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Old 03-14-2010, 12:59 PM   #1
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What meds help for your chronic neck pain??

Hi, I have been suffering from chronic neck pain for a long time and it is greatly affecting my functioning daily for both my work and social life. I am taking Tridural (Tramadol) on a regular basis which does help somewhat, but when the pain is great, this doesn't cover the pain either.

I have no distinct impressions on the MRI scans, etc. that show a specific cause to the pain. Just the fact that I suffered a whiplash like injury in the past and have forward head posture. I am working with physical therapy to try and remedy this part of it. I also seem to have a fair bit of internal inflammation in my neck along with the pain.

I have to work to earn a living. What I am hoping to find out, is how others in this situation have gotten the relief they need to function normally or as best as possible and to get their quality of life back. What meds have worked for you?? I am planning to continue to consult with my doctor and pain specialist, so your information in this regard is much appreciated.

Thanks
Kevin

 
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Old 03-14-2010, 05:06 PM   #2
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Re: What meds help for your chronic neck pain??

For me, whhat has finaly worked is

Tramadol SR

Diclofenac SR (NSAID)

Nortriptyline at night.

I take paracetamol/acetaminophen with codeine for breakthrough pain.


If you find that tramadol alone isnt adequate when the pain peaks, you could try taking a dose of simple OTC analgesic with it (eg, 2 tabs of acetaminophen/paracetamol, or 2 tabs of ibuprofen)

Hope this is of some help

Jon

Last edited by jonnstar; 03-16-2010 at 06:57 PM.

 
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Old 03-14-2010, 06:15 PM   #3
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Re: What meds help for your chronic neck pain??

Hi Jon, thanks for the reply. In comparing dosages, I have been prescribed 300mg of tramadol and 75mg of Diclofenac per day. This is slightly less than what you mention, especially the Diclo which is half of what you take. Perhaps they could try increasing my dosage of these two. I will check on your recc for breakthrough pain. Thanks again.

 
Old 03-14-2010, 10:43 PM   #4
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Re: What meds help for your chronic neck pain??

If you are taking diclofenac, then you shouldnt take ibuprofen, however, taking acetaminophen/paracetamol should be fine (run this past your pharmacist and/or doctor though)

The extra doses of the diclofenac and tramadol might also help you, again, speak to your doctor.

Have you seen a physical therapist? They can do wonders for neck pain, without having to fill you up with pills. Some massage work, and a regimen of excersises can realy help.

Last edited by jonnstar; 03-14-2010 at 10:49 PM.

 
Old 03-16-2010, 02:45 AM   #5
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Re: What meds help for your chronic neck pain??

Quote:
Originally Posted by blackdog38 View Post
Hi, I have been suffering from chronic neck pain for a long time and it is greatly affecting my functioning daily for both my work and social life. I am taking Tridural (Tramadol) on a regular basis which does help somewhat, but when the pain is great, this doesn't cover the pain either.
Just the fact that I suffered a whiplash like injury in the past and have forward head posture.
Thanks
Kevin
Hello Kevin. Where do you live?. tridural, is that canada?. If you read my last posts you will see I've been suffering from severe whiplash and chronic neck pain 24/7 for the last 5 years now. tramadol did nothing for this horrible pain. I also didn't want to go on disability.

I'm taking neurontin which helps some. PERCOCET and OXYCONTIN (narcotic)helps the most it TAKES the pain away and let me have a life. I would be extremelly depressed without them. also my head hurt me.

I've been trying going to physical therapist to NO AVAIL. she said there is nothing to do.

Honestly, I feel your pain and so so sory it happened to you. Everybody new here I see who is suffering from chronic neck pain I'm feeling so sad. It's so bad to live like that. So what helps the most is NARCOTIC pain meds. There is also a drug called clonazepam but didn't try that one.

 
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Old 03-16-2010, 10:24 AM   #6
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Re: What meds help for your chronic neck pain??

Hi nochange, sorry to hear about your situation as well. Sounds like you have a similar situation. Yes, I am in Canada, which is where the Tridural is from. However, it is just a longer acting form of the Tramadol which is available in the US. I do take a small dose of clonazepam as well and I think it may help a bit, but it does make one a bit drowsy unfortunately.

