Yes, I had referred lower back pain as well. Actually, it was more very high upper buttock/lower back pain.
I also was shocked when he said I had so much compression and tissue on the nerve on the left side. I have only had this for 5 months so I was very hopeful mine would be a piece of cake to go in and clear up. Guess not but he said he was very hopeful about the ultimate outcome on the left side. The right side wasn't nearly as bad and that explains why it felt better both before and after the surgery.
By the way, his NP was off today so I haven't had a chance to ask what the sharp pains were this morning. As the day has gone on, they have disappeared but I am still sore. I'm also surprised about how much soreness there is between the incision and the hip joint. I can't tell if I still need the hip joint injections to clear up bursitis or if this is part of the surgery pain. I'm going to wait a while before pursuing any more treatment because I have a funny feeling that the whole area in the buttocks is just very angry right now and it will take some time for everything to chill down.
Donna, you said you were on multiple nerve medicines and tried to cut back too quickly. I've been on hydrocodene, Ultram and ibuprofen since the surgery. I hate the hydrocodene(I don't like the fogginess) and so I've just cut it out. That was one of the questions for Sheila. Is the hydrocodene for anything other than just pain? In other words, if I just stop using it, am I screwing up something else? Do you know about this medicine.
Take care,
David
I also have a question about the payments to Dr. Filler. Do they let you make installments to him over the course of time? How exactly does their payment plan work. Money is the single biggest hurdle for me to get over there. I have to do something, I can't be like this much longer. :(
BTW, I'm a nurse and Hydrocodone is a pain reliever with tylenol in it. It's used only for pain relief and really doesn't have any "healing" properties in it. The tylenol is added because it seems to enhance the effect of the opiod. Ultram is a pain reliever too but it is in the class of "non opiod anaglesics" and it has been touted to be less addictive. But, defiantly check with Dr. Filler's nurse about dropping it out of your regime.
Please let me know about the payment plan. I really need to go out there and consult with him. My only other surgical option is SI joint fusion but I fear that this will not relieve my burning searing butt pain...which is the pain that cripples me the most.
Take gentle care,
Julie
One more thing: how is your back pain since surgery?
Julie
After feeling so well I started running a 100 fever and the incision site has turned red and hot. I called my doctor her and she started me on anti-biotic. Fever was up to 101.4 this afternoon so I went to see a local surgeon. He withdrew 20cc of fluid and will culture it to see what's going on.
My hospital stay was less than the 24 hours. We just need to call them and find out what's going on with the really high bill. Our insurance so far has negotiated for some of it to be reduced and they've paid all but $2500...which they should pay after we do a bit more arguing with them. We haven't talked with the hospital about making payments, so I don't know the answer on that. We still have a long way to go to get all the payments settled. I agree though that being pain free is worth whatever price!
Meds...after surgery I was not taking nerve meds, just pain med. I took Darvocet after surgery so I don't know about hydocodene. Sheila told me that I could wean off the Darvocet as I was ready. I didn't like living in a fog either so I tried to get off of it as soon as I could, which probably was faster than I should've.
Donna
1. Yes, also had pain in leg and foot as well as back prior to surgery. Since surgery, foot pain is totally gone. Leg pain is gone in right leg and has turned from pain to minor pressure in the left leg. Back pain was gone but has returned a bit the last two days. However, I think is occurring more due to the fact that I have been sleeping on my stomach and try no to change positions at night. Thus, I'm stiff when I wake up. I have always had to work on my back. I have not done any of my typical exercises since surgery so I'm sure this is a contributor as well.
2. Dr. Filler and flexible - we owed quite a bit after the injection therapy. I simply asked them if we could pay $X per month and they said yes. They also have mentioned courtesy write-offs and discounts in the past but they typically apply these to people who can demonstrate hardship and for those who have exhausted all efforts with their insurance carrier. I have not a write-off as I would not feel right about it in our case. I still might pursue a discount but I need to go through my insurance appeal process first.
HOWEVER, if I truly had a financial hardship, I would not hesitate. Bottom line: They want to help people get well. They are not philanthropic by any means but I sense a very real fairness and flexibility.
I can not speak to the hospital charges as I have not seen these yet. However, from prior experience with loved ones who have had large medical bills, most providers will work with you. At least that has been my experience.
Donna, very sorry to hear about the infection. Thanks so much for replying when I KNOW you don't feel well. I'm guessing the anti-biotics will have you up and going again quickly.
Thanks very much for hydrocodene answer. I have been nauseous the last couple of days and so I went back to reduced hydrocodene and dropped the Tramadol. With regard to addictiveness, I hate this stuff and I wince everytime I have to take it so I wonder if this attitude might help to ward off any addictive potential.
