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Failed back surgery are the percentages right.

Started by Sam227 on 05/01/2010 8:41pm

I am having a fusion and leminectomy in July. My pain management doctor said I have a 33% chance of being pain-free after surgery. Does anyone think that percentage is off a lot because people don't want to go back to work? You think people are just looking for the free services for life? Back surgery is a major surgery for all of us. It would be a lot nicer if the percentage was a lot higher that get better. Please let me know your thoughts. I am unable to do almost anything now. My choice is surgery even at 33% .

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Hi Anne D. Thank`s again. I have a apointment with my surgeon on thursday. I will ask him for help/more options. I will make a ipointment with pain mangement see what they have to say. I always wanted to get off the pain meds but that isn`t going to happen. It`s time for more. I will ask about the devises they have to help with pain releif . How are you doing now anne ? I`m not as good as presurgery. But I only felt good a week or two since surgery. Roesy how are you?

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Has anyone out there tried magnets? I've heard some miracle stories using Nikken magnets.

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Hi Philly,
I think you are much too hard on yourself. For being only 4 months out, it sounds like you are doing great (maybe not as great as you want but certainly great for the type of surgery).
Let your fiancee spoil you. It will make her happy that you are not shutting her out and and it will give you the 'me' time you crave or need.

I don't think surgeons adequately explain just how major this surgery is and the length of time required to heal. WIth a broken arm or leg one, can put it cast and put it up for six weeks and poof, healed. But the spine needs to move while healing so there will be constant pain which hopefully diminishes over time.

And try not to compare yourself with other people, everyone is different; pain levels, healing rates etc.

I did learn something tho. Neurosurgeons are notorious for not returning calls. I've been told by my
pain man. doctors and other docs who know mine for example, say 'he doesn't knw what todo' or neuros never call back as they all have phone issues! They only know how to cut, they don't know how to deal with the healing process.

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Hi Sam and all of the gang, I'm doing well. Still have spasms and lower back pain but notice that religiously doing the PT exercises 4-5x/week and walking is helping. Wearing the brace and using heat helps reduce the pain. I'm flying to Paris tonite with my family. I'll be doing lots of walking there.
I'll check in when I return. My best to all.

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Hi Anne D. I`m glad your going on a big trip away from us health care. Just remember they have good doc`s all over the world. I was a little worried when I went to Aruba. Just the plane flight will kill you. Walk all the time before you get on the plane`s . That will help when sitting along time on the plane. Have a great time keep telling us about your trip. Us people in pain will like hearing about your trip ANNE. Have fun and I hope you have a pain free trip,,
SAM

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Hi Anne good luck on your trip. I am sure it will be good for you. Pray that I make the right decision. I am now seeing a soecialist who is supposed to be a real wiz He ordered another MRI and found that I HAVE A PIECE OF BONE sticking into my spine and a bit of stenosis left and also a band of fat around the spine which i knew about but apparently dangerous to remove. Seems like this cat is heading for a fusion to supplement my lamanectomy. MY FAMILY DOC SAYS pass on it , I Don't know what to do. Anyhow enjoy your trip

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Hi All! Just wanted to check in and let you all know what the few weeks has been like for me. The pain has been unreal! I went to my regularly scheduled appointment with pain management after the latest fall and... drum roll please... he decided that I needed to see a neurologist to be checked for MS. I had a lot of other issues going on like seizure like jerks, severe sweating and some other things. That was on Tuesday, I got in with the neurologist on Thursday of that same week. More on this in a few. In the mean time, I had to follow up with the doctor from the new fall that Wednesday and was told to stop the aquatic therapy that in fact it may be doing more damage. He then wanted me scheduled for a new MRI with and without contrast. I go for that next Friday. Workers Comp has once again done their little dance upon my nerves. UGH! At any rate I went the following day to the neurolgist and after tests (in office) was told that I in fact do not have MS. I have a long relationship with this doctor and really trust him, I know crazy right. At any rate the symptoms that I have are from a combination of the RSD in my left leg and my Migraines.... Oh joy... By the way, not only is my back in a major flare, but the RSD is horrendous. The RSD, I developed after surgery as well as all of the other glorious issues that I now have. But I am thankful that I don't have MS. I am so very irritated that this pain management scared me with a verbal diagnoisis! There were no tests ran for him to form this opinion. So not only was I scared because of the issues, but I then became worried and scared because of a wrong diagnosis. I have liked this pain management doctor since the first time I met him because of how honest and trustworthy he seemed to be, I am now second guessing my opinion of him. Maybe I should go back to the old one to get better care. My old Pain Management Doctor went to the ends of the earth for me and helped me to fight workers comp and the employer like you wouldn't believe. I thought this one was too, at least I did until now. He did say that he wasn't going to do any more injections, because they just don't seem to work... well duh ya think? I asked him about getting a pain pump so that maybe I could get off of some of the oral meds that I am on... (Percocet, Baclofen, Trazodone, Nsaids, mobic, cymbalta, Duragesic, umm I know that there is something that I am forgetting). He said no that they didn't really have good results with them. So I guess I am forever on the Meds and hoping for the best.

