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Medical Forum / Diseases and Disorders / Arthritis / September 2006

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Spinal stenosis-comments

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jb - 17 Aug 2006 06:54 GMT
Today I went to the pain clinic and got the third of a series of spinal
injections for my back which they diagnosis as spinal stenosis. I was
wondering some of your thoughts on the subject. These shots usually last me
about a month and then I am again in so much pain that I cannot stand it.  I
have no life, I cant sit, stand or lie in any comfortable position. I was
told in the beginning by a back surgeon, my orthopedist and my rummy that
surgery would be the only cure. I am frightened of having spinal surgery.
Has anyone had this.  I was also wondering if the spinal injections which is
steroids are any less harmful than taking of prednisone? Predsisone also
helps the pain but my rummy dont want me to stay on it..
I really dont know what to do at this  point.  looks as if surgery may be my
only option.please send me some comments
janice
B B - 17 Aug 2006 08:28 GMT
After reading your description of not being able to sit, stand or lie
and be comfortable, I knew I had to answer.

A few years ago, I was in your shoes. I could sometimes find a contorted
position in a leaning down against something, but it was always a
short-lived comfort.

I had surgery to repair the herniated disk and relieve the stenosis and
had almost instant relief. Just hours after the surgery, I was able to
ride back home in a car in fair, but post-op, comfort. I could lie back
down when I got home and even tended to my own needs alone. The key word
here is post-op level.

I have two herniated disks again and the stenosis is steadily
increasing. I've endured a series of epidural injections, a series of
spinal injections like yours and a couple of sets of PT. I'm at the
point that I can stand only a few minutes at a time and my right hip and
leg and my lower back go into such painful spasms, I have to sit down or
fall down. Raising my hips in bed or attempting to turn over is sheer
torture.

I'd jump at the chance to have the surgery again, but I have to wait in
some other health care information first.

There can be risks related with the surgery, but I'd take my chances to
get rid of this disabling pain.

What you decide has to be your and your doctor's decision. I told you
what I'd do. Good luck with whatever you decide.



Today I went to the pain clinic and got the third of a series of spinal
injections for my back which they diagnosis as spinal stenosis. I was
wondering some of your thoughts on the subject. These shots usually last
me about a month and then I am again in so much pain that I cannot stand
it. I have no life, I cant sit, stand or lie in any comfortable
position. I was told in the beginning by a back surgeon, my orthopedist
and my rummy that surgery would be the only cure. I am frightened of
having spinal surgery. Has anyone had this. I was also wondering if the
spinal injections which is steroids are any less harmful than taking of
prednisone? Predsisone also helps the pain but my rummy dont want me to
stay on it.. I really dont know what to do at this point. looks as if
surgery may be my only option.please send me some comments

janice
jb - 04 Sep 2006 02:10 GMT
well my surgeon has set a date for surgery, Sept 25.  And I really am not
looking forward to it. He told me the surgery would take about 5 hrs and the
hospital stay would be a week.  I have no choice but to have it done, as I
cannot live in constant pain which is that bad. I do have other pain that I
have learned to live with, but I just don't think I am woman enough to bear
that pain. thanks for reply
Janice

| After reading your description of not being able to sit, stand or lie
| and be comfortable, I knew I had to answer.
[quoted text clipped - 40 lines]
|
| janice
Kelly - 04 Sep 2006 04:49 GMT
If this will take away some of the pain go for it.  I will be thinking of
you and praying it works.  Will light the candles around the 25th.

Kelly

> well my surgeon has set a date for surgery, Sept 25.  And I really am not
> looking forward to it. He told me the surgery would take about 5 hrs and
[quoted text clipped - 51 lines]
> |
> | janice
Paul G. - 04 Sep 2006 14:26 GMT
I also have Spinal Stenosis with 2 herniated discs. Because I'm a
Hemophiliac the Dr. wont even consider surgery of any kind.

He's very leary about giving me any kind of narcotic-based
painkiller..So most days and nights(nights are worse and sleep
sometimes comes very hard) I just "put up with it".

It is starting to wear on my mental well being though. It just seems to
be getting worse and yet I'm getting no relief.

I have to use the old AA adage of "One day at a time"..to even attempt
to get through each 24hr period.

Lyrica doesn't work, tramacet makes me feel worse in other areas and
the down side to them is terrible.

Endocet, percocet, etc., seem to be the only way of getting relief yet
I can't get them very often.

All the best to you on your procedures to help your pain. I hope and
pray that it works well for you...

