re: Shadow's stooging and poking around leads...en>frfr>en By ShadowLunaCat Comments: 7678, member since Sun Sep 12, 2004
On Fri Sep 10, 2010 11:45 PM
Edited by ShadowLunaCat (106208) on 2010-09-11 00:18:22 Mum's weaning off of Prednisone.. possibilities when a spinal fusion WITH PEDICAL CAGE is also present.
Edited by ShadowLunaCat (106208) on 2010-09-11 00:25:55 more, see bottom...
I typically taper if a patient has taken the medication for more than 3 days. The main reason for a gradual taper is that patients may develop symptoms of steroid (prednisone) withdrawal. These symptoms include:
"The article states: "Prednisone may cause dose-related side effects, which will subside as your dosage is reduced. If any of the following symptoms occur, report them to your health care provider.
- High blood pressure
- Increased appetite, which may result in weight gain. Prednisone alters brain chemicals which can increase hunger and fluid retention.
- "Steroid-induced diabetes" may result from high doses of prednisone, which may or may not require treatment. Or, if you currently have diabetes, you may have to adjust your medication dosage to control your blood sugar.
- Vision changes, cataracts or glaucoma
- Skin changes including acne, easy bruising, thinning of the skin, stretch marks, and increased sensitivity to the sun.
- Excess hair growth on the face, back, arms, and legs
- Increased swelling of the face, hands, or ankles
- Mouth sores
- Stomach irritation or ulcers
- Mood swings and depression
- Joint pain and muscle weakness
- Increased risk of infection
- Increased risk of developing osteoporosis""
"Hi,
I went off Prednisone in March myself and my dr took me off for good in April, There are some side effects to this, body achs and yes headaches. I feel worse now than I did while taking it, except for the humpback and huge face and upper body. My face and back have gone down almost to normal.
Good luck and hope all works out for you."
"I weaned off pred earlier this year. I finally asked the question "why take meds if I'm in remission?". Well, I couldn't tell if I was in remission with the meds so...OK, I'm drifting off topic here.
I felt worse for a while after I weaned off....headaches, body aches, and shortness of breath. I feel much better now that the 'withdrawl' symptoms have passed. Nice to be free of pred...even nicer to have lost some of the weight!"
"You can have adrenal insufficiency if you've been on pred for any length of time. It may take awhile for your adrenal glands to come on line again. Until they do, you can go into shock when lowering the pred dose since your body is reliant on it. I was even advised to wear a medical bracelet during this time. My doctor did an ACTH challenge to see if my adrenals had come back on line before just pulling me off pred. I was also switched to Cortef instead of prednisone, to keep my blood pressure up. It had fewer side effects. An endocrinologist handled this.
I hope this caution is helpful."
"You may also consider going to a good health food store and buying some supplements for your adrenal glands. I forget what brand it was my doc suggested, stupid brain fog!"
for me, second lumbar surgery.. I'm so scared!
HOW are they going to get in BETWEEN the cage and the rods to buff that area of bone which is impacting the nerve root?
Are they going to have to take it out?
ANOTHER eight -- ten hours in the OR?
Probably another MRI. probably Pain guy wants to do the other set of injections, which did NOTHING.
"Spinal fusion eliminates motion between vertebrae. It also prevents the stretching of nerves and surrounding ligaments and muscles. It is an option when motion is the source of pain, such as movement that occurs in a part of the spine that is arthritic. The theory is if the painful vertebrae do not move, they should not hurt.
If you have leg pain in addition to back pain, your surgeon may also perform a decompression (laminectomy). This procedure involves removing bone and diseased tissues that can put pressure on spinal nerves.
Fusion will take away some spinal flexibility, but most spinal fusions involve only small segments of the spine and do not limit motion very much.
To help you understand the main terms and abbreviations regarding spinal fusion, a glossary has been developed: Spinal Fusion Glossary"
"Your surgeon may approach your spine from the front. This is an anterior approach and requires an incision in the lower abdomen. (See related article "Anterior Lumbar Interbody Fusion.") -- what Dr. Ped did.
A posterior approach is done from your back. Or your surgeon may approach your spine from the side, called a lateral approach. (See related articles "Posterolateral Lumbar Fusion" and "Posterior Lumbar Interbody Fusion and Transforminal Interbody Fusion.")
Minimally invasive techniques have also been developed. These allow fusions to be performed with smaller incisions.
The right procedure for you will depend on the nature and location of your disease."
Complications
I'm an idiot! here it is:
"Recurring symptoms. Some patients may experience a recurrence of their original symptoms."
"Warning Signs
It is important that you carefully follow any instructions from your doctor relating to warning signs of blood clots and infection. These complications are most likely to occur during the first few weeks after surgery.
Warning signs of possible blood clots include the following:
* Swelling in the calf, ankle or foot
* Tenderness or redness, which may extend above or below the knee
* Pain in the calf
Occasionally, a blood clot will travel through the blood stream and may settle in your lungs. If this happens, you may experience a sudden chest pain and shortness of breath or cough. If you experience any of these symptoms, you should notify your doctor immediately. If you cannot reach your doctor, someone should take you to the hospital emergency room or call 911. Infection following spine surgery occurs very rarely. Warning signs of infection include:
* Redness, tenderness, and swelling around the wound edges
* Drainage from the wound
* Pain or tenderness (Y)
* Shaking chills (y)
* Elevated temperature, usually above 100°F if taken with an oral thermometer
If any of these symptoms occur, you should contact your doctor or go to the nearest emergency room immediately."
