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Old 01-17-2012, 02:00 PM   #1
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2 Years post Surgery Now getting worse

Hi ~ I had a laminectomy with fusion L4 L5 S1 on 10/19/09 and over the last several months my back seems to be getting worse. (I was rear-ended in September and my vehicle was totaled ~ I didn't notice any issues with my back at the time ~ but now I wonder) I went to the Ortho today to see what could be wrong ( everything was alright to this point). Knowing he is just going to send me for an MRI ~ and we'll have to wait for those results. Well ~ not so much! Seems all he wanted to talk about was getting me into to see a Narcotic specialist to get me off of the pain medication I have been on since the surgery....what? Wait? Let me get this straight ~ I am in pain everyday ~ I have actually tried to go off of my medication on my own 3 times without success ~ I made this appointment to discuss the INCREASE in pain in my back over the last several months ~ and he wants to send me to a narcotic specialist????
I have NEVER called in early for my prescriptions ~ I have NEVER asked for an increase in my pain medication ~ what am I missing?
I also suffer from fibromyalgia ~ as he is aware ~ I just don't understand?
I am currently taking percocet 5-325 mg / roboxin 750 mg and valium 5 mg

Thanks for listening!

 
Old 01-18-2012, 06:17 AM   #2
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Re: 2 Years post Surgery Now getting worse

Welcome to the board. So, other than his concerns about your continued drug use, did he examine you or talk to you about the accident, or talk about getting any imaging done?

Since you had your fusion over two years ago and you are still in pain, if the surgeon isn't addressing your concerns, I would suggest you consult with a new spine specialist. When you feel like you're in a rut with the current surgeon, it can be helpful to see someone who will be looking at your case with "new eyes."

I've noticed that doctors tend to go with the most obvious issue and don't seem to take into consideration the "secondary" issues that might actually be the cause of pain. When you go to a new doctor, he realizes that the patient is still in pain after whatever was first done, so he/she looks to see if there is an issue with the first procedure and whether something new has developed, perhaps as a result of the first procedure...or whatever else might have developed.

I don't know enough about your situation to comment about you in particular, but, in general, a surgeon doesn't follow a patient beyond 12 months unless there are ongoing issues. If those issues are being managed with medication, the patient is usually discharged to his/her PCP or to a pain management doctor. The surgeon's expertise is not in managing a patient's ongoing pain.

In your case, since you had the car accident, it would make sense to me to at least investigate to see if a new MRI is warranted. The problem with any car accident is the sudden impact that the body is subjected to. Unfortunately this often causes a patient to develop arthritis sooner than he/she might otherwise. I would think at the very least you would want an x-ray of the fusion to be sure everything still looks intact.

 
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Old 01-18-2012, 11:01 AM   #3
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Re: 2 Years post Surgery Now getting worse

Thank you for your reply tetonteri66
I am always x-rayed when I go to this surgeon's office.
He did not "examine" me after beginning to explain my increased pain ~ he just asked what I was taking for pain (which he perscribes) and then he stated I need to get off those pain meds. I tried 2 seperate times to explain the other things that were going on and he just cut me off.
I felt completely worthless and judged.
I will be looking for a new doctor ~ I will not be returning to that office!

 
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