Posted 12/21/2014 8:59 AM (GMT -6)
I am going to update a post on another thread with the informative title as per suggested.
I am 10 days out from a pump install. Still dealing with some of the surgery effects, but so far I am a big fan. I have about zero pain most of the time. I can start feeling some later in the pain but a bolus takes care of that.
The amount of meds and type is very individual. All i can offer is that i was on a VERY low dose of methadone for 2 years, no increases. Because further surgery was off the table, and i had a clear mechanical problem, he suggested the pump. I thought about it for months, did my research, and went ahead. I did not have to wean off the methadone, and stopped it cold after the surgery. Still do not feel a thing from that, but it was a low dose.
Best thing I ever did, makes up for all the mistakes along the way!
Timewise, my accident was in 2009. Six shoulder surgeries, including three replacements in 2 years, now with a reverse replacement and about 15% left of original muscle to support the joint.
He zeroed the tip of the catheter in the exact perfect spot. Said it would work for neck pain too, but thankfully I do not have neck pain.
I have been with my pain doc for 3 years, and he saw me through the last two surgeries. Then, in his words, "enough of surgery!" I admit i was taken aback by moving from methadone to the pump, but after discussing it in support groups, and learning that this move is not unusual at all ( does not have to be the last resort - one 35 yr old never did take narcotics), i took the plunge.
I figured I had 3 choices since I was never going to be "better." One, live in misery. Two, continue with pills and as we know, this option is not the best in this climate. Three, go with the pump.
I picked #3, and right now, very glad i did. I have almost NO pain, my head is clear, I am not dragging and tired all day. On the con side, it IS invasive, you MUST be an appropriate candidate, and understand the risks. I know many people are not candidates for many reasons and must use what they can to find relief. I still am functionally limited, and my arm gets very tired regardless, but i will take it!!