Story of Pain pump at L5 Retrgrade to S1/S2 update 6 MAY 16

Nerve blocks using many techniques, and medications - options discussed in detail
river133
Posts: 260
Joined: Sun Sep 19, 2010 9:29 pm
Location: Melrose. Mn.

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by river133 »

Hurting like crazy. I was in heaven today for about 4 hours. Dr. Schultz gave me bupivicane and fetenal for the trial. I was feeling ok when we left the clinic ,even decided to sit in the front seat on the way home. Didn't last longWe had to stop to go in the back and watch the clouds. . Go back on Fri to continue the trial. They will try different meds I am sure. Then have some relief for a while and come back home to wait for the final to get the hockey puck stuffed in me. .I am just hurting so much right now, gabapentin and tylonal are not helping. I need something stronger. That is another story. My grandaughter is studying to be a CNP.She was there today. Nurse asked if I would like some oxycodone. I said sure! My gd. said no gramma. So i just took a diazapan,a flexoral,gabapentin. Hope I get to sleep soon. Will let you know how Fri.goes. Will get through this. Once it is in for good things will go much better. ;)
Surgery Jan.05 2011 TG with Dr Antalok. Dr.Chambi May of 2012 showed injury from a fall on back, 11 years ago. My piriformis muscle caused a large amount of fibrosis .My sciatic nerve was growing through the piriformis muscle which caused a bifid p.muscle. . Dr Chambi decompressed the sciatic,pudendal,pfcn ,and peroneal nerves. I hope to have a nuerostimulator put in to help with the sciatic pain that never goes away. Most days are better with the pudendal if I do not sit at all.
river133
Posts: 260
Joined: Sun Sep 19, 2010 9:29 pm
Location: Melrose. Mn.

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by river133 »

Omitted to ask about the horrible itching from the bupivicane or fentinal. I remember being somewhat itchy coming down from the oxycodone, but this was my whole body. As the meds wore off so did the itching.
Surgery Jan.05 2011 TG with Dr Antalok. Dr.Chambi May of 2012 showed injury from a fall on back, 11 years ago. My piriformis muscle caused a large amount of fibrosis .My sciatic nerve was growing through the piriformis muscle which caused a bifid p.muscle. . Dr Chambi decompressed the sciatic,pudendal,pfcn ,and peroneal nerves. I hope to have a nuerostimulator put in to help with the sciatic pain that never goes away. Most days are better with the pudendal if I do not sit at all.
janetm2
Posts: 987
Joined: Sun Jun 12, 2011 10:54 pm
Location: Maryland

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by janetm2 »

Ellie,
Ugh with the itchies! Cannot wait to hear you say things are on the upswing! Hang in there.
Janet
2007-08 pelvic muscles spasms treated by EGS. 6/27/10 sat too long on hard chair- spasms, EGS not work Botox help, cortisone shots in coccyx help, still pain, PT found PNE & sent me to Dr Marvel nerve blocks & MRN, TG left surgery 5/9/11. I have chronic bunion pain surgery at age 21. TG gave me back enough sitting to keep my job & join in some social activities. I wish the best to everyone! 2019 luck with orthotics from pedorthist & great PT allowing me to get off oxycodone.
blightcp
Posts: 215
Joined: Wed Sep 05, 2012 6:23 pm

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by blightcp »

OK it has been a while and things are going pretty well, I have had 3 pump dose adjustments so far.

I have had a reduction from 6 oxycodone 15mg to 3 (7.5) a day that is a 75% reduction of the immediate release in 6 weeks.

My instructions are to continue the (3) 30mg mscontin and to not to try to reduce that yet.

I am off of most of the surgical restrictions, and I have to say this is really helping my pain, it is also nice that the bolus is helping too. It is not perfect, but I does take the edge off within 2 min.

I have significant loss of some sensation in my left leg as a direct result of the pump but no motor issues.

The pump still has 10mg of bupivacaine per ml, with a refil interval of 70 days at the moment.
Right now the pump is using 2.8 mg a day and a 0.125mg per bolus.

These number will change at my next appointment, but for now it is working really well.

I still cant sit, and the hypersensitivity is still there but much less pain, and at this point I will take less pain.

Feel free to PM me if you have any questions.

Thanks

Carl
PN by sedentary job and commute
Treated for IlioInguinal pain 2008-10
PT by Dr. Conway's team | 3 PN blocks @ Elliott in Manchester USA
TIR 2010 and TG by Dr. Conway in May of 2012 uncovered nerve damage, declared surgical failure in May of 2014
PT and bed rest continues
Employer refused accommodations in 8/13, now in the disability war.
Sacrial Stimulator 9/14 by Dr. Ross Boston MA
Anesthetic pain pump trial 3/16/15 by Dr. Ross
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Violet M
Posts: 6651
Joined: Mon Sep 06, 2010 6:04 am
Location: United States
Contact:

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by Violet M »

Ellie, I hope the trial turned out to be successful. I would be a little concerned about the itching though and would definitely mention it to the physician.

