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Disc herniation

May 05, 2015 9:04 AM

I am on my thirds wave of herniation and have been told I can't have another Microdiscectomy surgery and need my back fused or a disc replacement. In the meantime I am left unable to move for pain and weakness in my right leg. I'm awake all night and my doctor just keeps increasing tramadol and Pregabalin and started memon amitryptyline has anyone ever had anything else for pain?

May 05, 2015 9:08 AM

Have you tried the patch yet? I'm on Fentanyl 12 mcg every 72 hours. I have Norco 10 for breakthrough, which has been all the time since re-injuring my back in February. I was on 25 mcg until last Fall when I requested that they reduce the dosage. It was making me sleepy. I see pain mgmt next week.

May 05, 2015 2:05 PM

I tried the patches but my skin reacted. I'm on 400mg Tramadol, 675mg pregabalin and 125mg amitryptyline per day. I literally can't move and the pain team tried the injections with zero relief. I'm at the point of despair :-(

May 05, 2015 2:36 PM

I've had 3 fusion surgeries. Still have pain now but not same pain as before. Took shots & everything possible before surgery. Had to go off Fentanyl b/c my body sucked it up, high doses. Now on Butrans patch. Might be worth an ask. Less side effects.

May 05, 2015 2:47 PM

Find the right neurosurgeon. The fusion should help. I have not heard great things aobut disc replacements. Research both options thoroughly if you can.

May 06, 2015 10:25 AM

I see my neurosurgeon next week he's done both my previous surgeries so knows my history and me well. Last time I saw him he was talking about replacing l4/l5 and fusing l5/s1.

May 10, 2015 10:53 PM

Butran-10 helped me for a while. I had to stop if cause my skin would react to the adhesive... Not cause of the medication itself.

I liked the fact that it took my pain level down to tolerable (and kept me there) without the roller coaster ride of pills wearing off, then kicking in.

I felt like my flare ups were also more manageable than while other meds. Most of the time I could get through it without taking anything else.

Might be worth a shot.

May 15, 2015 8:21 PM

Diagnosed with degenerative disc disease which after a central herniated disc in 2006 which took out the motor nerve in my right leg leaving me with foot drop and paralysed below the knee. I have been taking Gabapentin 1800 mg daily, Fentanyl 75mg patches since 2006. Did manage pain until 18 months ago when several cervical discs and a further 2 lumbar discs have herniated. Now don't sleep well due to pain and discomfort.

May 15, 2015 8:48 PM

I had a procedure where they went in and burned the nerves that were causing my pain. It gave me like 40 % relief. First they bring you in and use a drug to numb the nerves that is causing you pain. They see if that helps you. If it does, they bring you back and burn those nerves. They have to do the procedure like every six months because as you know, the nerves grow back.

Do you use a T.E.N.S unit. I have the feeling you have. But the science in it is that you put the patch between the nerves going to your brain and your back. We can only have so many signal go to the brain. So when the device sends electrical signals to the brain it is blocking for the most part the pain signals from going through.

I don't know if these would work on you, but I also use lidocaine patches. With the spine being close to the surface maybe the patch would work on those nerves. You may want to check with your doctor. You may want to be cautious about getting your back fused. I know that is easy for me to say because I don't have your problem. I just have never heard a person who was happy that they had it done. I have heard so many people say they regretted it. So maybe you may want to ask around since you won't be able to take back what they do. But since I don't know you. I may not know if you have a choice or not. I am not trying to presume.

May 15, 2015 9:39 PM

Profiler I've been recommended to have facet joint Denervation on L4/5. Would you recommend it? Tried every other type of injection etc and nothing else worked. Thanks

May 16, 2015 3:13 AM

It helped me be able to sit with my family. I was having intense pain that was not allowing me to sit for moe than an hour with my family. The pain I think was in the same area but I had a nerve that went down into my groin and actually felt like it was squeezing one of my testicles. It hurt so bad. Then I would have to rest on my right side with two pillows between my legs to take pressure off my spine. And I had three pillows under my feet for a once broken ankle that turned arthritic. I would lay there probably 20 of the 24 hours. I am glad I am spending more time with my wife. I hated thinking of her being lonely.

I would say the denervation helped me about 40%. In pain terms, I think that is wonderful. I will tell you that I thought it was a little painful and stressful you are just waiting on them to hurt you. But once it is over, you think it was worth it. I think if I would have taken a Xanax, I would not have hurt as much. I think I hurt more because I tensed up. But I am able to spend four hours sitting with my family and I haven't needed it yet. It has been a year and a half. They told me that I would need it every six months

May 17, 2015 5:57 AM

Butrans patches are great for pain if only they could figure out how to make them stick without burning a hole in your skin. I've been off them for months now and I still have square red marks on my back.

Gabapentin (Neurontin) works quite well for interrupting nerve pain. I am on the max dose of 3600mg a day. I can definitely tell right away if I accidentally miss a dose.

I am also on Morphine IR and ER. It depends on what you are looking for.

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