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Gearing up for the pain specialist

This is a discussion on Gearing up for the pain specialist within the Pain Management forums, part of the General Spine Discussion Forums category; After still having nerve pain after my surgery, my doctor has now "moved" me over to a pain specialist. I've ...

  1. #1
    Member Vanessa's Avatar
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    Default Gearing up for the pain specialist

    After still having nerve pain after my surgery, my doctor has now "moved" me over to a pain specialist. I've seen this doctor before and I really like him BUT did not like the effects of the medications he put me on. When I first saw him, it was 3 weeks before my surgery. We had decided that surgery was the best option, but we needed to control the pain until my surgery date. He put me on Morphine fast acting and Morphine short acting, as well as neurontin. The morphine helped somewhat, but coming off of that stuff was so horrible! I went through intense withdrawls where I honestly felt like I would not make it through the day.

    Now, I go see this guy next friday. I have been told he does not deal with nerve stimulator implants and he is limited on what he can do as far as nerve issues. He deals more with just "masking" the pain. I'm all for that, but, I don't know what to expect with the medications. They assistant told me that they could use Fentanyl patches etc. I am just worried about withdrawls. Any advice? I know he will want to do another injection, but I am really not wanting to do that again since I had so many fail recently.
    ~ Vanessa ~ Living my life one Dr. Visit at a time
    • Work injury while working as a Veterinary Assistant 1998 - herniated lumbar discs @ L4, L5, thoracic L2, L3
    • PT, LSI, Tens Unit from 1998 - 2009
    • 6/2010 severe leg pain down right leg
    • Lyrica, Neurontin, Cymbalta, Morphine etc.
    • MRI - DDD multiple levels, nerve root narrowing @ L4, L5
    • 9/8/2010 Laminotomy & Discectomy @ L4, L5-S1
    • 11/3/2010 Repeat MRI shows collapse of L4, L5 (continued nerve pain)

  2. #2
    Senior Member Jack-of-all-trades's Avatar
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    Default Re: Gearing up for the pain specialist

    I was on Fentanyl patches for almost two years. The work very well. They are suppose to last three days but most everyone ends on changing every two. If you get them, post or PM me and I'll tell you what I found out to best keep 'em in place, etc. You will still need some form of backup.
    Low back pain became somewhat dehabilitating in 2005
    Have had 11 steroid injections, IDET, Trial for nerve stimulator, PT, chiropractic trial, practically every med known to mankind. Discogram indicated three diseased levels with L5-S1 being the most likely pain generator. Post minimally invasive PLIF with internal fixation (titanium) on 12-28-09 of L5-S1. Doing better than expected. Last opioid 7/9/10. Five months pain free, then my neck turned against me. MRI on 12/1/10-- disease at C2 to C7. Only surgical alternative is to fuse entire C-spine. Diagnosed now with Aggressive Relapsing-Remitting Multiple Sclerosis with cord & brainstem active lesions

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