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L-5 S1 back injury, disc replaced
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schultzporky posted:
Injured back in 2004, had disc replacement surgery in 2010. Pain in right buttock, calf and foot unbearable. Low back pain is much better since disc replacement, only bad when I left to much weight or sit .stand more than 30 minutes. I take Lyrica 150 mg once day and Norco 10/350 twice day. Problem the burning , pins and needles, hot foot pain drives me nuts. Right calf and buttock stabbing pain changes from level 2-3 to 6-7 daily. I don't want any more surgery. What do you do, looking for ideas. I exercise and stretch everyday. Walk treadmill and ride stationary bike.
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davedsel2 responded:
Hello and welcome.

I am sorry you are in so much pain and fully understand.

Have you seen a pain management specialist that is a physiatrist? These doctors go deeper into pain management and offer a wide variety of treatments. The physiatrist can also adjust your medications so they are more effective if needed.

I pray you can find answers and relief soon.
Please click on my username or avatar picture to read my story.

Blessings,

-Dave
 
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77grace responded:
Hi and Welcome ,
One thing that I have tried that's new for me is Salonpaz heat produts !They have patches ,rub on gel,sprays and my favorite one is a spray on foam !You spray it on the pain area and rub it in !I like to heat the area first beause it really helps it to work fast !!!!Being in a spray foam it's esier to reach your back by yourself !!!!
Have you tried a Tens unit?
There are a lot of things besides meds that we can try !I just need to be consistant !
Let me know if I can help !
77grace
 
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schultzporky replied to davedsel2's response:
Thanks for the reply, Neglected to mention I've had 21 injections in back. We have discontinued because I think they are waste money and too dangerous. I like the idea of a physiatrist and will pursue this.
 
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schultzporky replied to 77grace's response:
Thanks for reply! I've recently been prescribed Voltaren topical gel. Only been using about a week, really haven't noticed relief. I'm not sure why but my doctor is not in favor of Tens unit. Employer sent me to another doctors for second opinion and he recommended this. Thanks again.
 
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77grace replied to schultzporky's response:
Hi again ,
Thanks for the reply !If your prescription gel does not help ,try the Salon paz !It will surprise you at how good it is !
I have a tens unit and I keep forgetting to use it !I really should ,I hear it helps !
Take care , 77grace
 
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ctbeth responded:
It really sounds as if you may greatly benefit by working with a pain management MD or a physiatrist- which is a physical medicine specialist.

It may be premature to make mention, but the kind of pain that you describe sound like the pain that is treated by spinal cord stimulator.

May I ask which disc was replaced? I'll take a guess that it was l5-S1, or L4-5, as the pain you describe sounds like mine, although mine is bilateral and significantly reduced by spinal cord stimulation.

Best wishes.
 
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cweinbl responded:
You're not taking very much Lyrica. You could easily triple that dosage, with a doctor's permission, of course.


It's unlikely that surgery would help, unless an MRI, Cat-Scan or myelogram determined that the culprit is an osteophyte or tumor. I've had four operations on my lumbar spine, starting with L5-S1 and eventually including two laminectomies and multilevel fusion (L3-S1). The result, a ton of fibrosis, which has adhered to my spinal nerve roots. Worse, yet, my spinal nerve root damage from the surgeries was greater than the sum of damage from the disc herniations.


You might also consider the spinal cord stimulator and/or the intrathecal infusion pump. Ask for an evaluation to determine if you are a candidate for either. Both offer a trial unit worn outside the body temporarily, to determine potential efficacy (although Placebo effect might sway your opinions the wrong way). Never just undergo permanent implantation without first using the trial contraption first.


Finally, and I know this is depressing... spine surgery today is only about 60% effective, long-term. I know, surgeons don't tell you this. But the research proves it. Below is a link to the latest, greatest evaluation of all major spinal interventions, compiled by universities and government researchers using the best statistical interpretation techniques. It illuminates the risks and the real failure rates for all major interventions:


http://www.painphysicianjournal.com/2009/july/2009;12;699-802.pdf


Good luck.
cweinbl
csw2@bex.net
 
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cweinbl responded:
Whoa! 21 injections? Sounds like someone has been through the injection mill! I'm sorry to read about this.


Research clearly proves that if injections do not initially help (the first 2-3), then future injection iterations will also FAIL Combine that with the fact that injections are invasive and potentially dangerous and you have a recipe for horror.


People have been partially to permanently paralyzed by careless injections or are maimed by a rookie physician. Never take an injection lightly. You might have trouble walking or using an arm for the rest of your life.


Yet, innocent and inexperienced chronic pain patients are manipulated every day into dozens of dangerous injections. Why? Because a physician can swiftly become a millionaire with very little effort by convincing patients who cannot benefit from such injections to have them. This is pure and simple greed. These physicians can inject dozens of patients per day, collecting tens of thousands of dollars, even though very few of these patients will experience temporary, let alone permanent improvement in pain.


If you have two injections and they do not help, STOP. If you continue, all you'll do is make your doctor more wealthy at the risk of permanent spinal nerve root damage.


This is even more true with a rhyzotomy (a.k.a. radio frequency ablation). Each time you allow someone to jam a needle deep into your spine (and a rhyzotomy needle is very large and long), you are taking a large risk and making your doctor rich. I've had several injections, including a rhyzotomy. My last myelogram resembled a road map of New Jersey from the multiple needle tracks going all the way to my spinal nerve roots. It was frightening and eye-opening.


Nothing is more important than your health. Take no chances with it. Is it worth risking permanent paralysis for at best a temporary improvement in pain?
cweinbl
csw2@bex.net
 
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mazzarisi responded:
This could be the si joint I experience similiar symptoms ,Ihad aCTguided injection after the if you experience relief it may indicate the SIjoint needs to be fixed fused it may be loose from the disc replacement It is difficult to dtermine as this test is the only way to diagnose this problem mazzarisi


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