Glad to hear things are going well for you, Carl. I think your patience in getting the proper adjustments on the medications is paying off.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
stephanies
Posts: 683
Joined: Mon Oct 25, 2010 3:07 am

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by stephanies »

Thanks for the update Blight. Glad to read your pain is less!

Stephanies
PN started 2004 from fall. Surgery with Filler Nov. 2006, Dr. Campbell April 2007. Pain decreased by 85% in 2008 (rectal and sitting pain resolved completely), pain returned in 12/13. Pain reduced significantly beginning around 11/23.
river133
Posts: 260
Joined: Sun Sep 19, 2010 9:29 pm
Location: Melrose. Mn.

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by river133 »

Violet, _what is your concern with the itching. I may be itching for a long time with the pump?
Surgery Jan.05 2011 TG with Dr Antalok. Dr.Chambi May of 2012 showed injury from a fall on back, 11 years ago. My piriformis muscle caused a large amount of fibrosis .My sciatic nerve was growing through the piriformis muscle which caused a bifid p.muscle. . Dr Chambi decompressed the sciatic,pudendal,pfcn ,and peroneal nerves. I hope to have a nuerostimulator put in to help with the sciatic pain that never goes away. Most days are better with the pudendal if I do not sit at all.
river133
Posts: 260
Joined: Sun Sep 19, 2010 9:29 pm
Location: Melrose. Mn.

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by river133 »

The trial was the same meds as the 1st trial. Itchy again. They told me to take benadryl. I get twitchy legs from that . The implant nurse said that one guy had to have his pump removed because he couldn't stand it.She said most time it goes away. Lord,I hope so. I will have the cathater placed in the thorasic, will cover back and leg pain. . They said implan will be end of June or beginning ofnJuly. :( :twisted: :twisted:
Surgery Jan.05 2011 TG with Dr Antalok. Dr.Chambi May of 2012 showed injury from a fall on back, 11 years ago. My piriformis muscle caused a large amount of fibrosis .My sciatic nerve was growing through the piriformis muscle which caused a bifid p.muscle. . Dr Chambi decompressed the sciatic,pudendal,pfcn ,and peroneal nerves. I hope to have a nuerostimulator put in to help with the sciatic pain that never goes away. Most days are better with the pudendal if I do not sit at all.
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ezer
Posts: 689
Joined: Sun Sep 19, 2010 6:53 am

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by ezer »

Good luck with the pain pump river. You deserve a break from this terrible pain.
2002 PN pain started following a fall on a wet marble floor
2004 Headache in the pelvis clinic. Diagnosed with PNE by Drs. Jerome Weiss, Stephen Mann, and Rodney Anderson
2004-2007 PT, Botox, diagnosed with PNE by Dr. Sheldon Jordan
2010 MRN and 3T MRI showing PNE. Diagnosed with PNE by Dr. Aaron Filler. 2 failed PNE surgeries.
2011-2012 Horrific PN pain.
2013 Experimented with various Mind-body modalities
3/2014 Significantly better
11/2014 Cured. No pain whatsoever since
river133
Posts: 260
Joined: Sun Sep 19, 2010 9:29 pm
Location: Melrose. Mn.

Re: Surgery Complete! Pain pump placed at S2 update 4/24/15

Post by river133 »

Ezer, my daughter read all of your story and is totally impressed. I wish I could have had your success. We are all different. I am also amazed that you went through the unsuccessful surgeries, and still found a way to heal yourself.
I have a nerve impingement in L2 or 3. I think, spurs,but the pudendal is the most painful. I will be better,this impingement has decreaced my walking ability. I know I could just go walking and let it hurt. I am just too tired at this point. I was walking an hour a day until 2 years ago. I have hope after reading blightcp. SOON! :D
Surgery Jan.05 2011 TG with Dr Antalok. Dr.Chambi May of 2012 showed injury from a fall on back, 11 years ago. My piriformis muscle caused a large amount of fibrosis .My sciatic nerve was growing through the piriformis muscle which caused a bifid p.muscle. . Dr Chambi decompressed the sciatic,pudendal,pfcn ,and peroneal nerves. I hope to have a nuerostimulator put in to help with the sciatic pain that never goes away. Most days are better with the pudendal if I do not sit at all.
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