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    Old 07-17-2007, 04:04 PM   #1
    GracefulOne
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    L4/L5/S1 two level fusion, pain, and pregnancy?

    My name is Jennifer, I'm newly married (2 months) a few days short of 31 years old and 5 months post surgical with a L4/5 L5/S1 two level fusion in February 2007. Prior to the fusion I had several epidural/facet injections, radiofrequency ablation and two hemilamenectomy's (one in September 2006 and the other in November 2006). I ended up re-herniating both discs after the hemi's therefore proceeded to the fusion. I've had NO pain relief from the fusion and have been told by my neurosurgeon as well as my husband who is a physical therapist, that I'm still recovering from the fusion as well as the back to back surgeries prior. I had an extension/flexion xray last week and the results are nonremarkable. The majority of my pain is centralized to my left hip and buttock area - my spine, the area that should really hurt really doesn't bother me all that much...

    What I've tried...as I said my husband is a physical therapist and orthopedic clinical specialist...I'm therapied out...I get stretched and moved and cranio-sacraled all the time to no avail. I've recently started a massage regimen per recommendation from my neurosurgeon and am trying to be more active walking nightly besides my PT regime, however, it's really too soon to tell if it's helping. I've also reduced my work hours to 20/week per my surgeon as the pain was controllable when I was not working...I was back for 2 weeks of part time, got married, and then back 50+ from there on out. Looking to see if two weeks of not sitting the entire day makes a difference in my pain level as I have a sedentary position.

    My biggest concern, pain relief yes...but...HOW WILL I EVER BE ABLE TO GET PREGNANT WITH THIS PAIN?

    I've read some of the past posts on pregnancy post fusion, however, they were quite old so I thought I'd look to those who asked the questions way back when and maybe have had their own experience since, as well as anyone who will contribute with any advice.

    I'm currently on a Fentanyl 25mcg Duragesic Patch changing every 72 hours. I've been sporadically taking Celebrex 100mg once per day and sometimes I think it helps, other times it just hurts my stomach...I'm also concernend that I'm diminishing the 'inflammatory environment' that my lovely bone stimulator has created to help my spine fuse. I've been doing everything in my power to not take Vicodin as it really doesn't do a whole lot to help with my pain...I understand the ramifications of these types of medication and pregnancy - my primary concern with reducing the pain and getting off of everything completely, however, I'm looking for some anecdotal experience in getting better and GETTING PREGNANT.

    I'm sorry if this comes off as rambling, but I'm so antsy to start a family and the thought that I may have to wait a few more years when time is of the essence is so frustrating. I'm also concerned that my life without medication for pain intervention and management will never be possible, therefore, leading to the possiblity of never being able to even think of getting pregnant.

    Any thoughts, advice, knowledge, resources are greatly appreciated.

    Sincerely,

    Jennifer

     
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    Old 07-17-2007, 06:37 PM   #2
    Zinnias
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    Hi Jennifer,

    I am 32. I had a 10-month old the day of my accident. She is 5 now. I got hurt by 2 kids while teaching school.

    I have 2 horrible lumbar discs that will be removed.

    I decided I shouldn't let those 2 kids and their actions dictate whether or not I ever get to have another kid. I decided to go for it! We did not use birth control (as you know, the spine is the primary birth control!!!). Well, it happened.

    I was excited and scared to death. My pain md who had told me pregnancy would be fine - there would be 'many things' he could do to help me - abandoned me the second I said 'pregnant.' I felt so alone, medically speaking.

    Thank God my obgyn took over. She allowed me to continue w/ Lidoderm patches, Hydrocodone, and Tylenol PM. Gabapentin gel and Ultracet were tossed out. The pain machine stayed.

    My neuro had told me to stay w/ the hydrocodone as well. He told me: Your pain will be worse, the same, or better. Who knows!

    I knew I would be bedridden even more for 9 months. It didn't happen! Overall, I was the same or a little better. Yes, better! During the beginning, I would say it was worse. Months 5, 6, 7, and 8 - some improvement! I remember telling the ortho I wanted to stay 7 months pregnant for the rest of my life!

    Now, by better, I don't mean good - I mean less horrible, which I know you would take any day! The bigger I grew, the more my spine stretched out, and the looser it was. I walked significant distances at times and went from working 2 hours to about 9 a week! 3 days a week - driving somewhere to do work! AND walking around the neighborhood some!

    Month 9 - no change. Worse near the end.

