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Old 12-31-2012, 03:33 PM   #1
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need help with pain management medication

hi i have LSS (Lumbar Spinal Stenosis) and im on permanet disability and surgeon does not want to do spinal fusion surgery yet because of my age

I am having problems with my pain management i currently take 600MG Gabapentin every 4 hours
but the big problem for me is percocet's im currently taking 2 5/325MG 3 times a day so im taking 6 a day and there not rely cutting it anymore is there any other options i can talk to my doctor about because he does not want to raise the percocet does any higher than it is now
thanks

 
Old 12-31-2012, 04:51 PM   #2
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Re: need help with pain management medication

Welcome! I'd express your feelings that your level of pain is too high with this treatment and see what your doctor suggests. There should be more options besides increasing the Percocet, such as switching to a different narcotic, adding in more adjunct meds, or adding in adjunct treatments/therapies. There are other non-narcotic meds which could be helpful, injections, pt or massage, acupuncture, etc.

Your doctor should have the best advice on what is most appropriate for you. If they don't want to do anything, it could be time for another opinion. There should be many more treatment options. Its also good to discuss what pain level is an appropriate goal for you. Tolerance to narcotics will only increase over time...often you can never obtain the level of relief as possible in the beginning. That has been a struggle for me, but over time I've learned to be more functional with the level of pain. Best wishes.
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Old 12-31-2012, 05:29 PM   #3
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Re: need help with pain management medication

my doctor does not seam to listen to anything i say about my pain leavel nor does he seam to want to add change treatment
i have been on percocet for 9 months at the same does as well as remains the same for the gabapentin the only change he ever sugested was switching the gabapentin to lyrica witch is not covered by my current benifits so everything remained the same i am thinking about going to see another doctor for there opinion but i dont know what other options there are to make my pain leavel at the point i find exeptable nore do i know what a better drug would be so if they recomend a worse one i would not know

 
Old 01-01-2013, 07:27 AM   #4
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Re: need help with pain management medication

It sounds like you need a long-acting pain medicine. I can understand why your doctor is not wanting to increase your dose since percs are already strong, but maybe if you approached it as it doesn't last long enough and you'd like to discuss something that is longer lasting, maybe he would be a little more receptive?? I don't know. Is this a pain management Dr or someone else??

 
Old 01-01-2013, 11:52 AM   #5
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Re: need help with pain management medication

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Originally Posted by bebtec View Post
my doctor doesn't seam to care about my pain level or what i have to say for that matter i have been on same does of everything for last 9 month when problems started
bebtec- is this your surgeon doing your pain management? because if it is and it sounds like it-they tpically wont prescribe anything stronger than percocet 5 because they really dont have a clue about the pain management part-it is cookie cutter pain management for all- percocet 5, you need to be under the care of a pain management Specialist-especially if your pain is persistantly high and affecting your quality of life. so if this is the case it is time to seek the help of a doctor who specializes in chronic or persistant pain. good luck
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Old 01-01-2013, 03:46 PM   #6
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Re: need help with pain management medication

Quote:
Originally Posted by Whynowthis View Post
It sounds like you need a long-acting pain medicine. I can understand why your doctor is not wanting to increase your dose since percs are already strong, but maybe if you approached it as it doesn't last long enough and you'd like to discuss something that is longer lasting, maybe he would be a little more receptive?? I don't know. Is this a pain management Dr or someone else??
I agree with this, ask for a long acting medication. I take 15 mg ms contin at bedtime and it lasts almost 12 hours for me, but can be taken up to 3 times a day. You can ask about something like that for a more steadied control of pain and then maybe use the percocets for break through pain, if needed.
If the doctor refuses to do anything, you need a new doctor. Thats a PM doctors job, is to control pain. If that isnt happening, I would personally find a new one.
Good luck!
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Old 01-01-2013, 06:38 PM   #7
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Re: need help with pain management medication

Age? why won't they do a fusion? my gram whose 85 just had one done early this month.

Melissa

 
Old 01-01-2013, 10:25 PM   #8
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Re: need help with pain management medication

I think the key words you want to use here are quality of life.."I'm not living any sort of quality of life like this" or something. If you have problems taking care of your personal grooming/bathing then let him know so. Ask about an injection, that will let him know you are serious and they can help.

