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Switch from hydrocodone to Oxycodone?

Chronic Pain | Last Active: 4 days ago | Replies (20)

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@phxratt1

Btw, I already know the answer to your question of "why do I still have pain after my back surgery?". As a matter of fact, that is kind of a naive question to ask. It's because after having 3 successive lumbar surgeries, your chances of success drop from 90, then 50, down to 30%. You are then put in the category of what used to be called FBSS - failed back surgery syndrome. The updated term is PSPS - persistent spinal pain syndrome. I am clearly in that category. If I have a 4th surgery, my chances of it being successful are only 5-15%, but unfortunately, the neurosurgeons and orthopedic surgeons rarely tell you about these statistics. I'm now left with either finding an opiod that suits me better, or maybe trying an SCS... which after trying a DRG stimulator, I don't hold out a lot of hope for.

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Replies to "Btw, I already know the answer to your question of "why do I still have pain..."

I‘m glad you replied, because the last thing I want to be is judgmental or arrogant. I had 3 back operations, numerous injection, imaging etc, back in the 1970‘s what I ended up with was adhesive arachnoiditis, which is scarring in the sub-arachnoid layer around our nerves and causes constant, intractable pain. It is a life sentence and my burden to bear. It can be seen on an MRI but you need an expert because the incidence is so low. My hope is that they had considered this as a differential diagnosis and dismissed it. Oral opioids are a shortterm solution. I was fortunate to have a pain mgt guy in 2007 who saw me as a candidate for a pain pump and changed my life. My only reason for writing is the hope that you can find relief and get your life back. Best, Archie