My doctor doesn't want to prescribe anything stronger than the tridural, says the narcotics in the stronger ones will be highly addictive and may also decline in effectiveness over time. Is worried I will become addicted to them, but I don't know which is worse - that or living with the pain. I actually mentioned oxycontin. I am unsure of what to do as well, as I don't want to go any stronger if I don't have to for the same reasons as the doctor is concerned.

Are you taking the oxycontin every day? Are you finding it to be addictive and a problem that way at all?

Thanks

 
Old 03-16-2010, 06:56 PM   #7
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Re: What meds help for your chronic neck pain??

Woops, I just saw we arnt meant to mention doseages - quick edit about to happen.

 
Old 03-17-2010, 10:36 AM   #8
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Re: What meds help for your chronic neck pain??

Less then 4% of chronic pain patients actually become addicted to their pain medicine. I take oxycontin and percocet for severe chronic neck pain and I am not addicted to them. However, they are not quite strong enough for great pain relief, it just takes the edge off if I don't get up and move around. However, I am dependant on the medicine as I been taking pain meds for two years now. I do not take more then prescribed and I follow pain management rules. I've done all the procedures and therapies, they made my pain worse.

 
Old 03-17-2010, 05:39 PM   #9
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Re: What meds help for your chronic neck pain??

I would discuss with your doctor pushing the dose of your current non narcotic meds, and maybe adding a dose of tricyclic antidepressant (such as nortriptyline) at bedtime, before you move on to narcotics.

You have room to move on the dosages of your tramadol and your diclofenac, and tricyclics can add that extra punch to your regimen.

You also have the option of taking Acetaminophen for breakthrough pain.

Make an appointment with your doctor, tell him what you're doing now isnt working, and see where he wants you to go.

As others have pointed out, physical therapy doesnt wrk for everyone, but it makes sense to give it a short trial.

 
Old 03-17-2010, 08:35 PM   #10
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Re: What meds help for your chronic neck pain??

I have been on medication for chronic pain now for about 8 years and nearly strait away I was taking the strongest dose of tramadol and also an anti-inflammatory and muscle relaxant. The relaxant Baclefen didn't suit me as I became nauseous. So I take valium when I need it, mostly at night. Also I was told that I needed to take the Acetaminophen every day usually 3 times a day for it to build up in your system and working better that way as there are less ups and downs. I now take oxycontin as the other just is not enough for me now. I am not addicted to narcotics as I take only the prescribed amount. And also I use endone for breakthrough pain. But now I take an analgesic with the Acetaminophen, it is called Norgesic. So I have had less pain spikes and don't use the endone much now. It is the same as oxycontin only short acting. But as I said I don't often need it because of the regular Norgesic. I am going to have a double disc fusion later on so I am just doing a little walking to help in the meantime, but not to much as I am now having the nerves compressed so I don't like to stir things up to much.
I hope this will help you a little. But don't be scared of taking up to 4000mg maximum of Acetaminophen a day unless you have kidney or liver problems.
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 03-18-2010, 03:05 AM   #11
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Re: What meds help for your chronic neck pain??

Quote:
Originally Posted by blackdog38 View Post
My doctor doesn't want to prescribe anything stronger than the tridural, says the narcotics in the stronger ones will be highly addictive and may also decline in effectiveness over time. Is worried I will become addicted to them, but I don't know which is worse - that or living with the pain. I actually mentioned oxycontin. I am unsure of what to do as well, as I don't want to go any stronger if I don't have to for the same reasons as the doctor is concerned.
Are you taking the oxycontin every day? Are you finding it to be addictive and a problem that way at all?
Thanks
hello again Kevin. It's better to be "addicted" to narcotic pain meds than to sufer and suffer and suffer from chronic neck pain. It's not living you know? You can also become depressed over time cause of neck pain. You won't be able to function well and have any quality of life.

I have 2 bulging disks in my neck cause of the accident and it probably makes situation worst. but I was told by many doctor "you are not for surgery, perhaps one day".

Oxycontin you have to take everyday, twice a day or three times a day it depends on the person. Then you will need to increase the dosage cause the body gets used to it. That's the problem with narcotic BUT there is no other way you know?. I didn't find anything better than oxycontin and/or percocet you know. Unfortunatelly, neck pain, and I say it sadly without even understanding why it is like that, never goes away. I just also don't understand why. The accident has happened 5 years ago and I never got any better. In fact it got worst. How did your accident happen, can you tell me please.

