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Old 12-01-2006, 07:55 PM   #1
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20 Months After 2nd ACDF - Update

I read a lot here and don't post that much, but thought I would share my status, and see what others are experiencing.

I've had two ACDFs (C5/6/7 in Feb 2004, and C4/5 in Mar 2005), both times with donor bone and plate, and 6 weeks off work to recover. After the last time, there was some chronic pain remaining, and I took pain meds so I could get back to work, and give me some time to heal. My pain and shoulder/arm weakness was greatly improved, but the pain did not all go away after the second operation.

I stopped the pain meds a couple weeks ago because I couldn't stand the ever-increasing doses and side affects. Stopping after so long a time was very rough, but I did it. Pain meds are a mixed blessing.

This week I was back in to the Dr to see what is going on. I have an MRI in a couple of weeks to rule out (or in) problems with other discs, or narrow foramina. If they can find a problem we will consider more surgery to correct, and if not they will recommend injections into the joints between the vertebrae to numb those nerves. I will now be reading up on these kind of injections.

I'm just sharing my experience in case it is of use to others, and to see if anyone has comments on their experience with this kind of treatment.

Thanks for any responses
Bob

 
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Old 12-02-2006, 12:10 AM   #2
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Re: 20 Months After 2nd ACDF - Update

Bob:

After you have the testing I'd reccomend perhaps a pain management doctor before any further surgery. I did do Epidural Steroid Injections in my neck prior to my ACDF and also had facet injections. The ESI did work well in relieving my pain and numbness for nearly two years! If they had continued to work I would have done the ESI indefinetly.

I expect to have some future problems with C4-C5 and I'll do the injection route again if I can.
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L3-S1 fusion '10; L4-S1 fusion '93; L5-S1 fusion '87
C5-C7 PCIF & foraminotomy '08; C5-C7 ACDF '06
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Old 12-02-2006, 09:02 AM   #3
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Re: 20 Months After 2nd ACDF - Update

Bob,
I am queen of the injections, over here. I have alot of arthritis in my facet joints in the neck AND disk issues. I am having ACDF soon. Either Dec. or Jan. You name it, I have had it done to my disks and joints. The thing that helped my facet joints the MOST was something called radio-frequency (RF)denervation. It has a ton of different names. (rhizotomy is another name). They wont just do that procedure without doing several other diagnostic injections in the weeks before the RF procedure. (facet injections to make sure that those help the pain and its IN FACT in the joints). The literally kill the medial nerves, which do grow back. It aggravated my symptoms for about 4-5 weeks afterwards, but then it helped ALOT. Its supposed to give you up to a year and half of relief. (some people get more, some get less). My problem was that it helped my facet joints, but my disks were still hurting so I wasnt pain free the way I wished I could be. It was the difference though, between me being a bigtime basket case, crying everyday and being in pain without crying. To me that was BIG. I think my nerves are growing back because my joints hurt alot again. Its so hard to isolate all this stuff. (joints...disks....) I am finding out from the Drs. that its a very muddy scenario when you have alot of both issues. I had the RF done in April 2006, by the way. I have also had epidural steroids injections, which minimally helped, but the arthritis was still bad. They can never figure out how to help both of my issues at the same time. Hence, SURGERY.

 
Old 12-02-2006, 11:23 AM   #4
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Re: 20 Months After 2nd ACDF - Update

SKZ
Thanks for all this info. Seems my case developed backwards, since I started with the surgery (had the problem, but was not correctly diagnosed for over 10 years).

I am just starting to read up on the different treatment types you mention, so I can make an informed decision if the Dr recommends something. If it's OK, I would like to ask you questions from time to time. First question would be about the injections in the facet joints - is that painful, and are you up and about right after? My Dr explained they do them in a hospital, with x ray images to make sure the needle is in the correct location. Does this sound like what you had?

In return, since I've already had a couple ACDFs, please feel free to ask me any questions about that.

Bob

 
Old 12-02-2006, 11:26 AM   #5
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Re: 20 Months After 2nd ACDF - Update

Kross:
I was under the care of a pain management Dr for the 20 months since the last surgery, but all they ever did was give me pain meds. Took some doing to stop after that long, but I managed. I started this week with a 'physiatrist'. He recommended against PT or a Chiro, and scheduled some tests to see if I have yet another disc problem, or other narrowing around those nerves, and then he wants to start injections (this assumes he doesn't find something that warrants another surgery).
Thanks for your response
Bob

 
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