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Board: Pain Management 06-04-2013, 12:02 PM
Replies: 12
Views: 376
Posted By Shoreline
Re: Help me understand how pain pumps work

Meds delivered intrathecally really arent what i consider systemic, They are delivered directly to spinal fluid which makes crossing the blood brain barier much simpler.there is no first pass through...
Board: Pain Management 06-03-2013, 07:54 AM
Replies: 12
Views: 376
Posted By Shoreline
Re: Help me understand how pain pumps work

Hi Kissa, Ive had a pump for 10 years, they replaced the first one 3 years ago. My pain stems from 3 faioled lumbar fusions, Im fused from L1-S1 and have a 6th lumbar vertabrea. So the idea that one...
Board: Pain Management 05-04-2013, 06:57 AM
Replies: 8
Views: 1,522
Posted By Shoreline
Re: Switching from ms contin to methadone

Hi Hate my feet, You are correct that the yu have to go slow ith meth , this is due tothe incrediably long half life. Switchng to meth is much easier than swithcing away from meth though. Because of...
Board: Pain Management 03-06-2013, 10:52 AM
Replies: 12
Views: 639
Posted By Shoreline
Re: Cost of Medication

Hey Oddessy, Back before the pump I was able to switch from Kadian to generic MSC with little to no noticable difference as long as I took the MSC on time. The longer lasting versions give you a...
Board: Pain Management 02-20-2013, 03:01 PM
Replies: 31
Views: 1,464
Posted By Shoreline
Re: help needed truely unsure what to do

To clarify what buck hurts says, the active ingredient is the same, but their is a difference in taking a 30 mg short acting oxy "Roxicodone" and 30mg of Oxycontin. The short acting version dumps...
Board: Pain Management 02-10-2013, 09:29 AM
Replies: 15
Views: 619
Posted By Shoreline
Re: New to the idea of PM

Hi TearsnFears, I would still consult with a neurosurgeon regarding the chiari malformation. The only point in seeing a neurologist for chiari would be if the chiari was causing some type of seizure...
Board: Pain Management 01-11-2013, 12:30 PM
Replies: 2
Views: 373
Posted By Shoreline
Re: will "cut" for morphine pump sever spinal nerves?

Hey Gmac, I didn't realize it was you when I read the post. They would certainly go above the scared area for the insertion point.In theory the cath could also be entrapped by scar tissue expecially...
Board: Pain Management 01-07-2013, 08:06 AM
Replies: 11
Views: 1,232
Posted By Shoreline
Re: New State, New PM, New Meds... sigh

HI MBHM, Yup, I totaly get it. Things were different in the 90's when I had my first fusion in 93. all these meds simply didn't exist and they didn't use opiates to treat chronic pain. OxyContin came...
Board: Chronic Pain 12-04-2012, 12:19 PM
Replies: 4
Views: 670
Posted By Shoreline
Re: My brother has major problems with pain management

Hi Jenwahh, Ive had a pump for about 9 years, Like the other poster said, It takes months to get through the psych testing and then hopefully he will have a sucesful trial, even then they start you...
Board: Pain Management 12-01-2012, 06:59 AM
Replies: 25
Views: 1,578
Posted By Shoreline
Re: No Relief for Chronic Kidney Stones

Hey Argyles, I hope you didn't feel atacked, That was not my intention, I just tend to get right to the point and docs simply dont give meds to have on hand just in case. Part of the reason is the...
Board: Pain Management 11-28-2012, 11:04 PM
Replies: 2
Views: 232
Posted By Shoreline
Re: Artificial cervical disks

Hi JOLB, Im sure their are some folks that have had experiences at this forum, however you have to remeber we aren't the norm when it comes to surgical outcomes. If we were, then we wouldnt be on the...
Board: Pain Management 11-21-2012, 08:55 AM
Replies: 5
Views: 1,071
Posted By Shoreline
Re: Oxycontin - Low Oxygen Level - Related?

