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    Old 07-13-2008, 06:50 AM   #1
    Kimba620
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    spinal surgery,6-11-08, feel alone, please help me!

    I need help my fellow back surgery and pain survivors! I am new to this board and new to spinal surgery! Although I have RA and had 19 surgeries prior to my fusion surgery, I am new with anything pertaining to the back and spinal surgery!.It is easy for those on the outside to think that just because someone has undergone many surgeries and procedures and deals with chronic pain to due a terrible disease is all knowing and all prepared for anything entering her path. I have to tell you that this is very untrue. I do aknowledge that I have been through so much in the last 8 years and have learned how to cope and live one day at a time etc.

    Needless to say when dealing with an autoimmune disease and the constant damage it has ravished on my body you don't think it can ever get worse. Well lo and behold it recently did when they found out the damage had spread to my spine. I spent a couple years researching my diagnosis, seeing different doctors and surgeons with different opinions and specialities. As the pain got worse and damage spread from one level to two levels to three levels I knew I could not wait any more and something had to be done! My spine was damaging in front of my eyes! Much as I have seen other parts of my body, joints, organs, skin, etc.deteriorate, it feels like pac man eating away at me! I am not in here to address RA, just wanted you to know my background.

    I recently have undergone a posterior TLIF, triple level fusion on L3-S1 with pedacle screws, rods and bone filled cages. My surgery was performed on June 11,2008. I spent 6 days in the hospital and was in the most miserable pain I have ever been in in my life! I was so happy to come home because I have a hospital bed and just thought that being in my own home in my own bed with less distractions would be heaven. Much to my surprise I was almost as miserable, if not more so! The first threeweeks were literally hell!

    Some of the things that I was not prepared to deal with were all of the pain and problems not associated with my spine or back. I would be so grateful to know if anyone else dealt with any of these other problems. I woke up with bloody, scabby cheeks from being face down, a horribly bad rash around my entire mouth and chin from where they "glued" the oxygen mask on me since I was face down, horrible red, burning, bumpy rashes under both breasts as a result from laying on the contraption they put me on to do surgery. several bruises and bar marks that were pressure point leasions due to the same contraption, rashes on the undersides of both of my upper arms, my rib cage hurt so badly I could not breath and assume that also was from being tummy down during surgery. It is a month later and my rashes are all still visible and are healing slowly, I may be scarred on my face,immense nerve pain and weakness in my left leg not there before surgery, just unthinkable awful things you do not expect to deal with after major spinal surgery as if the pain and recovery from triple fusion is not enough in itself!

    I feel so alone and cry everyday! I am not literally alone as I have a dear husband who is caring for me and friends and family on the outside that love me and pray for me and try to uplift me with cards and calls. It has only been very recent that I have been able to talk on the phone etc. All of this love does comfort me, but I do not know anyone who has been through what I have been through and no matter how much someone loves you and cares about you, there is no one I can ask questions of, compare notes with, vent to, see if my progress is normal or abnormal and no one I can get advice from.

    For instance how much pain is normal at 4 weeks post op?, I am in bed most of the time except for using the bathroom, showering occasionally and making it down the hall from my bedroom to eat with my family at the table in a wheelchair once a week-is this normal?, Is it normal to cry?, Is it normal to feel sad and frustrated that I am dealing with other problems from the surgery that are not because of my spine?, I also have ended up with very bad nerve pain and weakness in my left leg that was non existant before surgery, I only had back pain, no leg or nerve pain, any one else get this post op? These are just a few of my hardships.

    I really am not a complainer! Maybe this is why I am so sad, am I keeping things in because I have no one to talk to and no one who understands? All I know is that after reading many, many posts I have never seen a group of more loving, informative, tender people that relate to one another and help one another! I yearn to be part of a community like this and I hope and pray that whatever I am given, that I may someday give back when I am a bit further up the road and another hurting newbie like me comes along and I will be able to say, its OK,I understand, I have been there, I have made it and you will too! Until then I seek and wait for a caring person to reach out to me and tell me some of those things.

