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Old 11-17-2008, 02:44 PM   #1
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Different types of pain.

I wonder if someone could tell me what the different pains are? As in nerve pain etc. I have been given a script for nerve pain but I do not know how to identify which is nerve pain. I have a constant pain which feels like I feel a weight constantly in my lower back where my problem is. And I get a stabbing pain if I move to quickly. Also if I am in the wrong position for to long I get sort of cramped up and I have to loosen the muscles up. Plus I get the spasms where it is like getting an electric shock and my legs jump which also feels very uncomfortable.
Can anyone decipher the different feelings? Allan
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25-Nov-2010: ALIF fusion L5-S1. 9 years of Chronic lower back pain. Nearly 18 months of pain across my upper pelvis, through my butt and down my left leg into my foot. Sciatica relieved by surgery.

 
Old 11-17-2008, 06:20 PM   #2
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Re: Different types of pain.

Hi Allan, I suffered from nerve pain due to RSD. I get real sharp pains sometimes it's a throbbing pain like having a toothache kind of throbbing. I also get burning sensations as well. I also suffer from a condition called dystonia which is severe and uncontrollable muscles spasms. Before I have one of my spasms which are usually in my neck, I will get real horrible pain in my shoulder and neck. I hope this helps.
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Old 11-17-2008, 09:35 PM   #3
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Re: Different types of pain.

Toothache pain, deep cramping, legs jumping (nerves misfiring), bugs crawling on legs, shooting pains, numbness, collapsing of legs, *****ly feeling, feeling like you are walking on glass, pulling sensations, etc. It can be sharp, shooting, cramping, achy, burning, pulling, warming sensations, crawling, *****ly, etc.

Hope this helps.

 
Old 11-18-2008, 09:32 PM   #4
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Re: Different types of pain.

The reason I ask is that my previous PM specialist scripted me with something called Tegretol CR 200mg (Carbamazepine). He didn't really explain what exactly it helps with though he mentioned nerve pain.
I know I have several different symptoms and it must be for one of them. If I don't know what it is supposed to help with I wonder why I should be taking it or if I should be increasing the dose.

I have DDD of the 2 lower Discs. A tare in one and a bulge in the other.
My pain has different feelings as with all the others here. A constant pressure there and if I move the wrong way or to quickly I have a shooting pain right up my spine as far as my shoulders. I also I have spasms at times that are like someone sticking a knife into my lower back. As well as jumping in my legs and body at times, usually in the evening. I have soreness in different places on my thighs, legs and feet but not always. Generally though I am just always hurting at some level.
If I over do it on a day out or doing something around the house I have been told that my lips go purple and my face pale. At that stage I have to lay down or things get worse quickly. I seem to be unaware of what is happening until I sit down or even better lay down then I realise how much I am hurting.

That pretty much covers it but if I think hard I could probably remember more.

It is a lot to swallow but that is what I have to deal with. Then I forgot that the question was about nerve pain. I suppose all pain travels through the nerves.
Allan
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25-Nov-2010: ALIF fusion L5-S1. 9 years of Chronic lower back pain. Nearly 18 months of pain across my upper pelvis, through my butt and down my left leg into my foot. Sciatica relieved by surgery.

 
Old 11-18-2008, 09:56 PM   #5
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Re: Different types of pain.

Yes I do relate to the burning deep inside. Like a massage would not go deep enough to help. thanks, Allan
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25-Nov-2010: ALIF fusion L5-S1. 9 years of Chronic lower back pain. Nearly 18 months of pain across my upper pelvis, through my butt and down my left leg into my foot. Sciatica relieved by surgery.

 
Old 12-18-2008, 08:42 PM   #6
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Re: Different types of pain.

I get those deep toothache pains and the feeling someone is sticking hot poker in my toes (random ones) and fingers. Still not totally sure what is wrong. I have extreme muscle twitching all over but that settled down. Also had vibrtaing feelings in my left foot and numbness in my pointer finger (on and off)

 
Old 12-19-2008, 04:26 AM   #7
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Re: Different types of pain.