Paul.
Angela - 05 Sep 2006 13:28 GMT
> I also have Spinal Stenosis with 2 herniated discs. Because I'm a
> Hemophiliac the Dr. wont even consider surgery of any kind.
>
> He's very leary about giving me any kind of narcotic-based
> painkiller..So most days and nights(nights are worse and sleep
> sometimes comes very hard) I just "put up with it".

Paul

Have you seen a pain management doctor?  If not, you may find that you
can get some relief that way.  I can't imagine enduring that kind of
pain without adequate pain control measures.

Best to you
Angela
Paul G. - 06 Sep 2006 12:48 GMT
Angie: No I haven't seen any other Dr. for my pain other than my GP.
I do have an appointment with a Neurologist in January...Would he be
similar to a pain specialist?

Paul..
Nicole - 06 Sep 2006 17:02 GMT
Any doctor can prescribe pain medication.
My pain doctor is a family physician.   You just have to find a doctor who
is willing to work with you.
My pain doctor only deals w/my pain.  I have another doctor who deals w/my
lupus and other conditions.

> Angie: No I haven't seen any other Dr. for my pain other than my GP.
> I do have an appointment with a Neurologist in January...Would he be
> similar to a pain specialist?
>
> Paul..
GARY Z - 07 Sep 2006 11:45 GMT
> Angie: No I haven't seen any other Dr. for my pain other than my GP.
> I do have an appointment with a Neurologist in January...Would he be
> similar to a pain specialist?
>
> Paul..

Heh Heh Heh....My experience with the Neurologist was he was definitely a
"pain specialist"!
He did the nerve conduction studies on my arm and tested the muscles to see
if they had been damaged any from the nerve. He was the one who discovered
my arm pain was being caused by my elbow and not from my neck (even though
the pain seemed to start in my neck). He didn't give me any meds, but sent a
recommendation for surgery to my doc.
GaryZ
Angela - 08 Sep 2006 02:52 GMT
> Angie: No I haven't seen any other Dr. for my pain other than my GP.
> I do have an appointment with a Neurologist in January...Would he be
> similar to a pain specialist?
>
> Paul..

Paul

Most pain specilists I know of are anesthesiologists.  I believe any
doctor can be a pain specialist.  Anesthesiologists are usually highly
skilled in injections, epidural injections, nerve blocks, etc.  A
doctor who specializes in pain management is usually more willing to
prescribe medications necessary to adequately control pain .

January is a LONG time to wait for pain relief.  I hope that you can
get an appointment sooner than that and get some help.

Angela
Squirrely - 04 Sep 2006 08:08 GMT
Janice,

I wish a great outcome for you and I will be praying for you. Please remind
us again closer to that day so we can really put our prayer caps on. I hope
you get the best outcome so you won't have to suffer at all anymore.

Signature

  Love and hugs Jo

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> well my surgeon has set a date for surgery, Sept 25.  And I really am not
> looking forward to it. He told me the surgery would take about 5 hrs and
[quoted text clipped - 6 lines]
> that pain. thanks for reply
> Janice
ladylove77 - 04 Sep 2006 17:45 GMT
Janice, try not to borrow tomorrow's troubles; don't dread the surgery.  Be
thankful it can be done to relieve the pain.
Will pray for complete healing and uneventful recovery.  I can remember the
date; it's my granddaughter birthday!
Gwen

> well my surgeon has set a date for surgery, Sept 25.  And I really am not
> looking forward to it. He told me the surgery would take about 5 hrs and
[quoted text clipped - 51 lines]
> |
> | janice
Alex Barna - 04 Sep 2006 20:45 GMT
Hi Janice,

> well my surgeon has set a date for surgery, Sept 25.  And I really am not
> looking forward to it. He told me the surgery would take about 5 hrs and the
[quoted text clipped - 3 lines]
> that pain. thanks for reply
> Janice

I hope the surgeon is the best & you have an easy recovery & feel like a
new person after the surgery.

Sending Good Thoughts,
{{{{Janice}}}}

GrampaHugs,
Alex,

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 personal experiences & is an expression of my opinion.