And these are the days of my life... and might I add, I am not too crazy about it. Hope everyone else is doing well...

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Hi to all my SU buddies, I'm back from Paris and feeling tired from jet lag but not in a lot of pain.
We did lots of walking(like5 to 7 miles/day) and much to my surprise all that walking made my back feel stronger! Climbing up and down subway stairs mademy knee sore but it feels better again.
On the flight over, I used a very tall blow up pillow that rested on the tray in front of me and allowed me to lean forward and fall asleep on it(Skymall sells it) All in all it was a great experience being with my family and laughing alot with my grandkids. Finally, 11 months after the fusion, I'm feeling like I'm recovering, slowly but surely. My best and prayers to all. Keep the faith and be kind and patient to yourselves. The healing does happen but it just takes a lot of time.

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hey guys
long time since ive tuned in
have some type of capal tunnel, i think its my neck
How is everyone?
the percentages are wrong
after 5,5 months a neck decompression and fussion surgery i only feel a little better
how s sam ? glad u guys still around
went on a cruise helped a little.
riverhawk if its danerous make sure this is what is causing your problem
check with nyc hss dr camisa
hello dana
maybe its your back
if ur workmens comp u have to follow the company doctor, before u use your own
ann
im dieing to go to france and europe
im glad ur feeling better
LIke i always say
walking, easy crunches and knees to chest helps the back the most!

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Hi Rosey, I`m gald your doing better. I`m worse then presurgery. I went to Pain Mangement this week she said surgery only helps on very few people. Lets see where you are at in six months I felt good for a few(Better then now). I`m on more pain meds now then presurgery. Now I`m on Oxy cotin 80s x2,Oxy codone 15s x6,Zipsor 25s x4,Zanaflex 4mg x6,and topamax 25mg x3 that will go up. I`m not taking any more than dr. orders. Meds were added this week I won`t know for a week or so if they help my real bad pain.I know I`m not addicted yet, but I know I can`t stand the pain with out them. There are people out there that are pot smokers. I wish I could do that stuff but I can`t. They are good people (the POT smokers) but unless the Dr. prescrebed it its not for me. Then in my eyes I would be a drugy. Sorry my friendly pot smoker`s I just can`t touch the stuff its all against my rules of my life. I`m just taking so much stuff now. I`m so mad the surgery didn`t help my, really made my pain level go up. Just everyone beware of a spine fusion. Sam

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Hi Sam and everyone,
I don't get to check in here often but I'm saddened by the lack of help you seem to be getting from the medical world. That is a lot of drugs on your plate Sam and can cause rebound pain.
I'm still struggling with pain myself but do not take nearly the amount of pain meds as you and can't imagine any of my pain management doctors giving to me even if I asked. I am 15 months post-op and hope to have screws removed soon. The neurosurgeon did an MRI a coupleof months ago and fusion looks good, so from his POV removing scews would be fine and he thinks will give me the relief I am looking for. My neuro doesn't agree but he will support me anyway.

Where are you located? I think it may be time to find you some good doctors who can work as a team. I'm sure you said in prior posts, but may I ask again, what your symptoms were that made the surgery necessary in first place? How many levels did you have fused? I can't read very well as my vision is not good otherwise I would read backwards myself. You have really been quite a trooper and should not be struggling so especially being so medicated. I hope you are getting your liver checked!!

I could give you my email addy privately to see if I can help you get to the best doctors. You have traveled a bit since surgery so may I assume you would be willing to travel for the right doctor?

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Woohoooooooo for Anne D! Sounds like you had a terrific vacation with your family. I love Paris as there is so much to do and see. I'm so happy for you that you were able to go and enjoy playing tourista. Isn't the food to die for? Big hugs to daughter for giving you such a wonderful gift!!