The meds certainly can cause decreased oxygen levels, any CNS depressant can cause low sat levels. Pain itself can decreasen sat levels if she is breathing shallow due to chest pain or even her back...
Board: Pain Management 11-13-2012, 05:19 AM
Replies: 5
Views: 600
Posted By Shoreline
Re: pain

Hi Lash, It doesn't sound like your seeing a PM doc and it also doesn't sound like this is how the med is prescribed which is the problem. No matter how much vicodin you take, It's not goingto last...
Board: Pain Management 11-10-2012, 07:31 AM
Replies: 6
Views: 1,095
Posted By Shoreline
Re: Pain in right testicle?

Yes he was succesfully treated and now has a wife and 3 children. I was just making the point that sometimes you have to keep going back if your not getting relief despite the treatment. Having to...
Board: Pain Management 11-08-2012, 05:22 AM
Replies: 24
Views: 1,920
Posted By Shoreline
Re: pharmacy interfering with my pain management plan

Another thing that that hasn't been mentioned is that Valium is a depressant. When my teenage nieve had a Unirod placed from Tq to l1, ame as a fusion frthe entire length os spine aside from vervicle...
Board: Pain Management 11-02-2012, 07:21 AM
Replies: 6
Views: 661
Posted By Shoreline
Re: First appointment with new PM coming up - SCARED!

Hey Oddysy, Good luck with the TV doc. That part would concern me too. PM docs already have a spot light on them and to run a TV campaign seems a bit odd for a doc that knows they are putting...
Board: Pain Management 10-06-2012, 04:43 PM
Replies: 6
Views: 1,102
Posted By Shoreline
Re: pain meds making me so sleepy

Hi Granny, I think this is something we all have to make a decision about, I could certainly have more pain control but I m not willing to spend my day to groggy to drive and falling alseep....
Board: Chronic Pain 10-04-2012, 12:03 AM
Replies: 28
Views: 3,124
Posted By Shoreline
Re: Did chronic pain change you?

It certainly changes you but it doesn't have to be for the worse. I think I appreciate the good things in my life more than I ever did when I was physically healthy. Ambition, money, ego aren't what...
Board: Pain Management 09-15-2012, 06:24 AM
Replies: 4
Views: 463
Posted By Shoreline
Re: Exalgo question

Hi Dean H, Fentanyl is a unique opiatee as far as what receptors it binds too. It's one of the few that has Kappa activity where Dilauaidid has virtually none which means you can expereince...
Board: Pain Management 08-29-2012, 08:06 AM
Replies: 6
Views: 984
Posted By Shoreline
Re: Questions on medications dosage and the norm for chronic pain.

Hi Sandie, Their really isn't a norm for PM when it comes to dosage. You can go up to 3600 mgs of gabbpentin a day, which is the drug most likely to help with the sciatica. Nerve pain is tough to...
Board: Pain Management 08-26-2012, 11:08 AM
Replies: 5
Views: 568
Posted By Shoreline
Re: Radiowave Ablation

My experience was very similar to lady bugs. Only no sedation during the medial blocks. My doc explained it as the medial blocks are diagnostic tools to see if ablation is an option. If the medial...
Board: Pain Management 08-05-2012, 04:19 AM
Replies: 10
Views: 1,755
Posted By Shoreline
Re: How often to take methadone

Hi T girl, Thats the same dose i took for for about 2 years prior to my pump. I took it 4 times a day and I get it only lasted 4 hours for pain even though it has a long half life. No I have never...
Board: Pain Management 08-01-2012, 12:29 PM
Replies: 12
Views: 1,407
Posted By Shoreline
Re: Fentanyl NOT lasting full 72 hours

Hi adrodysee2001, Your really not experiencing anything unusual, I dont know anyone that gets 72 hours out of a patch and absolutely none that get 6 hours relief from vicodin in any strength. If your...
Board: Pain Management 07-05-2012, 07:48 AM
Replies: 11
Views: 1,377
Posted By Shoreline
Re: Morphine Absorption

Hi Tourtoise girl, Even if they put you on whatever the pefect conversion is you would likely still experience some differential withdrawal for 3-4 weeks. I flip flopped between methadone and...
Board: Pain Management 05-24-2012, 07:47 AM
Replies: 7
Views: 1,484
Posted By Shoreline
Re: PM Clinic Dilemma -- Long

Allthough It is common to use flouroscopy to guide the needle to the right spot. Any practicing anesthesiologist in a hospital in a maternity ward does epidural nerve blocks all day long simply by...
Board: Pain Management 05-19-2012, 03:17 PM
Replies: 8
Views: 1,659
Posted By Shoreline
Re: Train wreck at PM today, lost

