Wednesday, December 9, 2015

Insomnia after spinal fusion surgery

Am exactly gone 2 weeks since my MIS TLIF Surgery on my L4/L5 . I have not being able to sleep more than a couple of hours each night since the I came home from hospital the second day after surgery.
Immediately post op I was given a mild pain reliever via IV drip, a Voltaren injection twice a day, and had access to a PCA (Patient Activated ) morphine drip -but only during the first night post op.
On discharge from hospital I was sent home with a simple pain management regimen of two Tylenol or panadol tablets three times a day. 

Additionally I was taking a wide spectrum antibiotic twice a day for 7 days. I just want to clarify again, that my entire pain management medication was to the extent of Tylenol or panadol tablets three times a day. I'm not talking about extra codeine mixed Tylenol 3 but the simple acetaminophen tablets that you get over the counter anywhere in the world.

Which is why, now two weeks after my surgery, I am quite surprised that I am still suffering from a prolonged bout of insomnia. I have read elsewhere on this forum that post surgery patients do suffer from insomnia but that is usually as a result of exposure to narcotic pain relievers. 

Because I did not have a single dose of narcotic pain reliever such as tramadol or oxycodone since I've been home I do not see a reason why I cannot sleep at all. It is also worth noting is that I have a fairly committed walking routine everyday, I am moving around as much as possible, I do not catch up on sleep during the day, so I am quite bewildered that I have this insomnia.

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