Multimodal Pain Package vs. Regular Formulation for Pain Management in Ambulatory Spinal Surgery

Optimal Multimodal Pain Management Package Versus Regular Bottled Pain Formulation for Outpatient Use Following Microdiscectomies , Foraminotomies, and Spinal Decompressions: A Randomized Control Trial Comparing Two Strategies

The purpose of this research is to compare two outpatient pain management strategies in patients undergoing spinal surgeries such as microdiscectomies, foraminotomies, and spinal decompressions.

Inclusion Criteria:

• Adults: males or non-pregnant females.
• Patients undergoing ambulatory microdiscectomies, foraminotomies, and spinal cord decompressions requiring pain control analgesics.

Exclusion Criteria:

• Pregnancy
• Active severe liver disease
• Chronic kidney disease 3a-5 (moderate to severe)
• Chronic obstructive pulmonary disease with impaired pulmonary function
• Chronic steroid use
• Chronic opioid use
• Current use of narcotics
• Allergy to sulfonamides
• Allergy to NSAIDs
• Allergy to Aspirin
• Allergy to Tylenol
• Allergy to Gabapentins
• Allergy to H2 blockers (cimetidine, famotidine)
• Allergy to steroid
• Current use of gabapentins for any medical condition
• Inability to be discharged home on the day of surgery
• Inability to swallow pills
• Myasthenia gravis
• History of gastrointestinal ulcers or stomach bleeding
• Have any condition that, in the investigator's opinion, will compromise the well-being of the patient or the study, or prevent the patient from meeting or performing study requirements.