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Surgery. Need advice

Oct 21, 2016 3:55 PM

I'm a little worried
I'm weaning off tramadol be because my pain clinic doctor says its a horrible drug and its not good for me.
So after I get off it she is putting my on palexia I'm down to 100ml (I started at 250ml twice a day) mind you I'm only 43kg.
My back has been absolutely killing me lately. I am already on 300ml of lyrica 200mg of gabapentin and 15ml of meloxicam. I told my pain doctor this and she just raised my gabapentin up to 200mg.
it does nothing for me.
Anyway I digress.
If the palexia doesn't work for me she wants to send me to a surgeon.
I'm not sure about this, I'm not too keen on the surgery and I feel I'm too young for something like that, im only 26.
But I might have to because my husband wont even talk about having another child until my back is completely fixed, he might have a fair point but it will never be completely fixed I told him we only have a small window because of my ddd.
I'm not sure what to do.
What do you think?

Oct 21, 2016 6:37 PM

It sounds like you are taking some good steps - backing down on meds while under a doctors care. It's not easy though, making a transition.

As for having children - That's a tough one and honestly one only you and your husband can decide. Sure - being a parent when you live with chronic pain is tough. That being said I know many couples who have done this succesfully. I raised two awesome children by myself - it was not smoothe sailing but I think they turned out OK.

People always say they will have a child when -
They have more money
They are in better health
They have a different job
Well - you get the point. There really is no perfect time to have a child. The when never arrives and you are left wondering "what if...."
Does your husband truly want a child or is your health a convenient excuse. That, to me, would be the first thing I would address - and then go from there depending on what comes from that discussion.

I may be overstepping here by saying that. If so please just pass it by. I just feel it's so important to make sure both parents are commuted to a child. I wish I had followed this advice when I was younger. (sad smile)

Oct 21, 2016 6:47 PM

Oh Boy! Don't know where to begin! What kind of images have you had, how long ago?DDD as you know will not get better. Get your ducks in a row before considering pregnancy! Every cell of your body will be affected by a pregnancy. Most physicians will Not touch you, treat you when pregnant! Is your treating physician a Family practice, pain physician, ortho, neuro? You need a good, committed team, a good, long term medication regimen and rescue plan (I get the plan to wean down and the opiate stigma, but if you have some genuine pathology, you need some long acting meds, rescue meds and an exercise regimen that includes strength /core training, psychology for a venting, recharge station, and an OB MD, (no family practice, midwife here, and see only that provider for continuity)
Best of Luck! 💖

Oct 21, 2016 8:46 PM

Thanks for the advice guys. I already have one child who is two I think it would be fine to deal with, its just convincing my husband it will but ok..
Also the medical profession is different here, most everything is bulk bill and you get treated regardless.
I definitely will take both or your advice on board

Oct 22, 2016 1:09 AM

I'm on palexia and it is so much better than SR tramadol was. On a good day now pain is 5-6/10, rather than 8/10. Bad days still suck, but it seems like I've had fewer flares since starting it.

Oct 22, 2016 5:04 AM

Thats awesome palexia works better for you. Tramadol doesn't work so I hope palexia is good for me aswell

Oct 22, 2016 5:42 AM

I was diagnosed with DDD at 20 and like u, felt i was to young to start surgeries or heavier drugs. Being the "man of the house" at the time i continued to work against doctors advice and put off surgery for years. Now i am totally disabled, have had three surgeries, with at least two more needed, and on strong pain meds just to get through the day. I'm 47 now also. Try and take it easy and save what you have, trust me if u don't u will regret it later. Add for having a baby, obviously i can't speak to that but i would consult with neurologist and maybe a rhumatologist, pain clinics are people i do not personally trust.

Oct 22, 2016 5:49 AM

Wow that really made me think. Thank you so much for your post I really appreciate it

Oct 22, 2016 5:57 AM

Yw, sorry u have to go through all this. But if it gives u any hope, i was told at 20 i would be wheel chair bound by the time i was forty. Well still walking, although barely lol, at 47. Think long term, cause as u age it gets worse. If i had it to do over again i would have become an accountant or something instead of electrician all those years ago. Would have saved alot of unnecessary wear and tear on an already defective spine. Surgery can help if done by the right people, the right way. I've had some good and some just lead to more surgery so be careful and research. Again don't use the word of a pain clinic please!

Oct 22, 2016 9:02 AM

Im on tramadol 200mg twice daily and also 50mg prn been on 200 for 5 yrs now my so called pain team changed me to palexia started on 50mg twice daily and wanted to eventually get to 100 twice daily 1st tab i took at night slept till 3pm the next day and then was complete zombied mess didnt take that night but still felt affects next day also terrible headache with it. Just because they call there selves drs and wat ever doesn't mean they really know wats right for us

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