Doctor waited for fusion to be hardened.
I didn't heal properly. Hence pain is still persistent, also, pain was delayed, due to LibMut being a bunch fo excrement heads.
"Rehabilitation
The fusion process takes time. It may be several months before the bone is solid, although your comfort level will often improve much faster. During this healing time, the fused spine must be kept in proper alignment. You will be taught how to move properly, reposition, sit, stand, and walk. (but NOT if PT is delayed for almost a year!)
Your symptoms will gradually improve. So will your activity level. Right after your operation, your doctor may recommend only light activity, like walking. As you regain strength, you will be able to slowly increase your activity level.
Maintaining a healthy lifestyle and following your doctor's instructions will greatly increase your chances for a successful outcome.
Top of page
New Research
Recent research has focused on developing new bone graft materials that may act as safe and effective substitutes for a patient's own tissue.
In addition, total disk replacements and other motion-sparing techniques have recently been proposed as alternatives to spinal fusion for the treatment of low back and leg symptoms."
re: Shadow's stooging and poking around leads...en>frfr>en By ShadowLunaCat Comments: 7678, member since Sun Sep 12, 2004
On Sat Sep 11, 2010 02:16 AM
Edited by ShadowLunaCat (106208) on 2010-09-11 03:11:50 more ideas for second or post surgery.. take hardware OUT????
Will they have to go UNDER the cadaver bone?
and/or take the cage OUT?
jack up pedical cage
or, cortisone shot into Lumbar 4 and 5.
instead of right hip.
take out rods... pedical screws...still, graft might need to be replaced...
remove.. by drilling???? Pedlow said he had to use his next hardest bone saw on me....???
"Best back exercises after spinal fusion surgery and rod removal?
I had spinal fusion surgery and after three years had the rods taken out. My muscles are weak from not being used and I have pain often. What are some good, gentle exercises to help revive my muscles?...
answer:
Susan is right. Exercises after rod removal is not simple and should not be done without supervision. Initially, static stabilization exercises are done followed by dynamic stabilization exercises. Low impact cardio workout is also included. Please consult your surgeon and see a physical therapist. Good luck.
Source(s):
I am an orthopedic physical therapist with a CSCS."
"What treatment/procedure is best after 3 back surgeries-including fusion to relieve pain?
I've had all regular tests and treatments. I'm on heavy doses of pain medication through a pain clinic. I've had laminectomy, micro-diskectomy and fusion and hardware removal. I'm wondering if anyone has experience in this that has suggestions. Thanks ...
[hopefully I won't need a third one... oh, no... ]
response 1:
I just had my 2nd surgery have found that hot baths in a jet tub help along with walking and good posture is a must don't slump it adds presure to your spine good luck
response 2:
do not get adicted to painkillers
response 3:
I swear by hot rocks massage and acupuncture.
response 4:
Ask your doctor about a cortizone shot in that area. My husband said it helped his back.
response 5:
Are you getting an physical therapy?
response 6: ****????
Some light, restorative yoga poses can really help. Meditating during the poses will increase the effects.
The attached links show a few poses that have provided relief for my lower back pain.
In addition, I also like laying on the floor on my back, with my knees up, and my calves resting on a chair. It really flattens the spine out along the floor in a gentle way.
hmmm.. sound similar:
"I had a cervical discectomy with fusion and began having severe electrical like pain in my low back after surgery. I've had back pain ever since then, several years now. After a recent MRI now I have severely bulging disks in the lumbar area and have been told it's common to have another part of the spine go bad after surgery on another area of the spine. Anyone ever had this happen to them also? This is a work comp injury and they are denying the surgery I need for my low back and stating it's not related to the neck injury and surgery I've already had. Who else has had this happen to them? Please let me know. Thanks!
* 2 years ago
Additional Details
I had low back pain with left leg numbness before my surgery. Because it wasn't the primary area of concern or was it the worst pain, there wasn't much focus on it. The low back pain before surgery was an achy deep burning pain. After the surgery it became a sudden sharp electrical pain. Since then the pain has changed back and forth to the point I never know how it will affect me each day, which kind of pain I will have. Because work comp will only treat the part of your body they think is related to the injury, the only part of my spine they did the MRI on was the cervical area. It wasn't until after the surgery and several months later that the ortho doc ordered the lumbar MRI and that's when they found all the bulging discs and pinched nerve. A recent MRI of the same area shows it's gotten much worse and now with retrolisthesis. They refuse to settle my case but also refuse to treat my low back. I developed post traumatic fibromyalgia after cervical surgery too. Any suggestions?"
answer:
"I'm not a neurosurgeon, but it's not uncommon to suffer back pain and associated disc problems after a fusion, because you are not able to use your spine the way it was designed to be used, so additional stress gets placed on other parts of the spine to compensate for the lack of movement in the fused region.
What is a little unusual is that you state that you started having these symptoms immediately after your surgery, where the most common thing is that these additional problems develop over time.
Did you have a complete spinal MRI prior to the surgery? If so, then this should show if you had any existing lumbar abnormality prior to surgery.
I can't say if this is related to your original injury, but taking all your scans (post and prior to surgery) should be enough to give a base line for any further degeneration.
If in doubt, ask for a second opinion to a good neurosurgeon in your area."
So, why didn't Pedlow....???
answers.yahoo.com . . .
Why does my Neck hurt after Back Surgery (Fusion)?
I have pain in my neck and I had two fusions done 5 days ago....what would cause this pain in my neck?
answer:
A spinal fusion is a very serious surgery, let alone two spinal fusions. Your neck is probably sore because of the trauma to the rest of your spine.
