually got mad at > me! > > > > > > > > > > He gave me valium and a few other things to shut me up. That > night > > > > my > > > > > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > > > Now > > > > > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > > > > > also the teaching hospital for Brown University. And people think > > > > > > > > > > that counts. So I had the surgery and was feeling great for a > year > > > > > > > > > > and a half. Then the pain came all over again. > > > > > > > > > > > This time I decided I was going to Boston. My mom was able to > get > > > > > > > > > > me an appointment with this " big, up and coming surgeon who was > the > > > > > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > > > must > > > > > > > > > > mean something too. He was known for doing impressive brain > surgery > > > > > > > > > > at the time. So ha says he wants to try a new technique on me > that > > > > > > > > > > they've just started doing. It's supposed to be the next best > thing > > > > > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > > > part > > > > > > > > > > of this. I didn't understand that " new procedure that we just > > > > started > > > > > > > > > > doing " means that they are inexperienced at performing it and > they > > > > > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part > of > > > > > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > > > > > (aka from a cadaver). Most people don't realize that the usual > > > > place > > > > > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > > > > > cannot access this > > > > > > > > > > > from your back. Then they flip you over (buck naked) and > operate > > > > > > > > > > from the back where they perform more diskectomy and add more > bone > > > > > > > > > > draft, used to be from your hip, but the big docs are getting > away > > > > > > > > > > from that as they have something similar to use but since the hip > > > > > > > > > > grafting is so painful, they use something else. > > > > > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > > > > > They go through a thick and relatively strong bony proninence. > > > > There > > > > > > > > > > also is not a lot of nerves there. Well, this new procedure was > > > > facet > > > > > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > > > puttin > > > > > > > > > > a skinny screw into your funny bone to keep it from moving. Lots > of > > > > > > > > > > nerves and a much smaller bony prominence to put a screw though. > > > > So, > > > > > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > > > for > > > > > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > > > this > > > > > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not > great > > > > > > > > > > timing. All of my postop visits my surg said my bone was fusing > 50% > > > > > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > > > > > from my surgery on a Power-Point presentation at Harvard. After > I > > > > > > > > > > recovered, I had > > > > > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could > not > > > > > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't > know > > > > > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > > > > > holding the joint from moving. Until one day I was jogging and I > > > > felt > > > > > > > > > > a horrific pain shoot in my back and I couldn't move. I later > found > > > > > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > > > the > > > > > > > > > > worlds strongest metal. > > > > > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > > > help > > > > > > > > > > he would operate again. I was like NO WAY to that! I focused on > PT > > > > > > > > > > and I seriously got my body strong. Started to feel better, but > was > > > > > > > > > > taking Ultram for the pain still. Then I started to go crazy on > my > > > > > > > > > > abs thinking I'd look good and it would be good for my core. Well > I > > > > > > > > > > was doing bad things to my back in the process and I broke > another > > > > > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone > scan. > > > > > > > > > > He said we'll try facet injections and if that doesn't help, > we'll > > > > > > > > > > operate. > > > > > > > > > > > I then got ahold of my radiology reports and I knew what they > > > > said > > > > > > > > > > as now I was a surgical tech. What I read made me physically ill. > > > > It > > > > > > > > > > said there was NO evidence of fusion at all plus a few other > > > > things. > > > > > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > > > > > surgery. I held off so long that both of my buttocks were numb at > > > > the > > > > > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > > > > > literally trying everything, but with a " non-union " > > > > > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > > > and > > > > > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > > > six > > > > > > > > > > pedicle screws which are the size of my pinky finger and two > fusion > > > > > > > > > > rods as well as a crosslink which connects the right and left > > > > > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > > > > > work after seven months. I have to be able to lift up to 50 lbs > to > > > > go > > > > > > > > > > back , so it took a long time! I finally started to really feel > > > > like > > > > > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > > > But > > > > > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > > > > > helped, but only for a while. I even had Botox injections to stop > > > > the > > > > > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > > > the > > > > > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > > > > > metal...but it doesn't belong there. > > > > > > > > > > > Surgery is now scheduled for August 4. > > > > > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > > > > > asymptomatic. > > > > > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 Well I would think up there you could find someone, but who knows what the climate is like. Some docs like my GP wont prescribe anything. The group I go to know- they have 5 locations and its a large practice and if you have a medical / surgical history that backs you than they are willing to help you. They are " Capitol Spine and Pain " and they do medical management as well as injections and radiofrequency. Try to google them. But I would think you might be able to ask around and find a good Physical Medicine group- thats what they do- they deal with pain. I think after reading your medical history know one deserves good pain management than you! wendy Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 Thanks . I'll do that.--- Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 I have a question for you. For the Discogram procedure- if it turns out its not the disc, does the procedure damage the disc? wendy Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 Not that I am aware of. That's a good point . I don't believe that a hypodermic needle is big enough to make a hole big enough to cause damage, but I could be wrong. It seems to me that if it could couse a weakness in the anulus, docs would do it only if the benefit outweighs the risk. Discograpy is an excellent diagnostic tool and I believe it's worth it. It may well not be the source of your pain. What if you had surgery for it and the pain was really coming from somewhere else? That would stink. --- Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 thanks I hate to do it, but I think I need to rule out the L4, L5 as pain generators. They dont look like much on the MRI, but I have constant pain in the right Sacrum and radiculopathy- which could be coming from the SI joint, or rotated Sacrum issues that I have, or the disk, we just dont know. They gave me an order for 20 mg of valium to take for the discogram, I thought that seemed like a lot. did you have to take that? wendy Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 , Just reading your comments really struck home with me. I have taken all of these meds that you talk about, the ultram does nothing even the most strongest, I am still taking the Neurontin at the max dose of 1800mg a day, and my pain spec (god bless him) has me on 10mg loratab 4x , which barly do the job. The only thing that really helps is the Cymbalta I take 2x, I think its fairly new and way expensive, even with my coverage I still pay 50%. but it really kicks up that loratab. Dont understand the amitryptaline I thought that was a pych drug, I could be wrong though. I dont know what I would do without Cymbalta though, like yourself this pain brings tears to my eyes. Hope that little bit of info helps, geo Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything.. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT.. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard.. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess.. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 , Be careful. I tried Cymbalta for about 8 days. I had the most horrible migraines with it. Than I happened to read an article about how the FDA is getting drugs pushed though to us without proper clinical trials. They went so far to say that we are the clinical trial! This was said by ex FDA workers. But they gave Cymbalta as an example of a powerful neorological drug that had not been properly tested in humans. So, out of curiosity, since I'd been taking it and had the migraines, I looked up side effects on Cymbalta. Now after only a few days, my chronic pain had decreased dramatically. What I found when I read this article horrified me to the point where I never took it again. We should always be wary of the newest drugs, and yeah, I paid almost %80 for my prescription that I only took a week. Here is the link to the Cymbalta info... http://drugs.healthdiaries.com/cymbalta-side-effects.html I just came from my PCP and explained my frustrations with my pain clinic. I know they DO prescribe pain meds, but seem to be unwilling to do so for me. I've been in pain for so long that I've adapted to it and normally you couldn't tell that I'm in the pain I'm in. Do I have to stagger around the office with my eyes rolled back in my head to get them to understand I hurt? Ugh! Anyway, it seems like they only want to do procedures where they are making a score. She gave me some Percs, only 5mg though, but better than nothing! She also gave me Toradol which I asked for. I've had the injection form and I tell you...It has knocked out my worst pain within 20 minutes! It's stronget than a narcotic. You just have to be careful how often you use it, only really for the bad times because taking it for more than 5 days in a row can cause stomach bleed. But boy does it work! Amitryptaline is one of the oldest and most widely used meds. It is used for everything from Irriable Bowl Syndrome to chronic pain and everything in between. I'm going to stop it though. No sense in having an extra med in my body if I don't think it will help. Maybe a higher dose, but it's a MAOI so I don't really like to be on one of those anyway. --- Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything.. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT.. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard.. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess.. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 14, 2008 Report Share Posted July 14, 2008 I don't recall, it was a long time ago. I thought I was a little woozy, maybe they did sedation. Have you ever had an injection in your SI joint? 