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Old 02-08-2011, 11:19 PM   #1
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Saw a Pain Management dr for the first time...

I showed him my orig. mri from 2005, and the most recent mri done last week that showed the l5 s1 herniation had gotten worse. Told him that I had many esi's done by my previous dr, a spine dr, (whom I fired b/c he didn't take my pain seriously) and that the esi's didn't seem to work for me. However, this pm dr want's to do another esi. He says the way "he" does it, it should work. He gave me a script for 120 percocets 5/550(?) take 1 every 6 hours. Stopped my skelaxin, even though I told him that my right leg has muscle spams/cramps every time I lay down. He mentioned pt, but says since the nerve is irritated right now, pt won't do any good at this time. I was hoping that he would actually listen to my issues about not being able to do most of the adl's such as cooking and cleaning. I want to try the duragesic patch so I can stop taking so many pills, but I didn't even get a chance to discuss options with him..he basically told me what "we" were going to do. Is this the way 1st visits go with a pain management dr? Do they do the injections all over again because of protocal so they can justify stronger medications? The percocets don't last long enough, and I wake up in the middle of the night (if I can even get to sleep to begin with) with pain. I will go along with the esi, even though I don't think it will work...didn't work the last 3 times I had it done, "cause I do not want this guy to think I am seeking. The last esi was over a year and a half ago, so I don't think it's too soon, it's just that out of the 4 or 5 that I've had done since the orig injury in 2005, the only one that gave any relief was the very first one. The rest never worked...the pain stayed. The orig herniation in 2005 was only on the left side at L5 S1. Now it has a central herniation which is causing my right side leg pain/spasms and sciatica. I guess since the herniation is worse, maybe the esi may help, but if it doesn't, I don't know what the next step will be. He mentioned a neurologist, but I do not want surg unless absolutly necessary. I am scared of surg. One slip and I'm paralyzed or lose control of bowel/bladder functions. . I know that it's rare..practically nonexixtant, but knowing my luck....I'd be the statistic! I just want my pain addressed. I know I'll never be pain free, but I would like to get it managable, so I can cook and clean. What advice does anyone have, or what was your experience at yoour fist visit with your PM dr.?

 
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Old 02-09-2011, 11:20 AM   #2
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Re: Saw a Pain Management dr for the first time...

If your pain is chronic, and you don't see it diminishing on its own in the future then..... Percocet probably wasn't a good choice for the long term. You will be up and down with your blood plasma levels, in and out of pain, and not happy, IMHO.

Ask your doctor why he feels a short acting pain medication like Percocet is the right medication for the long term. Then ask him why some people take long acting meds like MS-Contin, OxyContin, and Duragesic patches......

I would be interested in hearing his rationale for Percocet..... I think his intent is a short term run, as part of a short term plan...... What next though?

~

 
Old 02-09-2011, 07:11 PM   #3
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Re: Saw a Pain Management dr for the first time...

I've been in pain every day since 2005. My last dr. (not a pain dr)said he couldn't write for anything stronger than percocet. So I dealt with the pain. Then my dr moved 3 hours away, so I looked for a pain mgt. dr close to where I lived. I was hoping he would be able to write for a long acting med. But he gave me more percocets, and scheduled me for another esi. If the esi does not work I am going to mention the longer acting meds. Percocets do not last long, and I wake up after about 2 hours in pain. I haven't had a full night's sleep in years. How do I tell him I want stronger meds without looking like a "seeker"? My most recent mri shows a large midline herniation and comparing it to the mri from 2005 showed only a left side herniation, so it is definately worse!

 
Old 02-09-2011, 07:21 PM   #4
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Re: Saw a Pain Management dr for the first time...

Hello Friends,
Elizabeth, I feel badly for you that you're going through such a difficult time. I agree that a short acting med doesn't work well for long acting pain.
If I were you I'd start a pain journal if I didn't already have one. Doctors rely on data to make decisions. The info in the pain journal will provide the doctors with the data that they need to make better decisions for you. I've kept a pain journal, as have many other folks. I make entries three or four times per day. I note the date, time, pain rating on a scale of 1-10, meds, other treatment modalities, and description of pain. I note the type of pain and anything I do that either helps the pain or makes it worse.
Please keep us posted. We care.
Peggy

 
Old 02-10-2011, 12:36 AM   #5
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Re: Saw a Pain Management dr for the first time...

