So, 8 weeks ago I had an ALIF (L4-L5-S1) fusion. The hospital stay was short and great. I left the hospital on a regiment of percocet (5/325, 2 every 4 hours), roxi's for like 2 weeks ( forget the dosage, but it it did the trick) Valium (5mg 1-2 every 8 hours for 10 days), and gabapentin, 300mg every 8 hours. Unfortunately, a medication plan or refill plan was never communicated to me. About a week later, the abdominal pain could only be compared to a scene from ALIENS. It ended up be nothing (that they could find), but in the interim they upped my percocet to 10/325 (2 every fours hours). Apparently, this is a lot. I saw the Ortho PA at my 2 week post-op and gave me oxycontin 10mg (1 every 8 hours for a week, then 1 every 12 hours for a week) to work me down off the high level of percocet. Although, again, I was given no target for how much I should be taking. In a phone call a few dos later after calling about a fall down the stairs, the PA said I should just be shooting for less meds...I assumed the original prescription. Every time I called for refills of percocets they gave 6 days worth of 3/325s to to take 2 every 4 hours. I never asked to refill the valium for muscle relaxers because the original script said for 10 days...and again, back to no communication. So, I went back to taking the Robaxin 500mg, 2 every 6 hours that the primary care physician had been prescribing me for months prior to even being indicated for surgery even though it work well at all. Fast forward to my 6-week post-op, the first time I see the surgeon since the surgery, and he tells me that my back is in spasm which impeded recovery and that I should be refilling my valium and continue my percocet for pain. No, we're back to today. My pain levels haven't improved since 4 weeks pos-op, I feel like my recovery has plateaued, in fact, since starting PT this week, my pain has increased. And my spasms have not improved one bit in the last 6 years except when recently taking the valium. I called this morning for another refill since they only give me 6 days worth at a time. When the nurse called back and left a voicemail, she stated that the surgeon was out, but the dosages would likely reduce since it had been six weeks and that a Nurse Pract would call me back later. Well, the next voicemail I get is from the nurse pract stating that my prescription for Robaxin, 750mg 1 every 8 hours is ready to pick up. So,less than my PCM gave me that doesn't work and nothing for pain.
I'm not drug seeking, but I am still hurting. The pre-op pain was at waist level and down both legs to my feet, predominately on my left and usually around an 8 of 10. My current post-op pain is lower, tailbone level, down both legs and predominately on the right and probably an 8 out 10 shooting to 10 out of 10 with any movement.
So, does anyone have similar pain management / mediation story and if so, what did you do and/or your surgeon do about it? I know it's Friday night but I emailed my Surgeon's office asking for an appointment to discuss medication management...I don't know what else to do. I go back to work Monday and so far my conditioning and endurance levels allow me last about 3-5 hours without needing a nap and being in severe pain....
Sorry for the rant....thanks for "listening."
I apologize for any run-on sentences, spelling errors, and/or grammar issues as it 1.00AM here in AK, I'm in pain and trying to ration my meds.
Feeling lost and depressed...