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Medical Forum / Diseases and Disorders / Arthritis / June 2006

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Pain after fusion surgery

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Glenn - 07 Jun 2006 00:23 GMT
I have recently undergone fusion surgery on levels c5-c6 and c6-c7.  I
had severe disc degeneration disease and C5 C6 area and slight disc
degeneration in C6 C7 area.  I had surgery for weeks ago.  I went
through the surgical procedure due to severe pain in my right arm.
I've had this pain for three years now and have tried everything
possible prior to surgery.  Including microsurgery, steroid injections,
physical therapy, etc.
The first week after surgery I had no pain, then the pain came back and
increased dramatically.  I am still in severe pain, and very frightened
on where this whole thing is going.  I thought, and was advised the
fusion surgery would solve this issue as it was clear on my films that
the disc degeneration was evident.  Has anyone had this happen to them?
My surgeon told me that I could expect up to one year for the pain to
dissipate.  He also told me that I could have the pain forever, as
there could be permanent nerve damage due to the length of time the
disc degeneration has been there.
janers - 07 Jun 2006 15:03 GMT
Hi
I had the same surgery with fusion. For me too it was instant relief of the
severe pain but nagging nerve pain that actually let up after awhile.

BUT this severe pain you are referring too is not right. I don't think this
is something to mess with and you need to call that surgeon and tell him
about your worries here. IT might be from severe swelling and you need to
get that down, and it could be from alot of things.  Are you in a collar???
Did he go in from the front or back???

I now have arthritis in my neck and that is pain as well but if you are
having that pain NOW, then you most definately need to see that doc ASAP.
Especially since it is INCREASED dramatically like you described.

He is right about the nerve damage and it does take time but that amount of
pain doesn't seem right.

Please call him and demand follow up. IF that don't work go to the ER and
have them take some pictures to figure out what is going on.  MRI for
sure....
Ask about a soft collar for awhile, sometimes that helps some people.   YOU
need a doc NOW.

let me know will YOU???
janers
johnie - 07 Jun 2006 23:11 GMT
glenn, janers is giving you great advise. You need to see this surgeon
asap. It could be many different things but I would lookat at these two
first. Pressure from excessive swelling and/or post surgical infection
which isn't as rare as it should be. The other real possiblity for this
type of procedure is the presence of another trouble spot that shows up
because it was masked by this one or the fusion of this area has
shifted the way pressure is distributed down the spine and another weak
spot is taking the hit.
Please get it looked at and let us know.

big desert healthy back hugs all around,
johnie
spine surgeon - 16 Jun 2006 03:08 GMT
I think that the soft collar maybe have some help, it is helpful to the
patients whose cervical muscular is weak, and the pain caused by the
inflammation of the cervical muscles, but for the pain caused by the
disc herniation, it is useless.

I don't know your age, but in all my patients, some of them had some
osteoprosis at the same time, which also can cause the serve pain, You
may bring it to your doctor's attention, wish you good luck!

Benjamin

> Hi
> I had the same surgery with fusion. For me too it was instant relief of the
[quoted text clipped - 21 lines]
> let me know will YOU???
> janers
GARY Z - 08 Jun 2006 03:26 GMT
Hi Glenn,
I've had c4,5,6 fused in 2000. I had bad pain in my left arm and it passed
for awhile after the surgery and then came back again. I assumed the fusion
was to correct and relieve the arm pain. It wasn't. It was needed for other
reasons. Do you have pain down into your two little fingers? Tingling? I
finally asked for a referral to a pain clinic. They sent me to a neurologist
for a nerve conduction test. Turns out my arm pain was being caused by my
ulnar nerve being crushed in my elbow. Already had moderately severe damage
to the nerve that was affecting the muscle functions in my arm. Had surgery
to move the ulnar nerve out of the elbow joint. It won't cure the damage
already done, but it will keep it from getting worse. I have the same
problem in my right arm to a lesser degree and that will not be addressed at
this time. By the way, the pain from that nerve damage radiates back up into
my shoulder and neck on my left side. Perhaps a visit to a pain specialist
is in order.
GaryZ

>I have recently undergone fusion surgery on levels c5-c6 and c6-c7.  I
> had severe disc degeneration disease and C5 C6 area and slight disc
[quoted text clipped - 12 lines]
> there could be permanent nerve damage due to the length of time the
> disc degeneration has been there.

