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3mths post lumbar fusion - pain management advice

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3 years 8 months ago #20985 by grappers
grappers replied the topic: 3mths post lumbar fusion - pain management advice
Hi Galah_01,
I have had to back surgeries, not a fusion though, while before the surgery on doctor told me I would be back at work after 4 weeks, post surgery was a different story, the surgeon told me a minimum of six months, and then that would be light duties, so 3 months for a spinal fusion seems a little ambitious.
Why do some become chronic pain sufferers, now that is the million dollar question, and whoever finds the answer will become rich overnight, some cases could be put down to the length of time before getting proper treatment, which could mean pain control or early operation that it required, but who can say, some people become Cper's out of the blue, no accident or trauma needed and yet the nervous system becomes over sensitised, there are lots of theories and still no answers, but it is more common than you think as 1 in 5 people suffer chronic pain, and yet we don't get the services we need.

Don
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3 years 8 months ago - 3 years 8 months ago #21007 by standinside
standinside replied the topic: 3mths post lumbar fusion - pain management advice
Hi,

I would suggest that you speak to your local pharmacist about tapering. You can get ppl's experience here when it comes to tapering to give you ideas and bring those ideas to your pharmacist/GP. I get that your GP is swamped but still should still treat your father with great care.

Lyrica is for neuropathic as you stated. This would be sharp electric shooting pain. And panadol and endone for body pain.

The fact that dropping a single 5mg tablet can cause withdraw symptoms and insufficient pain relieve makes me wonder why you are tapering at all. Also Im not sure which withdraw symptoms you are referring to.

I think its very important to let your Dr of any tapering that you decide to do. They may not like it but its best that they know.

Take care and I hope he feels better soon.
Last Edit: 3 years 8 months ago by Mary. Reason: Removing specific medical advice
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3 years 8 months ago - 3 years 8 months ago #21008 by Mary
Mary replied the topic: 3mths post lumbar fusion - pain management advice
Hi everyone,

I just need to clear up a couple of points here.

We are not doctors and if you wish to taper medications please speak with your doctor about this. Everyone is different and it could be that it is even too early to consider tapering at this point. I would urge people to support each other but please refrain from offering specific medical advice.

I have edited the post above and removed the medical advice with regards to the tapering.

Also - just a point with neuropathic pain. It does not have to be "sharp" or "electric". I have neuropathic pain and it is more burning, stinging and/or pins and needles. Throw in a lot of cramps and you have it.

Thank you for your understanding.

Mary

Not every day is a good day, but there is good in every day.

"“It’s delightful when your imaginations come true, isn’t it?” ― L.M. Montgomery, Anne of Green Gables
Last Edit: 3 years 8 months ago by Mary.
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3 years 8 months ago #21015 by galah_01
galah_01 replied the topic: 3mths post lumbar fusion - pain management advice
Some solid advice here so far. Thanks for the help.

Mary, I understand you editing out any specific medical advice that may have been given out. I shouldn't have asked the question in that way in the first place. We have an appointment with Dad's surgeon next week and I'll be sure to ask about this. GP has advised to increase the Lyrica dose by 25mg and then try to taper off the Endone at night (which was quite hard the last time we tried it).

This tapering is all Dad's wish. He needs to be off narcotics so the Dr can even consider him a candidate for light duties at this work. Sadly, we can't take too much more time off. I think we also confused about Lyrica's efficacy. It probably does help and the Doctors must know more than us.


By widthrawal symptoms, I meant getting shivers and feeling quite cold at night. Dad still gets really cold after about 8pm. The heaters help but we shall be raising that with the specialist as well.

I will keep everyone updated. Have a good Sunday everyone.

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3 years 8 months ago #21016 by Mary
Mary replied the topic: 3mths post lumbar fusion - pain management advice
It's fine galah,

It's just that the advice included explicit dosages etc. and that must come from your dad's doctor. I can understand why he wants to be off medication, but as i said 12 weeks is still early for spinal fusion. See what the surgeon says next week and be guided by that.

I stand correction here, but I suspect that Lyrica is used after spinal surgery nowadays by some (or many?) surgeons to prevent people ending up like me! Ask the surgeon, I am sure he will explain it. There is a condition that can follow knee replacements where people get little or no relief and the pain that they have is neuropathic. An anaesthetist told me that he regularly puts people on Gabapentin (same type of medication as Lyrica) a week or two before surgery and for some time afterwards to try and avoid this. That's what makes me wonder if Lyrica is being used for the same reason with spinal surgery nowadays.

Mary

Not every day is a good day, but there is good in every day.

"“It’s delightful when your imaginations come true, isn’t it?” ― L.M. Montgomery, Anne of Green Gables
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3 years 8 months ago #21017 by galah_01
galah_01 replied the topic: 3mths post lumbar fusion - pain management advice
I think you're right regarding Lyrica and post operative care regarding chronic pain. Interesting read here:

www.australianprescriber.com/magazine/37/3/76/8 (scroll to Postoperative pain management).

Oxycodone+Pregablin is being used as a way to prevent chronic pain and other effects post surgery.
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