20 mg is a lot, if you are more comfortable take a half, but I think the purpose is to have you sedated which 10mg won't do. --- Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2008 Report Share Posted July 15, 2008 Hi yes last summer had SI joint injection and it was excruitiating. Did not do anything unfortunately except for make the pain worse in my sacral area. As to the Valium Im just worried cause Im a lite weight with meds- like I break the 5mg perc's in half and stagger them. Flexeril I break into 1/4 and that much will knock me out for the nite. When I was on Cymbalta I went no higher than 30 mg and even than I developed the side effects- blurry vision, etc... so I thought 20 mg of Valium might snow me for a weekend! wendy Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 Hi have you ever encountered anyone who has had the SI stabilization surgery? just curious. wendy Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 No. actually, I've never heard of that. Bless Your Heart, ! > > > spinedisorderssuppo rtgroup@gro ups.com > > > Date: Saturday, July 12, 2008, 12:40 PM > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > When I read your post I just wanted to cry! You have > > been through so > > > > > > much and yet you are still hanging in there!!! You are one STRONG, > > > > > > BRAVE lady! > > > > > > > > > > > > My complete story is not nearly as harrowing as yours, but I do > > > > > > understand the pain and the problems that you have faced! Bless > > your > > > > > > heart and everything that goes with it! I will be thinking about > > you > > > > > > and praying for miracles for you on August 4th! Please let us know > > > > > > how you are doing as soon as you can after the surgery! > > > > > > > > > > > > > > > > > > > When I was fifteen, I developed back pain that came on fairly > > > > > > sudden. I was getting achy one monthe and the next it became so > > > > > > severe I was standing in school. My PCP said it was a muscle > > strain. > > > > > > Uh huh. Who hasn't heard THAT one before! I tried physical therapy, > > > > > > and really stuck with it about as long as any teenager would.I had > > > > > > the MRI which showed that I had a ruptured disk with a free > > > > > > fragment. There was no pain clinic or anything. Just a few weeks of > > > > > > half-assed PT which didn't help and then it was to the OR with me. > > I > > > > > > wanted it. They gave me the choice of trying more PT or surgery. My > > > > > > parents and I all thought surgery was a quick fix. Plus this doc > > was > > > > > > chief of pedi neuro surg. At the time we thought it meant something > > > > > > to be chief, like most people. Few people know that it doesn't mean > > > > > > they are the best. It's simply a title given to the doc in charge > > of > > > > > > the neurosurg stuff for the hospital. It's more administrative. The > > > > > > joke was on us I guess. So I > > > > > > > had the microdiskectomy. Was walking that night, home the next > > and > > > > > > felt great. Being a teeneger, I went back to life as normal. My > > > > > > parents freaked when my surg gace me permission to go skiing 6 wks > > > > > > after surgery. > > > > > > > Had I known that free fragments will be absorbed by the body over > > > > > > time, I would never had done the surgery. Well, ok I would because > > I > > > > > > was young and had no idea what was in store for me. > > > > > > > I had a good outcome and was pain free for a year. You see, when > > > > > > there is a tear in the annulus that allows the nucleus pulposus to > > > > > > come out of the disk...OR when a surgical hole is made in the disk > > to > > > > > > remove the bulging portion of the disk...it allows more pulposus to > > > > > > come out. It's like an open window. Also, with that hole, the disk > > > > > > does dry out and thins which is what we know as DDD. So a year > > later > > > > > > I started to have pain again. Tried PT. No go. Back to surgery. > > This > > > > > > time I was eighteen and my last surgeon was pedi and passed me off > > to > > > > > > a reg neuro guy. So this neuro guy says we can do a regular > > > > > > diskectomy and laminectomy. But he wants to do discography first to > > > > > > make sure my pain is coming from the disk. No prob, except I told > > him > > > > > > I only would do that if he promised there was no risk of a " spinal > > > > > > headache " which is what happens when after the dura is punctured. > > The > > > > > > worst pain of my life! I had already had one with a previous > > > > > > Myleogram before my first > > > > > > > surg. No way he says. We don't even go near it! So I go and all > > > > > > went well until that night when I started with a " spinal headache " . > > > > > > My local community hosp ER could do nothing for me as they had no > > > > > > neurosurgeon there, as is the case with many community hosp. I went > > > > > > to three ERs and in the ambulance a few times before it got someone > > > > > > to do a blood patch a WEEK later! My mom brought me on a stretcher > > > > > > into his office. I could NOT sit up. He denied it was from the > > > > > > procedure and said I was being dramatic. He actually got mad at me! > > > > > > He gave me valium and a few other things to shut me up. That night > > my > > > > > > mom had to call Ambulance to bring me back to this hospitals ER. > > Now > > > > > > this was the major hospital of the state of Rhode Island which is > > > > > > also the teaching hospital for Brown University. And people think > > > > > > that counts. So I had the surgery and was feeling great for a year > > > > > > and a half. Then the pain came all over again. > > > > > > > This time I decided I was going to Boston. My mom was able to get > > > > > > me an appointment with this " big, up and coming surgeon who was the > > > > > > guypeople come to from all over the world. " Yeah, I thought that > > must > > > > > > mean