Can you work? Does it affect your job? What about getting a TENS unit to help you at work? That's what I did.

Any or all of these may help get what you need without really directly asking for it. Cathy

 
Old 01-02-2013, 06:37 AM   #9
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Re: need help with pain management medication

You very well may need a long acting Pain med. Most chronic pain patients take long acting pain meds up to two times a day with another med to take for "break thru pain.". I have been on the fentynal patch, morphine, and now Opana ER 30 mg twice a day with Opana instant release for my break through pain. This gives me around the clock pain control without me having to watch the clock until time to take NEXT dose, having the levels in my blood spike up and down. If your Doc won't go this route then you need to find a pain management docotr in your area. Good Luck

 
Old 01-02-2013, 08:17 AM   #10
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Re: need help with pain management medication

Hello Friends,

I agree with most of the suggestions made. Percocet 5's are fairly weak and easy to become tolerant to in a short period of time. Of the long acting formulas I personally favor Opana/Oxymorphone. However, you may find good relief with MSContin or OxyContin. You can also look into Buprenorphine (Subutex, Suboxone) which has some unique features.

Iso~

 
Old 01-08-2013, 02:03 PM   #11
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Question Re: need help with pain management medication

Quote:
Originally Posted by Whynowthis View Post
It sounds like you need a long-acting pain medicine. I can understand why your doctor is not wanting to increase your dose since percs are already strong, but maybe if you approached it as it doesn't last long enough and you'd like to discuss something that is longer lasting, maybe he would be a little more receptive?? I don't know. Is this a pain management Dr or someone else??
i asked my doctor to switch me to a long acting pain medication instead he just doubled my percs now its 3 pills 4 times a day so 12 a day i dont know why he wouldnt just switch it to a long acting pain med

 
Old 01-08-2013, 02:07 PM   #12
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Re: need help with pain management medication

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Originally Posted by mhwillet View Post
Age? why won't they do a fusion? my gram whose 85 just had one done early this month.

Melissa
i live in alberta canada we used to pay $50 a month for our provintial health care but they made it free witch means they lost a lot of money so the cracked down on surgeries for hips knees and backs so now they wont do it till i basicly cant walk or loose bowel or bladder control

 
Old 01-08-2013, 02:45 PM   #13
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Re: need help with pain management medication

Quote:
Originally Posted by no34evr View Post
I think the key words you want to use here are quality of life.."I'm not living any sort of quality of life like this" or something. If you have problems taking care of your personal grooming/bathing then let him know so. Ask about an injection, that will let him know you are serious and they can help.

Can you work? Does it affect your job? What about getting a TENS unit to help you at work? That's what I did.

Any or all of these may help get what you need without really directly asking for it. Cathy
no i dont work i have been put on permanent disability my living quality is poor conic pain every day i walk with a cain and i can barely climb stairs and i fall down lots i recently found out i have a hernia in around my belly button most likely a result of falling my mom lives with me and does cooking cleaning laundry. as for personal care i have a shower i have a bath stool to sit on and when i have a bath i bring swim trunks in case i cant get out on my own. the L4-5 vertebra is where the stenosis is and i also have a disk buldge/protusion at the L4-5 leavle both are having mass effects on my nerve roots spinal cord nerves ext and putting pressure on the thyscal sac

 
Old 01-09-2013, 05:21 AM   #14
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Re: need help with pain management medication

Quote:
Originally Posted by bebtec View Post
i asked my doctor to switch me to a long acting pain medication instead he just doubled my percs now its 3 pills 4 times a day so 12 a day i dont know why he wouldn't just switch it to a long acting pain med
I'm very sorry your going through this. I would try again to talk with your doctor. 3 percs, 4 times a day is WAY too much acetaminophen to be taking a day. It adds up to 3900 mg, Honestly your doctor should know better than to prescribe that much Tylenol.

Good luck to you!

 
Old 01-09-2013, 05:40 AM   #15
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Listen to Painohio!

My PM and PCP doctors both say 2000mg of acetaminophen is the maximum when taking it everyday longterm.

 
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back lower spine, gabapentin, pain killers, pain management, percocet



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