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Hi Dana,
Sounds like you have had a rough time of it. I'm not sure if I understand your fusion, ie, whether you had 4 levels fused or a fusion at level 4. I'm assuming this is lumbar correct?
Not to scare you, but there is no one test that diagnoses MS and any neurologist who just does an MRI w/contrast and says no MS, isn't worth the paper his degree was written on. I know, b/c I have it. There are many people who don't show plaques (MRI) yet are incapcitated by MS. (Unfortunately, I have a relatively high burden of plaques). There must be a clinical correlation even if you do show plaques. You don't mention (I don't think) whether you had both spinal and head MRI's, as you would need both.
I sincerely hope you do not have it, b/c it does complicate surgery and your life tenfold. A pain management doctor does not have the experience to diagnose it anyway. I would suggest you get another neurologist opinion who has experience with MS, that is imperative, b/c many just know the basics and it is a complex disease.

If you had 4 levels fused, that is a lot, especially given your age. Unless you had spondy (I did) that seems like far more than I would ever agree to. I only had one level L4-L5 plus lammy. It has been my LEARNING experience that once neurosurgeon slices and dices, he/she can do no more. They don't know what to do. So your pain mangement doctor and physical therapist take over. I must say I find it odd that someone would tell you to stop water exercises b/c those are great for your body and don't cause injury. Have you thought about another opinion? Something doesn't smell right with what your doctors are telling you.

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Carrie I had a real good Doctor I just am one of the 33% that did get worse.I wouldn`t use my dr. again because after my fusion L3-L4 surgery he knew all the meds I was on and didn`t control my pain after surgery. He said it would be hard on me because of the meds I was on. I asked him why he waited 2 days to give me the same meds I was on before surgery,He said he wanted to see if I was fixed right after surgery. Oh well doctors are people and make big mistakes to. He was the best surgeon in my area. I`m not one to blame anyone for the shape I`m in. I`m checked regularly with blood work to make sure I`m healthy. I`ve been told there are worse meds like Tyenal or Motrin they Kill livers. I don`t take any of that stuff now. It worries me all the meds I`m on, but the pain is real real bad. I won`t be here for that long anyways. I will die from something cause the pain will kill me not the drugs.. My PM Dr. said surgery like what I had just dosen`t work. Now I`m worse then presurgery I can`t work anymore at all. I `m lucky I have 6 rental units and will make I make enough money to live with no extra`s at all. I will be checking in to SSD but I still make money with rent. Does anyone no about SSD? Thank You all so much for caring, Sam

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Hi Carrie! Thank You so much for the information. I have only had the lumbar MRI but did have head CT's last year in May because on top of everything else, I was experiencing debilitating headaches. There has been no blood work nor any other tests. My fusion was a 4 level lumbar fusion. I so wish that I could get another opinion. My situation is Worker's Comp that I have to go to the doctors that they say I have to go. I do wish that I was back in aquatic therapy. It did seem to help more that I thought. I do really wish that I could go back to my old Pain Management Doctor. Don't get me wrong, I like the one I have now, with the exception of this MS thing; however the previous one and I developed a great relationship worked with me on everything. His bed side manner was so much better. I just don't know what to do. I feel like my hands are so completely tied and that I am at a stand still and on puppet strings. I have been going through this since 2004. I had surgery in 2009 and my situation continues to escalate.

Carrie, if you do mind. Why did they begin to test you for MS?
Thanks again for the information!

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Hi Dana,
If yours is workman's comp case, then go to your own doctors or those of your choice and get an atty if need be. They will take it on contingency meaning no cost to you just a % of settlement. You always should choose the doctor you are most comforable with and you find the most helpful.

I was misdiagnosed many times, but the final time was I asked my surgeon (in just a routine followup to a breast biopsy) if normal for back of head to go numb. He said no and immediately ordered an MRI. I had a small number of plaques. But that in itself was not conclusive because it can be from vascular problems or artifacts. I didn't start meds until about 8 years later. Now the school of thought is to start them right away. You doctor has to watch you over a period of time to have clinical correlation to MRI and a spinal tap for proteins. I refused the spinal because I had an idiot try before and it was torture so much even the nurse told the doctor to put me down. Natch, the idiot punctured the the spine so the spinal fluid was leaking. It was bone on bone at head and spine so gave me the worse headache ever. I had to have a patch and lie flat on my back for several days. Nightmare. But my symptoms were numbness and foot being asleep for days or weeks.