    Whoever you are, whatever youve been through, if you see a bit of yourself in me and my story or can add some insight, encouragement, information, help, insight, what I can do or shouldn't do-anything, please, please help me! I am reaching the end of my rope dear ones! I am hanging and will never give up though! I am a survivor and a trooper, just need some help to get back on track! Thank you for listening and for caring!
    __________________
    Kimberly I have RA and FMS. 20 surgeries so far, mostly on joints due to RA damage. MY MOST RECENT SURGERY WAS ON JUNE 11, 2008-TLIF-TRIPLE FUSION WITH SCREWS, RODS, BONE FILLED CAGES AT L3,L4,L5,S1

    Last edited by Kimba620; 07-13-2008 at 06:56 AM. Reason: forgot to add one problem

     
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    Old 07-13-2008, 07:27 AM   #2
    nanatothesixth
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    Hi, Kimberly! I am sorry to hear of all you are going thru right now. Have you called your Dr. about the nerve and leg problems? Sometimes a dose of Medrol pk. helps--it is a steroid. I had to have that twice after my fusion last year. The nerves and muscles get moved around during the surgery, and they are mad as hell! It does take time for them to recover. What you are going thru is not unusual. Walking is the best thing you can do right now. Remember no bending, lifting. twisting. No heavy lifting. You are still fresh out of the surgery, and it takes time to recover from this type of surgery.

    This board is wonderful for support. Why pay a therapist when you get all kinds of love and support here on line!!!! Everyone understands what you are going thru. You can actually feel the cyber hugs that are sent out, too.

    What meds are you on---pain meds, muscle relaxers? Did the Dr. prescribe anything for the nerve pain? I was on Lyrica, but took myself off as I gained 30 pounds(so far, I have lost 15 of it).

    Are you in PT yet? I don't remember how long afterwards they have you go for it. That can provide relief, too.

    Everytime you accomplish something keep that positive thought in your mind. Each day will get better, every task will get easier. It is a long road to travel, and there is light at the end of the tunnel.

    No matter how low you get, remember, you are NOT ALONE!!!!

    I will lift you up in prayers, and send you tons of cyber hugs!!!!!!!!

    Pat
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    L4-S1 Lumbar fusion revision 08

     
    Old 07-13-2008, 07:46 AM   #3
    Kimba620
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    Thank you Nana Pat! I am not in PT yet and am not sure when I will start. My next appt is July 24, I was due to see surgeon last Thurs, but was too sick and in too much pain to get out of the house! I mourned that decision later, but at the time I truly knew it was more than I could do at that moment! I am on a boat load of meds, all of my pain killers that I take for RA have been increased quite a bit and I am taking oxycontin 200mg per day, ultram 300 mg per day and norco 10/325 3 times a day. I have taken medrol for my RA, but was not given anything for nerve pain except ice packs, more pain pills and lidoderm patches.

    I have a brace I wear when not in bed, but I do worry about bending, twisting etc at other times, how much can cause damage, I am so afraid of popping a screw or something! How heavy is too heavy to lift? I have not been given very good instructions postcare as they were concerned about all my other problems.

    Did you have any of the facial or body rashes or marks that I mentioned?

    I already feel your hugs and prayers!God bless you for taking time to reach out to a hurting sister! I hope I can write to you and not bother you, its nice to know I am not alone! I hope others offer their ideas too! How long since your surgery and what is your life like now and how are you?

    Love and hugs and appreciation, Kimberly
    __________________
    Kimberly I have RA and FMS. 20 surgeries so far, mostly on joints due to RA damage. MY MOST RECENT SURGERY WAS ON JUNE 11, 2008-TLIF-TRIPLE FUSION WITH SCREWS, RODS, BONE FILLED CAGES AT L3,L4,L5,S1

     
    Old 07-13-2008, 08:43 AM   #4
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    Hi Kimberly!

    I am almost 3 weeks post 2 level fusion so I'm right there with you! I don't have RA but I do have OA, and some of that has flared with surgery, so I know how you feel!

    First, I did want to let you know I woke from surgery with some small abrasions on my face, mostly on my cheeks, but they were very small. Of course, my throat was also quite sore from the tube. I had various bruises here and there on my legs, but hey, I figured it wasn't easy to move me around while I was out cold. No rashes...but that may have been caused by an allergy to one of the meds when you were in the hospital.

