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Pain Pumps Following Surgery

 
 
Reply Mon 22 Jun, 2009 11:35 am
Damage Caused by Pain Management Pumps
Recent studies have identified intra-articular pain pumps as a likely cause of shoulder joint pain and severe cartilage damage, primarily in the shoulder but possibly in other joints as well. In the shoulder, this condition is known as Postarthroscopic Glenohumeral Chrondrolysis (PAGCL). This is a devastating condition that causes severe pain and the need for constant medication. The condition may ultimately require shoulder joint replacement surgery.

How Pain Pumps are Involved
In a recent edition of the American Journal of Sports Medicine, researchers have identified high-flow intra-articular pain pumps as the likely cause of PAGCL. Other studies are currently underway to confirm these findings.

__________________________________________________________

I took the above off a lawyer's webpage. Because she has recently used a pain pump, immediately after shoulder surgery, my wife received a message from a lawyer concerning a lawsuit over the device. She has been in intense pain, beginning two months after the surgery. She has only been back to the surgeon one time over this issue. He did not understand why this particular pain should happen. He prescribed pain pills and told her to come back if the pain did not go away. Last night was the worst episode yet. She is going to go back to the doctor to look for answers.
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Type: Discussion • Score: 4 • Views: 4,413 • Replies: 19
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roger
 
  1  
Reply Mon 22 Jun, 2009 11:51 am
@edgarblythe,
Wow. I know from nothing about pain pumps, but I had a shoulder joint replacement something like a decade ago. The kind of pain you describe is not normal without some kind of external provocation. Pain medication is great, but it might be time to find out just what is going on in there.
edgarblythe
 
  1  
Reply Mon 22 Jun, 2009 11:55 am
@roger,
This is particularly frustrating, because the surgery went letter perfect. She only needed minimal therapy and was back to normal. Then, the sudden appearance of this new pain -
Izzie
 
  1  
Reply Mon 22 Jun, 2009 03:38 pm
@edgarblythe,
Oh no. Poor MrsEdgar Shocked

Hoping you will get answers soon. Love to you both. xx

0 Replies
 
engineer
 
  1  
Reply Mon 22 Jun, 2009 03:59 pm
@edgarblythe,
I had a pain pump for a knee surgery. I don't know how much it helped, but it was very low flow and it only consisted of a thin tube inserted to flow meds directly to the painful area. My understanding is that this is dramatically better than taking oral pain medications. You might want to check out Web MD or some other medicine sites before trusting this lawyer.
edgarblythe
 
  1  
Reply Mon 22 Jun, 2009 04:02 pm
@engineer,
I have not hired a lawyer. Still assessing facts.
0 Replies
 
ehBeth
 
  2  
Reply Mon 22 Jun, 2009 04:10 pm
@edgarblythe,
edgarblythe wrote:
Other studies are currently underway to confirm these findings.


this sort of phrasing makes me uneasy.

How would the lawyer have obtained your wife's information?
edgarblythe
 
  1  
Reply Mon 22 Jun, 2009 04:27 pm
@ehBeth,
I am sure lawyers can find out who has had surgery fairly easily. I don't know how it is done, but I am sure some good a2ker will inform us.
0 Replies
 
edgarblythe
 
  1  
Reply Mon 22 Jun, 2009 09:25 pm
Have you had shoulder or knee surgery and not healed?
>
> If you are still experiencing pain you may have legal rights!

These are some words from the lawyer's email. By the way it's worded, I think it was a product of a mass email.
ossobuco
 
  1  
Reply Mon 22 Jun, 2009 09:32 pm
@edgarblythe,
I surely don't know about what seems a questionable legal exploration - or it might be not questionable. I don't have access to med sites with papers, etc., at this point in my life.

Meantime, I worry about Missus EB.
Quiet hugs.
0 Replies
 
roger
 
  1  
Reply Mon 22 Jun, 2009 10:31 pm
@edgarblythe,
I've no idea whether you will ever need a lawyer, but with a campaign like that, that is not the one I would choose.
edgarblythe
 
  1  
Reply Tue 23 Jun, 2009 04:22 am
@roger,
I already have a trustworthy lawyer for these situations. I just haven't decided if I need to contact him.
0 Replies
 
DrewDad
 
  1  
Reply Tue 23 Jun, 2009 07:00 am
http://ajs.sagepub.com/content/early/2007/07/03/0363546507304136.abstract

Quote:

Abstract

Background: Recent reports have noted the appearance of postarthroscopic glenohumeral chondrolysis. Although this devastating process has been identified, no cause has been directly identified.

