Hello all! I am new to thus site ans I wanted to see if anybody out there has any advice for me. I have had two back surgeries including a spinal fusion. I have had several injections I take 4 oxycodone 10mg a day and I am getting bno relief from this pain at all! It affects every aspect of
my life as anybody in chronic pain knows. It is destroying my marriage because my wife can't understand what I'm going through. I graduated from college in 2009 and I can't
even use my degree because I'm not able to go back to work right now( I'm beginning to think I will never be able to!), I'm depressed about the whole situation!!! Does anyone know anything that will help me out? Any suggestions would be greatly appreciated. Thank
I'm sorry I know it sucks. Perhaps a different dose or different rx could help? I'm fairly new to CP and dont know much about any meds other than the norco I take, but I'm sure there's something stronger that could help.
I can sympathize. I had a laminectomy at 30 and a spinal fusion at 32. Still in pain so went to pain clinic and I did get better after several months. i did pool therapy, etc but no pain meds.
after 15 years of being virtually pain free, I woke up one morning at age 50 in terrible pain again, down the leg, terrible back pain etc. had MRIs etc, nothing shows up.I had injections 2x, and they did not work. Finally got to a pain doctor, who put me on Fentanyl patches and I got my life back. NOw after 2 years on those, they do not seem to be working as well, so i tried to get off of them, but the pain came back full force, so I am not sure what to do. there is a Spinal Stimulator which is a surgical device that is implanted near the spine, that is supposed to work well for leg pain, but i have resisted that. I just read about a new device, which is a CHIP,which is implanted close to the spine and it is supposed to be available next year, which is what I am hoping to be able to get.
IF no reason can be found for your pain, see a good pain management doctor. Ask about the Fentanyl patches, you have to be opiod tolerant to use them but they truly gave me my life back.
Let me know what happens. and you are right, it is hard for others to understand what you are going thru.
Changing from IR oxy to Oxycontin or another LA pain med would be a good first step, you might need more than the 40mg of Oxy you are taking each day atm, 40mg of oxycontin twice a day might give you releif. Other LA pain meds are MS Contin, methadone, fentanyl patches and several others.
There are other meds to add onto your oxycodone that can boost relief, for example taking 2 extra strength tylenol with your oxycodone can realy boost the analgesic (follow the directions on the bottle, no more than 8 per day under any circumstances)
Amitriptyline helps many people as an adjuvant to narcotics, NSAIDS like Mobic can also boost your relief.
The idea is to get multiple layers of pain releif, all adding onto one another, for example, oxycodone plus tylenol plus an antiinflamatory plus amitriptyline, all working against the pain in different ways, adding up to much better relief than a single drug.
There are many things for you to try, please dont give up.
The desire to take medicines is what seperates man from the lower animals - William Ostler
Isotope, Adding Tylenol, aspirin or Ibuprofen(Motrin,Advil), to an opiate, makes the opiate stronger. And vice-versa. This is called potentiation or synergy. An example would be Percocet. It contains Tylenol and Oxycodone. They both make each other stronger. That's why they put them together...janiee
Iso, yes, any non opoid analgesic would boost the effect, but I mentioned Tylenol because it has the best side effect profile for long term use.
Many of the compound pills (Norco, Percacet) dont contain enough acetaminophen to provide meaningful benifit - 650mg is the minimum effective dose, and 1000mg is the optimum dose (maximum per day of 4000mg)
However, many of these pills contain only 325mg, half of the minimum effective dose, so it makes more sense to take an oxycodone tablet and some acetaminophen seperatly, so as to get the optimal dose of each.
The desire to take medicines is what seperates man from the lower animals - William Ostler
Hopefully you are in treatment regularly with a Pain Management physician and are considering a long acting medication such as MS contin, Kadian, Opana, etc. These medications allow you to maintain a constant level of medication in the blood and thus hopefully you need less break through meds. I have MS Contin and Some and Percocet for break through pain not controlled by the Ms Contin. Early on in the PM process my husband went with me to meet the PM doc and that gave him peace of mind that I was getting the right treatment.