    I did wind up with a bedsore from my 5 days in the hospital, caused by one particular shift of nurses who were ignoring my requests to find out what was hurting me (they kept saying there was nothing there.) That has finally healed.

    And I do understand how you're feeling. My surgery was on June 24th and there are some days I feel not much better then when I woke up in recovery. I'm having terrible nerve pain in the buttocks and upper thighs where my skin feels like it's burned, it hurts so much to touch, and that includes trying to relax in bed. I know this is from a variety of things, including my body reacting to major surgery. Hubby and I are learning that keeping me well powdered helps quite a bit.

    My doctor has limited my meds to vicodin because he's concerned about addiction if he adds much more. This is okay with me, but there are times I watch the clock waiting for the next dose.

    My incision is completely healed except for a 2 inch section that's being irritated by my brace, so we're back to keeping it disinfected and bandaged and I'm on antibiotics just in case.

    I do have a nurse that comes to my home twice per week, so I am assured this is all completely normal, it's just part of the routine when one has a foot long incision down their spine and all those muscles and nerves cut.

    And yes Kimberly, there are days I just break down in tears because I want to be pain free for just a little while. I do know how you feel.

    But I can say, it seems to be 2 steps forward, 1 step back, and as long as my steps forward exceed my steps back I'm ahead of the game.

    Btw...consider yourself lucky. I'm not allowed out of the brace at all except for sponge bathing in bed. It's a joy to sleep in...not.

    I'm here if you want to talk

    Paula

     
    Old 07-13-2008, 08:52 AM   #5
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    Unhappy Re: spinal surgery,6-11-08, feel alone, please help me!

    Hello Kimba ~

    I am very sorry for the reason you are joining our little group here in cyberspace, but WELCOME.

    My head is still spinning from reading your initial post. You have been through much more than I can even imagine, what with your medical history, high number of surgeries, etc. But to answer your question, I've been reading on this board for about 3-4 years and I do not recall one post about someone developing all those rashes you mentioned, and all the other problems that you encountered from the surgery itself.

    The only thing that sounded familiar to me is the nerve pain in your leg that was not there prior to surgery. That is very common. Also I was told by my surgeon's assistant that during the surgery, they have to place the patient in some rather awkward positions and sometimes nerves will be stretched or bent in such a way that it can take a long time for them to recover.

    Also I don't quite understand the extent of your pain. It sounds like you were sent home with a fairly good arsenal of meds. Perhaps due to your other conditions, the pain pills don't work as well for you? Well, one thing I've learned from my experiences with back pain and fusion is that everyone is different...no one heals the same; no one reacts the same; we each experience pain differently, etc. While this board is great in so many ways, there is no way for one of us to feel exactly the same way as another person.

    You don't say if you are getting pain relief now from those medications.
    How are you feeling now?

    Do you have a satin sheet on your bed? This makes it so much easier to change positions. That was the single-most useful tip I received from the board! You should wear your brace whenever you are not in bed, lying down. You know about the BLT's already, and they are very important. Do you have a "grabber?" That is another very important, useful tool that will allow you to function without bending. Regarding lifting, no more than a gallon of milk for now...so you can forget about those 50 pound barbells for awhile...

    I had a one level PLIF in Jan., not as much surgery as you, obviously...but I am doing quite well. I followed the veterans advice -- took all the meds that were prescribed, exactly as prescribed, rested a ton, walked when I wasn't resting and pretty much stayed in bed when I wasn't walking. I was the Princess and I let others wait on me! At about 6 weeks, I started feeling a bit more normal. I think I started driving around 6 weeks. During my whole recovery I have not pushed things. I am in no hurry to accomplish things....I just listen to my body. If it doesn't hurt, it's OK for me to be doing it.

    Now that you have found a group that understands what you are going through, please stop by often...either for questions, or to blow off some steam...or for some of those hugs.

    Welcome and I hope you start to feel a bit better very soon.

    xx MM

    Oh, PT varies very much from doc to doc. Many start about 3 months, some not until 6 months and a few believe in starting sooner. Some think it often causes more problems and do not recommend it until after 6 months...so it will be up to your particular surgeon.

    Last edited by mznell; 07-13-2008 at 08:58 AM.

     
    Old 07-13-2008, 08:54 AM   #6
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    Oh yeah...I almost forget.