It could also be sore because of the limited movement, and new sleeping arrangements, that you have had to make to accommodate your back. Remember get lots of rest and take the medication that your doctor prescribed.
You can also try placing a rolled up towel behind your neck or getting a cervical neck pillow, to help take some of the pressure and stress off of your neck.
Here are a couple of good pillows to use for neck pain;
I'm facing spinal fusion surgery with pedical screws at the L4-L5 and am wondering if you can feel the metal after recovery? For example, when lying on the floor to do pelvic tilt exercises, can you feel the metal pressing on bone?
yup.
"Anon_41252 posted:
I HAD BACK FUSION OVER 2 YEARS AGO . HAVING SAME PAIN. PAIN HAS GOTTEN WORSE. DOCTOR SAID HE HAS DONE ALL HE CAN DO . HAS ANY ONE ELSE BEEN THROUGH SIMILAR SITUATIONS. PAIN HAS TAKEN OVER MY LIFE SOME DAYS I CANT GET OUT OF BED OR I GET OUT OF BED TO DO WHAT I NEED TO DO THEN I"M BACK IN BED FOR A FEW MORE HOURS. I HAVE A HUSBAND AND CHILDREN WHO NEED ME . I WANT MY LIFE BACK. "
-- Initial.
"
avatar
3 months ago
CrazyLadyKoz responded:
I know exactly what you mean. I was promised months ago that because they couldn't do anything with my L5 S1 natural fusion and calcification there was nothing they could do. They told me to go to Pain management where they stuck a needle in my back three times over the period of 6wks. I got no relief so the Pain Management Dr told me there was nothing else they could do for me. Still waiting for pain relief. Cant stand for more than 10 minutes without stabbing pain. Has been that way for 1yr4mo. Want my life back too. Next they are trying acupuncture. "
Yup... having the injections.
another:
"I've been through everything but the surgery. Nothing has helped me. I also have horrible pains in my sides. They've checked me for female problems and there are none. Now they say that there are a bundle of nerves there that are hard to diagnose unless you have a CT scan so that is next on my list because they continue to come more often and create more pain in the back. But I was told that after surgery and that doesn't help that you qualify to have something put in your back that buzzes to redirect the signal of pain to the brain (I think the constant vibration in my leg would drive me crazy} but they also have a pack that they insert in your back that drips a constant supply of pain medicine, usually morphine. You might check into that. I'm just so afraid of someone cutting into my back when you hear of so many surgeries that aren't successful. Good luck in your search. I understand you pain. It's gets to be debilatating.
"
avatar
3 months ago
chrisakaf responded:
It's a long and winding road. But one that has to be fallowed. My first surgery was in 1988. I have had a total of six (!!) so far. Tomorrow morning I am having a spinal stimulator inserted. Pain is a constant companion and one that doesn't take vacations. Find a good pm and work with them. You being a wife and mother doesn't help the situation as you probably have thoughts of failure on your part. Your husband must understand what pain is and believe that it is there. I find hot baths in a tub big enough to actually float in helps a lot. Same with a nice recliner (with vibrator and heat). Cold never worked for me, it brings on muscle spasms that produce more pain. Depending upon the age of your kids let them help you. I have a son with downs that helps me a lot. When I need assistance he is always right there to help me out. As he has had lots of surgery himself he understands what pain is as well. One thing that took me a long time to realize was to get on a pain site so that you can talk to others that have had similar issues. Its nice to know that you are not alone in this. A good church family would also help. Good luck and keep us informed. "
"
avatar
3 months ago
tahoe4us replied to chrisakaf's response:
Hi!
Gosh i have been down the same road it sounds like, i work two heavy lifting jobs hurt back 4 yrs ago still looking for better jobs!, I have L3, L4 and L5 Disc's that are bone on bone sitting on my "Cluneal nerve" my heat sock helps me so much! i have a 12 yr old and an 18 yr old, my husband has no clue about pain Lucky 4 him huh!
what pain sites are you talking about just to talk? that would be awesome, i hope you have a Beautiful day! it's windy here in Lake Tahoe! Take Good Care i hope and pray the Spinal stimulator helps you so you can enjoy Life Thanks so much! Take good care now, Lisa~ "
"
avatar
2 months ago
Lily1939 replied to JMCRIOS's response:
Thanks JMC. When I left the doctor the other day it was on a "I'll let you know when I decide" basis. And I'm thinking I'm just going to put up with the pain. My neuroligist said to me a couple years ago, "Don't let then cut on your back." That's probably the best advice I'll ever get. Yesterday I saw my family doctor and he was checking my reflexes. I have none on my right heel which is controled by the nerve from L5 S1 where I have the problem really bad. So the nerve could already be so damaged that surgery wouldn't help anyway. I have essential tremor in my right hand. Don't know what you have but I took Remeron for something else and it stopped my tremor. The only problem was it put weight on me so I stopped it but might have to start again since it's getting really bad. I realize you might have something else but something like that is always good to know. "
"
avatar
2 months ago
asanga08 responded:
karipain cream and gel very organic no chemical -use everyday 3 times a day-result will be soon.Just take a time and will persistent in treatment use stretching for your low back by inversion table. "
????????
