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  • aaron151
    Post count: 1

    Thank you Dr. for taking my question.

    I have had a L5-S1 fusion and my orthopedic surgeon, has had to do 2 revisions. I was a career firefighter and had a roof fall in on me so this is a workers comp injury in 2005. I have had constant pain and just had an MRI two days ago. I have beed recieving theraputic injections for the last 4-5 years and have been taking Morphine for the same period.Of course the morphine no longer works and I will not increase it due to the narcotic affect I really think I am not being told the truth about my resuls. Is there anyone who will read my MRI and tell me what is really going on. My physicians I work for are not onboard with the results I was given.

    Thank you

    Donald Corenman, MD, DC
    Post count: 8506

    Sorry to hear of your injury, especially in the line of duty. Your report a fusion of L5-S1 and two revisions. I assume the two revisions were because of pseudoarthrosis- the lack of solid fusion the first time and the second timed around.

    Your apparently have chronic pain as you need injections and narcotic medication. Please let me know if you have chronic back of leg pain or both.

    You have unfortunately found out that narcotics do not work well for chronic pain. The body “adapts” to narcotics and these drugs eventually become less and less effective.

    Chronic pain after surgery can occur because of a previously undiagnosed but possibly surgically fixable disorder or chronic neuropathy/ chronic radiculopathy. These two last disorders have to do with injury to the nerves themselves. An injured pain nerve will continue to send pain signals without a pain stimulus. This is like a short circuit in an electrical wire.

    A new MRI might help to discern what the pain generator is but most likely is just the beginning of the workup. You can call my office at 970 476-1100 and ask for Diana or Sarah if you wish to send your MRI.

    Dr. Corenman

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