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Pain Relief

This is a discussion on Pain Relief within the Spine-Related Conditions & Conservative Spine Treatment forums, part of the General Spine Discussion Forums category; I was just reading a book called Why We Hurt by Frank T. Vertosick, JR., M.D. I thought this excerpt ...

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    Moderator KBear's Avatar
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    Default Pain Relief

    I was just reading a book called Why We Hurt by Frank T. Vertosick, JR., M.D. I thought this excerpt was very interesting, so here it is:

    "My patients often ask what lifestyle adjustments they can make to delay the onset of a new disc problem or prevent the recurrence of a prior one. There are three adjustments they can make, but none of them is easy.
    First and foremost: Lose weight. If a car's shock absorbers are bad, don't use it to haul pianos. Carrying two hundred pounds on a skeleton meant to carry one hundred and fifty will accelerate disc degeneration"

    I have been working on losing my post surgery weight gain and lost 20 of the 25 lbs I put on and feel great. I am amazed in the difference in my pain levels.

    More from the book:

    "Second, get into excellent physical shape and, in particular, strengthen the abdominal muscles. A muscular torso is like the cardboard tube (in a roll of wrapping paper): strong and rigid and capable of supporting the body even without a spine (this is no exaggeration- cadavers of muscular men will sit upright even after the spine has been removed). A torso devoid of tone, on the other hand, must depend solely upon the rigid structures of the spine for its support."

    I would hate to be the med student see the cadaver sit up for the first time! Freaky

    "The third and final lifestyle adjustment that can aid an aching spine is the cessation of smoking. Cigarette smoking accelerates the aging of all of our connective tissues. Anyone who doubts this need only compare the faces of adult smokers to those of non-smokers. Heavy smokers show relatively greater loss of skin elasticity and increased wrinkling. In short, they look older than nonsmokers of equal chronological age. The same accelerated aging affects the discs of smokers as well. This isn't speculative, studies confirm that smokers have more problems with disc disease and respond less well to disc surgery."
    31 years old-
    1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!
    Mommy to Emma- 8 years, Ava- 5.5 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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    Senior Member ajj1001's Avatar
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    Default Re: Pain Relief

    Quote Originally Posted by KBear View Post
    "Second, get into excellent physical shape and, in particular, strengthen the abdominal muscles. A muscular torso is like the cardboard tube (in a roll of wrapping paper): strong and rigid and capable of supporting the body even without a spine (this is no exaggeration- cadavers of muscular men will sit upright even after the spine has been removed). A torso devoid of tone, on the other hand, must depend solely upon the rigid structures of the spine for its support."
    Wow thats one weird mental image.

    Sounds like he reached some pretty good conclusions.
    Alison 46 year old female
    2011 Aug PLIF L4/L5 - L5/S1 both adr in situ
    2010 May - Discogram on L2/L3 & L3/L4, neither pain generators
    2009 May - Failed revision fusion on L5/S1 with Charite ADR in situ
    2008 Caudal epidural exacerbated nerve symptoms. Prolapse L2/L3
    2007 L5/S1 Facet deterioration
    Brilliant 5 years, no pain only minor motor problems and residual nerve damage
    2002 March - ADR Charite - L4/5, L5/S1
    2000 Disc prolapses L4/5, L5/S1

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    Moderator KBear's Avatar
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    Default Re: Pain Relief

    I know that's crazy. Trust me, first medical person I can get to tell me about this, I'm gonna! LOL Justin- Ever heard of this? Or better yet, seen it?

    Yesterday I made the 4 hour drive to my sister's house, which usually is a killer on my spine. I usually take double normal meds on road trips, as my back does not like it at all. However, yesterday I took my normal pain pill when I woke up, started my drive 3 hours later, didn't need my afternoon dose and just took my evening dose and felt great. I was amazed at how good I felt. I'm attributing it to my better attitude (thank you Wellbutrin- ) and my weight loss. You don't realize how much those little things affect you until they change and you feel the difference.
    31 years old-
    1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!
    Mommy to Emma- 8 years, Ava- 5.5 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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    Moderator Cindylou's Avatar
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    Default Re: Pain Relief

    Kathy, that is awesome. It really is. I wish I could say the same. My trochanteric bursitis in my right hip is really hurting in a big way. I got a second injection in it yesterday but initially it is hurting even more since it got aggravated by the needle. I sure hope the relief kicks in soon. Plus, I'm really starting to have more pain issues in my lower right back area where my SI Joint Fusion was done last year. A couple of times I have just gasped outloud in public it was so bad, and was so embarrassed. I'm bummed. I think after this vacation (just got up to cabin this evening and hubby, who arrives tomorrow, is taking about 12 days off so I am here for awhile...) I need to make an appt. w/ the surgeon that did this SI Joint Fusion and maybe get another Cat Scan done. My back doc does not think it has fused. He looked at my latest CT and came to that conclusion. Some days I just want to say enough! I need a break....sorry for the vent. I need a string of good days.
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

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    Moderator KBear's Avatar
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    Default Re: Pain Relief

    I'm sorry CL, this is not the path any of us would have chosen for ourselves, yet here we are. You have been through so much and just keep going. I know I wanted to quit so many times and was just sick of feeling like crap all the time. I always liked to say "I'm gonna have a cry/mad day today and tomorrow I'm gonna pick myself up and start fighting again". Sometimes we need to just be mad and sad and get it out, then get the resolve to go on. You had your SI joint fusion right around the time I had my ADR (March 09), right? So, I'm guessing by now that if it was going to fuse it would have?
    31 years old-
    1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!
    Mommy to Emma- 8 years, Ava- 5.5 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

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    Founder / Administrator Justin's Avatar
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    Default Re: Pain Relief

    Quote Originally Posted by KBear View Post

    "Second, get into excellent physical shape and, in particular, strengthen the abdominal muscles. A muscular torso is like the cardboard tube (in a roll of wrapping paper): strong and rigid and capable of supporting the body even without a spine (this is no exaggeration- cadavers of muscular men will sit upright even after the spine has been removed). A torso devoid of tone, on the other hand, must depend solely upon the rigid structures of the spine for its support."
    Kathy, I have not seen this personally (I wish!--that's awesome). However, I have no doubt that it is true.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization

    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997, 17 years old: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003, 23 years old: 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, 29 years old: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    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.

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