    What I was really worried about was the arch in the back that pregnancy forms. You see, I any degree of flexion puts me straight on the floor. However, it wasn't an issue!

    I had to have a c-section. There was no way I could physically push. My first kid - I pushed for 5hrs 5min! As you know, we couldn't push once! Just elect to go ahead and have the c-sec if you want - I wouldn't even try it the other way if I were you.

    The pain during delivery was horribly worse. They said they could numb it - it didn't work. I had the full spinal block - everything went numb except for the back pain. So, there I was, lying on my back and getting cut, and all I could think about was the back!

    But, w/ the rest came improvement. In fact, I would say that my back improved a bit for the weeks following the surgery, b/c I was couchbound!

    All I can say is, DO IT! Once you see that face, it's all you will care about.

    And I can tell you this: Nature finds a way for a mother to care for her baby. I can't hold a gallon of milk, which weighs less, but I can hold her. A baby's body will mold itself to you in a way nature plans. I can't figure it out. I can't do much, but I can care for her. Nature has her ways!

    I would do it again.

     
    Old 07-17-2007, 07:27 PM   #3
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    Thank you so much for your reply...as I'm wiping the tears from my eyes reading your last paragraph...congratulations on your two little miracles and having the courage to have your daughter! I'm sure looking into her sweet eyes makes her alot easier to hold than that gallon of milk!

    What a struggle huh?

    I intend on discussing all of this with my OB this September at my annual and most likely will end up making an appointment with my Pain Management doctor in the next week to discuss it with him.

    I actually slipped walking into work January 2005, about a month after I met my husband...didn't report it to work as I thought "oh just an achy back...I'll go to the chiropractor and it will get better...plus I have this brand new spanking physical therapist boyfriend who is bound to fix me" Well about a week later I fell snowblowing my driveway...guess what...a year and a half later here we are! I'm so fortunate that I have someone so positive and understanding of my condition...it would have been a long haul without him keeping me going.

    It's funny, my husband (still getting used to saying that) said most likely I'd end up feeling better pregnant...we laughed about it because who would ever think that would happen! Well here it happened to you...

    I have thought about the 'pushing' as I was a lamaze coach for one of my bestfriends during her son's birth years ago...I thought...good God how would my back handle that? I'm a pretty tough cookie and I seriously don't think I could handle labor and the back pain...plus alot of women get back labor...UUGH...I would definately not be opposed to a C-Section especially if it would cause less complications and result in healthy child. What's a few more scars eh?

    Some questions on your medication? I'm currently on a Fentanyl Patch which is a class B pharmaceutical - I take Vicodin sparingly as I really don't feel it does much to even take the edge off and would rather try and manage without it...the limited help the Celebrex offers I don't have to take it...I've only done research on the Fentanyl so far and what I've found is with the low dose I'm on (probably would get more relief if I went higher but don't want to) that it is quasi-safe during pregnancy...like most things it's not recommended but if the benefits outweigh the risks...As with most drugs the main concern is of course in the first trimester during the CNS development and etc., with less concern during the last two...in the studies I've read there have been no teratogenic effects attributed to the medication but some incidences of respitory problems at delivery...oh...and also, if your having alot of nerve pain you may want to ask your Pain MD about Cymbalta...it's a combination SSRI/Noripenephrine anti-depressent but has been used in Europe for years to treat nerve pain and diabetic neuropathy...therapeutic dose is 60mg which I'm on now as I'm trying to wean off of it for the planning but I actually noticed alot of relief at 120mg...worked alot better than Neurontin for me....

    What are the Lidoderm patches you are using? Similar to Lidocaine? Also, tell me more about your pain machine...prior to any of my surgeries we tried a Tens Unit that my husband brought home from work with no avail...I guess I'm looking for options in that department as well and anything I can bring to my pain managment doctor the better...isn't it funny people are breaking into pharmacies for the medication we wish we DIDN'T have to take to make it through a day!

    It's so wonderful to hear that your back to work and it's going well for you...that's a whole other story...This is my 2nd day back to 4 hours and I'm not really noticing a big difference...I hope to notice something tomorrow as usually by Wednesday I was taking vacation to rest my body...

    I'm so happy to hear your story and thank you so much for sharing it with me...it gives me hope that maybe trying to start planning this fall isn't such a distant dream. It's hard being so young and having to deal with such a life changing situation...congratulations on not letting it hold you back!

    Jennifer

    Last edited by GracefulOne; 07-17-2007 at 07:47 PM.

