Question: I had back Surgery July 17, 2014. The surgery was done by a neurosurgeon I hav been seeing for 2 1/2 years prior to surgery. He removed the discs from L2 to S1 and did a fusion. My surgery went well as the outcome has relieved so much unbearable pain. There was a complication during surgery with my heartbeat it fell to under 10 bam per minute and the cardiologist on call came in and took care of it thru the remainder of surgery. I had it fall one month before surgery and I was taken off the beta blocker and then it went to over went to over 210/159. So they put me back on it after surgery. My internist put me back on the beta blocker. My Bo went so low I blacked out so I made an appt with the same cardio Dr who came in during surgery. He again took me off the beta blocker and increased the lisinopril to 40mg 1 lisinopril htz and 1 w/o htz and I take my blood pressure at 2pm and if sys is over I take another 10 mg of lisinopri w/o htz. I was doing really good until last week when my internist put me on tramodone for sleep. I also take 75 mg of Tramadol 3 times a day for pain in my legs, feet and toes because the nerve damage has given me pain for 3 years. I consulted with 3 neurosurgeons before my surgery and all 3 said the nerves would take the longest to heal. Give it 12 to 18 months. It has only gotten worse because I had severe steniposis as well as the ruptures in my spine. I was in an accident that started the back problem problems. I was on 120mg of morphine sulfate until 3 weeks after surgery. I was then on oxycodone for 1 month. So now I'm only taking the Tramadol. I hated the other pain meds but have been in the Tramadol since November and occasionally 2 ibuprofen at bedtime. I am a barber and stand 8 to 10 a hours ad day 5 days a week. And once a month I volunteer to cut hair at a nursing home for about 5 hrs once a month on my Monday off. The pain is not bad til I go to bed or lay down to rest. My question is 2 fold. 1 they started my on 4 Gabapentin around Christmas. I couldn't tell that much difference when I try to go to sleep. So now my internist suggested the tramodone. I have taken it as along with the Gabapentin and a Baclophen twice a day. 1 at 2 pm and1 an hour before bedtime. Because my shoulders, hands and legs have started started cramping, I had a cardio nurse sad that I shouldn't take the high doses along with tramodone. I don't have an appt with th cardio Dr. until the middle of XXXXXXX In 6 months he has done 3 EKGS since surgery. My last was on Dec.22, 2014. He said everything looked great on the last EKG. Should I consult with him about the the muscle cramps? I sweat quit a lot. I even had one customer that said I was sweating like a farm animal. I literally go thru 3 to 4 barbershop towels a day which are the size if a hand towel. Could that be the lisonipril htz or could this be the other meds I have started? Would that be causing the cramps? The Neurons Dr. also said that I have a lot of arthritis in my spine I'm 57 y/o. I've cut hair for 40 yrs since I was 17. My arms are raised pretty most of the days I work with scissore, clippers and applying color. I've used a heating pad on my back for over 4 years. Now it no longer helps very much at all. My lumbar region rarely hurts at all since surgery. Can you give me some advice, please?

Thank you very much.

Sincerely,

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