Facet block injection

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JENN54

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Hi:

This is my first posting. MY chronic pain started two years ago when I injured my left upper arm called the humerous. After having surgery I was still experiencing pain and the xray's showed no improvement. So I had a second surgery when it was it was discovered that I had a surgical infection at which time they were supposed to do a hip graft and the fuse the bone. The hip graft was done first before they did the surgery on the arm and found the infection. So they could not do the fusion and had to remove the original rod they placed. I was still in continued pain and was starting to have back problems. An xray was done and an MRI recommended. The MRI showed degenerative disc diseace and forimal stnosis. I was referred to a pain management doctor for a steriod injection. This did not help.I was then advised to have a third surgery. The third surgery was done again with a hip graft. The pain has persisted and I started seeing the pain management doctor on a regular basis. Previously I was taking lortab. I told him that the lortabe was not handling the pain for both my back and my arm. He put me on Dilaudid. That worked a littled better but then it stopped working as well, he added an LA med called Opana ER. I was still working but it was very diffcult. At least I had very good insurance that covered the medication. I stopped working for a while to see if I could get better by staying home for awhile. I was able to get help from my aunt financially. I went back to work but I lost my job a couple of weeks ago. I worked in public accounting and the hours were just so difficult to do plus I had to take a train everyday for 40 minutes each way into the city. My pain management doctor has been great. He believes my pain levels. He believes in rotating medications if something is not working. He put me on MS Contin 3 times a day and Norco for breakthrough pain, after I said the dilaudid and Opana ER was not working. I had a facet block injection last week and was totally nurab in my right leg. I could barely walk for two days. Since that time I have weakness in my legs and can barely walk for two blocks without having weekness and and cramps in my lower calves. I had the sedation. Luckily my exhusband agreed to pick me up and drive me home. He had to carry me to my condo. I am still having pain in my arm daily where the surgery took place. It is also hard to sit in one position for too long. I have not gone back to the orthopedic doctor since Deceraber. First it was hard to leave work a lot starting a new job since I have to see the PM doctor monthly and the commute would be so long as he is in the suburbs and I do not like to drive that far while taking medication. I only drive a few blocks to the grocery store. So I usually take a cab or if my daughter can drive me she will if my appointment is at 8:00. I have not seen any improvement in the back pain since the facet block injection and now the medication does not seem to being working well anymore. I don't know what to do. I feel too week to be looking for a new job. I was making a very good salary and now I just filed for unemployment. At least with the new Cobra. My policy is only 35%. The other problem is that the insurance company only pays for 35% of the medication if not ordered through the mail by Medco. I use Medco for my Hormone Repacement Therapy and the Xanax I am on for anxiety. I don't know if Medco will work for narcatic medication. being sent through the mail. The medication costs over 200.00 month and also goes against the out-of network deductible of $4,500. I will have to pay for the injection out of pocket because that went totally against the in-network deductible. I have been feeling so anxious since I lost my job and can barely sleep. I feel lucky if I can get five hours. I know this is a long post. I just feel as I don't know what to do next. My anxiety level is so high and the stress is adding to the pain. I read somewhere on these boarRAB that stress can make pain worse. To make matters worse my mother broke her hip and has been in the hospital. I feel so bad that I cannot come to see her as I do not want drive that far. My daugher drove me to the hospital yesterday. I feel bad for my aunt as she has to handle everything herself and go to the hospital. She is 83 and it is amazing she is able to do as much as she does. I am starting to also feel very depressed. I never hardly any cried before but now I start to cry everyday every few hours. The weather is finally getting nice out. I has been a terrible winter here in the Chicago area. I just feel I need some support. I haveread so many of the posts here on the back boarRAB and the pain management board. People are so supportive. I feel so weak and depressed and in pain. I don't know what to do about looking for work I barely had the energy to fill out the unemployment form online. I also have lost my appetite and do not have the energy to fix something. The bills are piling up . I don't know how I will manage to keep my condo and make the car payments for a car I rarely use anymore. I am not sure if I should ask to change my medication again.I just feel so stressed out. I used to be such an outgoing person befor the first surgery. I had so much energy and I always slept a solid 7-8 hours. I feel as if everything has been taken away from me. Thanks for listening and any advice would be great as how to cope with all of this.
 
I do not have any medical advise to give you - i can only offer my support and encouragement. Remeraber to take things day by day or hour by hour if you need to. Try and find happiness is the small things - the nice day outside or the fun TV show. Maybe little by little get your self outside - I know it may seem impossible but you have to push your self little by little.

The only little medical type advice I might have is to have your Vitamine D levels tested. They are finding a link between depression and low vit D levels. While this will not make your pain go away, it might help with the depression.

Keep talking to people and keep looking forward there is a solution out there you just have to keep looking.

I wish you all the best.
 
Thanks for your encouragement. In the meantime do you think I should take Vitamin D supplements? I feel so bad because prior to all this hapenning I always felt so good. I was never sick except for the occasianal mild cold and I had so much energy. I really miss the life I had before. That adRAB to the depression which makes the pain seem worse. You are right I have to take it day by day and have to start eating better to get some strength back.
 
Hi: I have been trying to take your advice and you are so right. I just need to take it day by day. Yesterday the weather was perfect so I took a walk for about three blocks. Then I went to see a new Ortho doctor for a second opinion on my arm/ shoulder pain. I actually drove for the first time in about a month and that made me feel a little better. The doctor was very nice and ordered a complete blood work up, which I have always been asking about from my former Ortho docter but he kept saying it would not show anything. At least I felt that this doctor beleived me when I said I have had continuous pain in my upper arm for over a year now since my last surgery. I felt my former Ortho did not believe me. I have been focusing very hard on eating better to try and regain some strength. I will continue walking each day a little bit longer every day as I heard walking can be theraputic and strengthens the muscles in the leg. I am still having trouble sleeping and when I go see my pain management doctor next week I will ask for a higher dose of Elavil which he put me on several months ago but then it stopped working. I tried natural sleep aiRAB but that did not work either. I know that sleep is very important, so I will work on that next. As far as the back pain each day is different. If I do feel a little bit better and over do it with some light housework or erranRAB then I pay for it the next couple of days. Thanks again for your encouragement.
 
Good for you! It sounRAB like there are some improvements - keep it up - it sounRAB like you are doing a great job. Regarding the Vit D - go to a good health food store and get a quality product and ask about the dosage.
 
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