One option would be to have a subdural pain pump placed in your back so that you could receive continuous infusions of medication such as fentanyl, bupivicane etc.
However, if you are just 2 or 3 months away from fusion surgery that could greatly reduce your pain I would not suggest having the pump installed as this is considered a permanent treatment for the pain.
So. What to do until January?
1. You could consult with a pain management specialist who could give you spinal injections etc to ease the pain until your surgery in January.
2. Take three months off work :(
3. Perhaps work part time along with a substitute teacher
4. I don't think adding stronger/more oral pain medication is going to help as stronger doses may make it difficult for you to do your job.
Does this make sense to you?
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Dr. Rick MD FACS