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Q: awaiting second fusion
asked by: sandz47 on May 7th, 2009
New User
Hi, I live in Uk. Had spinal fusion (L5 S1) Aug 07 (did damage at work and they have accepted liability). Around Feb 08 pain began to return. Nothing was done by surgeon until I broke down sobbing in my last apt Feb 09. He discovered that I have no reflexes in my ankles, none in my right knee and very reduced left. MRI show’s nothing significant except reduced fat around L4 L5 nerve. He said he would do a second fusion within the next 2 months but this time from the front. I have been told by a private doctor (for claim) that this will not ease my pain as they cannot access L4 L5 S1 nerves from front. Have been on the sick since Jan 09, cannot walk a single step without pain, house bound, very depressed and feel that life is not worth going on as I am a burden to my family. I also have narcolepsy so any analgesics completely knock me out so I don’t take them. Have not and will not answer my telephone so completely isolated. Please don't tell me to "pull myself together" I just can't. I spend 24/7 on sofa or bed. I didn't even go for my pre op checks yesterday. Surgery scheduled for end of May. I was prescribed antidepressants Jan 09, I'm so low I can't even be bothered to see my GP. Please can anyone help? This is the first time I've expressed myself and I think its only because it doesn’t take much effort to sit on laptop. I don't want to give up - but I fear I already have. Oh I'm 47 female.
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littleonefb
replied on May 8th, 2009
Extremely eHealthy
I'm so sorry that you are in so much pain and feeling the way you are feeling.

Are you taking your anti depressants? I'm sure they can help you, but it does take time to build up a level that will help you.

If you are taking them and they are not helping you, you really do need to talk with your doctor.

You also really need to express your feelings to your family.
I know it is hard to do, I've been there myself, and it is important. Your family is hurting as well, and they are feeling terrible that they can't help you and relieve your pain.

Just talking to your family can make all the difference in the world. When they understand how you feel, it makes it easier to deal with.

As for your surgery. If you have had a second opinion that says the surgery will not help your pain, because of the way the doctor is doing the surgery, then you really shouldn't have the surgery done that way.

You should get a third opinion first as to what is the best way to do surgery and access your nerves.

You have 2 different opinions as to what way the surgery should be done and info about the nerves.

One may be correct, but you don't know which one is. You need another opinion as to which way to go.

Please try and get a third opinion before having the surgery. There is no reason to have surgery again if it is not going to help you.

Please get to see your GP and let him/her know how you are feeling. Take a family member with you or a friend.

Good luck

Fran
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Lydia32
replied on May 8th, 2009
Experienced User
I agree with Fran. If the doctor doesn't think that surgery will help, you may do more harm to yourself than good. I know doing nothing seems like the worst thing in the world, but maybe there are other treatments out there. I know it doesn't sound like it would be very effective, but have you tried physical therapy to get some movement back? Living with pain for so long can make you tighten your muscles to the point that your back muscles are completely stiff. Also, I know it sounds like bs, especially for such a severe problem, but some people swear by acupuncture and say that it even helps the body heal itself. It wouldn't hurt to look into it, right?

I agree that getting a third opinion (as a kind of tie-breaker) would probably be a good thing, if it is possible (I know that getting approval can be difficult in the U.K. at times).

As for feeling like a burden to your family, I seriously doubt that is the way they feel. They love you and just want you to get better. They don't want to lose you.

Have you felt any difference since you started the anti-depressants? If not, maybe a different type or dosage would be good.

No one is telling you that you don't have the right to be depressed or that you should just get over it. That's ridiculous. But it doesn't mean that you *have* to feel this way. There is help out there. Maybe just having someone to talk to outside of your family, so you don't feel like you are over-burdening them, would help. A counselor, a doctor, a support group, I think any of those would help. A support group would also help you feel much less isolated. Even if you just join a chronic pain forum on the internet. You will see that you aren't alone.

I wish you the best. Just don't give up.
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sandz47
replied on May 9th, 2009
New User
can't thank you enough
I can't tell you what it meant to get two responses to my problem - it really means so much to know other people understand - thank you. I attended my first pain clinic today - only took 14 months! The nurse was so lovely; I went in bright and breezy (act) hobbling on my stick. When she asked about mood, I cracked and admitted that it was crap at the moment. Spent the next 30 mins sobbing, this is just not me, I am usually so happy and love life. I actually work in psychiatry, yea, I know all about low mood but its difficult to take your own medicine! Nurse today wanted me to see someone; problem is I know everyone working in psychiatry in my area and it is a 'grapevine'. I'm not embarrassed about being depressed, that would be hypercritical, but I just don't want my friends (most work in psychiatry) to know as I don't want the fuss - I can't be bothered. Leaving the house today was second time in 3 weeks. I think I could live with the pain but I just wish I could get my legs to do what they should!!! Have re-booked my pre-ops (didn't attend last apt as too low) its for 19th May and I hope to discuss with surgeon then (but he is a little arrogant!) I really really really do not want this surgery, but I can' put my family through this any longer - Oh, my partner of 15 years left me on Monday (again), so I am truly alone. Thank God for my daughter and pets (son is a waste of bloody time). I truly am not this miserable git that I am now, I just want to love life again and get back to work. Once again big thanks for your time, I really appreciate it - you have no idea how much x
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littleonefb
replied on May 10th, 2009
Extremely eHealthy
sandz47,

Glad to respond. glad to hear that you got out of the house and talked to someone in the pain clinic. That is good.

But, I'm concerned for you and this surgery.

It doesn't sound like you should go ahead with it without getting another opinion.
You have to opinions that are very different. One of them is no doubt correct, the question is which one?

Going ahead with surgery now and not knowing which is the correct answer is a really bad idea, especially if it isn't going to help your pain or provide info on the nerves.

Please consider another opinion before going ahead with this surgery.

Fran
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