>I have recently undergone fusion surgery on levels c5-c6 and c6-c7.  I
> had severe disc degeneration disease and C5 C6 area and slight disc
[quoted text clipped - 12 lines]
> there could be permanent nerve damage due to the length of time the
> disc degeneration has been there.
janers - 08 Jun 2006 14:30 GMT
Gary you got to quit following me around :))

I too have seen and am seeing a pain specialist. He injects me in the neck
area and it has seemed to work since last fall. KNOCK ON WOOD, cause if it
don't work and comes back he is thinking "burn" that nerve there and hope
for the best......called I believe a rhzotomy?? something Like that. I would
look up the right spelling but too lazy this morning.

NOW how are the golf games going. Are you getting any HOLES in one!!!  heheh
Son doing well?
Any more trips to Disney?

We may go there while in Fl during the winter months but I love Busch
Gardens so have to figure a way to kick up money for both tickets hehe.

HOW are you, quieter than usual man, anything going on??

you know who!!!
GARY Z - 09 Jun 2006 14:51 GMT
Hey JANERS!!!

> Gary you got to quit following me around :))

Absolutely NOT! I am the official Janers stalker......now where'd that girl
go again?....not very good at this

> I too have seen and am seeing a pain specialist. He injects me in the neck
> area and it has seemed to work since last fall. KNOCK ON WOOD, cause if it
> don't work and comes back he is thinking "burn" that nerve there and hope
> for the best......called I believe a rhzotomy?? something Like that. I
> would
> look up the right spelling but too lazy this morning.

Have they done a nerve study?? to make sure that is the source of your
trouble??

> NOW how are the golf games going. Are you getting any HOLES in one!!!
> heheh

No holes in one lately, but I get close once in a great while!

> Son doing well?

Mike is doing fine. Finished his freshman year. Last final was Wed. and he
started a job on Thurs.
His choice. I was able to get him summer work at the University moving
around computers and entering
data in our picyure database. If he learns the database, he can work the
next 3 summers there.

Driving him to St. Louis area for a bowling tournament next Sat. He is doing
pretty well at it.
Still have to get him to learn the value of practice. His coach says he has
all the "tools" he needs.
He just needs to practice more.

> Any more trips to Disney?
>
> We may go there while in Fl during the winter months but I love Busch
> Gardens so have to figure a way to kick up money for both tickets hehe.

We went this past end of March. Did some fishing and I finally played the
golf courses there (can you imagine that)! We don't do alot of  "Disney"
stuff anymore, but the area offers alot of other things to do. We still have
a couple of tickets for the water parks and side venues, so we will probably
go one more time. Disney Quest is in
its final year of operation and that is Mikes favorite place there. We'll
have to go before it closes.

> HOW are you, quieter than usual man, anything going on??

I read here everyday, but only post to that which I have personal
experience. Summer is busy as ususal.
Managed to strain my lower back pushing a broom around outside doing some
cleaning. Reeks havoc on my golf
as I can't feel much on the pain meds. It's slowly improving though. Pick up
some orthodics for my feet today.
Dentist for a crown on Mon. Can you see the hundreds flying out of my wallet
yet?!! Probably not, cause they're not there to begin with! lol
The old back is what it is and I live with it. Thinking of trying to work
the football games this fall again. I have a short memory. Told them last
year I couldn't handle it anymore due to the crowds now and the difficulty
getting
around the stadium. Up and down stairs and ramps running around putting out
video fires. Last game I worked
(a Sat.) I lost 2 days of work (Mon. and Tues) my back hurt so much.
Remember Gary, remember.....