Not as bad as I am, but pretty close:
"MissUnderstood01 responded:
Hi Anon
I had a disc replacement and a fusion in my lower back. The first surgery was in 05 the second in 07. I hate to say it but the pain is worse. It's even caused me to have depression and worst of all, if I don;t manage the pain, I have panic attacks. Without pain meds, I'd be balled up on the floor not being able to move. My ortho surgeon said he has done all he can do and now I just see a pain management doctor. Finding the right balance of meds is very difficult. There are nerve stimulators and last resort morphine pumps. After 9 years of pain, I'm still taking meds by mouth. I wish I had better news for you but most people that have our kind of pain end up having to deal with it and our lives are drastically changed. If I learn of any new treatments, I'll be sure to share it with you but until then, talking to people who are going thru what you are is somewhat comforting. Good luck "
"Pain After Back Fusion - Please help
by Chinamat, Apr 06, 2010 10:07AM
I had a L4-S1 fusion in Jan 09, I had spondylolisthesis - forward slippage of the vertebrae
Am considering Botox -- injection.. but ElAbd did that!
to relax the muscle, Has anyone else experienced these systems after their fusion ? If so how did you get rid of it "
YES!
"Hi
Been to my consultant and he just says go to pain management, A big cop out as far as i'm concerned, Have asked to see another consultant for a second opinion, Just waiting now for the appointment, Pain management has been ok but as of yet not got to the root of the problem, Hence my next step with them is a course of Botox injections booked for the 30th April, Will keep you posted : ) "
www.topix.net . . .
Spinal fusion 6months post op. Pressure feeling in lower back
"This is my first posting here, and just wondering if you can help. I had a fusion L4 L5 L5 S1 in May. I have this awful unbearable pressure/knot feeling in my lower back. It is unbearable some days and I just have to lye down after a few hours up most days with it. I am wondering if anyone can help, I have spoken to my neuro about it and he doesnt know what is causing it. "
answer 1:
Iwould get a second opinion from a orthopedic docter, I have had seven back surgeries and I had a not so great of an experience with my neuro surgeon,so I got a second opinion from a couple doctors and I went with a orthopedic doctor,He help explain what was wrong and then corrected the problems.
answer 2:
The pressure feelings you are having are normal. It is caused by the hardware (pedicle screws and rods) putting pressure on the muscles. Give it a year for the bony fusion to solidify and if you can still feel the pressure requst to have the hardware removed.
I had my hardware removed in August 07 and feel tremendously better.
We have a forum here on topix for spinal fusion complications. Lost of interesting points of views to read and glean wisdom.
[they took the screws OUT? but did she have cage compression?)
more: www.topix.com . . .
Answer 3: GOOD *******
"I have had 2 back surgeries, the second was with fusion and cage. I have burning down the front of both legs and continued pressure in the buttocks with numbness in the rt great toe. can any body tell me what happening adn why it continues now a year later? "
yeah.. similar.
"The burning pain is your nerves, coming back to life. I had similar pain (and still do sometimes, I had a L4/5 and L5/S1 fusion w cage 6mths ago), but mine was horrible burning sensation coming out of my foot. This has subsided significantly over time. I only get it very occasionally. They say it takes 1 yr for fusion and 2 years for full stability/healing to happen, so give it some time. I also have numbness in my right toe...No idea, but I'm assuming it's due to some nerve damage.
Overall, compared to the pain I had before this is 0, more than happy I had the fusion done. Hope it all works out for you! "
she said, 'The burning pain is your nerves, coming back to life.' -- well, THAT's a relief! it STILL HURTS LIKE HELL, THOUGH!
response after advice:
"thank you sooomuch for your response. I too have burning in my feet both of them, on the very bottom. I thought I was crazy. the pressur in my buttocks is some times unbearable. I recently had a CT, and MRI the surgeons think everything looks fine but I know what my body feels. I agree in the long run this pain is better then the pain I suffered before surgery. I have requested to start aqua therapy I hear it helps. Again thank you."
-- research aqua therapy and mcKenzies.
hmmmm:
"I had L5-S1 spinal fusion in fall of 07 and have had pain ever since. Recently I started having pain in my right buttock and thigh and numbness down to my toes. I went back to my spine surgeon and the x-ray showed that 1 of my screws has broken and have to redo the surgery. Does anyone out there have the same issues? "
hmmmmm:
"I had the same fusion July 09 recent xray show possible loose screw and am waiting for ct scan to confirm??!! am so confused sharp knife like pains above my buttock area, all my hard work getting fit with physio and the gym over the last 6 months has been put on hold!! the bone graft will have set now i dont no what they will do?? "
"I'm also a T-12, w/ i dunno how long of a titanium rod. I think from my t11-my L1/2, not sure, but anyhow. I'm generally more sore from my back in the mornings when i wake up, which surprisingly to me is easier to manage than to have severe back pain through the night, which just subsided not too awful long ago. I currently take no drugs other than ibuprofen/tylenol for my pain. HOWEVER....i'm not quite sure what kind of pains it is exactly that YOU'RE talking about, BUT i was in such severe leg pain and spasms for a year and a half until one night. I touched my bfs feet w/ mine and he jumped nearly out of his skin saying that my feet were ice cold! Well, of course they are ice cold, honestly they always were, even before SCI. Anyways, he broke out w/ these really thick wool socks of his that come up to my knees to get them warm. Well, w/in about 15 minutes ALL of my pain went away and took my spasms w/ it. I CAN'T BELIEVE ALL THE PAIN I WAS IN ALL THAT TIME, AND ALL THE PILLS I TOOK TO MAKE IT GO AWAY, WHEN ALL I HAD TO DO WAS JUST PUT ON SOME DAMN SOCKS!!! What a waste of time in sooooooooooooooooo much pain. Ridiculous if you ask me....anyways..just thought i would mention that. I'm terribly sorry you're going through pain. My back is hurting a lot these days too, but i'm a tough cookie, so i'm baring w/ it hoping nothing serious is wrong. But my spasms and legs/feet don't ache anymore and keep me up all night. I sleep ALL NIGHT LONG!!!"
wish I was now.
