[Ruddaga]

Hey, im the carer of a 28 year old who suffers from Tetraplegia.

He has been bed ridden for 5 years now and hes stomach area has gotten to the point where it is in so much pain he be sat up for more then 10 seconds without the pain becoming too much. He has tried to get a doctor to see him as he lives in a rural country town but for whatever reasons they keep sending him away. I was just curious if anyone had any suggestions for what he could do to try and fix the pain.

Im just concerned that he literally spends everyday staring at the ceiling and not being able to go out because hes in too much pain to get into his custom built chair. I know he hates being locked up all day.

Any advice would be appreciated. Thanks.

[Wheelie-Bar]

EVERYONE on here !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! - OPERATION -
you have got to look up Dr. Scott Falci in Craig Hospital in (Denver Co.)
NO JOKE
I used to have a band of hypersensitivity that burned and also lower STABBING back pain!!! 2 years of lots of Vicoden sad.gif
I loooked high and low from San Diego and all over and I finally found a cure!
you can look up this operation on the Craig Hospital its called CA DREZ
your search ENDS HERE NOW!
I made a FULL recovery and live pain free
everyday now!!!
I dont care who you are if you or anyone you know coulod use this feel free to call me anytime

I will help you as much as I can
Kyle- 719-388-3348

[Apparelyzed]

Wheelie-Bar, on Aug 4 2007, 06:25 AM, said:

EVERYONE on here !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! - OPERATION -

This procedure is not a fix all procedure, but a procedure for helping with neuropathic pain.

Dorsal Root Entry Zone Lesions

The superficial part of the grey matter in the dorsal horn of the spinal cord has a complex of neural networks that are thought to modulate pain pathways. Lesions have been made in the area where the dorsal root enters the spinal cord (dorsal root entry zone) in an attempt to control a variety of pain syndromes. The operation requires a laminectomy to expose the dorsal root entry zone, followed by either a series of radiofrequency coagulations or an incision and diathermy of the area. Dorsal root entry zone lesions have been used for the treatment of a variety of neuropathic pain syndromes but brachial plexus avulsion remains the best indication. It is useful but less effective in peripheral brachial plexus injuries. Other indications include boundary zone pain in spinal cord injury and some peripheral nerve injury pain syndromes. It has been used for post-herpetic pain but the results are variable. The nucleus caudalis, in the lower brainstem and upper spinal cord, forms part of the descending pathway of the trigeminal nerve. Dorsal root entry zone lesions of the nucleus caudalis have been used for the treatment of neuropathic facial pain.

Firstly, the source of the pain in Ruddaga's post needs to be identified.

When the guy gets into his wheelchair, does he get autonomic dysreflexia symptoms, ie, sweating, headaches, red blotches around his neck?

Does he have a healthy appetite?

Is his bowel and bladder management working ok?

Does this pain occur when he sits upright in bed?

There are many questions which need asking and answering before such a procedure as DREZ is performed.

Regards

Simon