> you know who!!!

Janers, I hope you a pain-free life at some point in time....now actually,
and I wish the same for everyone here.
GaryZ
Squirrely - 10 Jun 2006 01:17 GMT
Gary,

Hitting you with a dry noodle, if I did with a wet noodle I would probably
do the same to my back.

Brooms, rakes, anything that works with that kind of motion is a no no to
the back. Believe me I know. All I have to do anymore is look at one and my
back starts spasming. ;-)

Take care and heal quickly.

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> Managed to strain my lower back pushing a broom around outside doing some
> cleaning. Reeks havoc on my golf
> as I can't feel much on the pain meds. It's slowly improving though. Pick
> up some orthodics for my feet today.
GARY Z - 10 Jun 2006 12:26 GMT
> Gary,
>
[quoted text clipped - 6 lines]
>
> Take care and heal quickly.

Ah Jo,
You wouldn't dare. I might like it too much!! lol
I'm a stubborn, ignorant man who still clings to a superman complex! :-)
GaryZ (just kidding)
Squirrely - 15 Jun 2006 23:29 GMT
Hey Gary, I am right there with you.

When the sweeping etc doesn't get done for quite some time, I go in and do
it and pay the price. For me it is the super woman thingy.

Oh but that is right, it is the super squirrel thing. Ask  Alex.

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> Ah Jo,
> You wouldn't dare. I might like it too much!! lol
> I'm a stubborn, ignorant man who still clings to a superman complex! :-)
> GaryZ (just kidding)
Stinkweed - 10 Jun 2006 16:27 GMT
Tell me about the back spasms..  My daughter in law has them quite often and
to the point where she spends a lot of time doing nothing because of them.
She sees a chiropractor kind of doctor "Homeopathic" I believe she said and
she feels good for a few days and then she is right back where she started.
I can't see her getting any better at all and this is going on 4 years.  Is
there more that can be done for her?  She gets in a great deal of pain.

> Gary,
>
[quoted text clipped - 11 lines]
>> as I can't feel much on the pain meds. It's slowly improving though. Pick
>> up some orthodics for my feet today.
GARY Z - 10 Jun 2006 18:14 GMT
Hello SW,
I have "moderately severe" disc disease in my lower spine. So, the area is
inherently unstable.
Doesn't take a whole lot to strain my lower back. Sweeping, shoveling,
raking all reek havoc on me.
Now golf doesn't bother it as much as that is a turning motion. Still gets
sore afterwards, but nothing like the mentioned activities. The disease has
gotten bad enough that a chiro now does more harm than good for me.
GaryZ

> Tell me about the back spasms..  My daughter in law has them quite often
> and to the point where she spends a lot of time doing nothing because of
[quoted text clipped - 19 lines]
>>> as I can't feel much on the pain meds. It's slowly improving though.
>>> Pick up some orthodics for my feet today.
Stinkweed - 10 Jun 2006 20:29 GMT
I don't think she has deterioration of any disks, just some arthritis and I
can't get her to go find out what kind and get help with it.  But the spasms
are really wrecking havoc on her quality of life.  I get upset as I want to
see her feel good and I'm not all that sure this doctor is doing a good job
for her.

> Hello SW,
> I have "moderately severe" disc disease in my lower spine. So, the area is
[quoted text clipped - 29 lines]
>>>> as I can't feel much on the pain meds. It's slowly improving though.
>>>> Pick up some orthodics for my feet today.
Nann Bell - 11 Jun 2006 13:32 GMT
> I don't think she has deterioration of any disks, just some arthritis and I
> can't get her to go find out what kind and get help with it.  But the spasms
> are really wrecking havoc on her quality of life.  I get upset as I want to
> see her feel good and I'm not all that sure this doctor is doing a good job
> for her.

a thought - does she get any massage or physical therapy for it?  If she
won't see a medical doctor, perhaps she'd at least be willing to go for
massage which should help ease the spasms.  

