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Cervical spinal fusion?

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  • #21
    Originally posted by Laurierace View Post
    I thought I was having the epidural injections on Friday but I was wrong. I had something called a facet block or something along those lines. It wasn't comfortable by any stretch but wasn't awful either. So far it has been absolutely miraculous. I had forgotten what pain free actually felt like. I had my physical therapy today and am starting to have little twinges of pain in that same area. I hope its just muscle soreness and not an indication that the effects are wearing off already.
    I am going back in two weeks to have the epidural done. They said if I am pain free at that time I can just cancel the appointment. One can hope....
    Ah, I wish I had seen this post a few weeks ago. I had 3 epidural steroid injections done in January. In September, I broke my L1 when my gazelle, I mean, horse, jumped a fence in a ridiculous way and I went flying. (I also dislocated my ribs and collarbone, and had severe muscle trauma from my neck to my butt. I also have scoliosis and arthritis in my back, and bulging discs. I'm 27 - a masterpiece. )

    They did my ESIs without anesthesia, without the fancy guided x-ray thing. The first time, they immediately went from the local anesthetic shot (which burned), right to the ESI. I had a huge sympathetic system reaction and came very close to passing out. (I saw the sparkly flashes and started going down.) The next time, I asked for my doc to wait a minute after the local before doing the actual ESI, and she happily obliged. MUCH better! It was a little painful, and I felt very weird after - heavy legs, and then achey legs. She went from L1, to L2, to L3 for each injection, so your effects may vary.

    After each ESI, I was kinda stuck on the couch for at least 3-4 days, then I would slowly get better, until the next one! Since the last one, things are getting better. I mostly had the ESI done because my fracture had so much inflammation that the bone pieces were being held apart and unable to heal. If I lightly touched the spine (I'm kinda thin so it sticks out), the pain was unbearable. Now, I can handle light pressure... which is a world of difference!

    So, the ESIs are scary and weird... but they've been worth it for me. If you feel nauseous or anxious, be sure you tell your doc or RN. It made all the difference to me. PM me if you want to... Best of luck!

    Comment

    • Original Poster

      #22
      Wow thanks for all the great info everyone! I hope you are all getting permanent relief from all this fancy stuff. My neck still feels fine so far, I sure hope it keeps up.
      McDowell Racing Stables

      Home Away From Home

      Comment

      • Original Poster

        #23
        Well that didn't work! I was feeling great since I had the facet blocks. I was scheduled for the epidural tomorrow but we decided to cancel the appointment yesterday since I was feeling so good. I got the ok to try a little riding/jumping last night. I rode for an hour and jumped some very small verticals. Max of about 12 inches. Everything was fine until about 12:30am when I woke up with pain in my neck. I took my pain med (Lortab) and for some reason either it or the pain itself made me throw up. This escalated into a full blown migraine. I tried taking various medications and couldn't keep anything down. Towards the end I was throwing up without taking anything. I went to the ER this morning and they gave me some meds for nausea and pain, topping it off with 4mgs of morphine. I am home now but have to go take the final practical exam for my emt class. That isn't going to be easy considering that I feel like someone let all the air out of me.
        I am not ready to realize that I may never be able to ride again without all hell breaking loose, but it sure does look like that is a possibility. THIS SUCKS!
        McDowell Racing Stables

        Home Away From Home

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        • #24
          It's funny.... I am going through this process now.I have scoliosis w/a rod(thorasic not lumbar). I've had severe hip pain mild lower back pain. The rhumotologist (sp?), after full body xrays/MRI said.You have osteoarthritis sorry nothing I can do for you, see a pain specialist and a neurolsuurgeon. I tried a psyatrist(sp?) years ago, he sent me for accupuncture, helped a little.I could at least sit down.That;s right every time i sit I'm in excruciating pain, even now at the computer.I live my life standing.Hate sleeping too its very painful.
          Anyway, I like hearing the options.I have a feeling we are going the epidural route as that is what the rhum. had mentioned. We'll see what the neurosurgeon says.
          Riding is the only thing that makes my back and hips feel better, I believe because it gets the muscles working and loose. I've tried to start jogging three times this year my hips say no. I'm thinking this summer I'll try a little swim therapy.
          Thanks for the stories it really helped me think about things a bit more.
          The Dude is the Dudiest of Duders.

