Discussions that mention duragesic

Back Problems board

Hi Egoat:

I had L1-L3 fused in 1979 due to a fracture and had few limitations, besides the obvious mentioned by Icmiller. I had it refused in 1992 with new hardware replacing the harrington rods and again did very well. I did begin having some problems in 2000 due to the original fracture causing me to lean too far forward creating the domino effect and crushing the disks below. The fusion was extended down to S1 so a total of 6 now fused. I was told I would never touch my toes again leaning forward. I could live with that. Unfortunately I am still having same pain as before surgery. Most drs will state that they are going in to stabilize and correct mechanical problems and that's what they did for me, but there was only a 60% chance of pain relief. So after seeing another spine specialist I am waiting for some answers. Could be non union, hardware misplacement or arachnoiditis. I saw you mentioned that.

This is what I found doing a search on the web:

Arachnoiditis is a chronic inflammation of the arachnoid layer of the meninges, which are the coverings of the brain and spinal cord. The most severe form is Adhesive Arachnoiditis, which may be progressive.

The scarring produced by the disease causes many symptoms, the most debilitating of which is pain, typically constant and of a burning nature, sometimes with intermittent sharp, stabbing pains (sometimes described as electric shock sensation). The pain is principally in the lower back and limbs, although it may be found higher up the spine and radiate down the arms. Other sensory symptoms include:

Tingling or numbness
Heightened skin sensation
Normally painless stimuli may be painful
Strange sensations e.g. water running down leg.
Burning in ankles or feet; sensation like walking on broken glass
Movement (motor) functions may also be affected.
Symptoms include:

Weakness (rarely paralysis)
Muscle spasms
Muscle cramps
Bladder problems may also occur. These are due to involvement of the nerves that regulate bladder function, and may take one of two general forms: overactive bladder muscle causing urgency and incontinence, or under-active bladder, causing difficulty emptying the bladder, incomplete emptying and thus susceptibility to repeated infections. Similarly, the bowels may be affected.

Circulation in the extremities may be affected if the autonomic (involuntary) nervous system is involved. This system regulates functions such as blood vessel tone and there may be cold hands or feet, or possibly swelling (oedema).

The limitations I can live with, and I am still a believer in fusions, but the success rate does goes down after each surgery. There are people that are doing well after fusion, I did the first two times. I hope you find relief and it works out for you. Think positive thoughts...Keep us updated...Jo H.

1979: Fell from scaffold onto gymnasium floor. Decompression Laminectomy L1-L3 w/Spinal Fusion and Harrington Rods Insertion.
1992: Harrington rod breakage and dislodging. Removal and refitted with smaller hardware and re fused.
2001: Pain Again. MRI inconclusive due to hardware
2001: Diskogram shows bulging and DDD at L4-S1 due to domino effect
2002 Feb: 10 hr. surgery. 360 fusion and hardware extended with "connector" to S1. 3 Titanium cages placed anteriorally. Fused from L1-S1.
2002 Sept: Pain worse than before surgery.
2002 Oct: EMG shows damage to L5 and S1
2002 Oct: CT Myelogram ordered.

Duragesic Patch 50 mg
Morphine Sulf 15mg for bt pain
Nitrofurantoin for UTI prevention

Believing God will heal me!