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-   -   Newbie here - L4-L5 problems (https://www.neurotalk.org/spinal-disorders-and-back-pain/162292-newbie-l4-l5.html)

ginnie 01-26-2012 04:54 PM

cool advice and cool quotes/doc
 
I read all the quotes. What I got the most out of all, was "Peace" I guess the key is not to worry, as it does get in the way of compassion. I liked that one too. You find the coolest stuff Doc. medicine for the soul. ginnie

seahorse02 01-26-2012 05:03 PM

Quote:

Originally Posted by ginnie (Post 845273)
That is exactly why I worry about you seahorse. The connection to more pain with stress does happen. The more stress you are under, the worse the pain gets. Maybe Doc. can answer why. In my own life, I KNOW that happens.
ginnie:hug:

Ginnie, stop worrying so much - you're stressing me out! :D

Wishing you fewer stressors.

ginnie 01-26-2012 05:10 PM

turn it over to God
 
Ok Doc. I will turn it over to God before I go to sleep.:D ginnie

Dr. Smith 01-26-2012 05:16 PM

Quote:

Originally Posted by ginnie (Post 845383)
You find the coolest stuff Doc.

Google. Don't leave [your] home[page] without it! :p

Doc

seahorse02 01-26-2012 06:55 PM

Quote:

Originally Posted by ginnie (Post 845383)
I read all the quotes. What I got the most out of all, was "Peace" I guess the key is not to worry, as it does get in the way of compassion. I liked that one too. You find the coolest stuff Doc. medicine for the soul. ginnie

Yes he does! That is a cool site.
Favorite: Do not be afraid of tomorrow; for God is already there. ~Author Unknown
Love the humor in: We experience moments absolutely free from worry. These brief respites are called panic. ~Cullen Hightower

Doc, thanks for the post with links for the connection between stress and pain. I want to spend some time on those.

ger715 01-26-2012 07:48 PM

I'll add just one more:
"Yesterday is History,
Tomorrow is a Mystery,
Today is a gift -
That's why it is called the Present"

seahorse02 01-26-2012 10:54 PM

Quote:

Originally Posted by Dr. Smith (Post 845323)
The self-perpetuating downward spiral - or "vicious cycle" as it's called/known - of pain, stress, depression, and insomnia (and sometimes other factors) is very well-documented. I've written and given presentations about it more times than I can recall. (But I still have to google to find links :o)

http://www.nwedbmed.com/chronicpain.html
http://www.whatworksforpain.com/2010...-chronic-pain/
http://www.my-spine.com/back-pain-an...-distress.html
http://rachicks.com/ra-pain-chronic-...vicious-cycle/

Doc

Thanks again for the links. Things aren't quite so scary when we know a little bit more about them do they? Well, except for back surgery....just kidding Doc!! Learned that pain does not always actually increase, but that our tolerance level may be decreasing as time goes on. Interesting. Was somewhat surprised they did not mention outside stress in relation to pain/chronic pain.

seahorse02 01-27-2012 09:41 AM

Hey Doc, sometimes the steps in the Vicious Cycle do not come in that specific order do they? Not prone to depression here, regardless of circumstance thank goodness but that insomnia steps right up to the front - well 2nd to the pain. Can't GO to sleep for the pain, then WAKE from the pain. Guess that may have more to do with PAIN MANAGEMENT i.e. the drugs being currently used - in my case anyway. Of course stupidly over-doing may have a lot to do with it, but I cannot seem to STOP myself - because if I did what my body is telling me I would just be on the couch all day - then that Depression would SURELY set in. Acceptance (and patience) hasn't thoroughly taken hold I suppose....

Dr. Smith 01-27-2012 11:42 AM

Grand Master Oogway...
 
Quote:

Originally Posted by ger715 (Post 845432)
"Yesterday is History,
Tomorrow is a Mystery,
Today is a gift -
That's why it is called the Present"

Hey, we've got Kung Fu Panda too! :D
(Didn't care for the sequel as much - didn't have quite the same "feel" for us. Not that it wasn't good - just liked the first one better. YMMV.)

Running family gag: We're horrible with names; can never remember Oogway and Shifu, so we call them Agway and Seafood. :p

Doc

Dr. Smith 01-27-2012 11:48 AM

Quote:

Originally Posted by seahorse02 (Post 845484)
Was somewhat surprised they did not mention outside stress in relation to pain/chronic pain.

Mmmmm.... Stress is stress is stress, and (I believe they did mention this) pain is a form of stress too.

OTOH, there is bad stress and there is good stress. E.G. sex = good stress! :o

Doc

Dr. Smith 01-27-2012 12:12 PM

Quote:

Originally Posted by seahorse02 (Post 845563)
Hey Doc, sometimes the steps in the Vicious Cycle do not come in that specific order do they?

I don't think order matters so much as the cyclical pattern. I have seen variations; some versions don't include insomnia, and some versions include other additional factors.