          Comment


          • #25
            Originally posted by Laurierace View Post
            Well that didn't work! I was feeling great since I had the facet blocks. I was scheduled for the epidural tomorrow but we decided to cancel the appointment yesterday since I was feeling so good. I got the ok to try a little riding/jumping last night. I rode for an hour and jumped some very small verticals. Max of about 12 inches. Everything was fine until about 12:30am when I woke up with pain in my neck. I took my pain med (Lortab) and for some reason either it or the pain itself made me throw up. This escalated into a full blown migraine. I tried taking various medications and couldn't keep anything down. Towards the end I was throwing up without taking anything. I went to the ER this morning and they gave me some meds for nausea and pain, topping it off with 4mgs of morphine. I am home now but have to go take the final practical exam for my emt class. That isn't going to be easy considering that I feel like someone let all the air out of me.
            I am not ready to realize that I may never be able to ride again without all hell breaking loose, but it sure does look like that is a possibility. THIS SUCKS!
            Ugh, that sucks. While our injuries are different, I can understand the frustration. The thing that stood out to me in your post was the riding for an hour -- how long has it been since you last rode, and for how long? If you lost some fitness in your time off, the other muscles that work to absorb shock and keep you upright could have gotten fatigued, putting the strain right up to your neck (the weak link)... In my experience, I had to ride for short periods of time and limit the contact of my ass with the saddle to not feel sick from the pain afterwards. I've been gradually building back, but I still don't ride for more than 45 min straight, and my ass is up alot! If I overdo it, I feel like @#$^. If I don't, I'm OK.

            Please don't give up hope. It sucks.

            That;s right every time i sit I'm in excruciating pain, even now at the computer.I live my life standing.
            Yep, sitting is terrible for me too, but riding is OK, provided I don't absorb shock in my back. The ride out to the barn is the worst part! Good luck to you too!!

            Comment

            • Original Poster

              #26
              Yeah you are probably right that I rode too long. I have been riding about once a week or so but only for about 40 minutes with no jumping. Thanks, that does give me hope.
              McDowell Racing Stables

              Home Away From Home

              Comment


              • #27
                I had a spinal fusion between C6-7 many years ago due to a water-skiing accident that ruptured the disk. The surgery wasn't optional because there was pressure on my nerves and I was losing strength and feeling in my fingers and had severe pain in my elbow.

                I had my surgery 20+ years ago, and that was back when they used bone from your hip to do the fusion (when my Dad had it done about 10 years ago, they used bone from cadavers; I have no idea what they use today). It was an incredibly long recovery and I wore neck braces for almost a year.

                I had bad headaches afterwards and didn't ride for a few years, but I did get back to riding after the headaches eased. They warned me about the increased pressure of the fused vertebrae on the discs below it, but thankfully I've never had a problem with my neck other than muscle pulls. I guess it depends if those discs are weakened.

                I think the technology has greatly imroved since back when I had my surgery; my Dad recovered a lot quicker. Having bone drilled from the hip meant I had to learn to walk on that hip, which made the recovery even harder. I still get a headache from elevators; I have ever since the spinal fusion.

                If you get the surgery, I would be very careful about obeying restrictions during the recovery. The lady that shared my hospital room for a month had several fusions that didn't take properly and they had to cut them out. I'd rather go through it just once.

                I'm currently grounded from riding from a very serious, permanent eye injury, and am doing injections behind my eye. I've done steroid injections, nerve blocks, and the next one will be an alcohol block to kill the nerves. Ever since my eye injury, I've kept Phenergen on hand (helps nausea); I couldn't live without it as I take a lot of pain medicine for my eye. I really can sympathize with the migraine because I get many of them; I couldn't live without Phenergen when the nausea hits.

                Good luck; I hope you recover and get back to riding. If I could recover enough just to show in-hand again I'd be happy; riding again would be icing on the cake.

                Comment


                • #28
                  Too early to give up!

                  Laurierace - you are no where near giving upon riding! So far all they have tried with you is one little facet block and, as I mentioned, that typically provides only transient relief. It seemed to have a great effect for you, so perhaps it just wore off around right around the time you stressed things a bit more with the extra riding. Also, remember there are still the epidurals - response varies between individuals, but my response was crazy good. Of course, then my 3 yo filly dropped me on my head and that more-or-less erased the benefit of the epidural, so I definitely don't recommend that...

                  Alien - your story breaks my heart :~( If all your physiatrist did for you was send you for acupuncture s/he is a terrible example of a physiatrist. They use about a zillion different modalities and will keep working to find what works best for you. Based on your story, I cannot believe that they didn't try the epidurals ages ago. Honestly, they really do have much, much more to offer - perhaps if you ask around more you can find one in your area that comes highly recommended.

                  Comment


                  • #29
                    Had it done 2 years ago

                    I had my c5/c6 fused almost 2 years ago. I am soooooo glad I did it.

                    I stayed completely away from the horses until my post-op check up (I think it was one month after). At that time they x-rayed and you could see the bone starting to fuse. After that, I started to visit the horses across the fence. Still being very careful to not let them bump me with their head. After about 2 - 2 1/2 months, I started leading horses in and out. I figured if they started to act up, I'd just let go...but they were good. I still did not lift anything heavy. On THE day, 3 months after surgery, I started riding again. I have had no problems.

                    During recovery, I took up walking. I walked 4 miles a day to keep my fitness level up. I also bought an exercise ball that I sat on while I was working. This helped to keep my posture & strengthen core muscles. I had my trainer riding one of my horses 2 days a week to keep her fitness level up. When it came time to ride, I was ready!

                    I hope this helps. You can PM me if you have questions.

