Hey, a glass half full is always better than one that is empty
So No fusion of vertebrae, just freeing up nerve impingment?
We always say any back surgery is your last option and be sure to exhaust all efforts before letting them pick up the knife, but I think you already get that so I hit the fast forward button.
I know a handful of people that have good success with similar procedures in the cervical region. From my perspective, the lower thoracic and lumbar are quite robust. I have a tremendous amount of range and flexibility even after having 12 vertebrae fused...my cervical is in tact and it seems that the hip provides tremendous movement in multiple axis.
I'm still plugging away on my home improvement...today I returned the tile saw to Home Depot. I'm now staring at the half empty side of disability...I hurt like HECK, but my tile job looks nice. I'm quite happy to sit on my butt and wait for the mastic to dry
I need to be brief, I'm typing on my phone. It sounds like you've exhausted all of your options. Now, rightfully so, you're second guessing the decision and are anxious and fearful of what may or may not happen.
If you're comfortable with your surgeon (ortho or nuero I presume) I would be optimistic about a single fusion of L5/S1. While single disc injuries can be painful and there are no guarantees, I don't consider fusing L5/S1 substantial. You have lots to be positive about.
FWIW, I'm fused from T4-L3 and I'm heading to Home Depot to get supplies for a project.
I'll add more later, but I have to put the phone down and drive. I'd just pulled over to snap some pictures of the full rainbow off to my East
I've looked at this post quite a few times and I'm bothered. My brothers best friend had CP and its a cruel disease. Usually I'm working on multiple pages of ranting about treatments or modalities, but I have no clue how to help you.
I do wish the best and I will keep you in my prayers.
But, we can say in my opinion he should seek out a good Physiatrist. He's a perfect candidate for this type of doctor and a good physiatrist will be the team leader you speak of...with one exception, your son in law is responsible for his rehabilitation. The physiatrist may be in charge of medical modalities, but your son in law must be in charge. Sitting back and expecting to be fixed is a guaranteed path to failure.View Thread
I've been hearing for over 14 years..."in 2-5 years there will be a quantum advance in pain medication and chronic pain treatment. I've read about exotic DNA science and meds that will selectively tell the brain to ignore certain signals...or stop the gate itself from sending the signal.
Well those articles in Scientific American are getting pretty dusty and we're still taking white willow bark and opioids. Sure some of the opiads are synthetic and extended release, blah blah, but aspirin has still not a "quantum" change from white willow used thousands of years ago.
I'm not holding my breath for any big advances in my lifetime. I'm thankful I can live with what I have.
Yes, the Scottsdale Mayo Clinic is world renowned...I guess you can say good things about the Mayo Clinic without breaking the rules
I just went to the pain pump manufacturer's site and put in the zip for Saint Charles, Maryland. I got 16 doctors that are in the pump network.
What strikes me odd, is pain pumps are for uncurible chronic pain. Fentanyl is prescribed for end of life treatments. The pumps are expensive, require 6 - 12 months to get approved and implanted and then months to get calibrated. Most cancer patients suffering that bad would not likely be around after such a long process.
I completely disagree with what you've been told. I don't know if the MC implants pain pumps, if not you may want to go to the manufacturers site and search by zip code.
The caveat is, I don't know if the pump is right for you. There are many variables and you must undergo a psych evaluation before being approved. I spent almost five years talking to docs about the pump. I kept saying "no" until one day it finally made sense.
Ironic, to read about pain docs prescribing fentanyl for chronic pain even though the class action law suits brought the attention that it's an end of life drug to help cancer and other terminal patients. Long term use can be dangerous as there have been many suicides believed to have been triggered from it...I personally almost took my life while on fentanyl. I've never felt so sick in my life. I got a glimpse of psychosis!
The pump gives you no pharmacological side effects since the meds are delivered and metabolized in the spinal fluid. They never interact with the blood or renal systems. The dosing is also extremely small. My analgesic consumption is 1/100th of what I was taking orally. I would say that speaks to the efficacy of the delivery system.
It's not perfect, but it's the best thing that's happened to me.
I agree with Terrye completely, but that doesn't make it a simple answer. I started having negative side effects on all of the oxys after 6-12 months. Anything from anxiety to full blown psychosis and physical illness.
After 14 years I was able to do kind of what Terrye describes, that along with a pain pump turned my life around. With 12 vertebrae fused my chronic pain was unbearable. The Pain pump places enough analgesic in the spinal fluid to keep the pain manageable. I no longer take any oral opioids which leaves me feeling so much better.
It's a tough road for all of us and there is no one size fits all solution. Finding a good pain doc to help you find your solution is the only way to find a quality life.