Hypothesis: A cause of postarthroscopic glenohumeral chondrolysis will be associated with a specific factor (ie, implanted device, surgical technique, etc), and this factor can be identified by a review and comparison of cases seen in the senior author’s office.

Study Design: Case series; Level of evidence, 4.

Methods: Analyze possible etiologic factors with imaging studies, demographics, history, and physical examinations of 10 patients (12 shoulders) with postarthroscopic glenohumeral chondrolysis, and then compare perisurgical information with a focused chart review and comparison with the rest of the 177 arthroscopic shoulder surgeries in the same period of time.

Results: There were 12 cases of postarthroscopic glenohumeral chondrolysis (all were the senior author’s patients). Four common factors were identified, and only high-flow intra-articular pain pump catheters filled with bupivacaine and epinephrine were a new addition to years of shoulder surgery by the senior author; 177 shoulders underwent arthroscopy in the identified time frame, and only 19 shoulders, of 30 with capsular procedures, had intra-articular pain pump catheters filled with bupivacaine and epinephrine. Of these, 12 have been identified with chondrolysis.

Conclusion: Use of intra-articular pain pump catheters eluting bupivacaine with epinephrine appear highly associated with postarthroscopic glenohumeral chondrolysis.

Clinical Relevance: Intra-articular pain pump catheters, especially those eluting bupivacaine with epinephrine, should be avoided until further investigation.
0 Replies
 
edgarblythe
 
  1  
Reply Tue 23 Jun, 2009 04:37 pm
Good news. The doc checked into the pain pump business and informed us that the procedure my wife had is not of the same nature as the ones that the pain pump is accused of wrecking. He thinks she will need a cortisone shot. She will see him Thursday.
ossobuco
 
  1  
Reply Tue 23 Jun, 2009 04:52 pm
@edgarblythe,
Whew!!!
0 Replies
 
Izzie
 
  1  
Reply Thu 30 Jul, 2009 07:02 pm
@edgarblythe,
ahhhh. Found this thread. Having just seen the pics of Mrs Ed and seeing she's looking fab - just wanted to check in and see if the cortisone shot helped with the pain - is all resolved? Lovely to put a face to the name.
0 Replies
 
edgarblythe
 
  1  
Reply Thu 30 Jul, 2009 07:12 pm
They found a non habit forming pain med and some sort of creme to rub on the area. She hasn't complained of pain lately. I believe now that her day to day activities, prior to taking the trip, were greatly responsible. Simple jobs, such as floor sweeping, lifting wet laundry out of the machine -. We will see what happens now that we are back to a daily grind. I told her that if she insists on removing the wet clothing, just take out one piece at a time.
Izzie
 
  1  
Reply Thu 30 Jul, 2009 07:29 pm
@edgarblythe,
I'm glad it's resolving hun and hopeully will not flare up again. Know the feeling of the everyday chores which simply just have to get done, but then cause pain, not even necessarily pain, just nuisance inconvenience when the body won't co-operate. Simple things do become more than just a chore. Glad she has some meds that can help. She's looking great in the pics, prolly did you both a world of good getting away and for such a happy occasion - long road trip tho. Hoping she will remain well. x
0 Replies
 
edgarblythe
 
  1  
Reply Thu 30 Jul, 2009 07:36 pm
Thanks, izzie. Just getting away from the daily routine for a week can be the best medicine.
0 Replies
 
edgarblythe
 
  1  
Reply Tue 18 May, 2010 04:05 pm
Well, my wife's shoulder has not gotten better. A few months back, she got a prescription for stronger pain medicine. We also have a lawyer looking into the matter, since pain pump damage can lead to replacement surgery, something like a $200,000 operation I have been told by someone - forgot who. I don't got enough money to cover what the insurance will not.
0 Replies
 
 

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