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Hi Sam,
I don't doubt your pain is real for a minute. But the panalopy of drugs you are on sometimes actually causes more pain b/c it keeps the body from healing itself.

It saddens me that you seem to have given up. My neurosurgeon had 9 surgeries on his ankle because, like me, he is a bad patient and anxious to get moving again. While doctors are people, making mistakes is NOT acceptable. It seems your PM has a very negative attitude and would just as soon ply you with drugs rather than get you better. Your PM also is NOT the person to judge whether surgery is right for you or not. That is up to your neurosurgeon. Have you consulted another? You must NEVER give up and just resign yourself to a life of drugs. That is not what God intended for you. I'm sure your family would love to see you pain free and back to your old self.
If I were you I'd get a new PM. You don't need all his/her negativity.

I am on SSDI. What i can tell you is 90% are turned down even war vets who lost all their limbs. It is the power of the pen in the hands of the little people. Depending on where you live and how backlogged they are will give you an idea. Your PM, however, is perfect person to fill out the paperwork for you because it needs to be as negative as possible. You will need a third person to also file forms basically reiterating what doctors say. The key to getting answer is have all your records when you apply. Don't rely on them to get them because it could drag on for a months, even years. You can look online at the forms and fill them out but you still have to repeat the process in person. Then, here's the key, call them at least twice a week to make sure they have whatever they need and stay on top of it yourself. If you get turned down (and again it is merely the power of the pen in the hands of the little people) you'll want to file an appeal immediately. You do the same thing and stay on top of it, don't expect anyone to do for you. I just got very lucky as the original person I had was an idiot and I am sure she would have turned me down. She kept faxing me the same forms over and over. But one day I called to ask I got someone else who was very helpful and she took over my case. I called her basically every other day and was approved with in 6 weeks. THAT IS NOT THE NORM. But your disability pay does not start until 6 months after your determined disability date. I had bad luck in the one week they needed records from my old neuro, his office was closed and he retired. So they had no choice but to give me the date they did. I needed it pushed back 2 years so I could get Medicare as I lost my private ins. So I appealed and once again got lucky and got a hearing within 3 months. I continued to get my checks though. Again, I had to stay on top of things because apparently my records got lost, but my local case worker had copies of my medical records as I presented when I applied. So he was able to expedite. I acted as my own atty and the judge pushed the date back for me but SSA screwed up and deducted legal fees so I had to go fight them to get the $5k back. I can't imagine who they paid since I was the attorney!

So my advice is to take charge, coordinate getting all your relevant medical records and followup with all your case workers to make sure they have what they need. Then you wait. Hopefully, you will get lucky like me and it will be approved right away. But it is just the luck of thee draw as to who at SS handles your case. Good luck as I know you will need it!!

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Carrie!

OMGosh! I would love to speak with you through direct email. Please email me @ danah08@yahoo.com... I now even have more questions. Thanks

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Hi Guys I`m out 8 and 1/2 months from a from my major back surgery a fusion. I`m worse than I was presurgery. I`m wondering what`s in the cards for me next any ideas? I was able to work per surgery, Now I can`t work two hours a week. My pain level is worse now than pre. Overall It was a big mistake the surgery for me. I have young kids I had to try to get better. I will be going for ssd now at 49. Kind of a Crazy how your life changes in months. I really Quit posting on here because I feel as I have nothing good to offer anymore. But I really do you all need to know you could end up like me. Worse after a major back surgery with a lot of pain right after. Make sure you know you could end up in a rehab center after surgery. Best of luck to All Sam

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Sam , I know about SSD, I will e mail you when I get back.

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oh sammy, pls don't give up!! I am 15 months post-op and feel like you do, but I am trying to be proactive in my care. I'm going to have the screws and hardware removed as they are constantly being irritated when I move.

Can you go to another neurosurgeon and get a ct scan and a fresh look/ opinion? It doesn't sound like your medical people are doing much to help you. I, too, had some of that, and kept searching for the right people for me. I think I am good to go with the current team I assembled.

I feel your pain and I'm right beside you, but I am certain if you get the right medical people your sun will be shining again!!

