Uh umm...riding a bike?
Running creates impact. It's hard on the knees and spine. If you have significant spine problems running may become something you used to do.
For example if you have a herniated disc at T12/L1, running will continue to pound the nucleus pulposus out through the tear in the disc annulus until you are hitting the two discs bone on bone and perhaps impinging or even severing the nerves exiting that level?
Not something I would take casual advice from the internet for. You may work through it or you may put yourself in a wheel chair? We can't tell.
He's almost over the hump. He's a good listener and after a few days of more rest and relaxation he's finding a faint light at what appears to be a tunnel. I told there's two milestones I've found fairly consistent after a major back surgery. One month to start to think it was worth it. In that 30 days it's pure survival. That means enough exercise to keep pneumonia from settling in your lungs and to stimulate your circulatory system. After that, rest and get through the traumatic pain of having your spine torn into like a Sunday Buffett crab!
After that you have to look at long term trends as there will be good days and bad, but the good will slowly out number the bad and eventually it's all a bad memory at about a year. Longer with the variables we all discuss.
I think he put his foot down as his wife, who meant well, tried to keep him moving to stimulate healing...typically not bad, but with all psycho-somatic vs somatic intertwining you have get the pain levels low enough to allow your brain a chance to relax prior to increasing any activity. Too much too soon and you set yourself up to be the resident expert here!
Hospitals and loved ones don't understand what triggers chronic pain, that mysterious 90 day metric that can turn to decades. As is the case with denied meds discussed herein, I am a firm believer that horrific trauma or surgical events that may push the patient beyond normal healing curves should mandate the patient (and care provider) get educated on pain. This would be with a pain psychologist or pain specialist that could teach the patient the long term approach to healing the mind and body rather than seeing ambulatory movement alone as progress even though the brain is screaming "STOP...HELP!"
So do these same genii wait until their car breaks down before attending to it, or a tire blows before checking the tread remaining?
What happened to the new focus on wellness to mitigate health care costs?
Why take cardiac meds if you should just wait for the heart attack!
He's not doing that well. His wife is a pharmacist and works 12 hr shifts. He's been having pain days in the 10's. I think he's over doing it. I talked him into doing as close to nothing as possible today and take the max meds AS PRESCRIBED. It's common for people to think it's better to try and wean off of the meds ASAP so they instead of taking them as prescribed they wait until they can't tolerate the pain to take a dosing. This is the worst thing possible especially weeks post op from having 7-8 vertebrae fused!
He and his wife go to the doc tomorrow hopefully he'll make it over the hump and start recovering. In my experience it takes a good month to start recovering from a serious back surgery. That's just to get out of hell and start to recover. I think this was week three. I'm hoping of he can rest and do nothing except a little walking and breathing exercises to keep his lungs clear, he can start to feel pain relief. Once he gets a realistic baseline he can start to increase activity as tolerated....I hope!
At least you got answers, those can be so hard to come by! You sound somewhat relieved in your text. I read a little humor in your words and that's always healthy.
Good luck and I'll keep you in my prayers. This was an interesting dilemma. It sound like instead of a glass house you will be living with a glass skeleton.
It does infuriate me when insurance companies tell doctors "no." I got denied for a refill years ago. My doc wrote a script to make up for meds I'd used for breakthrough pain. (I was honest with my doc so he wrote me a script to make up what I had used) Since it was the same medication and the same dosing they said it was a refill and not a new script therefore I was refilling it too soon... I asked the insurance SPECIALIST where he got his medical degree? He asked "What?" I explained that the doctor that wrote the prescription has an MD along with other specialty degrees. What medical expertise do you have to override his medical decision?
I was furious, he was clueless!
Hi Aprilrose, my doc won't do discograms anymore. He went to a training seminar and they discussed that the contemporary findings are sticking a syringe in the disc annolus tends to cause herniations .
As I'm sure you know, the annolus is a coarse woven fiber. It gas very little blood flow and dose not heal. The small hole from the syringe tends to cause herniations on discs that were normal.
I know some docs still do them, but that's what I like about mines he's always learning everything he can to stay in front of the learning curve.
It's great the hear from you!
As for advice, I'm with you. Too soon to do anything invasive. My last fusion took 18 months to heal. When it finally did it felt pretty good 80%-90% pain reduction in that area.