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Chronic pain and spinal fusion

Spine Health | Last Active: Apr 4, 2023 | Replies (173)

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@grandmar

Happy Friday....
I know many of us have had fusion surgery and many have failed.
I'd appreciate it if you think back to when you had the surgery (before it failed).
I had my surgery 2 1/2 weeks ago.
It has been one of the hardest surgeries from which I have had to recover.
My pain got really bad after I left the hospital.
Of course, the hospital gives you your pain meds 24/7 through the IV.

I was given Hydrocodone-Acetamin 10-325 mg.
It didn't give me much relief.
When I went for my 2 week post-op check up, I was given Cyclobenzaprine 5mg for the spasms.
Helps somewhat, but I am able to take 2 at a time when I need it.
The first week, I took 1 pill at a time when I needed it.
By the end of the 2nd week, I was taking 1 pill throughout the night.
I was hoping it would help.

Now I am worried about becoming addicted to the pain killers.
Actually, I've been worried addiction all along, which is why I didn't take it as presc ribed.
My doctor assured me that she would keep an eye on me.
Any how, she gave me a tentative schedule, assuming it works and said I could change it up, if I needed to.
Well, I do!!!!!!!!
I went to taking the pain medicine every 5 hours. Today I am going to every 6 hours (I've done 4 hr, 5 hr and 4 1/2 hrs throughout the night. I was also taking the Cycobenazprine (5 mg) every 4 hours. As of today, I upped it to every 4 1/2 hrs without getting up during the night. BTW...I take 2 Cycobenzapine just before bedtime (suggested by doctor). My problem is I am still in lots of pain. My hubby and I are so scared of me becoming addicted.

Those who have gone through this, what was your experience? What did you take for the pain? What did you take for the spasms? How long and how much did you take for the pain.

Thank you for sharing!
Have a TERRIFIC weekend!
Ronnie (GRANDMAr)

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Replies to "Happy Friday.... I know many of us have had fusion surgery and many have failed. I'd..."

Ronnie I wrote to you earlier this week. I am mainly on the MAC forum but have had horrid back issues since 1976 after my second child. (Spondylolithesis) Now I have several other issues that developed over time. I want to address your addiction concerns. Do you have addiction in your genes? Do you have an addictive personality? My PHD brother had 17 years of serious drug abuse! Yet, I can have a drink or take a pill without becoming addicted. I even have a card to use marijuana but haven’t tried it. And I don’t drink. I do use tramadol for chronic pain which at least takes the edge off. I think because you are so worried about addiction you won’t become addicted. From my friends who have had a fusion I have learned that it can take up to a year for a full recovery! Rest in that thought and tread lightly. Be patient with yourself. Take whatever pills are necessary to help ease the pain. Rule of thumb is to take a pain pill before the pain is too much. Your doctor has probably told you that. I think many people have addictive personalities. That coupled with a genetic propensity for addiction makes for a precarious situation. I think because your doctor is keeping an eye on you is very comforting. I think you are finding that the beginning of your recovery is very “bumpy.” It will get better. Take the pain meds! My motto has always been, “I don’t mind pain - as long as it doesn’t hurt!” Wishing you peace of mind and less pain. (Irene)

@grandmar

I'm happy you are healing from your fusion surgery. As far as your concern about getting addicted to painkillers, my experience is that even though I was "dependent" on Tramadol after taking it for a year, it was easy enough to withdraw from. Uncomfortable for a couple of weeks yes, but very doable. I think it's important for you to take care of your pain as your doctor prescribed, and stop worrying about your addictive personality.

As I have said before, I too have an addictive personality. I have been able to take pain medications over the years and withdraw from them. I had the RnY 4.5 yrs ago; I lost 80 pounds, and I've gained 7 pounds this year. It's making me a little crazy that I've gained weight again! I think it's possible that taking your pain medications and relaxing about doing that may keep you from eating to relieve your pain/anxiety. I also have noticed that when my husband is critical of me or is angry about something I did or didn't do, I find myself looking for something to eat. I had never put the 2 together before a couple of months ago. My husband is a wonderful man who is real. He's not mean, but my PTSD kicks in immediately and I worry about being left again. It takes me a day to run through my scripts around that, and then I'm OK. Now that I know that I turn to food during those times that I worry about things, I am careful with what I eat. Of course I'm not perfect, but I'm workingto stay aware and take action on my eating disorder.

One thing I have learned about you Ronnie, is that you work on anything that comes up for you, and you have an incredibly positive attitude about yourself and others. You are a very strong and obviously very smart woman who can withdraw from any pain medication you need to at the time you no longer need it. I was prescribed Cyclobenzyprine in the past for my back spasms, but I hated taking it because it made me a little crazy mentally. I got paranoid and was aggressive/anxious while taking it. When i had my last spasm issue 3 years ago, the doctor prescribed Baclofen, which worked much better for me. It worked immediately, and I had no problem withdrawing from it at the right time. You might want to ask your surgeon about taking Baclofen.

I'm looking forward to hearing from you that you're not in as much pain because you're taking your medicatons as your doctor prescribed. I'm hoping you will stop worrying about addiction/dependence as you will be able to withdraw from the medications when it is time due to your conscientiousness and awareness. Your doctor will help you, as will your pharmacist if you ask him/her about how best to withdraw at the time. Big, gentle hug Ronnie.