    No bending, no twisting. Lifting should be limited to no more then the weight of a dinner plate (and believe me, sometimes I find that's too heavy.) Learn to reach for things with your arms and turning your neck but leave your torso straight. Get a grabber or two or three and use them for anything that might require bending, and that includes putting on pants, etc. I have been told that it takes quite a bit to displace the hardware but you don't want to interfere with the bone trying to form.

    And don't feel bad about being in bed - that's where we're supposed to be. Take advantage of the walk to the bathroom, make an occasional extra trip to get more walking in. Sometimes I lie in bed and exercise my ankles and try to flex my calves to make sure I keep the blood going.

    And yes, I will get occasional twinges in areas of my legs that had no pain before. Just make sure you let the doctor know, and remember - there's still a great deal of swelling that's going to create nerve pressure that will disappear when the swelling does.

    Paula

     
    Old 07-13-2008, 09:03 AM   #7
    nanatothesixth
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    My fusion surgery was 12/06, and I remember the awful nerve pain when I woke up. I made them take off the Teds Stockings and never let them put them back on. I did not have any rashes or marks that time, however, the time before that, I awoke to 2 black eyes!

    I have permanent nerve damage in my left leg and foot. I have weakness in my left leg and hip. I did not fuse, so they are doing a revision surgery July 24th. All my hardware will be replaced as well as new bone grafting. The nerve damage cannot be fixed. I really have no life anymore. All of the things I use to love to do, I can't. I have found other hobbies now, such as crocheting, plastic canvas, and reading, and ceramics. And babysitting my 7 month old Grand daughter once a week. I will probably never work again. I do my best to keep a positive attitude about everything, but there is plenty of negativity as well. I try to laugh as much as possible, got to keep the sense of humor!!!!

    Do not lift anything that weighs more than 10 pounds. Bend with the knees, not at the waist---ever. It is not very common to hear of broken screws, but it does happen. Do not twist. Wear the brace as you are now.

    Never feel that you are a bother!!!! You can write to me whenever you want, however, after the 23rd, I will be off for awhile due to the surgery. I don't have a lap-top, so I will have lots of catching up to do. I will answer your questions to the best of my ability, and I know that others on this board will also offer their support.

    Pat
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    L4-5 Diskectomy 04,05
    L4-5 Laminotomy,Foraminotomy 05
    Left lateral recess decompression 05
    L5-S1 diskectomy 05
    L4-S1 PLIF with cages 06
    L4-S1 Lumbar fusion revision 08

    Last edited by moderator2; 07-13-2008 at 11:59 AM.

     
    Old 07-13-2008, 12:35 PM   #8
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    Hi Kimberly -- you are not alone. The people on these Boards are amazing. I am further along then you are post-op, but I can totally relate to you. I will be 15 weeks post-op tomorrow from a 2-level fusion. My first several weeks were really bad and I too felt like what in the world have I gotten myself in to. I had tremendous pain, marks on my legs from I think the surgical stockings they put on you to prevent blood clots and I also had what looked like bedsores on my bottom. I didn't realize that until I got home and my home nurse asked what is this!

    I was sent home with a very large amount of medications, one of which had me seeing things and once my family realized that, they immediately called the dr. and he switched medications.

    Nine days post-op I had my staples removed and thought I would die - two of them had started to grow into my skin! And no they don't give you any numbing agents to remove them.

    Then I started having pain and numbness where I had never had before surgery. I came to these Boards and posted several questions and come to find out, that others too had experienced the things I was going thru at the time -- especially the nerve pain. I was put on Lyrica which caused a 10lb weight gain in less than two weeks and extreme tiredness and dizziness so my dr. took me off of that and put me on Neurontin. It has taken awhile, but my nerve pain is so much better -- it is not completely gone, but it is better. Before surgery I had nerve issues in my right leg, but after surgery it was in both legs. The left leg is so much better, but I'm still dealing with issues with the right leg.

    At 11 weeks I went back to the dr. with x-rays and was told that I had very little fusion at that point. My dr. said that it was not uncommon for the fusion to take longer, but I immediately came back to the Boards again and found that others had too experienced this as well.

    I can not begin to tell you how much everyone has helped me to know that I was not alone in this journey and I hope that you begin to feel the same way. I pray that your recovery gets better really soon and as the others have said, please visit and post often.