Ohh, DON'T scare me! www.imedix.com . . .
after 1 failed surgery.do i have another?????please help any one had l5s1 fusion??? advise needed badly
"IN OCT 08,WITHOUT ANY PRIOR BACK ISSUES MY L5S1 DISK MASSIVLY HERNIATION,LEAVING THE NERVE ROOT BLOCKED.2 MONTHS LATR I FINALLY HAD SURGERY,FROM THE START I DIDNT FEEL COMFORTABLE WITH THE SURGEON BUT DIDNT HAVE A CHOICE.3 WEEKS POST OP,I BENT DOWN AND KNEW SOMTHNG WAS WRONG,YET I WAS TOLD NOT TO WORRY EVEN THOUGH THE PAIN WAS WORSE THAN BEFOR,MY REG DOC DIDNT MESS AROUND AND ORDERD ANOTHER MRI,4 MTHS LATR THE SURGEON SAYS HE WANTS TO REPEAT SURGERY.AND I HAD DIGENERATIVE,DISK,DISEASE AND WOULD END UP NEEDING A FUSION.I GOT A 2ND OPINION AND FOUND OUT IT ISNT UNCOMMOM FOR BACK SURGURY NOT TO WORK,HIS OPINION WAS A FUSION,NOW I DONT KNOW WHAT TO DO,,IT SEEMS TO BE SO FINAL.MY DOC,SAYS HE RECOMMENDS ME NOT DOING IT YET,HAVING A FIRST BACK SURGERY IS A HARD DECISION LET ALONE A 2ND ONE,THERES THE SCAR TISSUE ,AND IN HIS HISTORY THE MORE U GO IN THE MORE PROBLEMS IT CAN CAUSE AND I CAN HAVE THE SURGERY ANYTIME.FROM WHAT IVE READ, A FUSION ISNT A "FIX"EITHER THERE IS NOTHING TO MAKE EVERYTHING LIKE IT WAS BEFOR..ANY ONE BEEN THROUGH THIS I WOULD LOVE TO HEAR THE OUTCOME THANK YUOU"
yick. this is downright scary, both the writing, and the spelling and the netspeak.
"Hi,
I guess I start getting the picture.
2 comments. A hernaited disc as such does not "guarantie", if I may put it like that, the presence of LBP (lower back pain). While myofascial problems almost invariably do so.
There are also considerations of severly imbalanced and plain weak muscular "corset" which unavoidably "delegates" its responsibilities "down the chain of command" to ligaments and/or tendons WHILE being in a severe [muscular] spasm.
This effectively cuts off all the supply of two key components to the spinal segment (mainly "disc" and "nerve root")- WATER and OXYGEN.
This kinda renders the above-mentioned pump mechanism non-functional and largely useless.
If this lasts for years (usually) in absence of ANY serious kinesiotherapy treatment aimed at correction of muscular development, strengthening and reinstating TROPHIC functions to the spinal segment I can assure You NO surgery would improve the status quo in the LB. As for degenerative disc disease. Being anatomically an avascular structure the disc DOES rely on the muscular pump to supply the above nutrients and basically gets DRIED out through the years of abuse.(I repeat myself on different forums so many times that it makes me think of writing an ebook on the subject ))
For that same reason the presence of disc BULGING!!!? would not be significantly compressing your sciatic. While serious trophic irregularities will almost ensure the above picture.
It gets trickier with fractures (what kind of fracture is that? location, location, location? is spondylolisthesis present, to what degree?). Get me the info so that I might consider the answer to the burning question "what exactly should I do to rid my wonderful self forever of this condition""
!!!!!!
"Kevin:
I also had spinal fusion surgery last March (l3,l4,l5,s1) It was my 5 surgery and I have had 5 since due to infection. I was told a couple days ago that I have to have the hardware taken out. I feel the same way you do. The tingling, numbness, pain, ect is worse than it was before the fusion. I am petrified as I have been told that there is a [b]bettter than not chance I will be 100% disabled after this next surgery. I don't know what to do. I can't have surgery every month to cut out infection but at the same time I can't be disabled either.
I feel your pain man. I understand as noone else (without this problem) would. Good luck to you."
RE: Vicodin -- I HAD to ask! **winces in embarrassment**:
"Dear Everybody,
I can't say that I have a specific spot in my back that I can say is causing all my pain. It's more like the muscles in my thoracic region down to my lower back have spasmed to the point that I can't even sleep unless I ice it down before bed-and even then the spasms will return within 2-3 hours and wake me up. I am taking some Vicodin but these pain pills are numbing me out to he point that I can't think and reason very well on my high tech job. Please someone help me!-Paul "
and
"Kim,
The Vicodins are opiate receptor drugs and can cause sleeplessness in 15% of all vicodin users. You probably fall into this category. Please slow down on the pain pills. You could have a rough 4 or 5 day withdrawal from taking them.-Paul "
From Dmitri.. who seems to know what he's doing...
"Hi, that makes perfect sense! Let me explain. You seem accidentally to have stumbled upon the ONLY resonable relief - namely ANTI-INFLAMMATORY treatment. Incidentally it improves microcirculation quite a bit too - and that is a vast vascular bed responsible for tissue breathing.