There are many other vicious cycles as well (Google vicious cycle and click on images). The idea/term can be applied anytime two or more factors feed on/exacerbate each other. There's a well-known book about the Specific Carbohydrate Diet (SCD) for Inflammatory Bowel Diseases (IBDs) entitled, Breaking the Vicious Cycle.

Non sequitur paragraph deleted.

Doc

seahorse02 01-27-2012 12:21 PM

:smirk:
Quote:

Originally Posted by Dr. Smith (Post 845622)
Mmmmm.... Stress is stress is stress, and (I believe they did mention this) pain is a form of stress too.

OTOH, there is bad stress and there is good stress. E.G. sex = good stress! :o

Doc

"Stress is stress is stress" - - -Gotcha.

"there is bad stress and there is good stress. E.G. sex = good stress! :o"
Oh Puleeezzz, don't eeeven go there! :)

seahorse02 01-27-2012 12:39 PM

Oh forgot to say that CT will be ready for p/u on Monday, and will also be sent to the (unaffordable) neuro. Hopefully he will be able to make some sort of recommendation or at least give me his opinion via phone (as he said he POSSIBLY could) when he receives it.
Today have to make a 2 hour round trip and I've been dawdling. Must.Endure. Driving, the road vibration, arrgh!

Aussie99 02-03-2012 12:04 AM

Quote:

Originally Posted by seahorse02 (Post 834466)
I should have asked in my previous post.....does my MRI sound really bad to ya'll?
I know that it feels really, reeeally bad. Back hurts, right leg hurts all the way to the foot, muscle spasms in both legs are constant, right leg goes numb driving, both knees ache something awful in the backs of them.

Orthopedic surgeon rated it an 8 in severity, but he advised a laminectomy so fast that I was a bit leery of him.


I have had surgery twice on L4/L5. The first one was 10 years ago and it was laser surgery and I was ok in 3 weeks. This last one was open back surgery and has taken me an entire year to recover. I thought that every ortho uses laser and open back was a thing of the past. I was wrong because I assumed. I think the key to alot of people avoiding surgery is to strenghthen their core and back muscles. It takes 6-8 weeks. But it depends on what the specialist thinks as well. I would only use a neurosurgeon or an ortho spine specialist for surgery. Not every ortho is for spines. Surgery should alsways be last option for many reasons.

ginnie 02-03-2012 10:50 AM

Hi seahorse
 
What # was your post about your MRI? ginnie

seahorse02 07-15-2012 11:49 AM

*UPDATE**Newbie here - L4-L5 problems
 
I finally found a gifted NS who agreed to do surgery on this uninsured patient. I wrote her a letter (thank u Miss Ginnie for that wonderful idea!)explaining the situation, how I'd been bumped around from dr. to dr. for months and in mid March she worked on me. She performed a multi-level L4 & L5 laminotomy, bilateral foraminotomy, & removed several spurs, but she did not remove the herniated disk for medical reasons. At the point when she performed the surgery, I was diagnosed with foot drop on a Thurs., the hospital agreed to cover the surgery on Friday, pre-op was on Monday, & the surgery on Tuesday. Oh glory!...it was good to get rid of the unrelenting pain/pains!! 3 days in the hospital, 4 1/2 very neat straight incision. Fast forward to today...I am still weaning off the methadone since I had taken it so long...down from 30m/d to 10m/d...still have to take dilaudid some days for the back and the pain in the backs of my knees but that medication is going to be adjusted to something else soon, but I don't have a clue what since I can't take Nsaids. I walk up to 3 miles a day sometimes, usually 2.5. There are still some bad days BUT not every day is a bad day anymore!! No more fear in flexing at the waist, no more sharp pains, I have complete control of my right foot although by the wear on my walking shoes I need an alignment. After the 3rd NS post-op visit she referred me back to the wonderful dr. at the pain clinic that I had seen for months prior to surgery, and the reason for this is because the NS wanted the PC to advise & help me with the weaning process of the drugs I was taking. The PC dr. wants me to come back at the end of the methadone - which will be in 2 weeks - to try "some shots" & some physical therapy. Said I will be coming to see him for 6 months - which is AOK /me. None of this is a surprise to me, as the NS promised in the beginning to get rid of the leg pain, not the back pain, advised that recovery would be 6 months from a professional's stance, but that if I talked to people who had actually had my surgery the re-coop period was realistically a year. All this to me is small potatoes...my condition is SOOOO much better than it was prior to surgery!!

I really just want this update to be an encouragement to anyone suffering from awful, unrelenting back & nerve pain and understandably scared to death of surgery. Surgery for me was the answer to my prayers and the solution to devastating pain, so there ARE successful back surgeries & stories out there!

Any questions I will happily address! Peace to All.

Dr. Smith 07-15-2012 12:51 PM

Seahorse,
 
That's wonderful news, and welcome back!
We've missed you & thought about you often.

Doc


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