My hips really are sore. I still can't figure out if I have a bursititis that needs to be dealt with or if this is part of the surgery procedure recovery. The pain is between the GT joint and the incision so it's very hard to tell. Dr. Filler's NP gave me a script for bursa injections prior to surgery and she said I could do before or after. Dr. Filler said that the surgery can sometimes eliminate the bursa issue so I decided to wait. Maybe I shouldn't have but I really don't want to get injections right after a surgery. Enough already. However, I may not have a choice if this continues.
Couple of questions to the group:
1. Is hydro-codene or Tramadol a common nausea culprit?
2. Is there anything I should do to counter the nausea if these are causing it?
3. Donna, I still have my wound strips on but they are starting to become frayed and worn. My wife wanted to know when these should be removed? When did you remove yours?
I hope I answered the pending questions. PLEASE let me know if I'm still missing any.
David
Hydrocodone almost always makes me nauseous. I keep some candied ginger around the house for when that happens. You can find it at any all natural section of a supermarket. Make sure you only nibble on it at first, since it's a little spicy and some folks don't appreciate the taste. But it works to curb my nausea, so it might work for you.
I wish you a healthy further recovery.
Donna, I hope you feel better soon too.
Take care all,
Kayti
This is an answer to David's question about Hydrocodone & nausea. Yes, drugs are a common cause of nausea. Has anyone told you to take the drug WITH food. Something with fat like cheese or peanuts. The food buffers the impact on the stomach.
That should work for the Hydrocodone. I don't know about Tramadol.
If you want to taper off the drugs, I encourage you to wean off the Tramsdol first! Don't just stop taking it or the Hydrocodone because you could easily have withdrawal symptoms & you don't need that.
I hope your improvement continues. Mary
Personal opinion here - I wouldn't take Tramadol. It is on WorstPills.org list of "Do not take"pills because it is no more effective than similar drugs, and it is addictive and cause seizures. Additionally, you should not be taking it if you are taking an anti-depressant as the combination can lead to Serotonin Syndrome
Nausea is a WITHDRAWAL symptom. You need to TAPER OFF BOTH DRUGS slowly! You complained that the hydrocodone made you foggy. But the ultram enhanced the effect of the drug. That is why I suggest you gradually get off the Ultram first. That along will give you less fog.
After you are off the Ultram, gradually lengthen the time between hydrocodone doses, then reduce amount of dose, etc as a way to get off it.
Getting off these drugs is easy enough to do BUT only if you know how to do it & don't abruptly discontinue one or both drugs.
"If you have been taking this medicine regularly for several weeks or more, do not suddenly stop using it without first checking with your doctor . Your doctor may want you to reduce gradually the amount you are taking before stopping completely, in order to lessen the chance of withdrawal side effects.....
After you stop using this medicine, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using and how long you used it. During this period of time check with your doctor if you notice any of the following side effects:
Body aches; diarrhea; fast heartbeat; fever, runny nose, or sneezing; gooseflesh; increased sweating; increased yawning; loss of appetite; nausea or vomiting; nervousness, restlessness, or irritability; shivering or trembling; stomach cramps; trouble in sleeping; unusually large pupils of eyes; weakness."
I wish doctors gave better instructions on how to discontinue these drugs. Don't you already have enough problems? Good luck, Mary
Here is more detail.
I took Ultra sparingly for about 3-4 weeks prior to surgery. After surgery(Tuesday last), they gave me hydrocodene. I took this for about a week with an occasional Tramedol to try and avoid using so much hydrocodene.
I then stopped hydrocodene for about 2 days and took Tramedol for the same reasons. When I became nauseous, I dropped the Tramedol because I suspected it might be a culprit.
I am now taking hydrocodene. I've backed off to 1 tablet per 4 hours. Still too much but when I backed off further, the pain became too intense. Yes, I now know to drink some milk before taking the med and I've drastically improved/eliminated the nausea today.
I HATE DRUGS!!!!!
However, I don't like pain either and my wife told me that it is the pain med that will allow my body to use more energy for healing and not fighting the pain.
Oh well, that's my saga. I have zero experience with this stuff so I appreciate your input very much.
It is very common for people, especially men, to want to be tough & stop taking the painkillers as soon as possible. But it is better to take the more powerful drug in the early part of the pain cycle. That will prevent the pain from escalating & becoming even harder to treat with the drugs you have. So don't cut back too soon - make it gradual & you won't be so miserable. Haven't you been miserable long enough?