I always thought the burning *****ly pins & needles pain is caused from the nerves. For the past several days everything on the side of my head hurts including my jaw & teeth, cant touch my temple or sometimes part of my neck, I am thinking that may be nerve related. The rest of my pain is just deep, can be sharp stabbing pain or pain like someone is twisting my arms behind my back. My fingers can hurt & cramp with the pins & needles sensation. Lately I am getting cramp like pains in my toes & am praying its not the lumbar acting up. Amazing how many differents kinds of pain there are. Good luck Allen & I hope you have some good days ahead. Sammy

 
Old 12-22-2008, 09:08 AM   #8
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Re: Different types of pain.

What you just described I believe related to your back problems and also inflammed muscles issues.
Nerve pain in a legs and feet are there despite if you move, walk, lay in bed (mine is worse when resting) or sit. It's stubbing (can last for one minute, 10 sec or for a long time), pulsating, strong unexpected pain. Feels like somebody took a hummer and hit you on your toes, top of your feet, sides of the legs (depends what levels are involved). Than it can be very annoying, deep, burning pain.
Some days it feels like bugs crawl under your skin, very nasty feelings and very real: you know nothing is there, but the feelings make you touch your skin.
My nerves are damaged so I also get much pain in my stomach areas, affecting bladder and bowel function.

Best of luck to you and have a very nice Holidays!

 
Old 12-27-2008, 05:01 AM   #9
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Re: Different types of pain.

Tgretol is for nerve pain or neuropothy/radiculopothy. In your ase, leg pain or the shooting pain up your spine. There are acall the worsdds people have used desscribe pain but don't answer your question. There are actaually 3 specific types of pain. Neuropathic, Somatic and Visceral.

Somatic Pain

Somatic pain is caused by the activation of pain receptors in either the body surface or deep tissues "musculoskeletal tissues". When it occurs in the musculoskeletal tissues, it is called deep somatic pain.

Visceral Pain, "Viscera" refers to the internal areas of the body that are enclosed within a cavity. Visceral pain is caused by activation of pain receptors resulting from compression, extension, or stretching of the thoracic (chest), abdominal, or pelvic viscera or comparmental injuries in the extremtaies. Visceral pain is not well localized and is usually described as pressure-like, deep squeezing.

Neuropathic pain is caused by injury to the nervous system either as a result of compressing nerves or the spinal cord, It also results from chemical damage to the nervous system.

The words used to describe it, the nature of injury, all help a doc determine what type of pain you have and what the right treatment is. For example neuropathic reponds well to Anti-seizure meds like tegratol, toppamax, neurontin, Lyrica, etc. where Visceral and Somatic pain may not respond at all to the anti seizure meds.

Antidepressants are used to treat the chemical changes that occur to the nervous system like with chronic pain and are effective fore all types of pain. Opiates can be used on all types although neuropthic is less reponsive to opiates.

All antiseizure meds half to be adjusted, leave it to the doc though. Messing with anti-seizure meds is just as wrong and dangerous as messing with your opiate dose or adjusting your own antidepressants. You may not find relief untill the dose has been adjusted several times or the right antisiezure med is titrated. Just because one doesn't work doesn't mean you rule out all others ion that class, just like you wouldn't rule out all opiates if you couldn't find relief with Hydrocodone. Same is true for antidepressants.
Hope this helps and is what you were asking. Take care, Dave

 
Old 12-27-2008, 02:19 PM   #10
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Re: Different types of pain.

For me I get pain across the surgical scar. The muscle is like a rock. That pain shoots into the hip. It feels like someone is inside pressing the hip with a hot poker. Then I get electric shocks on the hip thigh area which they say is nerve pain. I also get pain in my calf and foot. That is never damage they tell me from the nerve being compressed for so long. The epidural shots did help the electric shocks. I got a cortisone shot in the hip and that helped the muscle pain but did something to wake up the electric shocks again. It is not bad but happens when I stand too long. I tried all the nerve meds and nothing helped. Now it is the pain meds and muscle meds. I'm doing Aqua Therapy so that is giving me some relief. The majority of my pain is muscle. I get a deep tissue massage which hurts but is excellent. I know my days are numbered before the insurance puts an end to it.

 
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