Back Problem - What to do next?

Posted , 5 users are following.

Hello, 

         Firstly, I am sorry if this is a duplicated question but I'm going to ask anyway. I injured my back in the line of duty several years ago and over time, it has got progressively worse where, at 44, I've had to take medical retirement.

I have more or less no discs at L4/L5 and have developed facet-joint problems and problems with the nerves associated with my bladder.

I have had many treatments over the years including nerve-root blocks, epidurals, facet-joint ablations and steroid injection to name a few; no invasive surgery though to date.

I'm currently being managed by a pain management consultant and have been told that over time, my facet joints will fuse naturally. I just wanted to ask if this likely, given the expeience of other people on the forum and does anyone have any advice regarding anything else I could consider.

My med list is:

Targinact 10mg - BD

Oxycontin 10mg - one in morning and two evening

Oramorph 4x5ml (10mg) as required

Diazepam 5mg - up to four daily (taking just one in the early hours to help sleep at the moment)

Thank you in advance for your time reading my post.

Regards all,

 

0 likes, 19 replies

19 Replies

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  • Posted

    Hello ,

    I just got by backet fused  and I was told the same thing . The doctor says that after the metal and screws are put on that there is some of my bone put in also and that they are putting some bone marrow fluid with stem cells that will make it grow together . Sounds good, so guess I will see how it works . I think this fusion technology has beed pefected now and have pretty high hopes on it success .I have also found that medical marajuana helps a great deal . A lot more than I anticipated .

    • Posted

      Hi n8ster,

      Thanks for your response. Judging by your answer, you're in the US? Unfortunately, here in the UK (as far as I'm aware) medical use of cannabis is not available and to buy on the street will get you arrested. It's a shame as I've heard much about its medicinal properties.

      Hope your op works well for you and thanks again for replying.

      All the best,

      Overwatch 

    • Posted

      Well the operation is over and I am back home . I have to admit that my back and feet feel very good . I didn't really know what to expect or if there would be an improvement In this day and age we have some very good surgeons . I am sleeping a lot but think that is my body repairing itself and healing of the wounds . Getting that pressure off the nerves and improving the oxygen to all seems to help as well . The way i understand your bowels and bladder will be affected if you don't act and get the repair . I mean you can ignore all the treatments but in the end your quality of life is going to suck if not already , eventually . The sooner it is addressed, the sooner you quit damaging your body . And the sooner you can start enjoying your life again . I feel very optimistic !

        If anyone has any questions about my experience please feel free to ask .I wish I had someone to chat with before the surgery , but in the end, it worked out great .And don't be afraid of surgeries, this isn't the 1800 's any more . You would be amazed what's out there and as far as pain, it can be managed quit easily too !

    • Posted

      Good to see you had surgery and are recovering well. Had decompression and fusion of L4/L5 to S1. Had the bone graft, caging, rods & screws - took a little longer in theatre as the spinal cord was a little more compressed than anticipated however, almost 3 weeks on and I am pain free in my legs and hip, no sciatic symptoms, no more tight hamstrings and I can sleep on either side or my back. I do sleep with a cushion between my knees but that's a small price to pay. I have been on 60% rest to 40% activity for the first 3 weeks and will gradually increase this to build strength but, like you, I have no regrets about the surgery and will be forever grateful to modern science & technology which enable the surgeons to perform these procedures and give people back their quality of life. Good luck with your continuing recovery and remember to take things easy!😊
    • Posted

      I appreciate your reply . A lot of people are afraid and their are so many people looking to prey on them with non science remedies . We are not in the dark ages anymore and a lot of problems can be fixed now . I can't believe  how well I am doing as far as how fast it is recovering .I am sleeping on my back now with out the pain I used to always have in my legs .
    • Posted

      Not in dark ages, for sure, but there are still MANY failed back surgeries....and I hope you will be an exception.

      A friend of a friend had a fusion surgery a couple months after I had hip replacement and less than a year she was doing another one...I've heard this many times....one woman reported somewhere and I forget where, she had 5 and she's done, she's had it....

      I saw a surgeon who does the cage type work and that was a year or so after hip replacement and I just won't do it.  I sleep good, sleep on back, both sides but I do all alterantive work and exercises to keep managing.

      I will forever say, be very afraid of back surgery.  Good wishes and hope you'll be great after off pain meds...   J

    • Posted

      Hmmmm, I know just what you mean! 😈 I think you are US based whereas I'm in the UK. I am still stunned at the technological and surgical leaps forward just in the last 18 months! As for pain reduction, it's awesome. Down to 1xBaclofen, 1xTramquel modified release 50mg, 2xGabapentin 100mg and Paracetamol 3xdaily. Add to that a little treatment of the scar with a mix of Bio-Oil & home concocted essential oils and I can truthfully say I am stunned at the rate of progress - Op' date was 23 Oct. I hope you continue to make steady progress & wish you good luck for the future.
    • Posted

