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Hello, and how are you?

I just had Dynamic Stabilization (w/ Fusion) at L4-5 & S5-1. I am doing horribly, and I have 2 small kids at home. My dr was NOT pleased that I am not yet driving. I can barely walk, much less DRIVE in this pain. I am also supposed to start PT on the 10th! My gosh.

Happy new year, and I hope you're feeling some better. I am now 7 weeks post-op.
Hi ladies,

You really can't compare yourself to others as there is no way to compare your "issues" to another person's, even if you have had the same surgical procedure. You can't judge how much a nerve was compressed prior to the surgery, for example, how hard the surgeon had to tug on it to free it, etc.

Also, keep in mind that just because someone with an identical sounding surgery is up doing things at 4 weeks, she may live to regret that decision. A friend of mine was doing amazingly well after a L4-L5 fusion -- she owns her own business and felt so well that she went back to the office the following week. It ultimately turned out to be a big mistake, as she was back on the operating table at about 11 weeks.

So please devote all your emotional energy to healing. Do not worry about anyone other than yourself. The important thing is that you recover and heal. Try to maintain a positive attitude. I know it isn't easy, but it really does help your healing. :angel:
Hello!

Yes, I will be 8 wks this Friday. Everyone said day-to-day would be better, but I'm not even seeing much progress week-to-week. I'm hoping I will be feeling better as it warms up maybe in about 10 wks (south, here!). My daughter's bday is in March, and she's telling everyone I will be better by then.

I think, from when I signed the papers, my formal title was 'Laminectomy & Fusion using Dynamic Fixation & Local Bone.' It was at L4-5,5-S1. Ouch! My husband has no idea what to do - we have 2 small kids, and the nurse had called a couple of days before the operation to say I could handle the 25lb kid (kicking, screaming, and all) at 4wks. So, of course we jumped right in. Of course, that has turned out to be pure insanity! So, w/ your Dynamic Fixation, you got a fusion there, too? I understand how the rods and screws are different than others' - they are flexible. I don't understand, though, how my 'work' stays flexible after the bones fuse. The nurse said on the phone yesterday that are bones won't grow over the flexible rods? Where, then?? Also, he stated that if this didn't work, down the road, I could replace it w/ ADR. But how, if a fusion is there, I wonder?

I thought I was getting 2 ProDiscs there .WC had in fact approved them, but he at the last minute stated this would be better. SO....I had not researched this at all!

7 wks - I'm still not driving, still in pain pretty comparable to coming home from the hospital. Stiff! He gave me muscle relaxers (3/day!) but those knock me right out. Also, I still take 2 Percocets (10s) every 4 hours.

Oh, this has to stop. This is not a surgery for a mom w/ young kids. I don't know how this happened to me. I was so miserable before the surgery - I kept saying it couldn't get worse. This is worse. It has to get better!!!!! I will see about PT next week.

Did you start your PT up yet? What medications do you have to take? I still have my original pain (worse!) plus surgical pain ---- if my dr says it's just muscles one more time (it's not!!), I will die!

I'll be watching to make sure you're getting better!









[
[QUOTE=Zinnias;3371944]Hello!

Yes, I will be 8 wks this Friday. Everyone said day-to-day would be better, but I'm not even seeing much progress week-to-week. I'm hoping I will be feeling better as it warms up maybe in about 10 wks (south, here!). My daughter's bday is in March, and she's telling everyone I will be better by then.

I think, from when I signed the papers, my formal title was 'Laminectomy & Fusion using Dynamic Fixation & Local Bone.' It was at L4-5,5-S1. Ouch! My husband has no idea what to do - we have 2 small kids, and the nurse had called a couple of days before the operation to say I could handle the 25lb kid (kicking, screaming, and all) at 4wks. So, of course we jumped right in. Of course, that has turned out to be pure insanity! So, w/ your Dynamic Fixation, you got a fusion there, too? I understand how the rods and screws are different than others' - they are flexible. I don't understand, though, how my 'work' stays flexible after the bones fuse. The nurse said on the phone yesterday that are bones won't grow over the flexible rods? Where, then?? Also, he stated that if this didn't work, down the road, I could replace it w/ ADR. But how, if a fusion is there, I wonder?