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Carre Thank You. Now after my Block one week ago my left leg has been so numb. It has been real bad for 2 days now. They gave me a 815 app. in the morning at PM. I will let you know how that gos.Sam

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I started working as a CNA and hurt my back and continued working on that initial injury for over a year. It got so bad and I worked till my legs gave out all strength. I ended up having an interbody fusion. My nuero told me post-surgery I'd be pain free, he also said it'd require a "few" weeks of recovery. He was 100% wrong. I could barely walk for a couple months. The pain was EXCRUCIATING. I felt something was majorely wrong immediately after surgery. It has now been 7 mos and I am still much worse then before surgery. The surgery did "stabilize" my spine and It did help the weakness in my legs, however the pain is worse and I still feel something went wrong and my doctor is trying to hide it from me. I had a MRI last month and when he reviewed it with me all he said was that I'm fine. He said the pain was coming from the bone fusing and gave me a bone stimulator. I truly feel he knows something is wrong and is not willing to admit it, because I have SOOOO much pain. There MUST be something impinging the nerves?? I absolutely do NOT know what to do next. Does anyone have any advice? He kept the MRI disc. Should I get a second opinion? My w/c claim is still in denial status and I am buried in medical bills. I am only 46 and feel crippled from pain and immobility. I do manage to work now as a receptioniot for 6 hrs a day, but I feel I'm getting weaker everyday because the pain is so bad that I cannot excercise at all other then a little walking. It has negatively effected/impacted my life so greatly and my advice to anyone that can possible manage without surgery is to NOT get it! I need anyone's helpful advice regarding my situation please. I'm a widowed single mom that feels so alone, please advise me to any options??

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Hi Sam,
The numbness is normal sometimes as they can hit the wrong nerve. If this is the one with cortisone, I would try and stay away from those because you are limited in the number you can have in lifetime. They kill tissue which you DO NOT need!

I don't recall the shape you were in pre-surgery, but I will assume reasonably good given your age.
At 8.5 months post and this much pain, it is time for another CT scan and MRI. You may have some stenosis going on but also it will be helpful to see where the fusion is at.

PLEASE let go of that terrible pm with his 33% and his negativity. The mind controls the body. So you need happy thoughts and positive energy in your life! Although I am certain of your pain, the amount of drugs you are taking are also causing rebound pain. Try to slowly cut back and see if that doesn't help a teeny bit. And for gosh sakes, stay away from that God awful pm!!! Way too negative of a person and doctor!!

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My screenname on this website is ANYTHING BUT sunshine.. but anyways on March 7, 2011 I had C5/C6 fusion with a brace and four screws. This was due to having a herniated disk and a bone spur on top of that. For the past four years, I was being seen by a poorly chosen doctor who did MRI after MRI for those past four years (I injured my back on January 6th, 2007 to be exact) and they kept saying nothing could be seen on the MRI.

I was having a lot of shoulder pain inbetween my shoulder blade along with lower neck pain, and shoulder pain. Previously, I've tried the TENS-Unit, physical therapy, epidurals, cortizone shots, Chiropractors, and finally with medications such as Gabapentin and Lyrica (because yes, they had the nerve to diagnose me with fibroymyalgia even though my pain was not moving and it was always- ALWAYS in one spot) and pain killers and muscle relaxants. Well, the pain was actually getting worse and worse and I was losing function in my right arm. I kept dropping things and I couldn't "get a grip" on things. (Yes after all this I have to have a little sense of humor). I also had numbness and tingling going down from my shoulder to behind my elbow, and continuing down to my thumb, forefinger and pinky and then I had to literally argue with my doctor to tell her I needed another test done.

Finally, on ONE GLORIOUS day, I had a different doctor (neurosurgeon) order an MRI image for me that was digital, meaning they could zoom in on any suspiscious area of my back and BAM!! There it was... a herniated disc with a bone spur right on top of the herniated disc. ALL THESE YEARS THAT'S WHAT IT WAS??!! Needless to say, I was LIT! I went through a lot of pain, time off from work, putting off family functions due to my back being in so much pain and a lot of humiliation from the clinic workers giving me looks and treating me HORRIBLE because they thought I was a narcotic drug seeker making this up so I could get pain pills.??? I became so depressed because nobody believed me and I kept getting treated less than a human being should be treated. Nobody returned my phone calls, etc...I would go home from work and go straight to my bed and cried because I was in so much pain.