And is it actually a chiro she sees or a homeopathic doc?  there's a great
difference.  If you can talk her into seeing a reputable chiro, s/he'll do
extensive X-Rays before treating and might be able to find out something
about what's going on.  I even had one excellent chiro who refused to treat
someone after seeing the films, instead referring her for an MRI, then to a
back surgeon.  He did work with her some after her back surgery, but could
only help her a bit at that point as she had required fusions.  (learned all
this from her husband in the waiting room one day!)

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Stinkweed - 11 Jun 2006 17:39 GMT
>> I don't think she has deterioration of any disks, just some arthritis and
>> I
[quoted text clipped - 21 lines]
> all
> this from her husband in the waiting room one day!)

I'm pretty sure she sees a homeopathic doctor, I know he isn't a real
Chiropractor but he does do the massage thing, that is what I am so afraid
of is she is going to wait too long messing with this guy that some
permanent damage is going to happen.  But I can't get her to go to another
doctor she says all they do is give her medication.  But she is down with
the spasms half the time.  I think she has had exrays etc.  She has even had
some sort of very painful shot in her back, I think maybe a nerve block.  I
don't know if the same guy does it or not.  I think she has had 3 of them.
It is hard because I am a mother inlaw I would like to just grab her and
take her to a specialist in backs and muscles but I can't do that.  All I
can do is suggest.  I think the person she is going to is just taking her
money, but she likes him and seems to have complete faith in him.
Pope Pie (Sy Lehrman) - 11 Jun 2006 04:30 GMT
> Hello SW,
> I have "moderately severe" disc disease in my lower spine. So, the area is
[quoted text clipped - 5 lines]
> has gotten bad enough that a chiro now does more harm than good for me.
> GaryZ

Gary, you are looking at this all wrong.  Surgery is bad, like shoveling and
raking are bad.  You should simply shovel less and putt more.  You speak as
if you want to rake and shovel.  You simply turn to the wife and say,
"Honey, I'd love to help you shovel the drive, but..." and spreak your hands
in a gesture of helplessness.  It puts me in mind of Dr. Prunesqualor in
McPeak's Gormenghast, "I've always been fascinated with people who want to
work...."
GARY Z - 12 Jun 2006 11:15 GMT
> Gary, you are looking at this all wrong.  Surgery is bad, like shoveling
> and raking are bad.  You should simply shovel less and putt more.  You
[quoted text clipped - 3 lines]
> Prunesqualor in McPeak's Gormenghast, "I've always been fascinated with
> people who want to work...."

Sy, I like the way you think!
I can't help but ponder my own stupidity as... I don't have a wife!!
:-)
GaryZ
Stuart Vernon - 12 Jun 2006 12:15 GMT
> I can't help but ponder my own stupidity as... I don't have a wife!!
> :-)

He didn't say it had to be *your* wife ... ;)

Stuart
GARY Z - 13 Jun 2006 11:04 GMT
>> I can't help but ponder my own stupidity as... I don't have a wife!!
>> :-)
>
> He didn't say it had to be *your* wife ... ;)
>
> Stuart

LOL!
Squirrely - 15 Jun 2006 23:27 GMT
I have the back spasms majorily too. I don't have to do hardly anything at
all to start them back up either. I feel for you daughter in law.

Has she seen a rheumy. There might be something going on there that he can
help with.

Muscle relaxers at times help. But I can't do them because they make me have
heart palapations.

Heat and cold both help at times.

I hope she finds something that works.