     
    Old 07-18-2007, 01:37 PM   #4
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    Hey Jennifer,

    1) Your ob will most likely become your biggest supporter here, whether she/he wants to or not! Mine and I were close, but I still knew treating me put her in a tight spot. The mds were just throwing her the duty of medicating me, w/o even contacting her. I felt horrible for her. But, I also learned that obs seem to be quite protective of their patients, and her being protective of me kicked in!

    2) She didn't want to go on record, of course, telling me to take these medications. So, they basically left it up to me. I understand that w/ all of the malpractice problems. She had me use the meds the others already gave me, and then the deal was she would write refills. She never complained. They told me how they don't take patients off of A or B or sometimes C - they don't take their depressed patients off of meds, either. The neuro told me he has many patients w/ metal plates in their heads who go on to be pregnant; they all are kept on their pain meds - several a day.

    3) Ultracet (Ultram) was milder than Hydrocodone, of course, but it went b/c it was not studied, and they Hydrocodone was. Celebrex wasn't allowed for me b/c it's an anti-inflammatory and can mess w/ fluid levels in the womb. Yes, Lidoderm is exactly Lidocaine. In a patch. I don't think it helps w/ my back pain - it helps w/ my skin pain where the injured discs are. Neurontin went out b/c of lack of studies. They were willing to prescribe Tylenol III.

    4) The pain machine is a large (4 leads) neuromuscular stimulator - fancy for TENS. They claim it's much more, but whatever. It DID help during pregnancy. I only use one lead, but it's much stronger than a rinky-dink TENS. It's by RS Medical.

    5) The c-section isn't terrible if you've had back surgery, I'm sure. I couldn't move for 2 wks b/c of abdominal pain, but my back loved the break! It really worked out. It rested my back. Take ice packs to the hospital.

    6) Actually, the back to work was during pregnancy!! Driving to and from a school, that was something I could do while pregnant. My md has me on 1-2 hrs/day now, so when I can, I have kids come to the house.

    7) I just remembered ... my ob okayed trigger pt/steroid injections in the back during pregnancy. I had an ortho pretty good at hitting the spot and went for it.

    8) You will come across rude docs during pregnancy. My PM doc said, "My dad is an old-school ob and he doesn't let woment take anything. When I have a wife, she won't even take Tylenol when she's pregnant." This, being the one who told me to go for it. Just find one and ignore the others!

    9)Warning: All pregnant women will want to tell you how their backs hurt just like yours, or more, and how they're having to take yoga, pilates, whatever. If you even touch your back, one will run over and yell, "Me too!"

    10) Making the baby is harder than carrying and delivering the baby!

    11) Pushing the stroller is good for you. It's like having a walker. It keeps you from walking too fast for your body and it gives you support.

     
    Old 07-18-2007, 01:56 PM   #5
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    I just wanted to chime in and give you some support. I am TTC baby # 3 right now. Well, I was ttc, then was told last week I need my gall bladder taken out, so decided I better stop, and ended up ovulating early, so might be pregnant after all. I've been cleared by my ob to continue my hydrocodone or percocet while pregnant. I also have a very strong desire to birth naturally again, so my OB wants me to labor down before pushing, letting my body do it instead of me pushing and possibly hurting my back worse. I didn't have a fusion, but had a microdiscectomy/laminectomy at L4-5 just over 2 years ago. I would not let my back pain stop me from having a child. There's nothing in this world like motherhood. I can tell you'll be a wonderful mom, so just go for it, and make sure your drs are all on the same page that you are. I wish you the best of luck!!
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    Old 07-18-2007, 08:34 PM   #6
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    jennifer, I know exactly how you feel!!! I will be 30 this year. I had my first back surgery when I was 22, discectomy of L5-S1, then in Dec. 2004 an anterior/posterior fusion of L4-S1. I am doing well, but having a lot of chronic pain that maybe or may be not caused by surgery. I think there are many things. I have plantar faciitis, arthritis in my knees and other joints from many cheerleading years, and a couple small bulges in my c=spine. I have had tens, therapy, myofacial release, heat, manipulation, massage, acupuncture, meds,ESI in my neck and now two rounds of botox. I can't go 6 hours w/o taking Ultram, and lately I have had to take a couple vicodin too, (5/325) which really don't seem to help, but I am trying hard not to ask for a different one. I live on my heating pad and a tennis ball at home, bother hubby to death for back rubs and feet rubs (he is not in any science related field, he is wearing down). we have been together 6 years, married 4. I know some day in life I will either have to have another lumbar fusion of some type or my knees done or a cervical surgery. I am worried about having children also. I know you can't take some meds and the pain is a big worry. Also, playing and holding them-I can't walk a one year old bending over (you know, holding them by the hands and they walk). when hubby and I went to FLA to universal stud. I crapped out about five hours into the day. Couldn't go any further. My back was hurting so bad, my muscles on fire and i was tired beyond belief. I just wanted to lie down. we were in bed by seven every night. I would have been a big let down if we had kids.
    I have not talked to anyone about kids and pregnancy yet bc I am not ready and we want to wait til about 35 years of age (we are three days apart in age) for kids. when we are ready or sometime just before that, guess I'll have to find out if it is a good idea or not. My life may just be full of my hairy four legged babies-my 3 year old 20 pound cats, and my 2 year old four pound chihuahua.
    Best of luck to you and hope your healing goes well and is uneventful!
    Mel

