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  • Can epidural pain pump go in neck? Is disc replacement possible?

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    Old 06-12-2003, 02:06 AM   #1
    j_f_2003
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    Question Can epidural pain pump go in neck? Is disc replacement possible?

    I've heard of people having epidural pain pumps in the back for severe pain when all else failed. I was wondering if it's possible to continuously run epidural meds through a catheder in the neck or if it was to dangerous. PM dr. said doing an epidural INJECTION in the office was too dangerous and that had to be done under x-ray. I've had 4 of those along with two facet (joint) injections.

    Is there such a thing as disc replacement? PM dr. said having no disc was worse than having bulging discs. However I saw something on the internet about disc replacement being possible but it was still experimental in the states. I'd be willing to travel to another state to have a disc replacement if available. I have both several bulging discs and one hernated discs in my neck. Two disc have tears in them. I've been in pain since August 2-3 pain pills a day and have had relief with the injections but they don't last forever so far. I don't want to live on pain meds for the rest of my life. I've actually managed being comfortable on 1/2 pain pill since my last emergency epidural and facet injection a couple days ago. I could barely get out of bed and the pain pill didn't do much for the severe nerve pain going from my neck down to the middle of my shoulder blades. My shoulder muscles spasmed up again. I do feel a lot better since the injection but I think I am running out of injections as they won't do many per year. I tried p.t. back from Aug-Sept but was unable to accomplish any of the exercises due to the severe pain. I've tried p.t. for the second time after two injections but got a p.t. lady who was terrible (that's another story) and I told the pm dr. I never wanted to go back to that place again. Please help. I've got three little kids and I am to young (31) to live in pain the rest of my life. Thanks for any words of wisdom.


     
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    Old 06-12-2003, 05:00 AM   #2
    magtize
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    J F
    Sounds all to familar.You could have wrote my story.
    I have been going through same thing since Aug also.
    So sorry you are not getting relief. Did you see a nerosurgen and have MRI done? What meds are you taking? For the nerve pain PM started me on Nerontin 2x day but was so dizzy changed to 1xs day doing better but going to get him to change to Topomax as people on here said you don't have as much weight gain or as many side affects
    I'm sure someone will be along soon to answer your questions soon.
    Hope you have a better day so that you will be able to take care of little ones
    Elaine
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    car accident 72 S2 fused 76 Surgery 96 c5-6 fused
    Aug pains in neck and shoulder returned.PCP,MRI Mylagram,PT Epidorals,Facet block,
    C4-5 C6-7 HNP C4-5 Spinal stenosis
    c5 Radiculitis Meds.Celebrex200mg 1 a day Lexapro 10mg 1 day Neurontin 300 4xs day apap/codine 300mg as needed oxycod/apap 500mg as needed neurontin 300mg 2 xs a day.
    ACDF C 4-5 on 9-2-03 titaium plate 4 screws

     
    Old 06-12-2003, 06:02 AM   #3
    LadyRedFoxxx
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    Hwy dont you just see and Nuerosurgeon and find out about surgery ACDF, I had it done last year and it works, Disc replacement is dicey. ACDF removes the herinated material, fills the gaps with your own bone and then plates and screw for stabilty. I know it sounds scary, but read some of my posts. Millons of these surguries are done a year, Hey I never herd of it till I had neck problems and I was FREAKED out by it. But it all worked out for me, for now anyways. If you should need this surgery It is WORTH it, but you need to get MRI done and see a GOOD Nureosurgeon first!!!!!!!!PS, I did the epidural shots 4 times as well and it didnt help that was when I decided to do the surgery!!!!!XXXXXXXXXX

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    Double fusionC5-7 with own bone and plate Oct3,2002
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    Double fusionC5-7 with own bone and plate Oct3,2002

     
    Old 06-12-2003, 06:05 AM   #4
    LadyRedFoxxx
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    BTW: P.T. is a waste, I had bad experince with it to, then I tried traction another waste then the shots and then the surgery. Sounds like you are where I was I am 38 and have only one child who is 5, but I am very active, a dancer and felt I was way to young to live that way also. Acutally NOBODY should live that way no matter what age. Please see a Nuero about possible surgery, I feel for you becasue I was there too.XXXXXXXXXX

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    Double fusionC5-7 with own bone and plate Oct3,2002
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    Double fusionC5-7 with own bone and plate Oct3,2002

     
    Old 06-12-2003, 06:45 AM   #5
    j_f_2003
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    Thanks for the replies. So a neurosurgeon does this type of surgery? I saw a neurologist and he said I'd be better in a few weeks. 10 weeks later I still had spasms and saw the pain mgt dr. I never went back to the neuorologist because I was upset that he lied to me. I only got worse. My nerves were fine but I had terrible pain down the arm, weakness in my hand and some numbness in the hand which all went away with the injections. I tried to locate an orthopedic dr. who did neck but none were on my insurance. I only found a rehab specialist MD who got me to go back to p.t..