40mg of oxicontin isn't a lot and probably not enough for your pain. I take that now but only 4 weeks out from surgery with the 3 to 4,000mg of acetaminophen. I was on 80mg of oxicontin after the surgery that was after coming off the morphine pump. Before that I was on 2 x 50 mc/gr/hr fentynal patch, plus valium, endone, celebrex etc. My specialist wasn't happy that they took the patch off me as he believes the oxicontin is harder to come off. I am still not sure how I will go taking any less at present. I do hope the physio and walking will help my back mend and give me less pain.
I am very pleased to only be taking the 40mg as once you go higher than that the side effects jump as in constipation, memory loss, drowsiness, dry mouth, depression and low sex drive. So just be aware that you will need other things to help with the side effects.
Since coming down onto a lower dose I have had a moist mouth that takes a while to get used to and I am going to the toilet daily instead of once every 4-5 days. It is great not having to strain to go.
I hope you can find some treatment to give you your life back.
I don't think oxicontin has changed at all in Australia so it is still effective but I find it tapers off towards the end of the 12 hours. The tramadol I took initially was better lasting and at that level 100mg sr may be a good start but I was on 200mg almost strat away. And when I started on hormone replacement that helped the sex issues.
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.
Last edited by allanbruce; 12-26-2010 at 08:17 PM.
teetime...use that term loosely if n you're having that much pain. R u seing a pm doc, because youre not really on that much med...i realize that youre young, and hopefully your regimen is not taking pills the rest of your life...remember , the more narcotics/opiates you take, the more your sex life will suffer.i was a college athlete, and resemble nothing of that today, from a nice little car wreck i had in 2006...i am 44, but still hink that i am in my 20's...when you get to that age , youll understand....i have been through most of what youre going thru, i migh be able to help....
Teetime59, that is too bad your wife doesn't understant what you are going through. too bad really. nobody can understand, even our doctors do not understand so we ask our wives to understand, ya right.
See if you can start on ms contin. Looks like it is the the only med actually that can provide any relief and allows you to sleep. THere is oxycontin but they changed the forumula and you cannot take it close to bed time(it disturpts sleep to some people, not to all).
Have you tried Tramadol extended release 24/7, that works? you start with 100mg and see how it goes.
I had an accident on my job back in 1993. It caused the sciatic nerve to lodge in the sciatic notch. I went through a decompression surgery which didnt help. I had one of the first dorsal colomn stimulators implanted. It resulted in several surgeries with the older implants (approximately 9) and now there is too much scar tissue to re-implant it. Ive was put on many different medications. Finally, I was prescribed the Fentynal patch which helped greatly once I gave it some time and the dr. adjusted it. I continued to get sick with the oral pain meds for break through pain. I was given the fentynal sucker for break through pain. IT has worked for several years (over 8 yrs without having to change the mcg taken) but its very expensive. Workmans comp does not want to pay for it any longer. There is also a program required. My pain clinic doctor is not on the program. They sent me to a new pain clinic doctor after being out of my medications for 18 days of pure hell (pain). I didnt go through withdrawl but the pain has been awful. The new pain clinic doctor who is on the program said that it would be best to put me on what has been working however my workmans comp people interupted the appointment and told him they did not want to pay for this expensive medication. He changed all my medications and I am having so much pain, I dont think I can stand much more. I can not go back to my other pain management doctor now because they will not approve it. I need help desperately. I dont think I can stand much more. My entire back hurts, my hip and down my leg. I have literally laid here crying for days, calling this new doctor, taking the new oral medication which makes me extremely nauseated and doesnt relieve the pain. He prescribed what they told him to prescribe. Im ok with changes and realize the medication is expensive but right now I need some pain relief..any suggestions other than I need to find a new pain clinic doctor who is compassionate, listens and is willing to find something that works? He has prescribed the same seizure medications for pain that Ive already tried previously. It took years to get pain control and now Im back to step 1 again, starting all over..