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> Tell me about the back spasms..  My daughter in law has them quite often
> and to the point where she spends a lot of time doing nothing because of
[quoted text clipped - 3 lines]
> on 4 years.  Is there more that can be done for her?  She gets in a great
> deal of pain.
Stinkweed - 18 Jun 2006 03:24 GMT
I don't think she has seen a Rhumotologist, right now I can't think of the
title of doctor she is seeing, it escapes my mind.  What do you do for your
muscle spasms?

>I have the back spasms majorily too. I don't have to do hardly anything at
>all to start them back up either. I feel for you daughter in law.
[quoted text clipped - 16 lines]
>> on 4 years.  Is there more that can be done for her?  She gets in a great
>> deal of pain.
Squirrely - 20 Jun 2006 05:02 GMT
Stinkweed,

I got to ask do you have another name besides that one, I don't like calling
you that. ;-)

I cry alot, whine alot, and make life miserable for others. ;-)

Seriously, I grin and bear it alot. I use a tennis ball in a sock and lean
again it on both sides of spine against a wall. That helps some. Ice and
heat at times help too.

I can't take anti inflammatories either. So not much help I can do for
muscle spasms or OA.

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>I don't think she has seen a Rhumotologist, right now I can't think of the
>title of doctor she is seeing, it escapes my mind.  What do you do for your
>muscle spasms?
Stinkweed - 20 Jun 2006 18:18 GMT
My name is Sharon.  But I get called lots of names, generally stinky and any
variation of it.  I'm used to it now.
I think my daughter in law does the same thing, but she is in pain a good
bit of the time.  I'm not really sure what she does for the pain, it seems
everything she does sets it off.  Not a good way to lead your life.

> Stinkweed,
>
[quoted text clipped - 13 lines]
>>title of doctor she is seeing, it escapes my mind.  What do you do for
>>your muscle spasms?
Squirrely - 20 Jun 2006 20:31 GMT
Thanks Sharon,

I just didn't like the idea of calling you stinky or stinkweed. Not a nice
name. ;-)

I feel for your daughter in law. I know it is tough when you can not get the
help you need, either the drs fault or our own bodies fault. That is the way
it is with me too, everything sets it off. Shoot at times I am even afraid
to lift a piece of paper. I mean talk about a wimp. Can't lift anything or
my back goes out. Can't sweep, rake, etc that have that kind of movement.
Can't do things like jigsaw puzzles or sometimes the movement of the mouse
set off my chest stuff so it is not an easy life for any that suffer from
all this stuff. I am sorry she had to join our gimping ways.
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> My name is Sharon.  But I get called lots of names, generally stinky and
> any variation of it.  I'm used to it now.
> I think my daughter in law does the same thing, but she is in pain a good
> bit of the time.  I'm not really sure what she does for the pain, it seems
> everything she does sets it off.  Not a good way to lead your life.
spine surgeon - 16 Jun 2006 03:04 GMT
I think that you can ask your surgeon that, what is the main purpose of
the fusion surgery. maybe before your surgery is performed, you must
told your surgeon that you want to solve the pain problem. it is the
surgeon he told you that your pain maybe caused by the C5,6 and C6,7
disc degenerative changes, and herniates. and maybe he thoughts that
after the fusion surgery maybe the degenerative changes was stoped, and
the pain maybe released. but the situation is that your pain not
released at all. at first, your pain's release maybe caused by the pain
killer used in the surgery, then the effects of the pain killer
disappeared, your pain reoccured.

For a surgeon, I do the same operation in our china, we have a lot of
surgeries nearly 4 per day, I think the mainpoint of the surgery in
your situation is the decompression, only the perfect decompression is
performed, that your pain will not release in the postoperative.

Wish you good luck, maybe you can choose another surgeon to perform
another decompression operation.

Benjamin

> I have recently undergone fusion surgery on levels c5-c6 and c6-c7.  I
> had severe disc degeneration disease and C5 C6 area and slight disc
[quoted text clipped - 12 lines]
> there could be permanent nerve damage due to the length of time the
> disc degeneration has been there.
 
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