Hi Recombinant, Although you seem very kowledgable when it coms to medical terminaology it's a bt confusing unles your specific with your doc and when asking for help or sugestions. You obviously...
Board: Chronic Pain 05-14-2012, 09:13 AM
Replies: 16
Views: 2,128
Posted By Shoreline
Re: chronic pain - 90 day supply to 30 day

Hi Diva, My doc used to due 90 days supplies of class 11 meds but also stopped doing it a couple years ago. If you have a good doc thats willing to treat your pain I wouldn't suggest changing docs...
Board: Pain Management 05-09-2012, 03:48 PM
Replies: 6
Views: 1,181
Posted By Shoreline
Re: new to AZ- can you recommend a pain mgmt doc?

Hi Stellaz, One thing you could try is contacting medtronics and asking who in your area is certified to manage intrathecal pumps and spinal cord stims, although you aren't looking for a doc to...
Board: Pain Management 05-09-2012, 08:13 AM
Replies: 13
Views: 1,268
Posted By Shoreline
Re: I need some advice!!

As Far as long acting pain meds, their just aren't that many choices, Their is LA Oxycodone, Morphine, Dilaudid,Oxymorphone, Methadone, I heard their is a new La verion of Levorphanol which is...
Board: Pain Management 05-06-2012, 11:10 AM
Replies: 27
Views: 2,472
Posted By Shoreline
Re: Seroquel

Hi Isotope, I have been using it for sleep for a couple months, As poor as my sleep habbits are it does seem to help after I have been up for a couple days, usually following a 10 hour day working,...
Board: Pain Management 05-01-2012, 06:37 AM
Replies: 10
Views: 4,356
Posted By Shoreline
Re: New to Formal Pain Mgmt - Pill Counts

Ive been doing formal PM for 18 years, The first 7 years were without any pain meds, They simply didn't use them in the 90's. My doc does pill counts at every encounter and has never called me in...
Board: Chronic Pain 04-14-2012, 09:53 AM
Replies: 2
Views: 2,684
Posted By Shoreline
Re: Max dose of METHADONE? 240mgs daily

oops this was a post from 2009, ya might want to check the dates on some of these before resurecting an oldie

Hey Dave, I got up to 150 mgs a day before having my pump put in, I did OK at 120 mgs...
Board: Pain Management 03-18-2012, 09:57 AM
Replies: 9
Views: 1,739
Posted By Shoreline
Re: Could this be real, or all in my head

My wife had a similar reaction to cymbalta helping almost imediately, during the sameples she was given for the initial titration. Unforutnately her insurance requires step therapy . She had already...
Board: Pain Management 03-16-2012, 08:43 AM
Replies: 8
Views: 1,803
Posted By Shoreline
Re: Oxycodone question...

That's not an absolute answeer, However for someone that has never had back surgery, should you need it, You would have a difficult time managing post op pain. I have had 3 failed fusions and have...
Board: Pain Management 03-16-2012, 06:15 AM
Replies: 10
Views: 2,964
Posted By Shoreline
Re: opana withdrawal

Cant your doc call n a withdrawal cocktail, One of the more common is Clonodine and seraquel or clonodine and Neurontin, Clondine for BP and the enough neurontin is pretty much a tranq or simply use...
Board: Chronic Pain 03-10-2012, 12:47 PM
Replies: 20
Views: 5,567
Posted By Shoreline
Re: I feel helpless! Doc won't give me anything for pain

Hi Mama, Actually, It's unlikely hat an Xray would show anything other than the changes that occur with age or compresion fractures from osteo perosis., They wont show disc bulges, nerve compressions...
Board: Pain Management 03-10-2012, 03:02 AM
Replies: 10
Views: 7,417
Posted By Shoreline
Re: what is nubain and is it considered a narcotic

Nubain is a synthetic mixed opiate agonist/ antagonist, It is considered a narcotic and as far as I know it's only available in injectable form. It's often used in labor and delivery due to the short...
Board: Pain Management 03-06-2012, 06:48 PM
Replies: 1
Views: 1,124
Posted By Shoreline
Re: Pain in ribs alleviated by cracking back?