                    Comment

                    • Original Poster

                      #30
                      Thanks again to everyone for sharing your experiences. Its nice to hear something other than "if it hurts when you ride, just don't ride anymore." Most people don't understand what that means to people like us. Not quite the same as giving up breathing but along the same lines. I rescheduled my epidural appointment for next Friday. I think I am going to go whether I have pain or not at the time. I guess I know how to ensure that I do have pain...
                      McDowell Racing Stables

                      Home Away From Home

                      Comment


                      • #31
                        I have the same degenerative disc disease. The doctor I saw almost ten years ago told me it had nothing to do with riding. Said it was genetic. Both my mom and dad have pretty severe arthritis. That being said, I also had a c5 c6 fusion due to a car accident (drunk driver). the surgery was about ten years ago. this area is probably the least of my problems -actually I have no problems. I had an amazing doctor who I really trusted and the recovery was not bad at all. I did however listen to my doctor. Fortunately, his daughters were riders so he knew how to circumvent any of riding plans. Cervical spine fusions are much easier than lumbar and thoracic fusions. I think they are also more successful. the longer you wait though, the more neurological damage can be done... so be careful on waiting too long. I know people who had much less successful surgeries than me, but they waited longer - I didn't have a choice. Good luck!

                        Comment


                        • #32
                          My spouse is fused c1 to c7.
                          His surgeries (total of 3) were not very successful. He did not heal very well, at all. He pushed himself to hard to soon. It's been 7 years.
                          He has nerve damage, chronic pain, RSD/CRPS.
                          He also has an infection (osteomyelitis) at the c7 fusion.

                          Make sure you get as many opinions as you can, and research the docs you choose.
                          Follow the docs orders to a "T" and don't push yourself.
                          Jen Evans & DaBear

                          Comment


                          • #33
                            Interesting that they would attribute your issue with riding? I had a discectomy at L4-L5 in 1995, no fusion, and was able to regain some feeling in my feet and one lower leg. I was on a 10 year break from horses at the time, so riding was never mentioned. This was a sudden experience for me, where one day I was fine and the next day I wasn't and 10 days later they operated.
                            In 2001 I had a cervical discectomy at C4-C5. This time there was fusion, a plate, screws and cadaver bone. I was riding by then, but other than asking if I had come off a horse recently, nobody questioned if riding was the cause. In light of my history they put it down to degenerative disc disease, with a tendency for the disc to herniate inward onto the spinal cord.
                            I have to say that the relief after the neck surgery was immediate. I had had symptoms for a week or two and by the time they did surgery I was numb from both shoulders, down the arms and hands. Feeling was restored right away. And that electrical zap when I would raise my head to look up was gone, too.
                            I went the acupuncture route last summer when I started to get numbness and tingling in my left hand. I was thrilled with the results. It took several treatments, but it really worked.
                            Good luck in dealing with this.
                            Sheilah

                            Comment

                            • Original Poster

                              #34
                              Thanks for sharing your story. I am glad you are pain free now or at least feeling better. I guess we don't know for sure that riding caused my original problem but there is no doubt whatsoever that it causes my current pain. If I don't ride I have no pain. When I do ride I may or may not have pain if I don't ride too much and don't jump. When I jump I end up at the ER. No matter how much I want to deny it there is no doubt as to the cause and effect. Without question giving up riding would alleviate my need for any of these procedures and drugs and stuff but obviously that is something I want to avoid if possible.
                              McDowell Racing Stables

                              Home Away From Home

                              Comment


                              • #35
                                Non-horsey people dont have a clue!!

                                Dont let anyone tell you that you have to give up riding!! While I was waiting for my surgery to get scheduled (C5-6-7 fusion/discectomy/Plate) my physcial therapist told me that I wouldnt most likely to ride again...I was devestated. What made it worse is the PT had ridden dressage years earlier. Then I went to see my neurosurgeon, who also has a cervical fusion. He said for the first 3 months no riding, next three months no concussion sports, then after 1 year ok to jump horses. He said I'll always have to be carefull and not take unecessary risks, but to continue with my lifestyle. Neurosurgeon skis, wake boards and other physical activities but has scaled down and is more cautious.

                                As far as the surgery itself things have come a long way. A couple of people told me dont get a plate whatever you do!! So I asked the NS about it and he told me the old generation plates wouldnt flex with the spine, so bone from the vertebrae would grow over the plate and cause tons of problems..the titanium plates they use now flex with the spine. I had cadaver bone implant and had no problems fusing...which makes recovery so much better without having to heal from the surgery of taking bone from your hip.

                                The cervical spinal fusion surgery was my only option, but would do it again in a heartbeat. I know its dismal now but once you've gone through the surgery (if you end up having it) you'll have a brighter outlook and feel better (I had virtually no pain after surgery) and start planning your next show, test, or trail ride.

                                All of us are here for you if you need us....

                                Good luck
                                Pam
                                Matinee Idol "BeeJay" Dressagemeister Imperial Gem "Ruby" Farewell my friend, forever in my Heart.

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