     
    Old 07-18-2007, 08:44 PM   #7
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    SO IT DID TAKE! OH WELL< NOW YOU HAVE TWO OF THE SAME STUFF


    I just spent five mins writing you back and it didn't take!
    So, now for short version.
    MY HX:
    PT and ESI for bulging/herniated disc
    2002 Micro-D L5-S1
    ESI, PT, Discogram for two levels of DDD
    2004 A/P lumbar fusion L4-A1
    Have plantar faciitis, maybe fibromyalgia (chronic pain and chronic fatigue)(since this last surgery), arthritis from years of cheerleading, muscle spasms, muscle pain, misalignment in back at times which irritates the fusion and I have some small bulges in my Cspine at C5-C7
    Have had ESI, PT, TENS, Myofacial release, inserts into shoes and two rounds of botox.
    I live on my heating pad and crave back rubs 24/7 (feet too).
    I take 150mg of ultram 2 x a day, used to take 50mg 2x a day. Have taken a couple of percs last week.
    I am 30 this year, had first surgery at 22.
    I am active, I can walk a lot on a treadmill, ride for an hour on a recumbant bike and I work 12 hour shifts on my feet 2-3 x a week, incl two 8's. I try to stay as active as I can.
    Hubby and I just celebrated 4 years of marriage. I am very concerned about kids. Pregnancy only for weight gain (strain on lumbar spine) and ability to take or not take pain meds.
    After, just holding and keeping up with them. I poop out very easily. when we were in FLA for vacation we were in bed by six pm=I sleep 10 hours a day, I have to take a muscle relaxer to sleep too.
    We aren't ready anyway for kids yet, and want to wait til I get my degree and we settle a little more. we want to go for 35 years old. We are only 3 days apart in age.
    So I understand all your fears. I don't know what the future holds for my body. My head feels 21, my body feels 71!
    If nothing else, I have my three furry babies right now-two 20 pounds kitties and a 4.5 pound DOG!
    Best wishes to you. I am fused btw-took about a year.
    mel

    Last edited by mel1977; 07-18-2007 at 08:46 PM.

     
    Old 07-19-2007, 02:28 AM   #8
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    Have I told you all how cathartic this experience has been for me!

    ONE THING I WANT TO WARN EVERYONE WHO IS TAKING THE FOLLOWING DRUGS ABOUT...ULTRAM/ULTRACET/TRAMADOL, IF TAKEN WITH AN SSRI (Antidepressant, ie: Prozac, Lexapro, Celexa, etc) CAN CAUSE 'SEROTONIN SYNDROME' even if it's been taking before with the SSRI. It's a very serious drug reaction that can cause symptoms of mania because too much serotonin is being released in your system...I had this drug interaction and it scares me so much that I wanted you all to know! It was prescribed and my doctor knew I was on an SSRI! Point being...be very careful if you take this combination as I know alot of us could probably use an antidepressant with the situations we are in. If you get all your Rx's at the same pharmacy hopefully they will catch it...but just in case!

    Zinnias, you raise such good points! My husband actually worked with a patient today that had a Lidoderm patch and thinks it's helping her a bit...granted she's older but it's definately something to look forward too! I'm certain that alot of the pain that I have is referred pain...most times my left hip/upper buttock area/left thigh just burn and ache...maybe it would help in that area. Definately something I'm going to look in to. I'm pretty sure the TENS unit he brought home for me was one of the better ones...had quite a high level of stimulation...what it would be if connected to the stim machine...perhaps if I tried it now it would make a difference because the underlying problem has been corrected...problem is he no longer works at that clinic to be able to bring it home. I'm sure I could try one out or get an Rx for it from my Pain MD.

