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Neurology (Expert Forum)
burning pain/ lower left side of back after having a posterior/ anterior fusion
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burning pain/ lower left side of back after having a posterior/ anterior fusion
by Dom, Jan 06, 2000 12:00AM
Help! I had an anterior/posterior fusion 4 months ago. (I had had a posterior fusion 4 years previous to this) The burning pain in the lower left side of my back is getting worse. I had previously been on 7 Neurontin a day and am now down to one. My current pain dr. believes that 3 is the optimal number to take each day. I am going to get myself up to 3 pills per day over the next few weeks as abviously weaning myself off of Neurontin was not the best choice. I did separate my shoulder in early November and was told that this will delay my recuperation time due to my wearing a sling and not being able to get out of bed or the car correctly. (and other activities) I am very concerned that this burning is here to stay and it is very wearing. The dr. did say that an injection may help to settle it down, but then it may not. I am leary of anyone touching my back at this time! What are your thoughts on this? (My surgeon says that my fusion is healing beautifully!)
Doctor's Answer
by CCF Neuro[P] MD, RPS, Jan 06, 2000 12:00AM
Dear Dom:
I am assuming that your lumbar spine is where the surgery took place? Yes, the should might delay rehab. This would be especially true if your actual rehab is curtailed. Actually 3-300 mg neurotin pills is a very, very low dose. We have some patients on 4-5 grams a day for pain and they are doing just fine. I cannot tell you why the pain is getting worse, especially in the face of "beautiful healing". Was there an MRI at that time to document healing? I think that I would ask your rehab physician his/her opinion, try and get back on the rehab cycle, increase your neurontin and if the pain is not getting better in about a month, go see the neurosurgeon.
Sincerely,
CCF Neuro MD
I am assuming that your lumbar spine is where the surgery took place? Yes, the should might delay rehab. This would be especially true if your actual rehab is curtailed. Actually 3-300 mg neurotin pills is a very, very low dose. We have some patients on 4-5 grams a day for pain and they are doing just fine. I cannot tell you why the pain is getting worse, especially in the face of "beautiful healing". Was there an MRI at that time to document healing? I think that I would ask your rehab physician his/her opinion, try and get back on the rehab cycle, increase your neurontin and if the pain is not getting better in about a month, go see the neurosurgeon.
Sincerely,
CCF Neuro MD
Thank you for your quick reply!
Dom
CCF Neuro MD
L4-5 and I have the burning feeling in lower back actually upper buttock area on right and left side it really hurts bad.
I had a Anterior Cervical Discectomy c5-c6- 2 level (fusion) bone graft using my own bone from my right hip,after about 3-4 weeks i started having a burning sensation on the right hip going around to my right buttock???? Also, my tail bone kills me when i sit upright very long?????? My surgery has helped my pain,numbness,tingling in hands and arms and pain between my shoulders. I am starting to have more pain return. I had my surgery done 1-6-2000 I am still in a cervical collar,not a soft collar either. I was supose to go back to the doctor 2-29-00,at 8 weeks post-op but the postponed it til 3-9-00. i have to wear my collar 24-7 even in shower. I wonder if i will get it off and be collar free on 3-9-00?? Any comments would be appreciated on any of this or what I can look forward to happening!!!! This is a work related injury I got hurt on 11-18-98,went through therapy,epidural steroid injections, before surgery so i have been going through this for 15 months and i worked up until July 29,1999 at which time i was fired for other reasons. Anyone can e-mail me at ***@**** Thanks,Carol
Without examining you and seeing the MRI scans and talking with your neurosurgeon, it is difficult to tell you why your still having pain. I would suggest that you speak with the neurosurgeon. I am sorry I can't help you.
Sincerely,
CCF Neuro MD