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Old 04-17-2011, 09:27 PM   #1
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Scared to switch

Hi, I've had problems with chronic back pain for awhile now. It doesnt help much that my job requires a lot of lifting, etc. but i dont have a choice with my job. My question is this, I am being treated by my GP for my back pain and we have a good doc/pt relationship. I've been seeing him for about 6yrs or so. He prescribes me Percocet 5/325 for pain but will only give me the ability to take 3 a day. Now, the problem lies in the fact that i have to take 2 to even start to hit my pain , and 3 a day doesnt help. Sometimes i dont need but when i do, i need more than that. I have spoke to him about this but i think he is leery to increase my dose.
Im considering trying to find a new doctor or go to a pain specialist . I just dont know where to even turn.

 
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Old 04-17-2011, 09:38 PM   #2
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Re: Scared to switch

You could ask for a referal to a pain specialist, but that might not be what you expect either, pain specialists dont equal free and easy access to narcotic pain killers.

One way of boosting the releif you get from Percacet is by taking 2 Advil along with 1 Percacet, they work in different ways, so the effects are addative.

If he gives you three a day, I am presuming thats 90 a month. If there are some days where you dont need it, then on the days where you do, you should be able to take more than 3 if needed, the ups and downs ballancing out? Or do I have it wrong?

It might seriously pay to consider retraining for another job, one that doesnt require lifting etc, or seaking to your boss about a transfer to alternate duties.

Also, seeing a spine specialist might eb a good idea, there might eb a correctable cause for your pain, which would leave you pain free and without the need for regular doses of any pain killer.
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Old 04-18-2011, 06:03 PM   #3
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Re: Scared to switch

Perhaps an MRI to get a good look at the spinal structures. Xrays don't provide the level of detail an MRI does. Then a consultation with an Orthopedic Spine Surgeon and/or Neurosurgeon for full evaluation and consultation and discussion of all treatment options including possibly Pain Management.
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Old 04-19-2011, 02:07 PM   #4
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Re: Scared to switch

You may need a long acting med as wel as the Percocets for break through pain. A PM doc is trained to provide that level of medication.
As Jonn stated a lot of PM docs off the bat don't write scripts. Mine did but I had brougnt my MRI test results and X rays as well as my prescription history from the pharmacy. At that point I had been taking only percocet presribed by my PCP. My PCP freaked when he saw i was taking an average of 2 1/2 a day. So he referred me to Pain Management. Ironic though that my PCP thought he was referring me to a procedure only PM as the only other PM at the time in my area was known to prescribe heavy narcotics. First visit to the PM, he put me on a long acting as we as increased my percocets to 4 a day

 
Old 04-20-2011, 07:08 PM   #5
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Re: Scared to switch

sophie72,

Lots of people are afraid of risking current limited pain relief in fears of receiving zero pain relief instead. You can only hope for better pain relief if you do indeed take the chance of trying-out a new doctor or a PM doctor. However, for your case, I'd think that it's definitely "time" for a PM doctor. The PM doctor may even be able to treat you in numerous ways that you did not even know were an option!!

Also, in this economy, I'm guessing this is not the time to quit your position to retrain for another. I also think that if a person really loves their job (if this is your case), than proper pain management can help extend your time working in that particular position. I sure would LOVE to go back to doing what I did prior to all this chronic pain crap.

Don't be nervous about asking for a referral for a PM doctor. And while you may not get an increase in Percocets, you may find that your treatment is even BETTER than expected!! Good Luck, friend!! I'll be hoping the best for you.

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Last edited by babs17; 04-20-2011 at 07:13 PM. Reason: Incorrect Wording

 
Old 04-20-2011, 07:28 PM   #6
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Re: Scared to switch

Does your employer offer Short Term Disability ( STD ) and/or Long Term Disability ( LTD )? If there's ever a time you think you may need to be off work for this you need to know if you have coverage and the benefit amounts, etc. Many employers have STD and LTD plan documents on the company intranet. If not, call HR/Benefits and ask for copies of the plan documents, just say "we're meeting with our financial planner and he wants us to bring information such as plan documents to the next meeting which is in 3 weeks". Some people worry about asking for the documents as they don't want the employer to know they have anything wrong that can lead to STD or LTD, thus the "financial planner " route can take that stress away.
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Last edited by SpineAZ; 04-20-2011 at 07:29 PM.

 
Old 04-20-2011, 07:41 PM   #7
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Re: Scared to switch

What exactly is wrong with your back? I have dealt with back pain for a very long time. I have fractured my back 3 times, and also from racing professional atvs for many many years all the years of beating up my body has caught up to me. Anyways, pass along what you do know about your back inkury , pain etc.

 
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