    I've noticed too that even pushing a shopping cart is helpful because it does support you...even pushing my Mom's wheelchair (she has severe Rheumatoid Arthritis, had a double knee replacement and then a CVA that has really only affected her speech), yet the woman worked up until the day of her stroke! It's funny when I was little I would think I hope my life doesn't end up like that...I used to watch her change into her pj's as soon as she got home and lay down on the couch and cry because she hurt so bad...sometimes I feel like I'm looking back through a mirror in my life. At least I know how to deal with it and what not to do...take it out on your family which is so much easier than just shutting up and dealing with the pain!

    Oh, also nice walking jogger/stroller would probably be helpful and alot less stressful on my back than carrying a little one constantly. You know how this all started...a business collegue that I asked back in January if she ever wanted to get rid of her Leather Eddie Bauer car seat I'd take her up on it...well $25 later and it's sitting in my sitting room...uugh...I want to be able to use it. Plus, my sister-in-law who is married to my husbands twin has been talking about TTC...so jealous I am...but instead of brooding over it I'm going to be proactive and see what we can do to be in the same place soon! Twins run in my family as well (Grandma miscarried, Grandfather had twin siblings) so I'm praying like hell that I can get it all taken care of in one shot...how fabulous would that be?

    Katina, well pseudo-congratulations on possible #3! Isn't it fabulous that so many times it seems to happen when other things need to happen! BTW, I had my gallbladder out laparscopically a few years back...peice of cake compared to back surgery! You'll do great. If you have to postpone it, I'm sure your doctor can offer a diet that will help you to manage the gallbladder problems and keep baby healthy. I didn't have stones, just a really poor ejection fraction...basically my gallbladder was the equivalent of a dead goldfish! I'm lucky that I do have a wonderful OB and OBNP who have helped with other issues they could have passed me off for in the past...I'm actually very excited for my appointment this fall and discussing what my possibilites are. In addition, all my doctors are with the same clinic, Aurora. Thank you for the 'you'd be a good mother' comment...I think when we are dealing with such complicated problems you wonder if your doing well...I hope to be a great mother who can have an active life with my children if I'm so blessed.

    I know that staying active is part of recovery, but sometimes you hit that body fatigue wall, you know, the one that can't get you from laying flat on your back just so it can relax and lenghten...uugh! Prior to my back problems I was big into Yoga and although I'm sure I can't get in all the positions now I should start trying again. Yoga really did help me to relax, ground myself, and feel less stressed - which is directly correlated to pain for me. I walked both Monday and Tuesday nights...about 1.5 miles give or take each night...it's a start...ended up having company tonight and wanted to go but it didn't work out...plus it was extremely humid so maybe it's better I took it easy tonight. Tomorrow I have my 2nd massage with a wonderful therapist my girflriend referred me to...$30/hr...it's out of her home and a beautiful little drive up there on the bay...well worth the gas money! Last week Thursday she really got into the spots I needed her to be and worked me hard...I was sore after but I'm hoping to notice a progression of loosening up in my hip flexors and maybe this will help. Oh yeah, the PT husband is wonderful...he'll stretch me...do muscle energy things with me...we've tried cranio-sacral therapy but the dogs wouldn't let me relax...he's so wonderful for that it's just sometimes it's so hard to work time in for it...as far as back rubs, when I need him to help me out he will but I don't think it's his most favorite thing. Sometimes I honestly feel bad that he does this all day and then has to come home and deal with me...he does have a new appreciation for back pain however as his was bothering him about 3 weeks ago for the weekend...it really humbled him to know what I was going through...


    Mel,

    We are very much in the same place...my pseudo children are 2 Vizslas named Fischer who is 5 and Tobias (our little Humane Society Rescue - was abused and now flourishes with us) who is about a year and a half. We also have a 6 year old cat named Rummele. They are really my life...I can't imagine having more love for a little baby but hopefully I will be blessed to find out in the future! We sound very similar in our love for heating pads...I actually have mine strapped around a memory foam pillow that has indents in for the cervical area...well the little bumps fit perfectly in my lumbar area and make my barcalounger MY CHAIR! You should pick one up...the pillow...and well the barcalounger too LOL. We got the pillow from Linens N Things and it was about $30...a great investment in my eyes...it just snuggles your back where you need the support the most.