something too. He was known for doing impressive brain surgery > > > > > > at the time. So ha says he wants to try a new technique on me that > > > > > > they've just started doing. It's supposed to be the next best thing > > > > > > in fusion surgery. So we were all wowed. I felt ao lucky to be a > > part > > > > > > of this. I didn't understand that " new procedure that we just > > started > > > > > > doing " means that they are inexperienced at performing it and they > > > > > > have no long term studies to prove it's so good. Anyway, I had an > > > > > > ALIF/ PLIF. They go in from the front to remove the biggest part of > > > > > > the disk at the place it's bulging at and place a bone graft there > > > > > > (aka from a cadaver). Most people don't realize that the usual > > place > > > > > > the disk bulges is on the anterior side, facing the front. they > > > > > > cannot access this > > > > > > > from your back. Then they flip you over (buck naked) and operate > > > > > > from the back where they perform more diskectomy and add more bone > > > > > > draft, used to be from your hip, but the big docs are getting away > > > > > > from that as they have something similar to use but since the hip > > > > > > grafting is so painful, they use something else. > > > > > > > Anyway, the main way to fuse your spine is with pedicle screws. > > > > > > They go through a thick and relatively strong bony proninence. > > There > > > > > > also is not a lot of nerves there. Well, this new procedure was > > facet > > > > > > screw fixation. Your facets are a joint that is the hinge between > > > > > > each vertebrae. Basically, the analogy I think of is it's like > > puttin > > > > > > a skinny screw into your funny bone to keep it from moving. Lots of > > > > > > nerves and a much smaller bony prominence to put a screw though. > > So, > > > > > > I was in hospital 4 day and recovery was a bitch. I wore a brace > > for > > > > > > 3 or 4 months which was a piece of plastic which was molded to my > > > > > > shape. It went from my nipples to my hip. VERY incomfortable. At > > this > > > > > > time I was 21 and had two boys who were 1 1/2 and 2 1/2. Not great > > > > > > timing. All of my postop visits my surg said my bone was fusing 50% > > > > > > faster than normal. He was ecstatic. He used photos and narrative > > > > > > from my surgery on a Power-Point presentation at Harvard. After I > > > > > > recovered, I had > > > > > > > absolutely NO PAIN for about 3 or 4 years. I thought I could not > > > > > > be hurt as I had all bone and no disk. WRONG!!! What I didn't know > > > > > > was that the bone was NOT fused. An xray before my last surgery > > > > > > showed a crumbled mess. I didn't know it because the screws were > > > > > > holding the joint from moving. Until one day I was jogging and I > > felt > > > > > > a horrific pain shoot in my back and I couldn't move. I later found > > > > > > out that's when I likely broke my titanium screws. Yes, titanium > > the > > > > > > worlds strongest metal. > > > > > > > I went back to my surg and he said more PT!!! If that didn't > > help > > > > > > he would operate again. I was like NO WAY to that! I focused on PT > > > > > > and I seriously got my body strong. Started to feel better, but was > > > > > > taking Ultram for the pain still. Then I started to go crazy on my > > > > > > abs thinking I'd look good and it would be good for my core. Well I > > > > > > was doing bad things to my back in the process and I broke another > > > > > > screw. I went back to see mt neuro who did a CT, MRI and bone scan. > > > > > > He said we'll try facet injections and if that doesn't help, we'll > > > > > > operate. > > > > > > > I then got ahold of my radiology reports and I knew what they > > said > > > > > > as now I was a surgical tech. What I read made me physically ill. > > It > > > > > > said there was NO evidence of fusion at all plus a few other > > things. > > > > > > Oh my world crumbled. I just didn't want to go though another > > > > > > surgery. I held off so long that both of my buttocks were numb at > > the > > > > > > top and my toes were either numb or tingly. So I gave in after > > > > > > literally trying everything, but with a " non-union " > > > > > > or " pseudoarthrosis " as it is referred to, it had to be fixed. > > > > > > > At this time I was working in another BIG NAME Boston Hospital > > and > > > > > > went to the man who I trust. Dr. Glazer. He did another > > > > > > ALIF/PLIF, this time he had to go up one level to L4, L5. I have > > six > > > > > > pedicle screws which are the size of my pinky finger and two fusion > > > > > > rods as well as a crosslink which connects the right and left > > > > > > sides. He did a fantastic job and I was finally able to return to > > > > > > work after seven months. I have to be able to lift up to 50 lbs to > > go > > > > > > back , so it took a long time! I finally started to really feel > > like > > > > > > I was on the home stretch at 9 mos and was feeling pretty great. > > But > > > > > > then I started to ache in the facet areas of L4-S1. I went to the > > > > > > pain clinic at Big Hospital and tried everything. Initially it > > > > > > helped, but only for a while. I even had Botox injections to stop > > the > > > > > > muscle spasm...it did NOT work. So now my neuro says it's likely > > the > > > > > > hardware. It happens frequently. Titanium is a pretty inert > > > > > > metal...but it doesn't belong there. > > > > > > > Surgery is now scheduled for August 4. > > > > > > > I have a few bulging disks above with some DDD, but as yet I am > > > > > > asymptomatic. > > > > > > > WHEW!!! Did I lose you yet??? > > > > > > > Sorry, i know it was long! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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