Is there a limit to the amount of Oxycodone doctors are allowed to prescribe in Canada?? you should ask your doctor. In the u.s doctors are allowed to prescribe 700mg of oxycodone if needed. Please ask your doctor and let me know. If they only allow you 20mg-40mg of oxycodone in Canada that's gonna be a real problem to you cause once you start with Oxycodone you will need to increase over time. So that's something you really need to ask your doctor, ok?

I"m not sure I told you, but you can meantime ask your doctor for diazepam(valium) - it's for muscle spasms. You know, in the time of this whiplash, all of our muscles, tendons, and ligaments been damaged so I was told and they will never be cured You can also try gabapentin. Those are none narcotics.

But as I said before, when it comes to chronic neck pain, the only thing that can really give you your life back and take this sadness and pain away is narcotic pain meds. It really helps.

Please let me know what's the limit of Oxycodone in Canada, ok? I would like to know. There was also a guy here from Canada who said they don't give him oxycontin in Canada and he said he's moving to the u.s.

and again, I'm really sory it happened to you. It's not living, I know. It's literally pain in the neck. Chronic neck pain can makes a person really miserable. Sometimes I wonder what have I done to deserve this. I'm looking back at my life and just don't see I've done anything bad. It's really unfortunate to be injured in the neck. I also have problems sleeping at night and need sleeping pills cause of the neck. How do you sleep at night?

all right. we hope to hear from you. take care.

Last edited by nochange; 03-18-2010 at 03:09 AM.

 
Old 03-18-2010, 04:52 AM   #12
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Re: What meds help for your chronic neck pain??

Hi nochange,

I'm from Australia, and here, there is no limit to what a doctor can prescribe, if he feels that a patient needs it.

Narcotic prescribing here is overseen by doctors and pharmacists working for the department of health - we dont have a DEA type agency.

When a doctor prescribes narcotics for a patient for more than 4 weeks, he is required to notify the state health departments dangerous drugs branch (this is to ensure only one doctor is prescribing for each patient, stops doctor shopping)

Doctors can be de registered for over prescribing etc, but the judgement is made by other doctors (the states medical board) and not by a police or government agency.

Also, family physicians here do most prescribing - you might see a pain specialist initialy, but once you have been assessed etc, your family doctor will write you a repeatavble prescription every six months for whatever drugs are decided on, with occasional or as needed review by the specialist. Urine tests and pill counts and things are almost unheard of. The amount of narcotics prescribed has hugely increased over the last 20 years - previously, they were more or less used after surgery or in terminal cancer, now, all sorts of chronic pain recieve opoid treatment.

Cheers

Jonathan

Last edited by jonnstar; 03-18-2010 at 07:18 PM.

 
Old 10-22-2010, 11:47 AM   #13
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Re: What meds help for your chronic neck pain??

What helps me with my terrible neck pain is Lortab 7.5, during the day at work, Soma 350 mg. at night. I was first on Flexeril, and Talacen (non narcotic), but after being on those for over a year, my body built up immunity and therefore, the doctor put me on something better. I still have really bad days, don't get me wrong, but at least I do have the meds to help. Next month, I go in to have a Anterior Cervical Disectomy and Fusion done on my neck.

 
Old 10-25-2010, 05:42 PM   #14
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Re: What meds help for your chronic neck pain??

My problems too, started with my neck, rest assured there are good doctors in Canada...just keep looking. Good luck! I pray it works out for you.

 
Old 10-25-2010, 08:14 PM   #15
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Re: What meds help for your chronic neck pain??

I am also Aussie and my doctor has to ring each month to authorise my patches because I wear more than one at a time and for me to get that many for $5.40 a month, and he also has to hand write the scripts as they are classified as a narcotic medication. The Oxycodone I take less than the full script in a month so he just has to hand write the script for Endone 5mg. I also use Norgesic and it is not on the PBS list which is government assisted. After I have paid for 60 PBS meds I get them free the rest of the year. So from today I only pay for the Norgesic. $35.
Even though the narcotic medications are available some doctors still refuse to give them. Mine will only do the patches but not tablets. So I have been lucky to an extent. Though I wish I could get the endone for daily use but then also I won't have as much problems coming off them if the surgery is successful. The disc replacement / fusion, I believe will give me a better chance of a recovery 30 day to go for me.
Allan.
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