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Old 08-04-2013, 03:14 PM   #1
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liag HB User
Chronic back pain from L1 compression fracture

Hello I suffer severe chronic back pain from an accident where a shore break wave dumped me breaking my L1 vertebrae. It was classified as stable and therefore I was put in a brace and told I'd be better after 4 months. Fast forward 20 months. The first year was hell. But I thought I would get better. I did Physio after I had weened out of my brace and I found that actually flared me up. So I went to a rehab facility where they also teach pain management. I did Physio, hydropool, counseling and pain management. I did that for about 5 months. I also tried to come off my painkillers as advised by my pain specialist to monitor the difference in pain levels being off them. I ended up unable to get out of bed and back to the doctors after a month of pure agony. So back on the pain killers plus anti depressants to boot.
I also went to one of the top surgeons in Melbourne as I was told a spinal fusion may be my only option to find relief. The surgeon said I may end up worse of and wouldn't recommend it and sent me home.
I'm afraid I may have to live with this pain.
I am trying to find out if there is anyone in my position that know of any procedures that can help with my pain? I really don't want to give up. I'm 33 years old (female) newly married and my accident happened on my honeymoon. I was a normal girl working full time and enjoying life. Now each day has to be planned to just do simple tasks like grocery shopping. I can't carry even one bag and need a trolley. A social outing is usually out of the picture unless I'm having an ok day and then I last about an hour as sitting and standing causes me huge amounts of pain.
I take Targin 40mg morning/20mg night, Endone for breakthrough pain, diazepam and cymbalta.
Please if anyone knows of anything I don't know about in regards to procedures please let me know. I've run out of options and although I have a wonderful husband and family I want more out of my life.
Also if anyone has fallen pregnant while in a similar situation to me I would like to hear how the pregnancy went? I have seen a high risk obstetrician that said its safer for myself and the baby if I fall pregnant to stay on my meds. I know a lot of people will not agree with this but the only thing I would have to discontinue is Valium.

 
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Old 08-05-2013, 05:58 PM   #2
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gmak HB Usergmak HB Usergmak HB Usergmak HB Usergmak HB Usergmak HB Usergmak HB Usergmak HB Usergmak HB Usergmak HB Usergmak HB User
Re: Chronic back pain from L1 compression fracture

Dear liag, I had to see 2 spine specialist at the beginning of my injury after having a neurologist while being treated at the hospital, a spine orthopedic surgeon & then a spine neurosurgeon worked together to do the first surgery. I was 26, i had 2 lumbar surgs, got married, had my first child, then my second child all before i was 30, well i was 30. Fast forward 30 years, i had to see 3 spine neurosurgeons to try to get one of them to try to do something surgical to help chronic pain. But my point is sometimes it is necessary to get several opinions especially if we are not able to function & may have to see different specialists like spine neuro, ortho, pain mgmt to get varying or even the same opinion because you are so young what has been tried so far as in physical therapy, epidural steroid injections, any MRI's or EMG's, etc?

Last edited by gmak; 08-05-2013 at 06:02 PM. Reason: left out word

 
Old 08-05-2013, 07:37 PM   #3
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liag HB User
Re: Chronic back pain from L1 compression fracture

Thanks so much for your response. Did you end up having a spinal fusion and if so did it help with your pain?
I have been told that any sort of injections will not help. The nerve block injection was a no because the of the way I broke my vertebrae and that it wedge shaped. The pain specialist also said the epidural injection wasn't worth trying as it would only have a 20% chance of working.
I have had X-rays, mris, even travelled to another state to have a stand up MRI to see what my spine does in weight bearing position and the factthe all my pain is when im upright. It was no different to mu lay down xrays and MRIs. The specialist have told me (both orthopedic and neurosurgeon) that although my vertebrae has healed (although still squashed) its one of those things that has just happened with me still being in chronic pain. They said the combination of nerve, muscle and soft tissue damage would be causing my pain.
I also had a ct scan done to see if my facet joints were damaged as then injections may have helped. They are not damaged.
I have done and am still doing Physio. I also started muscular therapy 2 months ago with involves excercises to strengthen muscles I may not be using such at my core, upper back (which I get the most pain and spasm) combined with massage. After 2 months I'm not finding relief from this but I'm keeping at it as I feel like its better than doing nothing.
Thanks again for your Reply. I would love any more input on anything of the above I have spoken about and also if you had relief from surgery and what your pain levels are like now.

 
Old 08-06-2013, 04:30 AM   #4
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Jinxerr HB User
Re: Chronic back pain from L1 compression fracture

Those stories are really sad

I also had many back problems, though all of them got treated now. I hope you get well soon!

 
Old 08-06-2013, 04:37 AM   #5
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Jinxerr HB User
Re: Chronic back pain from L1 compression fracture

Those stories are really sad

I also had many back problems, though all of them got treated now. I hope you get well soon!

 
Old 09-09-2013, 10:36 AM   #6
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meekmink HB User
Re: Chronic back pain from L1 compression fracture

Hey I have a similar injury, L1 compression fracture from a skiing accident that occured about a year and a half ago. I wore a lovely turtle brace for three months and then the doctors told me to just wait it out and if in a year I was still in pain then I have chronic pain.... Its been more then a year and I still struggle on a daily basis with back pain. I don't take any pain medications (I'm a student and it gives me issues with school) but I occasionally take aleve, which does nothing.

I find that the best thing for my pain is acupuncture, I was referred to a women from my doctor and its been amazing. I find massage excruciating so I'm still working up to that. I did PT for about 8 months and it helped but the biggest thing that helps me is working out every day. I take barre class, and modify certain exercises but essentially its low impact, isometric muscle exercises. It really helps with core strength and also butt strength, which help me tolerate the pain. I also have a brace with boning for just lumbar support which I use when my body is tired or when I have to clean, etc. Try and see if you can find a well qualified acupuncturist (someone who has a background in back pain/injury specifically) and try it, just to see if it can provide you with any relief.

 
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