It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 03-24-2011, 03:01 PM   #1
Newbie
(male)
 
Join Date: Mar 2011
Location: Tulsa, OK. US
Posts: 1
Psychmus918 HB User
Really need help: pain, doctor, and addiction issues

I've had migraines and back pain since I was 19. Doc's just wrote norco's for it and time went on. To be honest, b/c of the pressures of my job I began taking recreationally and not just for thr pain. Got into buying oxy and it almost ruined me. I was able to get off it, but I really feel that once you let those demons in they're never truly gone.

A year and a half ago I was in an accident. B/c of my high tolerance, I was in agony. Went to doctor after doctor and finally found a DO who is great. He referred me to a pain management doc, and my life's been hell ever since.

I've tried injections, RFA, and none of them really helped. The doctor's office would just randomnly change or completely STOP all medications. They also prescribed the wrong meds a couple times and I've had to physically go into the office to straighten things out a half-dozen times. I'm a pretty smart guy, but I know doc's have egos like no other so I tried being honest but playing dumb. Didn't work. I tried for six months to make it work with him, and sought advice from my GP who said it was time to try someone else.

How should I approach this meeting? How do you all cope with the pain and thr crap that the drugs bring with them? I'm currently in withdrawals b/c it ia going to take another 4 weeks to get in to see thr new guy and I'm outta meds. Many of you know what that's like. Bad enough, but the pain is making me suicidal. I haven't been able to work for a year and a half b/c of thr combo of doc's and meds. I just want a normal life. Any advice would be so appreciated. Thank you.

 
The following user gives a hug of support to Psychmus918:
mgm55 (03-28-2011)
Sponsors Lightbulb
   
Old 03-24-2011, 04:54 PM   #2
Senior Veteran
(female)
 
Join Date: Jun 2004
Location: Northern California
Posts: 797
Fiona_Jo HB UserFiona_Jo HB UserFiona_Jo HB UserFiona_Jo HB UserFiona_Jo HB UserFiona_Jo HB User
Question Re: Really need help: pain, doctor, and addiction issues

I'm very sorry about the pain you're in. Seeing how you are in transition, would your GP possibly prescribe your medication for you until you get in to see the new specialist? This way your not completely without medication for the next month.

I hope you get some help for the pain in the meantime.


~ Fiona Jo
__________________
080807-Cervical-Stim~071707-ACDF-C5-C7 w/instrumentation/bone graft~'07/06 Lumber instrum. removed 05/04-Fusion(DDD/Collapsed Disc L5-S1)08/99-Microdisectomy(Herniated Disc) ~Lupus/EDS,Migraine

 
Old 03-24-2011, 06:12 PM   #3
Senior Member
(male)
 
Join Date: Jun 2003
Location: moncton n.b. canada
Posts: 129
ruko4 HB Userruko4 HB User
Re: Really need help: pain, doctor, and addiction issues

What types of meds were you recently on? and which ones are you withdrawaling from?
__________________
shawn

 
Old 03-24-2011, 06:45 PM   #4
Senior Veteran
(male)
 
jonnstar's Avatar
 
Join Date: Mar 2010
Posts: 1,873
jonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB User
Re: Really need help: pain, doctor, and addiction issues

Suboxone might be an option, to manage both your pain and your addiction issues?
__________________
The desire to take medicines is what seperates man from the lower animals - William Ostler

Multiple anecdotes do not equal evidence - Me

 
Old 03-27-2011, 10:57 AM   #5
Senior Veteran
(female)
 
Join Date: Dec 2003
Posts: 10,133
feelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB User
Re: Really need help: pain, doctor, and addiction issues

a really great type of doc to actually see here for treartment of your pain AND also the real true underlying reasons eve3n FOR what you feel is an addiction too would be to seek out whats called an 'addictionologist'. they DO treat you and your pain kind of at the same time kinda thing? but until you truely understand the 'nature of your addiction' nothing will stop THAT part from reoccuring again. your way of seeing your meds HAS to change as well as other components of 'you" too of the same thing will occur again and again becasue nothing IN YOU has actually changed, ya know what i mean? it becomes VERY 'cyclic' in nature. i too have been down that road myself back in the 80s? but had to go back onto narcotics when everything hit the fan in 2002-3, just to even BEGIN to try and tolerate this new and wonderful pain hell i now had/have. if i had not HAD those many years of clean time in between and also had sought out a wonderful treatment program back when i quit, i really have no clue as to how i would be doing right now at all since i would NOT have had the 'tools' i learned while IN my treatment program to just help and guide me thru this crap. it does take a very strong/heavy amount of overall direct guidance, direction and mostly that true accountability TO the doc to even allow me to stay where i am currently at. and stable on the same exact daily intake of my OC that i have actually been on since 2005. only my BTs have changed but still only two per day.