    My prayers are with you.

     
    Old 07-24-2008, 11:46 AM   #9
    5backsurgeries
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    I'm new to this board and as I've sat here reading everyones posts I just can't seem to stop crying. I had my 5th back surgery on June 18th. I'm 52 years old and my back problems started in 1992 when I had a massive herniation at L5, S1. I have been so alone for so long. My family is wonderful and I love them dearly but they don't understand - or maybe its that they can't understand. Maybe you have to experince it to understand. My first surgey was a laminectomy at L5, S1. The level above (L4, L5) was bulging but the surgeon opted to do nothing at the time. A year later that disc blew and I went in for my second surgery. Three years later I was in constant pain, was incontinent and needed a walker or cane to get around. My doctor told me I needed to learn to live with my pain. Fortunately I was able to find a new doc and after a lot of really terrible tests went in for a cage fusion. Seems I had no disc left at either site of my previous surgeries. I had my fusion and while it did not restore me to 100%, I was functioning much better. Five years ago I went in for my 4th surgery and the doctor cleaned up both level. There was extensive bone growth and some scar tissuewhich he removed. I could have been a poster child for successful back surgeries at that point. Two weeks post op, I was back at work and literally pain free. Four years later I began experiencing lower back pain that I attributed to arthritis. It grew worse and eventually my left leg began to hurt. I went back to my surgeon and sure enough, had to undergo yet another surgery. I've been pretty down myself because I didn't get the same phenomenal results as my 4th surgery. Still experiencing a lot of lower back pain as well as pain radiating down my left leg. Additionally my left leg is extremely weak. I would rather throw up that go up stairs.
    I feel so alone. My husband comes home from work and wants to know whats for dinner. If I even mention that my back or leg hurt he tells me I don't know what pain is - that his back hurt because HE WORKS ALL DAY. God I wish I could work! I'm so lonely. I'm so tired of hurting. I just want to be normal.

     
    Old 07-24-2008, 12:16 PM   #10
    momzworkin
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    We are never alone when we are on the boards here. I have been on and off for over two years. Your family doesn't understand constant chronic pain-that impending rain means MORE pain because of the onset of athrirtis. They get tired of hearing it-tired of being affected by it-frustrated that they aren't getting what they signed up for. My husband goes through this from time to time. On the other hand he will carry the laundry up and down three flights of stairs for me ( he actually started DOING the laundry but alot of my and my daughter's clothes were getting washed in hot with golf towels I told him I would do it if he would just carry it!)
    I have found someone on here 24/7-I have posted back and forth with Sage, Carol, Peggy, Pepper, everyone. Someone is ALWAYS here. It was especially comforting at 3AM when I hurt too much to sleep and someone else was too and would understand.
    I am your friend. I will be here a long time.
    I had a great healing till the scar tissue popped up and now I am back.
    Please be blessed with a few moments where you can forget the pain,

    -Momzworkin (michelle)

     
    Old 07-24-2008, 05:26 PM   #11
    5backsurgeries
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    It was really good to hear from you. Thank you for your response. It's really nice to know I'm not alone. I truly believe that family can't understand because they have never experienced chronic pain. I do feel blessed that I went four years pain free. When it began hurting again last fall, I assumed it was arthritis but by January I had pain radiating down my left leg and knew it was more. Today has been kind of a blue day for me. This surgery was much tougher for some reason. I did have some complications that no one really expected. I was supposed to be there at 6:40 in the morning and was expected to go home that afternoon. My incision was only supposed to be about an inch. I was relieved to find out from the surgeon on the morning of surgery, was planning on exploring the other two levels (this surgery was supposed to be on L,5 - S1). The did find extensive scar tissue and spurring on the next two levels so did clean up those areas too. Additionaly, my dura ripped and I lost a significant amout of spinal fluid during surgery. They actually stitched that up and put some kind of "biologic" on it. I was in the hospital for a total of 5 days. I lost 10 pounds in the first two weeks after surgery because I was constantly nauseated and couldn't bring myself to eat. Sleeping also became nearly impossible. The doctor sent me home with ocycontin for pain and I really hated it. When I did sleep it gave me terrible nightmares and made me feel really out of it. He switched me to a stronger dose of vicodin (APAP 10 - 325) which has been working fairly well. Sleeping is getting easier. Another thing that happened this surgery that was really weird was I when I came out of surgery my forehead was swollen and bright red. It took a couple weeks for that to go away. It was never really painful but now seems to be sensitive to too much sun.
    I feel like I've been teetering on the edge of depression. I experienced severe depression between my second and fourth surgery and was hospitalized three time because of it. I REALLY don't want to go down that road again. Not to mention that I don't think my family could go through it again. At one time I was on 5 different types of anti depresants.