Tumor, rubor, dolor, calor et functio laesa are CLASSIC signs of inflammation - swelling,redness, PAIN, HEAT, impaired function.
Frankly my eyes pop up when I read about hot wraps for the treatment of your kind of pain...."
she said it, I didn't
"Most of the time my legs are the problem why I can't sleep, there is a constant pain that goes all the way down to my calf that keeps me awake. Since the fall months I have been using a heating pad, and get a little relief from that if I am laying down with my legs up and the heating pad under my back. My doctor tells me now that I am laying on it too much and my lower back looks like a road map from the electric heating pad, but once I stop laying on the pad it will go away in time. I haven't taken any pain pills in I would say 10 days, but I am constantly on the Fentenal patch. Yesterday when I got out of the shower I forgot to put my patch on, and about 6 hours later, I could barely move an inch or walk the pain was so bad. Thanks to you too Dmitri for all the help! Any suggestions I will try because I can't picture living in the much pain the rest of my life. "
oh, which docs?? Rand or Plainville?
brief gear change:
!! Relevant to Nancy:
im having problems with presure in my back between my shoulder blades. it doesnt hurt just pressure like someone is in there pushing out...it happens when i try to take a deep breathe, I had a chest x ray 9 months ago when it all started,they said it was stress..i feel pressure in my chest like something is pushing against my lungs.pain in my right side, ive had my gallbladder checked and they said it was fine..ive been on acid reflex and stress medicine. nothing helps...i feel out of breathe but not short of breathe...can anyone tell me whats going on?
re: Shadow's stooging and poking around leads...en>frfr>en By ShadowLunaCat Comments: 7678, member since Sun Sep 12, 2004
On Sat Sep 11, 2010 03:58 AM
.. and we CERTAINLY loathe that which we are.. as it will fail to serve us in the years to come.. but in the most menial of positions.. and those which are sneered at.
"sorry, last thread hijack:
If you REALLY must know Broca's area was injured from concussion from fall as toddler. I was out.. for about fifteen minutes. I fell down our basement stairs.. landed on cement floor. Couldn't see for about ten minutes afterwards. Saw all these flashes...???
Wernicke's area damaged in second concussion when I got slammed with croquet ball.
Neuro says dyslexia, perceptual handicap all present -- both by reading, and by comprehension.
I've had both vision and speech problems.
Anything else?
You want I should submit my eeg reports?
Maybe you could also provide input on my course of action for my second back surgery:
1) should I have the Doc leave the hardware in?
2) HOW is he going to work on me, with pedicle cage and cadaver bone? He'll probably have to either saw or drill them out.
I don't know WHAT they're going to do.. I'm just nervous and anxious as heck.
Maybe I WILL be winding up in that wheelchair.
so, from all that WHY would I care whether Mods can add to locked posts or not?"
"If you have an emergency outside of regular office hours or on a weekend, we can be reached through our answering service by dialing and following the prompts as they apply."
American Academy of Physical Medicine and Rehabilitation
National Osteoporosis Foundation
Educational Resources
The following websites provide educational information and diagrams for a variety of spine conditions and treatments. Please note, however, that they are sponsored by private companies and may represet those interests.
"Degenerative Disc Disease
You have chosen to learn more about Degenerative Disc Disease.
In between each pair of vertebra in the spinal column is a disc which acts like a shock absorber.
These discs change with age and may degenerate due to wear and tear, smoking, or genetics. The gradual deterioration and narrowing of the disc is called degenerative disc disease.
As the disc weakens, it starts to collapse and the bones of the spine compress. Degenerative disc disease can affect any level of the spine and cause local pain in the neck, mid- or lower back.
Degenerative disc disease may start to affect people in their 20s and 30s, and the pain can come and go over the years. It is fairly common: some level of disc degeneration is considered a normal finding in people older than 60 years of age."
"Spondylolisthesis
You have chosen to learn more about spondylolisthesis.
Sometimes a vertebra can develop a defect, like a crack, on both sides of the bony ring of the spinal column. When that happens, the bone is weakened and cannot maintain its proper position. The defective vertebra can slip forward relative to the vertebra below it and cause a condition called spondylolisthesis.
In adults, the damaged vertebra typically does not slide completely off the vertebra below it. Teenagers, however, can develop a type of spondylolisthesis where that can happen.
When the vertebra slides forward, it can squeeze or pinch the nerve and lead to low back pain, muscle spasms, weakness, and tightened hamstrings. The forward slip can also make the spinal canal smaller, leaving less room for the nerve roots.
Pressure on the nerve can cause pain or numbness that radiates down to the foot. Some people also experience weakness in the muscles supplied by the nerve.
In addition to rest, your doctor may recommend physical therapy or anti-inflammatory medication to reduce the pain.
If these treatments don’t work or if your condition is severe enough, you may need a type of surgery that frees up (or decompresses) the nerves and restores the slipped vertebrae to its natural position. Another option is spinal fusion which joins two or more vertebrae together to provide stability to the spine. "
"Lumbar Spinal Stenosis
You have chosen to learn more about lumbar spinal stenosis.
Spinal stenosis is the loss of space inside the spinal canal. It can occur anywhere in the spine but is most common in the lumbar spine, or the lower back.
Degeneration, or normal age-related wear and tear on the parts of the spine, can result in bulging discs, bone spurs, thickened spinal ligaments, and enlarged joints near the spinal canal. These changes take up space inside the canal, and the resulting narrowed space puts pressure on the spinal nerves which causes irritation and inflammation.
People usually do not begin experiencing age-related symptoms from stenosis until later in life. However, it can occur in younger people who were born with abnormally small spinal canals.
