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Old 10-06-2007, 09:03 AM   #1
Join Date: May 2007
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Any insight?? Opiate tolerant? What comes after ESI's and trigger points?

Hello everyone,
Feelbad do you have any input on any of these things? You have responded to me before and I have read some posts that you have made to others so I am wondering if you can help with some direction or encouragement????
Let me start with a breif history...

I was on workers comp for 3 years for an arm injury that resulted in 4 surgeries. My case for that just recently closed. I was seeing a PM for the last year of this case. Really good doc.

Unfortunatley just before the closeing of the WC case I was in a car accident. Although I hit the other car (sort of a T-bone thing) it was the other drivers fault and they were cited. I was going 50 MPH just before hitting her. I had only a split second to try and stop.

Anyway I now have bulging discs in my neck and compressed spinal nerves.
My GP and I and the attorney decided that I should return to the PM doc. I have since had one ESI from a crappy PM doc that I saw befpre returning to the PM that I had for WC.
The good PM from WC did 4 trigger points last Monday.
Well to make a long story short I am very opiate tolerant and I am not really getting the relief I feel I should from the percocet that I take. I can currently take 6 a day, but the problem is that on an occassion I get the spiked incidents where I just want to die or throw up.
At one point when on WC they switched me to Methadone. It really helped but I had a rough time tolerating the side effects. Not to mention the tapering process was pretty awful for me. No matter what you take at some point the day comes when it is time to try getting off them....YUCK! I do not want to take Methadone again. I just can't go there.

When I go back to see the PM doc next Thursday I will be addressing this issue with him. He is totally aware of the tolerance I have. I am soooooo not willing to take Methadone again. I am a student and can't function well enough on that stuff to do well in my class.
My question is what else is there to try?? I can't use vicodin because it is just to constipating and I have the same tolerance issue there.
Does anyone else in here have this tolerance issue? I do not abuse my meds, but I feel guilty for asking about stronger stuff.
I am also a recovering addict and alcoholic. I just celebrated 3 years a month or so ago. My doctors are all aware of this. I am completely honest about everything. My drug of choice was Methamphetamines.
Anyway..I am tired of this pain and for the most part it can be managed with the 5-6 percocets a day, but there is times ( about 3-4 times a week) that the pain just exceeds a 10 on that scale and I am not able to get it controled.
I hope that others here can share their experiences with me!! It is always nice to know your not alone and that others understand.

As far as the ESI and trigger points went. I was in a lot of pain right after the ESI and I only had a day with some relief. The trigger point I thought was helping but I am not really sure because my symptoms vary in their intensity from day to day. Not to mention I have always had the spikes of uncontrolable pain.
Anyone have any experience with this??

Please share your stories with me!!!


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Old 10-07-2007, 11:29 AM   #2
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Re: Feelbad any insight?? Opiate tolerant? What comes after ESI's and trigger points

Ditto the lidoderm ! it helps w/my b/t pain. Good idea on the biofreeze im gonna try that,thanks for the info FEEL

Old 10-08-2007, 06:29 AM   #3
Join Date: May 2007
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Re: Feelbad any insight?? Opiate tolerant? What comes after ESI's and trigger points

Good Morning,

Thanks Marcia,

Well Darn it!! LOL. At least I know that others have had about the same experience with the trigger points. I am sure that the PM is trying his best to keep me from having any more surgeries.
I really do not want to try anymor trigger points. I have already been to the neuro who has said that there is nerve compression. He already told me that if an ESI did not work I should consider a foramiotomy. The thing is that the issues in the neck have been identified, but I really do believe that an MRI is in order for my thoracic region to make sure that there is not any issues going on further down.
As for the PM, he mentioned Facet Block injection. DOn't really know a lot about those, but I can say I am only really willing to try these things one time. They are painful.
The pain meds I am currently on work for the post part but there are times when if I could take more I would. Sometimes the pain just gets out of control.
I have a box of Lido patches and they helped me in the past for my elbow probs, but they are very expensive and I have only a discount card for prescriptions. I already am paying $118 bucks for the Cymbalta I take.. not to mention the other regular meds I need. OUCH!! big dent in the checking account every month just for prescriptions.

Well I appreciate your input. I will talk to the PM and let you know what happens.


Old 10-08-2007, 08:54 AM   #4
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Re: Feelbad any insight?? Opiate tolerant? What comes after ESI's and trigger points

not actually having the ins thing really does suck.perhaps you could appeal to the manufacturers website and see if you could qualify for their free meds program,that is assuming that they actually work as well for your TPs as they can on mine.just a thought here for you,but like i mentioned above,they DO make a lido is the very same 5% but unfortuently it really doesn't seem to work quite as well as the patches,but it could help some and i know it is much cheaper than the patches themselves.just see how the patches you do have actually work on the TPs and go from there.sorry i couldn't give you better info.marcia
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

Old 10-12-2007, 09:02 AM   #5
Join Date: May 2007
Location: USA
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Re: Any insight?? Opiate tolerant? What comes after ESI's and trigger points?

Thanks Feelbad,

I actually have filled out some paper work for the Cymbalta and sent the proper documentation to the drug maker (Eli Lilly) so now I just wait. I talked to the nurse at GP's office and she said it could take up to 6 weeks for a response.
The last time I used a Lido patch it gave me a rash. Don't know why considering I had used them before. I will wait and see what the PM says nextime I see him.

I was actually supposed to see him yesturday but his office canceled the appointment because he had a family emergency. They actually had to contact my GP's office so I could get a refill on my pain meds.

You know some of my history and how I was dealing with the WC arm issues. Well I am really tired of this pain deal. I feel I need something stronger, and I will talk to the PM when I see him again. I have already tried ESI, trigger points and an oral 6 day thing of steroids and nothing is working. The symptoms just stay the same and flare up to the point that I want to throw up. I even had the dry heaves the other day because the pain was so bad. I only take the alloted amount for the day of the pain meds but sometimes it just is not helping any. Other days it does help to manage it and keep the pain level around 5-7. Once it is above the 7 OH-BOY!!!!

My neurologist said if the ESI did not help I may want to consider the foraminotomy. Do you know anything about this surgery?? If so let me know because I have some questions.
Any way in the meantime life goes on and I continue to go to school and work hard.
Check you later.

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