I know you hate drugs, but used appropriately, you can have the best of both worlds - faster healing and less pain.
By the way, I hope you are taking plenty of Magnesium citrate or Milk of Magnesia with LOTS of water to counter the constipation. Best wishes, Mary
Thanks very much for your comments Mary. I think I've got this straightened out and, LOL, I threw the Tramadol away.
Had a pretty pain free weekend. I'm not well(recovered) yet but I'm feeling stronger, the nerve pain is minimal and I'm slowly but surely feeling better. The two sided procedure is hard to bounce back from but not horrible.
What seems to be bothering me the most are my darn GT joints. I'm going to have my 2 week conference call with Sheila(Dr. Filler's very capable NP) and this issue needs to be addressed. I don't know if this discomfort is independent or not from the procedure but I feel like I'd doing somersaults if it wasn't for my hips. In an odd way, I hope she says that it is an expected part of the surgical recovery process because I REALLY don't want to have to go to someone and have them inject my GT bursas. I've had enough of doctors, needles and medicines but I'll cowboy up and get it done if Dr. Filler thinks it might help.
I don't know about the rest of you, but I will never look at chronic pain issues again in the same way that I did previously. I always had empathy for the people and their stories but from here forward I suspect that such stories will literally tear my heart out for people that have on-going pain. Until you've been through it, you just thought you understood.
Oh well, this is getting "editorially" in nature. Sorry. I'll continue to keep you folks up to date.
Donna, what did the cultures indicate?
Can I suggest, regarding payment issues, that you just call Dr. Filler's office? Remember that they don't open until 9:00 am on the Pacific Coast. I went back through my documentation and they do offer a more formal payment plan option. I am acquainted with much of their office staff but not completely sure of their specific responsibilities so I can't really offer a specific name. However, call and the front desk will get you going in the right direction.
Again, I have found them to be very nice and, oh my goodness in my case, very patient people. I've bugged them so much that I'm guessing they are forming prayer and support groups to ensure that I get well and out of their hair.
David
I have had a hard time getting past the woman who answers the phone for Dr. Filler. Basically, how I took it was that yes, there is a payment plan but you won't know anything about it until you get there. I know that when/if I get there I won't have the 2K to put down for the diagnostics, but I would be able to make payments on it.
I'm off this morning to get diagnostic injections into my SI joints. I doubt that it's gonna touch the burning searing butt pain, but once can be hopeful, right? Based on my response to these injections my fiance and I will decide on whether or not a trip to Dr. Filler is the way to go.
Wish me luck.
Donna, how are you??
--Julie
It has been confirmed that I have a staph infection at the surgical site, so I'm taking an antibiotic for that. It is draining a lot, so the doctor here in town wants to "see" if there might be any fluid in side! I'm not so sure I want to waste my time with him again, but on the other hand I'm not so sure I want to do a 2 hour trip to where my PM doctor is. She will probably have a surgeon open up the wound and clean it out. YUCK!
Other than that, I'm feeling fine. The fever and flu feel went away right after I started taking the antibiotic so that was a big help.
2 month up date: I've felt a bit more pain this week, but its been pretty generalized and I think its more related to the infection than recovery. Other than that I really feel like I'm almost back to normal. I'm really ready to get started on a full rehabilitation and exercise program. Up to this point, neither Sheila nor Dr. Filler have given any hints about what that looks like, even though I've asked. Sheila did say that it would be 3 months after surgery before I could begin an exercise program. My quality of life is without question better than before surgery and I'm doing things that 3 months ago I wouldn't have considered.
Hope your injections give you a bit of relief Julie. I'll be praying for you.
And hope the rest of you experience a low enough pain day that you can enjoy the Christmas season.
Donna
Not a stellar couple of days.
Actually came down with a stomach bug, at least I think a stomach bug. Spent an entire evening draped of the porcelain God, went without pain meds for hours and hours and woke up the next morning feeling like someone took a baseball bat to me.
Dr. Filler's NP called in a stomach settling med(MORE DRUGS, ARRRG) and spent yesterday basically lying in bed. As the day went on, I felt better but just wiped out.
Also, and most disconcertingly, the nerve pain in my left leg exceeded even pre-surgery discomfort last night just before bed time. That is scary. Feels better this morning so maybe it was just a function of the prior day's events.
Waiting to have my 2 week conference call with Dr. Filler's NP where I have many questions, most of which will be of interest to those of you who might need this same procedure. I'll be more specific later but they have to do with med dosage at 2 weeks, bandaging, application of heat and ice, exercise, etc..
Hope all are doing well.