    I still suffer from neck pain and shoulder pain. I only had one MRI in August but that was before the chiropractor manipulated my neck and all the p.t. and trial traction I had. Traction made me worse and gave me a headache for three days. I have not had a follow up MRI. Something feels very different inside this time and I suspect I herniated the disc more but how do I know. The pain dr will decide at my follow up ten days from now if I need an MRI or not. Does relief of pain from the injection mean I won't get an MRI? Plus we are leaving for a month of vacation next month. I won't have time to do p.t. all over again.
    How long is recovery from surgery? If I had surgery in August after we are back from vacation could I go to work a couple weeks later?
    I have to go back to work in Aug after being a stay at home mom for the last eight years but not sure if I can work on opiates. Also don't qualify for disability because s/o makes enough. We don't trust public schools here so education for the kids is costly. The youngest is starting school this year so that will need me to work. We will be broke if I can't work on opiates. I take about 2 roxicodones per day but was up to 4 1/2 a couple days before my last injection. Now I'm down to 2 1/2 per day.

     
    Old 06-12-2003, 07:22 AM   #6
    LadyRedFoxxx
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    YES! YES! YES! I had all the same problems and pains as you! Read my posts, find another Nuero and get another MRI I am actually trying to SUE my Chripractor, DO NOT LET ANYONE CRACK YOUR NECK. The surgeon made me wait 3 months and TRY everyting first then he did surgery, if your disk are herniated and leaking there is NO GETTING BETTER!!!!!! I KNOW I HAVE BEEN THERE!! You will not be back at work in a few weeks you need at least 8 weeks to heal, you can collect disability I did it and we were poor through the whole thing, but I could not suffer with the shoulder blade arm and hand pain any more. You have tried all convetnional procedures, see another surgeon, You will get through this and be better, I promise!!! I know how over whelming it is, take the bull by the horns, you are strong your a WOMAN!!!!!!!!

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    Double fusionC5-7 with own bone and plate Oct3,2002
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    Old 06-12-2003, 07:50 AM   #7
    melanie dawn
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    Hi JF,
    lady red foxx has it nailed down. The general rule for herniated and or bulging discs is to try conservative therapy for at least 3 months, some times the disc material reabsorbs, and you feel better. But if no improvement in 3 months , a surgical intervention is required.
    You have certainly done your time with conservative treatment.Now you need to see agood neurosurgeon. There is disc replacement done, it is being done at some magor US hospitals as a trial. Here in Canada it is becoming popular, and has been used sucessfully in europe for close to twenty years.This is limited in who can have it, there must be no cord compression and the case must be straight forward. The usual process is the ACDF like Lady told you.
    Prolonging the pain, and symptoms can lead to permanent nerve damage and chronic pain. Get a referral, to the neurosurgeon, if not two of them to have a second opinion.
    I wish you well, and hope that you get some answers and a more permanent solution to your pain.
    The pain pump is generally only considered for chronic pain patients, those who surgery will not help or whos surgery has failed. It is sort of one the last options.
    Welcome aboard, take care, let us know how you are and any questions we can help with.
    Mel
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    Paracentral Disc herniations ,bone spurs C4/5,C5/6,C6/7
    loss of lordotic curve
    Advanced myelopathy inc. walking difficulty, loss of gag reflex with swallowing problems, neurogenic bladder, occipital neuralgia, spacticity

     
    Old 06-12-2003, 09:44 AM   #8
    j_f_2003
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    How do I know if the herniated disc is leaking and not pressing on the cord? I have been running a constant low grade fever 99.9-100.7 since the injection three days ago and nurse said when I see dr in ten days for follow up that's when I can ask about an MRI is needed. All I know is that I feel bad and s/o said surgery is way down the road. I'd like to have an MRI results by the time I see pm dr. but not sure if that's possible. I did ask. Waiting for a call back in regards to the fever but am not to concerned since it hasn't gone over 101.

     
    Old 06-12-2003, 11:57 AM   #9
    KeithEugeneW
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    JF,

    It sounds to me like you haven't been seen by the right people yet. I'm not sure if your neurologist is also a neurosurgeon. I highly recommend that you see either a neurosurgeon or orthapedic surgeon WHO SPECIALIZES IN SPINE SURGERY. You absolutely need the MRI, it will show in great detail exactly what is happening in there. Without starting with this good foundation, they are just tossing you from one place to another and the chances that you will get better under those conditions are not good! Make sure any surgeon you choose to see is one who does a lot of spine operations, you don't want a part-timer working on you!
    Keith

     
    Old 06-12-2003, 06:45 PM   #10
    j_f_2003
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    Thankyou so much. I am getting another MRI scheduled and will consider getting another opinion.

     
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