I thought I was getting 2 ProDiscs there .WC had in fact approved them, but he at the last minute stated this would be better. SO....I had not researched this at all!

7 wks - I'm still not driving, still in pain pretty comparable to coming home from the hospital. Stiff! He gave me muscle relaxers (3/day!) but those knock me right out. Also, I still take 2 Percocets (10s) every 4 hours.

Oh, this has to stop. This is not a surgery for a mom w/ young kids. I don't know how this happened to me. I was so miserable before the surgery - I kept saying it couldn't get worse. This is worse. It has to get better!!!!! I will see about PT next week.

Did you start your PT up yet? What medications do you have to take? I still have my original pain (worse!) plus surgical pain ---- if my dr says it's just muscles one more time (it's not!!), I will die!

I'll be watching to make sure you're getting better!









[[/QUOTE]
Zinnas,
What happened to your back that you had to have this done? I had a previous laminectomy at 19, which is pretty unheard of now. What my doc did was fused 5 and S1, and he said to maintain some mobility, that he would do the dynamic stabilization on L4 and L5 rather than fuse to make it solid. So there is titanium there, rather than the cage with the BMP. They didn't take my own bone. He did tell me , as I mentioned before, that people that have the dynamic stabilization will have more pain post op. I'm going to my daughters now to walk (very slowly on her treadmill) I know I'm supposed to walk everyday, and I dread it, because I know the pain will be bad the rest of the day! I think as someone said earlier, that it takes a long time. I too, don't have little kids around . I understand completely because constant pain wears on you and it gets very depressing. I'm just hoping to get some improvement. He never promised a complete fix.
Hi, Pamela & Zinnias

I'm curious as to EXACTLY what both of you had done. For instance, in MY case, I had a PLIF at L5/S1 using a cage and rods a few years back. That hardware is now gone and a very stable fusion had taken place within the year.

A year ago this last October I had the dynesis "hardware" placed at L4/5 & L3/4. At 4/5 he placed a cage in place of the disc and some bone from my lamen in hopes of a solid fusion. At L3/4 he left the disc in so THAT would be the true dynesis procedure at that level as the main goal is to still have movement at that level to off-load the disc above (or below in some cases).

Just this past month or so am I feeling that perhaps the surgery was a success. That's 15 months post op. I had a few "ponderings" of my own that I did pose to him pre-op. For instance, if it's not solid metal rods holding the vertebre in place at L4/5, what's going to cause that to actually fuse and what if it doesn't. His reply was that if it didn't the movement would be so small that it wouldn't make any difference anyway.

On an actual dynesis procedure for a herniated disc - what stops the disc from continuing to encroach on nerves if it did pre-op if they leave it in there? Is it supposed to "suck" back into it's space given the room? See, that's the other thing. The info that I read about the proceedure was that it was for spondy I think and not an actual herniation. So, is it contra-indicated in my case? (and maybe both of yours?)

So, you probably ask why, with these questions really not answered to my satisfaction, did I go ahead and have the surgery. Because there really was no other option open to me except a hard fusion. I trust my surgeon - we've been together for about 10 years now and he's incredibly gifted. The hard fusion would have ruined what's left of the discs above in short order and then he'd have to fuse again, and again. Neither of us were ready for that!

All that said, after 15 months or so of some relief (ESI and nerve root blocks) I'm doing pretty good. I do get a sciatic nerve block about every 3 -4 months because I've gotten heavy and the fat in my butt has messed with my sciatic nerve at the pyriformis notch. I'm now working on that, though, with me feeling better. I've lost 11 pounds so far and I am going on long, aerobic walks instead of just short therapeutic walks. Getting active helps get the endorphines going again.

So, be encouraged that there is light and it may take some time. Sorry for the lengthy post, but gosh, it seems so gloomy at times! Oh, you both did bone tests, right? Because where they put the screws for the tubes takes a huge hit.





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