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@ebair23 - I am sorry to hear that you are going through all of this. Your story, with the exception of having the anterior approach, sounds much like mine.
All I kept hearing was that “it takes a year to heal” and “your X-ray looks perfect, there’s nothing wrong”.
My surgeon sent me to pain management as well. Started with a back injection in the L4-5 area which did nothing. Then progressed to a femoral/obturator nerve block. This didn’t give much relief either.
The procedure that they mentioned that would give you months of relief is (I’m guessing ) would be a nerve ablation. They mentioned that to me and I declined.
I had a CT done where it was discovered that one of the screws was protruding into the psoas. The radiology report totally missed this! It was a revision surgeon that diagnosed it!
The revisionist then ordered an injection done under CT directly at the tip of the screw that was protruding into the psoas. This was done to confirm that it really was the screw causing the issue. I got about a week of relief from this.
I went on to have the screw removed.
My thread outlines the whole journey- ups, downs, etc.
I do hope you find a solution to what is causing all of this pain. We are rooting for you!