Very interesting Justin! Thanks for posting.
This is a discussion on Study Reveals Predictors Of Long-term Opioid Use For Back Pain within the Pain Management forums, part of the General Spine Discussion Forums category; Despite limited evidence of long-term success in using opioid pain medications for chronic low back pain, opioid prescribing has increased ...
Despite limited evidence of long-term success in using opioid pain medications for chronic low back pain, opioid prescribing has increased in recent years for back pain and other non-cancer pain indications. The implications are controversial as published studies provide little evidence indicating which patients will benefit from long-term opioid treatment.....
Study Reveals Predictors Of Long-term Opioid Use For Back Pain (click here for the full article at Medical News Today)
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
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justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Very interesting Justin! Thanks for posting.
2004: First signs of back problems
Sep'09: Developed sciatica
Nov'09: 1st MRI shows herniations on l4-5 and l5-s1
Nov'09: Hospitalization 6 days for pain and loss of abdominal(?) muscle control.
Nov'09-Jan'10: Conservative treatment: TENS, PT, acupuncture
Jan'10: 2nd MRI (pre-op)
Jan'10: partial discectomy, l4-5 and l5-s1. Successful surgery
Oxycontin, Oxycodone, Paracetamol, Voltaren
"risks associated with continued pain management with opioids in some patients may outweigh the risks of surgery. This might be a factor worth considering in surgical decision making for patients with herniated discs or stenosis,"
I wish the Canadian surgeons would take a serious look at this. Almost universally, they say that they will not operate JUST for pain. As if it was a minimal side effect. Pain can kill. It renders us useless. And they just do not get it.
The amount of narcotics I am on is ruining my life. The side effects often make me socially unacceptable; people look at me like some kind of criminal at times, just after taking a much needed dose. The stigma is almost unbearable. And while it may be a coincidence, the long list of serious allergies began just a few months after I started the large doses of morphine. My allergist seriously thinks there is a correlation. So yes, the risks of the drugs seriously outweigh the surgery, at least for me.
Thanks for posting this, Justin. Now if I could just get my long list of surgeons to agree.![]()
Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things. Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!
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