Absolutely, It's called chiropractc when a trained professional does it. It can be of great benefit to many people but it requires time , money and a commitment to strectch, an excercise to maintain...
Board: Pain Management 03-01-2012, 10:00 AM
Replies: 2
Views: 906
Posted By Shoreline
Re: Post Lumbar Laminectomy Leg Pain

It's only been 2 weeks, Sometimes it takes a few weeks to a few months for nerve pain to settle down. He still has swelling, is he taking anything like neurontin, toppamax or cymbalta? It's just too...
Board: Pain Management 01-23-2012, 12:39 PM
Replies: 11
Views: 3,355
Posted By Shoreline
Re: MS Contin NOT helping RSD any longer, how do i ask PM dr about a change?

Good advice duc, Their is no reason you need to ask tochange meds, Your taking thelowest dose available of any LA morphine product, If it;s not working, you need to reelay that in a way the doc...
Board: Pain Management 01-17-2012, 06:08 AM
Replies: 7
Views: 2,643
Posted By Shoreline
Re: Help! PM is letting me go!

Hi msnutshell, The others have explained it fairly well. Eveyone over the age of 30 has some degree of DDD but most people simply deal with the aches and pains of growing older. Your doc is trying to...
Board: Pain Management 01-05-2012, 01:56 AM
Replies: 6
Views: 1,581
Posted By Shoreline
Re: To Those Prescribed Methadone

Hey JO, GLAD See your still fighting. Its too late right now but i do have somee ideas. long time but not forgotten.
dave
Board: Pain Management 01-02-2012, 04:08 AM
Replies: 14
Views: 2,030
Posted By Shoreline
Re: pain pump

HI nanny, It did take 6 months to find the right dose after they implanted my first pump in 03 had that one replaced in 2010. Do you know what dose they reached and where they started. Nornmally this...
Board: Pain Management 12-17-2011, 10:05 AM
Replies: 14
Views: 5,029
Posted By Shoreline
Re: Continued pain 1 year post 2 level lumbar fusion...

Hi MCC girl. Did the fusion resolve the neuro problems, "radiculopothy" pain going down the legs, feet on fire or in a buckets of ice water, etc, etc etc. That's generally why they do fusions. To...
Board: Pain Management 12-13-2011, 12:35 AM
Replies: 10
Views: 1,702
Posted By Shoreline
Re: pain management doc

Hey Boobie, issues, By all means you must give a complete history, I also have heart prblems but PM docs really are looking at you psych condition and there are some that that believe the more they...
Board: Pain Management 12-06-2011, 02:15 PM
Replies: 4
Views: 676
Posted By Shoreline
Re: Anyone ever have this happen to them???

Hi Outa pain, What part of your spine and do you have any referred pain, down your leg or legs or arms?
Board: Bowel Disorders 11-18-2011, 11:16 PM
Replies: 14
Views: 374
Posted By Shoreline
Re: isnt it dangerous to be impacted for so long?

Yakima Fruit Paste

DOSE: 1-2 tablespoons per day

1 pound prunes
1 pound raisins-pitted
1 pound figs
4 oz senna tea (look in your health food store, it looks like a bunch of leaves)
1 cup...
Board: Pain Management 11-06-2011, 11:36 AM
Replies: 12
Views: 1,827
Posted By Shoreline
Re: Still needs pain relief from recent surgery

Hi DJ, I'm sure straining would certainly cause increased discomfort after a BM. However using more opiates will just cause more constipation and more straining. Like others have said if you have...
Board: Chronic Pain 11-01-2011, 09:44 AM
Replies: 6
Views: 1,202
Posted By Shoreline
Re: on methadone..don't understand

Hi Krissy, It is possible to develop tolerance to any med. Some docs choose methadone because generally you dont see rapid tolerance issues with it, but no amount of any drug gaurentees pain relief....
Board: Pain Management 10-26-2011, 12:55 PM
Replies: 20
Views: 3,790
Posted By Shoreline
Re: Inadequate pain relief after emergency surgery..help!

I agree with I Bake, You don't ask for specific meds unless you have legit allergies. Every surgery I have ever had since my wisdome teeth, through 3 spinal fusions and everything in between, I have...
Showing results 1 to 50 of 76
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