there just ARE many many different ways to actually treat even very severe pain that do not actually even involve the use of ANY types of narcotics. but, with some pain, you kind of have to also include the narcotic aspect. but i have simply found soo many other ways of treating what mostly will not at all respond to any level of narcotics that helps me to get thru every day and hitting mostly the insane levels of flares from RSD and whats called central pain syndrome which for the most part, no narcotics truely even touch. when you are simply 'forced' by very out of control pain to HAVE to try other methods, you would be really amazed at what you can actually find that DOES work for pain. these are all part of my lil 'toolchest' of back ups for my responsive to narcotic type pain too when the narcotic simply is not enough that particular day and i need BT meds, but am limited to only those two alotted pills per day. this keeps me from even thinking of trying to use 'tomorrows meds today" kinda thing? and that IS critical to maintaining trust with your doc as well. ya simply cannot even think of 'goin there" when you just KNOW what your actual limits are as set by your rxing doc. that will be what will land you in big trouble with any doc.

but it IS simply having the direct accountability to someone and specific guidelines along with the ever present possibility of suprise pill counts and random UAs that HAS kept me on the 'good' positive track i have been lucky enough to stay on now and thru all my really over the top pain too. and i never ever just take that for granted that it cannot ever happen again, or to any of us who simply are on some very powerful and highly addictive meds. all that takes is the lil 'perfect storm of events' to take place in someones life, then all of the sudden we end up using the dissociative effects of narcotics to help to 'cope' with that 'storm, then were there before we even realize it.

but it CAN be done, but certain things also HAVE to also be done for 'us' as well. but DO try and seek out a good addictionologist to get you set up with a good med program and also to get 'you' on the right track again as well emotionally and mentally, or nothing will ever change in how you simply 'use or even see'' your meds as a coping tool as well as for pain.

i just have to ask this one question of you. do you honestly seriously 'feel' that what you are dealing with IS an honest to god real 'addiction' TO narcotics, or more of an actual 'dependency" on them or to them(just have to be taken daily FOR strictly pain control and nothing in between or any other reason)? there just IS one really huge difference between what is a real true addiction and dependance upon narcotics. only YOU truely know the answers here to that question. 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 03-27-2011, 05:54 PM   #6
Senior Veteran
(male)
 
jonnstar's Avatar
 
Join Date: Mar 2010
Posts: 1,873
jonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB Userjonnstar HB User
Re: Really need help: pain, doctor, and addiction issues

I have my seceret little emergency tool chest as well feelbad, for when i get pain spikes and need releif - mine is a dose of my breakthrough med (APAP plus codeine) along with caffeine and 25mg of Phenergan. This makes me a bit dopey, so I have to lay down after I take it, but it certainly helps me through the bad times.... I guess its a mild, home made version of the "lytic cocktail"
__________________
The desire to take medicines is what seperates man from the lower animals - William Ostler

Multiple anecdotes do not equal evidence - Me

 
Old 03-28-2011, 06:46 AM   #7
Senior Veteran
(female)
 
Join Date: Dec 2003
Posts: 10,133
feelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB User
Re: Really need help: pain, doctor, and addiction issues

whatever just works for you and YOUR pain processes is the way to go here john. the amazing things that i have personally found along the way that just really DO help tons with the more out of the box and over the top pain are really very basic things that are all ment to help with certain types of pain. the more prepared we are since we just already KNOW its gonna happen at some point, just lessen the chances of doing the worst things/choices for ourselves.

my lidocaine patches esp when combined with an amazing topical called biofreeze is what got me thru that pain when i snapped my supraspinatus tendon in my rotator cuff(the one that runs from the neck to the outter top of the shoulder) for many months, and not even HAVING to ask my PM for ANY extra narcotics really amazed me at how well this combo just worked from about nov 14 07 til my surgery could even be done on feb 6 08. i had 'maybe' like only four days during ALL that time where i REALLY wished i did have more narcotic back up, lol, but other than that, it worked soooo amazingly well for that level of what WAS running for the most part between like a 7 to 9 pre lido and bio. freaked me out actually.

but there just ARE alot of different types of topicals and other meds, various types of injections for specific pain and pain syndromes, and other 'modalities/therepies" like my TENS too that mostly help with my RSD flares that just are the lil "back up methods" when our meds do not always do that job that we CAN also rely on to just calm things down enough to more tolerable/take that nasty 'edge off of" that allow us to NOT even have to dip into what ARE the very set limits of our narcotics(for the majority of us, esp in PM). i personally could not even imagine 'only' trying to manage my many different pain processes with 'just' only narcotics alone. it would just be pretty impossible for me.

