Recurrent pain after multiple cervical fusions

I have had three fusions of my cervical spine, C-4 thru C-7 is fused.  C6-7 fusion failed to fuse, unknown why,(I'm not a smoker).  I had C6-7 salvage posterior fusion May 16 2011.  I am still really struggling with pain issues.  I can only make  it until about 2:00 p.m., and then I have to take medicine because I'm in so much pain.  I really thought that I would be better by now, but I'm just not. I know that C-7-T-1 disc is not doing particularly well, and am concerned that my pain will never end.  The main pain I am experiencing is a continual aching and burning sensation that starts in my neck and into my left shoulder.  I'm scared when I see my surgeon, he will not be happy with the fact that I'm still hurting.  Realistically speaking, how should my pain levels be at this point?  Am I expecting to much too soon?    

[Dr Sharma]

Hi there. Most patients recover within 4 to 6 weeks though it may take upto 18 months for the fusion. I assume that you have discussed relevant activity restrictions and rehabilitation with your surgeon. You have undergone a spinal stabilization where the surgeon creates an environment for your bones in the spine to fuse together over time. He might have used a bone graft or a biological substance which will stimulate bone growth. Spinal instrumentation with screws, rods, plates also help fuse the bones and stops movement between the vertebrae. After your surgery, you will not become instantly better. You would be out of bed in 24 hours, on pain medications for 2 to 4 weeks. You would have received instructions on how to carefully sit, rise and stand. Restrict your activites to allow time for your body to heal. Avoid contact sports or heavy lifting. Pain in the neck or arms is not unusual caused by inflammation of the previously compressed nerve. It will slowly lessen as the nerve heals. Medication should  be taken to control pain along with moist heat and frequent repositioning. You might be ordered a cervical collar to wear whenever you are out of bed. Hope this helps. Take care