Quote:
Originally Posted by elizabeth28 View Post
I've been in pain every day since 2005. So I dealt with the pain. Percocets do not last long, and I wake up after about 2 hours in pain. I haven't had a full night's sleep in years. How do I tell him I want stronger meds without looking like a "seeker"? My most recent mri shows a large midline herniation and comparing it to the mri from 2005 showed only a left side herniation, so it is definately worse!
Hello Elizabeth28. You sound like me. Did you tell your doctor you cannot sleep at night. 2 hours, that is what you can get when you suffer from chronic pain. Not every Chronic Pain Patient cannot sleep cause of pain, but most cannot. Just so you know. My PCP decides what med I can use. He rx me Oxycontin or the Fentanyl Patch. But nobody knows When you take Fentanyl Patch will help you sleep.

Sleep will never be RESOLVED if you won't get pain meds. I have been suffering from chronic pain for 5 years already, just like you. There is another long acting med called Tramadol Extended Release. It works 24/7. It really took MOST of the pain I have. Problem was it did NOT let me sleep. But everyone is DIFFERENT. I think you SHOULD try this med cause it works 24/7 and your doctor will be HAPPY to rx you that cause it is not considered narocotic. It is half narocotic basically. But doctors will rx you that. I would try that first. Try that one for couple of days, if you see it bothers your sleep(2 hours, I know, it is not considered sleep)stop it.

I believe MS CONTIN will help you sleep. My doctor refused that. I would ask for MS CONTIN if I was you. Tell your doc you cannot sleep at night. repeat that. I have only tried Tramadol Extended release, Oxycontin so far.
Tell him also you do not want sleeping meds. It is better not to get used to sleeping meds. It is the pain, that is why you cannot sleep. My doctor stopped believing me it is the pain why I cannot sleep. huh. and want me to go to the shrink cause they understand more about sleep???????well, never.
I know PAIN is the reason I cannot sleep. I have never had any sleeping problems before this Chronic Pain.

I am worried about you not being able to sleep. 2 hours. I feel for you.
I start lecturing my doctor how sleep is important for your health and he looked at me like I am crazy, and/or where did I get that info from?. He told me I am spending too much time getting info from the internet!.

If you will not be able to sleep for 7-8-9-hours for many years it can lead to a lot of health problems - high blood pressure, diabetes and more. also if you are able to sleep 7-8-9 hours(remember those days???)you will not feel so much pain.

You need to find a doctor who will believe you cannot sleep cause of PAIN.
Some doctors knows that.
Gosh, I feel for you, please keep in touch here and tell me when you are able to sleep 7-8-9 hours.

My doctor told me I will NEVER be able to sleep 7-8-9 hours. That is so vicious. He said my body got used to 2-3-4 hours of sleep.

Well, if you want to be healthy again, you must sleep 7-8-9 hours.

It all depends who is your doctor. You will have to find another one.

By the way, how were you injured? car accident?, if I may ask. just wondering.

 
Old 02-10-2011, 02:07 AM   #6
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Re: Saw a Pain Management dr for the first time...

Your Doctor can't write for stronger than a Percocet? Percocet contains Oxycodone, Percocet is a CII scheduled drug same as Morphine and all the rest.... Sounds like nonsense.

I just don't see the rationale for Vicodin, Norco, or Percocet unless the game plan is a short term bandaid to make you feel comfortable while you recover -until you get 'better'.

It just sets up the patient to look and act like a seeker -give someone a 2-hour pill that comes on strong in 20 minutes and begins fading 90 minutes later..... It just creates a fiend who wants to take a pill every 2-hours!

I'm just sayin'....

 
Old 02-10-2011, 08:06 PM   #7
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Re: Saw a Pain Management dr for the first time...

I know. I will submit to the injection, but if it doesn't work I will ask for long term meds. I was injured by stepping into a partially filled hole at the place I worked at. They didn't fill the hole all the way, and I stepped on it thinking it was solid grass/dirt, but I broke thru the "fill" up to my knee and jarred my back. It herniated the disc. I went to er right away...at first they said muscle strain, but when it kept hurting I insisted on mri.

Last edited by elizabeth28; 02-10-2011 at 08:07 PM.

 
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