just having the other stuff even availiable is what will help us to better stay on track and within our rxing guidelines too. once our brains simply even 'justify" the use of more narcotics than we are simply even allowed that day, and all we have to even "do" there is 'justify' in our heads to even go into what we already just KNOW without a freaking doubt is already off limits. it gets soo scaringly easier to simply justify this one act over and over again(only becasue we HAVE even made it "okay' to simply "do" at all) til we just end up with an ever growing addiction. addiction IS very sneaky in that you do NOT even realize just where you are actually going med wise til you are just 'there' and asking yourself 'what in the HELL am i going to do" with regards to my PM and my contract, among other things we would now also have to deal with. and by THAT time, you are running very short of like possibly weeks of BT meds or even our long acting meds. and no PM is going to ever actually tolerate that much 'misuse/overuse" of anyones meds without 'some type' of real consequence( possible termination). or you just do not say anything at all to the doc then YOU just try and 'suck up" that pain/suffer your way thru til your next rx fill. either way, you ARE very much screwed, and in soo many ways, when it NEVER even HAD to happen in the very first place.

by just looking for the things that have worked for others pain and just trying them to see if they would also work for you and they actually DO, simply IS another lil 'back up tool' in that lil chest of 'help' so we do NOT ever have to be in the posistion of 'deciding/justifying" the over use of something we simply very MUCH already KNOW we are not ever supposed to do.

the more real true "options' we can possibly find, gives us OTHER choices besides over use of narcotics that are usually ment to last a very set timeframe. if you should EVER find yourself doing that, you really DO NEED to ask yourself the 'whys' of the act. am i actually under medicated for my level of pain?(this would manifest itself as whats called 'psuedoaddiction" where you would 'appear' to be showing all signs of an active addiction when its actually just being too undermedicated for YOUR levels of pain that IS the 'justifying" component there, and that just IS a big sit down talk with your doc about options), or am i really getting some kind of benefit inside my head as in helping to relieve depressive feelings(i just do not actually 'feel' quite so bad/depressed in my head when i take my narcotics)? there just truely IS a very real disassociative effect that most narcotics have that are supposed to help us to kind of 'accomodate/dissassociate FROM our actual pain and be able to get thru any given day. unfortunetly it IS that same effect that we can end up also using to justify taking either ANY narcotics when we simply do NOT even have pain, or take them in between our 'normal and already set" Rxed doses too that start this really insane and sick practice of slowly allowing the meds to 'run our lives'(just pop into the addiction board and see how many people are in this situation ONLY becasue they did/do have pain and were medicating it with narcs and ended up using them to cope and deal with life eventually), and also WILL make our decisions FOR us since we have ended up pretty much justifying and handing over full control to the meds and the part of the brain that REALLY loves that 'feeling' they give us too.

BUT, as long as we are very watchful/careful about HOW we use our meds and 'why'(but mostly having that accountability to someone and direct guidance and potential consequences, those are huge), and never ever go beyond that very definitive line of where our Drs set our guidelines, we just DO have a much lessor chance of ending up in that very bad place. when things hit the fan for us, thats when we whip out our other 'options' vs simply going right to the narcotics. while it may 'appear' much easier to go that pill route. if its over YOUR line for THAT day, you have to start finding other options(or at the very LEAST try and speak with your doc about changes in your pain or what can be basic tolerance over time). other methods just very much ARE truely out there and in some cases what i have found using 'certain" particular things, they have actually worked even better than some of what narcotics truely fell short of. that other modality simply kind of 'picked up" where the narcotic stopped short of for me.

soo, anything is always worth at least a good solid try, just to see how well it may work for YOUR particular types of pain, if it works, then you simply add that to your 'back up list". even the very tried and true 'ice/heat" can help alot more than some people may think. it really depends upon your own pain and how anything will simply respond/react to any modality. but after having six seperate surgeries, i can honestly say that using plain old ice truely can work wonders for post op pain along with your post op narcotics or even alone too.