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GARY Z - 17 Aug 2006 12:07 GMT
Hi Janice,
Do I correctly remember you have cervical trouble?  My former boss had the
injections for stenosis and they resolved his problem and thus avoided
surgery. I was not so lucky and had to have the surgery. I thought I was
having the surgery to relieve the pain in my arms that was driving me nuts.
Little did I know I was already nuts! Anyway, I had no pain resolution
because the stenosis wasn't the cause of my pain. It did resolve some other
issues though. This can be a risky surgery. If you decide to have it, I hope
for the best outcome possible for you.
GaryZ

> Today I went to the pain clinic and got the third of a series of spinal
> injections for my back which they diagnosis as spinal stenosis. I was
[quoted text clipped - 13 lines]
> only option.please send me some comments
> janice
rk - 17 Aug 2006 13:16 GMT
: Today I went to the pain clinic and got the third of a series of spinal
: injections for my back which they diagnosis as spinal stenosis. I was
[quoted text clipped - 9 lines]
: only option.please send me some comments
: janice

Hi,

I've had surgery to relieve stenosis. This surgery was almost 15yrs ago and
I
do remember that I had almost immedate relief after I woke from surgery. I
got
close to 6-7yrs of semi relief from it. Pretty much I could function and
have a good
active life with just the use of a few Naproxen a day to help keep the
swelling down.
I have other back issues, but no further stenosis to this day.

I too was scared of the surgery, but the pain isn't nearly as bad or the
same as what
we deal with on a daily basis.

best of luck.
Nann Bell - 17 Aug 2006 13:31 GMT
Janice, I can't help much with the stenosis issue as I haven't had that
problem (thank goodness!).  But my one thought is that if you fear you may
haev to get surgery in the not-so-distant future, I'd start asking around now
about the best surgeon for this procedure.  From talking with folks who've
had back surgery, it really is important to get an experienced and very good
surgeon.

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Nann
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Harvey R. Stone - 17 Aug 2006 18:09 GMT
> Janice, I can't help much with the stenosis issue as I haven't had that
> problem (thank goodness!).  But my one thought is that if you fear you may
[quoted text clipped - 4 lines]
> good
> surgeon.

Very good advice which a friend of mine did just as you have said.   He got
the best surgeon in his area who had done the most work in this field.   My
friend is pain free today and can do most things.   It is risky.   It does
take courage.   A person must make up their mind that they can not live any
longer with this kind of pain and loss of function, then it allows the best
work to happen.
Harv
Squirrely - 17 Aug 2006 15:56 GMT
Janice,

no suggestions, I haven't been there yet. But I wanted you to know I have
you in my prayers and thoughts. I know this has not been easy for you. I
hope soon you will receive some healing or cure that will be the best thing
for you.

Signature

  Love and hugs Jo

   (\__/)  .~    ~. ))
  /O O  ./      .'
 {O__,   \    {
   / .  . )    \
   |-| '-' \    } ))      Warning: squirrels.
  .(   _(   )_.'
 '---.~_ _ _&

> Today I went to the pain clinic and got the third of a series of spinal
> injections for my back which they diagnosis as spinal stenosis. I was
[quoted text clipped - 13 lines]
> only option.please send me some comments
> janice
jb - 19 Aug 2006 00:39 GMT
Thanks to all of you who answered and  for the good advice, I have decided
next time I have a flare up it will be surgery.
janice

| Today I went to the pain clinic and got the third of a series of spinal
| injections for my back which they diagnosis as spinal stenosis. I was
[quoted text clipped - 9 lines]
| only option.please send me some comments
| janice
ladylove77 - 19 Aug 2006 03:16 GMT
Janice, good luck to you when you do.  My daughter went to a surgeon and he
told her she wasn't ready for surgery.. However, she is on 3 ocycontin a
day, and is in very bad pain between times.  I may encourage her to see
another surgeon, but that one may be the only one on their list.
Gwen

> Thanks to all of you who answered and  for the good advice, I have decided
> next time I have a flare up it will be surgery.
[quoted text clipped - 23 lines]
> | only option.please send me some comments
> | janice
Patricia Owen - 19 Aug 2006 03:21 GMT
> Today I went to the pain clinic and got the third of a series of spinal
> injections for my back which they diagnosis as spinal stenosis. I was
[quoted text clipped - 9 lines]
> only option.please send me some comments
> janice

I have had two lower back surgeries, both failures, the last one left me
with dropped foot. I have used a pain management doctor with much
success. He first gives a shot to see if he has the correct "spot" which
is done with x-ray guidance and to see how long that works. For me, it
worked for about two weeks when I decided to get brave and overdid it. I
then went back to the pain doctor who used electricity to "kill" the
nerve, I think it is called electro lesioning? Again done with
x-ray/floroscopy guidance. I have experienced some pain since, but
nothing like what I had prior to having the nerve deadened. it is now
over 9 months since I had this done. I hope this gives you some useful
information
Trish
sally avery - 19 Aug 2006 19:47 GMT
Not every one with stenosis is a candidate for surgery.  There are times I
wish I were!

sal

> Today I went to the pain clinic and got the third of a series of spinal
> injections for my back which they diagnosis as spinal stenosis. I was
[quoted text clipped - 13 lines]
> only option.please send me some comments
> janice
 
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