Anyways I had the surgery (5-weeks ago today) and I swore that over night my pain was gone. I returned home from being in the hospital for one night and I did everything I was supposed to do and everything I wasn't supposed to do. I even rented a hospital bed because I had to wear the hard collar 24/7 and it just made it easier to sleep. Everything seemed to be going fiine..I felt better and better as each day and week went by and then on a Wednesday morning of last week, I woke up with the hard collar covering my nose. I thought to myself I really must have slept in the wrong position for that to happen-- BUT the pain came back. Not on my right side as it was before surgery, but on the left side of spinal cord and right around my shoulder blade and it's giving me headaches!. Its excruciating pain and I don't know what is going on now. I tried to call my surgeon and he wants me to keep taking my flexerall and wait until I see him on my next appointment on April 21. But I keep telling him and my primary care doctor that the flexeral isn't working and I think I did something to myself that night I slept in the wrong position. Has this happened to anybody at all out there and what are some things that I can do to help myself? Is this possible?? I've tried taking it easy so I don't do any further damage but I don't know what to do about the pain? I woke up last night in a sweat and that's when I figured I have to do something! They won't do an x-ray on me until my appointment on April 21 to see if the hardware inside is still in place. Any suggestions I would greatly appreciate! I live in Wisconsin and in the 54843 area code and if anybody knows of an excellent doctor to help me, I'd be willing to have someone drive me there!! Thanks for listening and I would appreciate any advice at all!

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I don't know what to do about the pain we are in but I don't think surgery is the answer. It wasn't for me. I got a lot worse after my lumbar fusion. I now have a loose screw and found out I'm not fused. Whatever!!! Doctors are businessmen/women. You don't know if you need a surgery, pills or whatever else they throw at you. Honestly, I think they just need a new toy, like a boat, car, house, etc. It's hard to find a doctor who has your best interest at heart. I have 2 friends that are doctors and it seems to me their only interest is money, not helping their patients. They were drinking one night and actually bragging about how they think most people are retarded. They also bragged about how many patients they could fit in in one day. It pissed me off and we got into a heated argument about it. Then they said oh we're just kidding, besides insurance companies make us only spend only so much time with a patient. They also said they have to fit in so many patients a day to cover all their overhead, like mal practice insurance. I said whatever guys. You are sell outs!!!

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Good Morning, Today is May 7 10 months post fusion for me. My life has been rough through the last 10 months. I was one that did get worse with a Back Fusion Surgery. I was working presurgery now I can`t . I don`t receive any money at this point so there is no gain by me not working. I was one that loved my job. My PM she sent me for a MRI and a EMG I went in for the review. She said I will never get any better, I will keep getting worse for a while. She told me to wait as long as I could to ask for more pain Meds. Told me to start liking the new me. If I could`t get used to the “NEW ME” she would set me up for counseling. I said give a few week of crying in a corner first. Sorry I haven`t been on in a while I have a close Aunt thats been very sick. Sam

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hi Sam and our gang,I'm back in physical therapy again learning new and different exercises to strengthen my core, hip and leg muscles. I'm doing 1 to 1.5 hours of water aerobics 5 to 6 x a week. I still have some pain and spasm in the lower back but the therapist says it's caused by muscle scarring because they were cut through during fusion surgery. I'm also about to try acupuncture and trigger point injections. The 1 year checkup was successful. It take an extremely long time and a tremendous amount of physical exercise to recover from spinal fusion but by the grace of God, I feel better. You're all in my prayers,let's hang in there together!

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Not to sound like a dummy but are those of you that have undergone spinal fusion and not doing better did you have a standard "open" fusion or interbody fusions? I've heard both good and bad from ALIF'S but I hear mostly bad from standard older style "open" approach fusions. At this point after reading this thread....I don't feel all that great about even considering ANY fusion surgery.

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wrs8534 Their really aren't a lot of therapeutic reasons requiring spinal fusion(maybe 3) and many other non invasive modalities that can be ordered by orthopedists, pain specialists, neurologists, physical therapists et al. actually work. All along, the patient is really in the driver seat. In most cases, rigorous weight reduction,eating a seriously healthy diet, eliminating smoking and dedicated personal discipline around daily exercise to develop neglected hip, belly and theigh muscles can avert the need for surgery in a lot of cases. Developing the daily habit of walking 30 minutes 5 days a week pays off. Most of us want a quick fix solution that actually make matters worse and still require that we must walk, lose weight, eat properly, stop smoking and adopt a rigorous discipline around developing our neglected muscles. When we visit the surgeon, he has only one solution....surgery. When all you have is a hammer, everyone becomes a nail.Not their fault. You came to see them! Human nature makes us stubborn and resistant to changing lifelong habits that don'tserve us. The definition of insanity is doing the same thing over and over expecting a different result. Nothing changes unless we change our negative behavior patterns .My best to all my buddies at SU.

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