      Hmmmm, I know just what you mean! 😈 I think you are US based whereas I'm in the UK. I am still stunned at the technological and surgical leaps forward just in the last 18 months! As for pain reduction, it's awesome. Down to 1xBaclofen, 1xTramquel modified release 50mg, 2xGabapentin 100mg and Paracetamol 3xdaily. Add to that a little treatment of the scar with a mix of Bio-Oil & home concocted essential oils and I can truthfully say I am stunned at the rate of progress - Op' date was 23 Oct. I hope you continue to make steady progress & wish you good luck for the future.
    • Posted

      Hmmmm, I know just what you mean! >sad I think you are US based whereas I'm in the UK. I am still stunned at the technological and surgical leaps forward just in the last 18 months! As for pain reduction, it's awesome. Down to 1xBaclofen, 1xTramquel modified release 50mg, 2xGabapentin 100mg and Paracetamol 3xdaily. Add to that a little treatment of the scar with a mix of Bio-Oil & home concocted essential oils and I can truthfully say I am stunned at the rate of progress - Op' date was 23 Oct. I hope you continue to make steady progress & wish you good luck for the future.
    • Posted

      I am feeing pretty good considering everything they did and knew threre would be a lot of pain , but the pain is really almost gone . It's been 8 days and I am really happy that I decided to go through with the operation . A lot of people are afraid to have surgery but I really withthin in the past 5 years with help with the internet all the surgeries are pretty up dated . And I knew that stenosis would only get worse . So instead of looking ahead at life as a crippled person I can see it as a normal person . I can only say that if someone has this , do the research to find a good surgon .Our generation has a lot more options than before .
  • Posted

    Firstly, my sympathies as you must be in absolute agony! Secondly, are you in the US or the UK? Management of pain is all very well, but if the nerves to your bladder is being compromised that's normally a medical emergency in the UK - Cauda Equinia Syndrome. You really should be referred to either a Neurological or Spinal Specialist as a matter of some urgency before the damage becomes irreversible. I wish you well and hope that you seek further help for a more satisfactory solution.
    • Posted

      Thanks for your response Kimb63. I'm in the UK and my GP did suspect Cauda Equina damage but I've since been referred to a consultant urologist and that has been discounted; it appears to be be some general neuropathic issue, apparently. I'm due to see him again in the very near future so we'll see what happens. Thanks for your sentiments, much appreciated.
  • Posted

    Good to hear that it's not Cauda Equinia although that doesn't resolve your issues. Have you been seen by either a Neurological or Spinal Consultant? I don't doubt the competence of the Urology Consultant, my concern is more to do with the possible compression of spinal nerves given your existing problems, history and pain. Never hurts to ask for another opinion wink Good luck and keep the forum posted on your progress.
  • Posted

    I have dealt with a back issue when it first came on at 18....I did my life, did a lot of chiro work, osteopath work, massage...wearing a support velcroe support starting at probably age 50ish.....then at 72 I had a hip replacement and things went downilll more so with back....I deal with spondylothesis and OA.....BUT, I keep managing things....refused epidurals, have done a lot of acupuncture over the years and do a lot of specific exercises and stretches for the back....

    I would NOT do a back surgery.....

    I have a long thread going over on the Backache group.....my 72 old brother is talking about back surgery, laminectomy and fusion.....and I'm giving him all the negatives and directing him to other alternatives to manage his back....

    Check the Backache group here......joy 76 US

    I take a lot of supplements, use topicals for back, shoulders, knee and foot/ankle....   I do ALL in my power to do no cutting on my back.......

    • Posted

      Enough! Jolly doo's for you that you have managed to live your life without the need for surgical intervention and have an alternative routine that works for YOU!! But, that's just it, it works for YOU. That doesn't mean that it will work for everyone else or that you should persistantly post negative disparaging remarks about more modern techniques, including surgical procedures. You say you have been suffering since the age of 18 and you are not the only one as many people on these forums suffer with degenerative spinal conditions, including Spondylolisthesis. I have lived with a bad back since the age of 17 and managed it, like you with exercise and, during severe bouts of paralysing muscle spasms and sciatica, occasional narcotics.

      However, things change and I have subsequently undergone a Micro-Disectomy for a severly prolapsed disc (L5/S1) which did not respond to any alternative therapies. This procedure came as a huge relief and gave me back my quality of life which, for some 9 months prior to surgery had been non-existant!

      This procedure was done in December 2011 and until May of 2013 I experienced only one mild bout of sciatica. Regrettably, due to my previous misadventures which resulted in a hairline fracture to a vertabrae, I suffered Grade 3 Spondylolisthesis as well as prolapsed L4 and L5 onto S1. Fortunately, and with grateful thanks to a wonderful surgeon and modern techniques and technology, I have recently undergone a Decompression and Fusion procedure and it was the BEST decision for ME as, 3 weeks on, I am able to turnover in bed, lie on either my left or right side and even my back without the horrendous disabling pain.

      So, while you continue to spout your personal fear of surgery and scare stories of a 'friend of a friend', the people who post to this forum, for in the most part the benefit of others, do so from PERSONAL experience! As YOU have NOT experienced spinal surgery, please confine your 76 years of experience to the FACTS associated with your particular condition and not your own personal diatribe. Thanks in anticipation of your non-response from this 51-year old supporter of science and medical innovation.

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