The symptoms of spinal stenosis are caused by a squeezing of the nerve root. These symptoms occur most often in the legs, with people experiencing heaviness, weakness, and pain while walking or during prolonged periods of standing.
Standing or walking makes the symptoms worse due to pressure and stretching of the irritated nerves. When you take a rest, the symptoms often disappear because you’ve taken the pressure off the nerve roots.
In many cases, mild pain medications and rest will relieve the pain of stenosis. Physical therapy or steroid injections are other possible treatment options.
If your symptoms become severe, the doctor may recommend a surgical procedure to free up, or decompress, the nerves. Two or more vertebrae may also be fused together, or connected, to stop motion at the painful area."
COMPOSITION:
Each tablet contains:
Paracetamol 97,19 mg
Sodium Salicylate 48,59 mg
Powdered Extract of Buchu 32,40 mg
Aloin 0,65 mg
PHARMACOLOGICAL CLASSIFICATION:
A 2.7 Anti-pyretic or anti-pyretic and anti-inflammatory analgesics.
PHARMACOLOGICAL ACTION:
Analgesic
INDICATIONS:
Treatment of pains in the back, stiff or aching muscles, pains around the joints, lumbago and similar discomforts. Aches and pains in the back and around the joints may be due to sluggish action of the body's filtering organs, or to overwork, worry, nervous tension, mental or physical fatigue. Whatever the cause, the pain endured by sufferers is liable to bring on depression and a feeling of jaded discomfort. The first step to recovery must be to get rid of the pain and allow the body's s system to return to normal healthy activity. Free yourself of those aches and pains and life takes on a brighter look. This is exactly what DOAN'S BACKACHE PILLS are designed to do - to soothe away the pain and to give ease and comfort and sustained relief.
Ability to bend and stoop again:
DOAN'S BACKACHE PILLS relieve the aches and pains and that helpless feeling of stiffness, so that the system can be restored to full health. DOAN'S BACKACHE PILLS contain no harmful drugs, they are kind to the stomach and are easily absorbed. A glow of profound relief is felt as the pain and stiffness ease away and freedom to move returns once more. Think of the joy of being able to bend, stoop move freely again. Take DOAN'S BACKACHE PILLS with confidence and look forward to day; and nights of normal restful comfort.
CONTRA-INDICATIONS:
Caution should be observed in patients with impaired renal or liver function
WARNINGS:
Do not use continuously for more than 10 days without consulting your doctor.
DOSAGE AND DIRECTIONS FOR USE:
Adults may take two pills (severe cases three pills) after each of the three principal meals of the day, and at bedtime; that is four doses a day in all. Drink water, milk or tea with every dose, as this helps to speed the absorption of the pills into the system to take full effect. If the pills cannot be taken whole, cut or crush them into pieces and swallow with a drink. See that the bowels act regularly.
NOTE:
These pills are not suitable for children.
Always take DOAN'S BACKACHE PILLS according to the directions, and do not exceed the recommended dosage. You will probably feel relief quite soon, but if discomfort continues then your doctor should be consulted. It is not advisable to take a medicine for prolonged periods. The best plan is to take DOAN'S BACKACHE PILLS for a short time and then return to them later if the trouble recurs.
DOAN'S BACKACHE PILLS are recommended for easing muscular rheumatism, lumbago or fibrositis. Take them as directed above.
SIDE-EFFECTS AND SPECIAL PRECAUTIONS:
Side-effects are rare and mild though hypersensitive persons may experience skin rashes.
KNOWN SYMPTOMS OF OVERDOSAGE AND PARTICULARS OF ITS TREATMENT:
In severe toxicity the stomach should be emptied by aspiration and lavage and a saline purgative such as Sodium Sulphate (30 g in 250 mL water) should be given to promote peristalsis.
IDENTIFICATION:
Brownish-grey coated tablets.
PRESENTATION:
Packs of 18, 48 and 100 tablets.
STORAGE INSTRUCTIONS:
Store below 25°C and protect from light and moisture.
KEEP OUT OF REACH OF CHILDREN.
REFERENCE NUMBER:
B957 (Act 101/1965)
NAME AND BUSINESS ADDRESS OF APPLICANT:
Mentholatum South Africa (Pty) Ltd
80 Bonza Bay Road
BEACON BAY
5205
DATE OF PUBLICATION OF THIS PACKAGE INSERT:
December 1975
"
WebMD.. seems to be more solid on this.. and talks about side effects. www.webmd.com . . .
"Doans Pills Oral Side Effects
Upset stomach or nausea may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor immediately if any of these unlikely but serious side effects occur: stomach pain, heartburn, swelling of ankles/feet/hands, sudden/unexplained weight gain, hearing changes (e.g., ringing in the ears, decreased hearing).
Stop taking magnesium salicylate and tell your doctor immediately if any of these rare but very serious side effects occur: fast/pounding heartbeat, change in the amount of urine, easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), dark urine, yellowing eyes/skin, unusual/extreme tiredness, severe stomach/abdominal pain, persistent nausea/vomiting.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice any other side effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088."
With overuse or injury, cartilage on the end of the joints can break down, causing a narrowing of the joint space and the bones to rub together. Painful bony growths, or spurs, may form. This can lead to inflammation, swelling, stiffness, and possibly osteoarthritis, the most common type of arthritis. Another type of arthritis is rheumatoid arthritis, an autoimmune disease characterized by extreme inflammation."
2.