    Thinking back to my last Neurosurgeon appointment, my doctor didn't have concern about me getting pregnant from a spine standpoint...I had xrays taken at my appointment last week and everything is looking ok - not sure if I'm fused fully but I'm sure I'm well on my way. My neurosurgeon doesn't manage my pain so I am going to give a call to that office tomorrow and set an appointment to discuss different options for now ad what we can do when we start trying to conceive, and yes Zinnias, getting pregnant isn't the hardest part I'm sure...getting in the position to make the baby is!

    I really think that I would try laboring...who knows...I could be the lucky one that it just falls out right? Oh should anything be that easy? Like I said before if I end up having a C-Section it's no big deal...yes I would love to say I too experienced vaginal childbirth but it's not worth ruining your health because of it...either way you still come out as a mother!

    Oh...so I'm not the only one who gets the 'my back is worse than yours' scenario? My coworker had a sore back from putting her child in the car seat for two days and the support given to her by my workgroup was insane...yet...by 10am I'm pulling my *** out of my chair using my partition...no one could care! Funny isn't it! Having had many experiences like this I guess I just think that only I know my pain and being that prior to the start of my back problems I walked 5 miles a day with the dog...never sat down...cleaned like a crazy woman and tried all of Real Simples 'fake it' dinners...LOL...now I'm lucky if I cook twice a month...how it changes life!

    See...an hour later and I'm still up...better get my little happy *** back to bed...got up for a drink of water and to let the boys outside to squirt...talk to you all tomorrow, which is actually today!

    Jen

     
    Old 07-20-2007, 12:29 AM   #9
    mel1977
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    yeah, I know about the interaction yet I still do take both. What happens exactly? My only other option is to go back to narcotics, and i guess I just can't, especially with what I do for a living. So guess I am risking the interaction for pain relief, though I am taking more ultram now more than ever.
    I have a shiatsu massage chair from LNT that I love, I just wish it had heat too! ON my pad as I type.
    I am tired tonight so this will be short. I hope we all figure out what our lives hold for us-so confusing these days....

     
    Old 07-20-2007, 01:36 PM   #10
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    Mel,

    Let's just say the drug interaction can be summed up like this: "It was the best of times, it was the worse of times."

    I actually developed seretonin syndrome and became manic...severly elevated mood levels, spent a butt load of money shopping, unable to sleep, full of energy, etc.

    Now I know your asking is this a bad thing? Yes...you have the same manic tendancies as someone who is bipolar. After finding out about this drug interaction causing this, I started seeing a psychiatrist and he thought I might be bipolar...a devastating diagnosis to me as I was a freaking Psychology graduate. However, I've not had a recurrence in over 3 years and never had even a slight tendancy prior, he now has concluded that it was becasue of the drug interaction...which I and my Primary Care Doc knew all along but it was still hard having to deal with it. In addition, it seemed to take forever to get that stuff out of my body and for me to re-regulate...like I said I had alot of fun but I would prefer never to be in that situation again.

    Just be careful...I actually list Ultram as an allergy now...it is a wonderful drug but I would be scared as all get out to ever take it again.

    If you notice any sleep problems come on seemingly overnight...not that your tired and can't sleep but you DON'T WANT TO SLEEP because you feel so great you want to clean the house or go for a really late night walk or if you notice any obsessive tendencies like wanting to shop all the time or even your libido sky rocketing these can all be signs of becoming manic...

    It amazes me that even with such a serious interaction physicians are prescribing these medications in combination. I'm sure many physicians have a good reason for it or deem an interaction so rare that it couldn't happen to their patients, but, I really wish I would have been made aware of the possibility prior to electing to take the SSRI and Ultram together. My interaction was between Lexapro and Ultram. I think if you take an SRNI such as Cymbalta there is less of a chance of it happening.

    I guess if anything good came out of it I got alot of great clothes that I now don't wear because I never leave the house because my back hurts all the damn time In addition, I think falling on the ice several times during my manic bought could have led to my back problems so...be careful! If anything it makes you fall on the ice alot and that's no good for someone with back problems. Always trying to stay positive.

    Best of luck,

    Jennifer
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    Last edited by GracefulOne; 07-20-2007 at 01:41 PM.

     
    Old 07-20-2007, 04:15 PM   #11
    cherish1
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    Is your husband familiar with Functional Manual Therapy? The Institute of Physical Arts has more information online. This physical therapy is entirely different than traditional therapy, and you might investigate that for your situation.
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    Old 07-23-2007, 11:41 PM   #12
    GracefulOne
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    Re: L4/L5/S1 two level fusion, pain, and pregnancy?

    We will check that out!
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