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05-17-2011, 03:21 AM | #1 | ||
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New Member
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I am a patient with complaints of residual pain in both sides of the lower body, including the buttocks, legs and lower lumbar spine. I have had a lamenectomy due to disk herniation and impedement on the spinal cord in 2000, followed by surgery to remove a blood clot from the spinal cord.
In 2005 I had my first lumbar fusion, which was successful, however later deterioration of the levels above presented leading to more severe and debilitating back pain with raditating pain the legs and buttocks. In 2009, I was taken to the emergency room due to debilitating back pain. A complicated second fusion was performed in two seperate surgeries (one lasting 9 and a half hours and the second lasting five and a half hours). Following the procedures I lost feeling and control of my lower extremities. After rehabilitation and therapy, I have regained my ability to walk with concentration, no longer a normal, easy task, but requires thought and attention to my moves. I still lack sensation in several parts of my legs and feet and some muscle control is diminished despite therapeutic services. Since the surgeries in 2009, I have had residual lumbar, buttock and raditating pain bilaterally down my legs. I have continually been on medications attempting to control the pain, but complete relief has never been achieved. ESIs (Epidural Spinal Injections) have been done without success. There is a significant amount of scar tissue and hardware now in my spine and, reportedly by the pain management doctor, significant nerve damage. Upon questioning whether the nerves might regenerate or repair themselves over time, the doctor informed me that he believes the damage is permanent/ irreparable. Due to my condition, a spine stimulator trial was recommended by multiple physicians. In March of 2011, I had my first trial implant performed, which was unsuccessful due to CFS leaks where the leads were placed. I spent a week in bed with a constant and excruciating headache, which significantly worsen upon going from a horizontal position to a vertical position. I could not sit up to eat. I crawled on hands and knees to the bathroom. I cried out and sometimes would scream due to the pain. I had trouble moving my neck and would suffer unbelievable pain when I did. Nausea and dizziness also presented. Finally, the partner of the doctor who did the trial implant performed a blood patch. Sadly, the blood patch failed and the painful headache and neck stiffness and pain continued. A few days later, the partner, against the wishes of the orignal doctor, determined it was time to remove the stimulator and performed another blood patch immediately upon the lead removal. When the leads were removed the spinal fluid actually leaked out onto the skin of my back in a little pool. The doctor was shocked by the significance of the leak and apologized profusely for the suffering I went through. A couple of weeks following the removal and second blood patch, I had a second trial, which was successful, but I admit I was very apprehensive about attempting the trial again after what happened the first time. Since all of this, I have experienced more than usual headaches and problems with orthostatic hypotension. I am awaiting permanent implantation and due to the problems I have had with all of this, I am considering obtaining other opinions from other doctors to be sure this is the right choice for me considering all of my conditions and the complications that I have had. A word of advice to physicians performing the spine stimulator trials, if your patient immediately, upond rising from the OR table, complains of a severe headache, do not send them home in hopes the headache will subside. I also recommend not performing such procedures on Fridays, as the patient is then left to suffer for a weekend. Per instruction from my doctor, I went to the hospital emergency room, where I was told by the anesthesiologist due to wires in my spine, he was not able to assist me with a blood patch. He was not comfortable attempting the procedure with the leads in place. Please leave at least one day for the any reactions or complications to present in order for you to have that day to take care of any complication. Please care enough about your patients to make sure you are there for any needs that may arise. Please do not leave your patient helpless at home with no options to relieve such complications. |
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"Thanks for this!" says: | (Broken Wings) (05-18-2011) |
05-17-2011, 06:52 AM | #2 | |||
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Senior Member
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Bless your heart!! I'm so sorry you had such a horrible time with the first SCS. I had the SCS implanted years ago (in 2000) and it was implanted for 6 months. Unfortunately because I was thin, I didn't have enough "fat" content in my body to hold it in, and the darn thing tried to work itself OUT -- so it had to be removed. But i found that it didn't really help much anyway -- I've had severe sciatica for 26 years and the SCS seemed to aggravate it. So it didn't bother me too much to have it out.
I'm finding after all these years of different medications, that the ONLY thing that helps me is the Fentanyl patch along with Methadone. I understand this combo is for hard-to-treat patients, as i learned of it from a doctor online. I asked MY doctor if we could try it, and he said ok ~ and it's the ONLY relief I've ever had. Of course I'm not pain-free, but I have "good days" now. I wish you the very best of luck on your upcoming implant !! PLEASE let us know how you come out. I'm sending prayers your way for a successful implant. I hope and pray this works for you -- you've been thru enough. God bless and take care. Hugs, Lee
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recovering alcoholic, sober since 7-29-93;severe depression; 2 open spinal surgeries; severe sciatica since 1986; epidurals; trigger points; myelograms; Rhizotomy; Racz procedure; spinal cord stimulator implant (and later removal); morphine pump trial (didn't work);now inoperable; lumpectomy; radiation; breast cancer survivor; heart attack; fibromyalgia; on disability. Often the test of courage is not to die, but to live.. .................................................. ...............Orestes |
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05-18-2011, 01:16 AM | #3 | |||
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Legendary
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Happy to see you have come to be with us. Just let us know if we can be of any help. There are great and caring friends here to assist you. Our shoulders are here for support in many ways. Seems you have been through some ruff times. Please keep us up to date. Again welcome, looking forward to seeing you around. My thoughts and prayers are with you. Darlene
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. "Life without God is like an unsharpened pencil -- it has no point.
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05-18-2011, 01:12 PM | #4 | |||
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Magnate
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Hi, and welcome to NT! This is such a great place with many friendly, caring, and helpful people. We're so glad you found us!
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Mair . |
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