     
    Old 07-24-2008, 05:55 PM   #12
    5backsurgeries
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    Re: spinal surgery,6-11-08, feel alone, please help me!

    I too am a newbie to this board although, unfortunately not to back pain and surgries. I had my fifth back surgery five weeks ago. I experienced some wierd things with this surgery that I hadn't with any of my others that sound a bit like yours. When I came to from this surgery my forehead was swollen and bright red. It took about two weeks for the swelling to go down and another week for the redness to disappear. I did discover that this area is now very sensitive to the sun and that it burns quite easily. I also experienced extreme pain in my rib cage, sternum area which they attributed to laying for 4 and a half hours on my chest (same thing with my forehead). I thought I was having a heart attack. It was painful to even breathe. That pain has gone away although I am still experiencing a great deal of back and leg pain. It is discouraging and depressing. It has been very comforting to find other people who have also gone through back surgery. As I have read other peoples threads I have been brought to tears many times. I wish that I could tell you something encouraging. I wish I could give you a ray of hope. The only thing that I can offer is understanding. What five back surgeries has taught me is that each one is different. I went into this surgery thinking it would be like my last (they were pretty much doing the same thing - cleaning up bone spurs and removing scar tissue) and it wasn't - at all. My third surgery was an anterior (frontal approach) cage fusion at L5 - S1 and L4 - L5. The doctor took spongy bone tissue from my hip and also used some from a cadavor. I thought a fusion meant that I would never have to face another back surgery. I was wrong. I think one of the greatest dangers of back surgery is the depression. I was hospitalized three times for it between surgeries two and four. Since my last surgery I have been teetering on the brink. The surgeon who did my last two surgeries is awesome but I think that depression is something that doctors just aren't proactive enough about. It really needs to be part of their regular care. The handy-dandy little pain scale that they have you fill out every time you come to the office should also include a deprssion scale. How is your appitite, how are you sleeping, how often do you cry or want to cry?
    I hope that you will write back. You aren't alone and while I can't take your pain away, I can understand.

     
    Old 07-24-2008, 11:22 PM   #13
    kyma3
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    kyma3 HB User
    Re: spinal surgery,6-11-08, feel alone, please help me!

    This is a good post so I don't remember everyone that is new so I will just say WELCOME to all the new members and Hey to the members that I have already been helped by. This is a very good neighborhood and everyone has sure helped me since I had my two back surgeries this past January & March. I have DDD, RA, Osteoarthritis, Osteoporosis and Hyperthyroid, High Blood pressure. I am 59 years old and was forced to take disability because of unable to do my job of 20 years when my spine started deteriorating. I had 2 neck surgeries with permanent nerve damage, surgery on right elbow due to pinched nerve, was suppose to have surgery on left elbow and carpal tunnel but my lower back started hurting me so bad after 20 years of ignoring it and the bone on bone really got bad so that is when they did the 360 procedure on the L5/S1 but I certainly know that there are so many that are worse off then me and my prayers are with everyone. I also just had surgery on my left knee due to a tear in the meniscus. I miss my gardening, rough housing with my grandchildren, and sleigh riding in the winter and also hiking and so many other things that I loved to do.

    I have been married to my husband 39 years and he is a wonderful man and I have 2 great children (36 & 37 years old) with a grandson that is 13, granddaughters 3 & 6 and even though they know that I do not feel well they cannot understand the terrible pain I have at times. I know how depressing it can be but please come to this board and let us help you if we can because we can at least understand what you are going through. Yes everyone is different but we all have compassion which is not always true with the medical profession. So to all the new people we welcome you.

    Gentle Hugs and Best wishes
    Linda

     
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