Thank you for your question.
As you have had prior surgery for fusion you will need and Xray of the lumbar spine
as well as a CT scan if there is any doubt on Xrays to evaluate the hardware. If the hardware is found to be intact on imaging you will need treatment with pain medication where the options are ibuprofen
, naproxen, meloxicam
, tramadol or even stronger one like oxycodone
. Local heat will also be helpful. Muscle relaxants like Flexeril or Tizanidine
will be helpful to relieve muscle spasms. Facet blocks are injections which can be tried under supervision of a specialist and can offer pain relief from painful facet joints.
Wish you the best.