anytime we simply do NOT have to raise our narcotics up for any reason is always a 'good thing", and for a TON of real reasons. but getting in wayy above our heads becasue we "allowed' ourselves to simply make it okay only becasue we 'had pain at all', thats where things can come back to bite you, and in some cases REALLY hard too. i DID learn a huge lesson in my life and hopefully someone will learn from this too. and ALWAYS remember if your pain is soo bad that you are contemplating taking more than allotted that day? call you PM or Rxing doc "FIRST" even before you take that one extra pill. find out what 'they' want you to do in that situation, and not tell them AFTER the fact at your next follow up visit(or choose not to tell them at all since THAT too will eventually come back to haunt you too at some point down the road as well). they do NOT like 'those' lil types of suprises since it IS going against what you signed on your contract and is reason to terminate you too depending upon your own individual situation. always inform them on anything haviong to do with your meds,esp before taking anymore than you already KNOW is simply going over 'your limit'. these just ARE the things that have helped my once active addiction remain inactive,and i AM thankful and grateful that this just has worked out this way for me. things just could be soo much worse without that very real level of accountability i have to someone. that really was NOT there at all back when things got ugly for me. instead of that doc, who i had been calling in early refills on, actually calling me in to talk about this needed 'increase' of my usuage, he merely added MORE to the overall amount of pills per Rx so i would not be "bugging him" as often. while i do NOT blame my doc for what i personally did back then, he sure as heck should have made me more accountable and the lil red flag should have shot up in his head as well. he simply never ever once asked me 'why' i needed so much more. thankfully docs ARE much more 'aware' now then back in the 80s, thats for sure. and that IS really to our benefit even if you may not feel like it is? that basic accountability means everything in the daily situations we are forced to be/live in and have to take.

okay i am done now, i promise, 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 03-28-2011, 08:02 AM   #8
Junior Member
(male)
 
Join Date: Nov 2010
Location: CALIFORNIA, USA
Posts: 17
mgm55 HB User
Re: Really need help: pain, doctor, and addiction issues

Quote:
Originally Posted by Psychmus918 View Post
I've had migraines and back pain since I was 19. Doc's just wrote norco's for it and time went on. To be honest, b/c of the pressures of my job I began taking recreationally and not just for thr pain. Got into buying oxy and it almost ruined me. I was able to get off it, but I really feel that once you let those demons in they're never truly gone.

A year and a half ago I was in an accident. B/c of my high tolerance, I was in agony. Went to doctor after doctor and finally found a DO who is great. He referred me to a pain management doc, and my life's been hell ever since.

I've tried injections, RFA, and none of them really helped. The doctor's office would just randomnly change or completely STOP all medications. They also prescribed the wrong meds a couple times and I've had to physically go into the office to straighten things out a half-dozen times. I'm a pretty smart guy, but I know doc's have egos like no other so I tried being honest but playing dumb. Didn't work. I tried for six months to make it work with him, and sought advice from my GP who said it was time to try someone else.

How should I approach this meeting? How do you all cope with the pain and thr crap that the drugs bring with them? I'm currently in withdrawals b/c it ia going to take another 4 weeks to get in to see thr new guy and I'm outta meds. Many of you know what that's like. Bad enough, but the pain is making me suicidal. I haven't been able to work for a year and a half b/c of thr combo of doc's and meds. I just want a normal life. Any advice would be so appreciated. Thank you.
__________________

 
Old 03-28-2011, 08:10 AM   #9
Junior Member
(male)
 
Join Date: Nov 2010
Location: CALIFORNIA, USA
Posts: 17
mgm55 HB User
Re: Really need help: pain, doctor, and addiction issues

hi< just relax, it will all work out. this may sound unconventional but what seems to be going on is that i feel your emotional state may be getting the best of you and this oftentimes blocks our better judgement . yes you are on many meds that each has thier own tendencies so far as pain they treat, w/d aspects and psychological implications. my feeling is that you get the help of a good psychiatrist. this may be the best step in getting the hold of the right part of the string to start to untangle the whole knot.it sounds as if you are on the right path. dont give up!
__________________

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Please help!! Need feedback desperatley! mburger823 Pain Management 13 04-27-2011 05:44 PM
Drug Rehab with Pain Management..PLEASE HELP Bricker Pain Management 10 01-08-2011 12:09 AM
Need help with getting pain relief. Sophie222 Pain Management 16 02-15-2010 09:40 PM
I need some help regarding my reduced pain? jdsun Pain Management 6 02-06-2010 01:19 PM
I really need help. georgi Pain Management 13 12-18-2009 06:31 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



gmak (155), tortoisegirl (154), Shoreline (149), BB07 (91), backhurtz (84), katlin09 (69), Ilovemycutedog (53), galalena (50), jonnstar (35), Isotope (34)

Site Wide Totals

teteri66 (1166), MSJayhawk (1000), Apollo123 (899), Titchou (835), janewhite1 (823), Gabriel (758), ladybud (747), sammy64 (668), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 12:41 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!