"Healthy Weight for Healthy Joints
Joints hurting? Lose just a few pounds and you'll take some strain off your hips, knees, neck, and back. Extra pounds add to the load placed on these joints, increasing the risk of cartilage breakdown. People with excess body fat may also have higher levels of substances that cause inflammation. Even a little weight loss can help. Every pound you lose takes four pounds of pressure off your knees."
3.
"Don't Stretch Before Exercise
Experts now say that stretching before exercise actually causes muscles to tighten, increasing the risk of muscle pulls. Overstretched joints are more susceptible to injury, especially for people with arthritis. Instead, try sport-specific exercise -- like slowly kicking before swimming. This warms up not only the muscles, but also loosens up the joints, ligaments, and tendons around them."
4.
"Low-Impact Exercise for Joints
What exercise is good? To protect your joints, your best choices are low-impact options like bicycling and swimming. That's because high-impact, pounding, and jarring exercise can increase your risk of joint injuries and may slowly cause cartilage damage. Light weight-lifting exercises are another option. But if you already have arthritis, first speak with your doctor."
5.
"Strengthen Muscles Around Joints
Stronger muscles around joints mean less stress on those joints. Research shows that having weak thigh muscles increases your risk of knee osteoarthritis, for example. Even small increases in muscle strength can reduce that risk. Avoid rapid and repetitive motions of affected joints."
6.
"Full Range of Motion is Key
Move joints through their full range of motion to reduce stiffness and keep them flexible. Range of motion refers to the normal extent joints can be moved in certain directions. If you have arthritis, your doctor or physical therapist can recommend daily range-of-motion exercises."
7.
"Strengthen Your Core
How can strong abs help protect joints? Stronger abs and back muscles help with balance. The more balanced you are, the less likely you are to damage your joints with falls or other injuries. So include core (abdominal) strengthening exercises in your routine."
8.
"Know Your Joints' Limits
It's normal to have some aching muscles after exercising. But if your pain lasts longer than 48 hours, you may have overstressed your joints. Don't exercise so hard next time. Working through the pain may lead to injury or damage."
9.
"Eat Fish to Reduce Inflammation
If you have joint pain from rheumatoid arthritis (RA), eat more fish. Fatty coldwater fish like salmon and mackerel are good sources of omega-3 fatty acids. Omega-3s may help keep your joints healthy, as well as reduce inflammation, a cause of joint pain and tenderness in people with RA. Don't like fish? Try fish oil capsules instead."
10.
"Drink Milk to Keep Bones Strong
Calcium and vitamin D help keep bones strong. Strong bones can keep you on your feet, and prevent falls that can damage joints. Dairy products and green, leafy vegetables like broccoli and kale are good sources of calcium. If you don't get enough calcium in your diet, ask your doctor about supplements."
11.
"Protect Joints With Good Posture
Stand and sit up straight. Good posture protects your joints all the way from your neck down to your knees. One easy way to improve posture is by walking. The faster you walk, the harder your muscles work to keep you upright. Swimming can also improve posture."
12.
"Be Careful Lifting and Carrying
Consider your joints when lifting and carrying. Carry bags on your arms instead of with your hands to let your bigger muscles and joints support the weight."
13.
"Use Ice for Joint Pain
Ice is a natural -- and free -- pain reliever. It numbs pain and helps relieve swelling. If you have a sore joint, apply a cold pack or ice wrapped in a towel. Leave it on for up to 20 minutes at a time. Don't have ice or a cold pack? Try a bag of frozen vegetables wrapped in a towel. Never apply ice directly to the skin."
except when heat feels better.
14.
"Glucosamine for Knee OA
Glucosamine is a natural chemical compound found in healthy joint cartilage. Some studies have shown glucosamine -- combined with chondroitin -- may provide some relief for moderate to severe pain caused by knee OA. Yet the results of other studies have been mixed."
15.
"Other Supplements for Joint Pain?
Health food stores are filled with supplements promising to relieve joint pain. Although some people have found relief with methylsulfonylmethane (MSM) for OA pain, its safety and effectiveness hasn't been determined. Others have tried Sam-E, ginger, or flaxseed. Many supplements used to treat OA pain and inflammation are not proven to be effective. Talk to your doctor if you want to give supplements a try."
16.
"Treat Joint Injuries
Physical trauma can contribute to cartilage breakdown and OA. If you injure a joint, see your doctor right away for treatment. Then take steps to avoid more damage. You may need to avoid activities that overstress the joint or use a brace to stabilize it."
17.
"More Reading on Healthy Joints
* Nine Ways to Protect Your Joints
* All About Joint Pain
* Save Your Knees: 6 Things to Avoid
* How Weather Affects Health, Including Your Joints
* Newsletter: Healthy Bones, Arthritis, and More"
and, natch, they want you to buy their "joint juice." Oh sheesh!
Here at the Mandalay Café you will find dishes from all over the land of Myanmar (Burma). Burma occupies the territory in between India and China in Southeast Asia, and you may notice similarities between Burmese food and that of neighboring countries. You will also notice that Burmese cooking retains a unique identity all its own.
Burmese dishes encompass a full range of flavors and ingredients, including vegetarian and vegan options. Burmese cooking also offers a full range of spiciness from no heat up to as hot as you like. At every level of spiciness you will enjoy a meal full of flavor and texture.
Please take a look at our menu by choosing an area of interest!
5 North Beacon Street
Allston, MA 02134-1901
(617) 783-1372
Tram: Allston St - Outbound
Get directions - Is this accurate?
Open Daily 12pm-10pm www.google.com . . .
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