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    Old 07-22-2005, 11:10 PM   #76
    sandollar
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    Re: Radicular Pain & Topamax?

    Pooby,
    Since I just found out the nerve is pinched, can it still heal?
    Ya, I agree, Bursitis=Bull.
    StarDust

     
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    Old 07-23-2005, 09:46 PM   #77
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    Re: Radicular Pain & Topamax?

    Well if the nerve is swollen from inflammation and the inflammation is relieved the nerve will shrink in size. So the outcome is beneficial because the pinching will definately lessen. Even a small amount of constriction on a nerve can cause a lot of pain. So any decrease in the size of the nerve swelling as well as the surrounding tissue will bring relief. Do they think it is pinched because of a faulty signal coming from it or have they actually seen images showing the reason for the compression? Nerves can generate pain impulses long after the reason for the injury is no longer there. Handling of the nerve during surgery can create pain for quite some time as the nerve has become inflammed and swollen.
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    Old 07-23-2005, 11:05 PM   #78
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    Re: Radicular Pain & Topamax?

    RiteofSpring: Your doctor wasn't honest with you - the first one I went to said the same thing. In truth: any regular medical doctor that has taken the basic pain control classes that all medical doctors should take can prescribe methadone when it is used to control to control pain. They are not allowed to prescribe it if it is to treat addiction. The pain specialist doctor that put me on methadone explained what the rules are. Once I was stabilized, I was transfered back to the care of my regular doctor (a new one) that refused to write the prescription - and he got into trouble for refusing after I went back to the prescribing doctor and told him I had been told no. After a complaint was filed by the prescribing doctor, my regular doctor suddenly began apologizing and now does it without a word. I think he wishes I'd just disappear, but I'm just trying to have a normal life. Sometimes doctors treat everyone as suspect addicts. I hate taking this - I hate the looks I get at the pharmacy and I can taste it and smell it in perspiration. If anything else would even just lower the pain problem I have to half of what it is - I'd gladly never take another narcotic again. I've been through having nerves cut to try to stop it, every kind of non narcotic analgesic and anti-inflamation drug.
    If your doctor won't prescribe it, ask your pharmacist for some doctor names that do write pain management prescriptions. They usually know who does and doesn't. If you explain that you are suffering and your doctor is reluctant to help, you might get a few names where you can get help.

     
    Old 07-24-2005, 09:34 PM   #79
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    Re: Radicular Pain & Topamax?

    Pooby,
    It is actually pinched, possibly by the replacement of the hardware after he did the surgery to remove the piece of bone from the Sciatic Nerve.

    AllenSD,
    What did you mean about tasting & smelling the Methadone? Your the first person who ever mentioned this.

    Stardust

     
    Old 07-24-2005, 10:26 PM   #80
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    Re: Radicular Pain & Topamax?

    LadyBird,
    How have you been? As you can see in the posts, The EMG showed a pinched nerve immediatly in the S1 & L5 area.
    Can you find a Doc who will request this test for you as well?
    StarDust

     
    Old 07-25-2005, 05:57 AM   #81
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    Re: Radicular Pain & Topamax?

    If it is actually being pinched by hardware it would seem to me that your surgeon has been very careless in his placement. Have you considered seeing another surgeon to correct the problem. I don't believe that emg's actually show the exact cause of nerve damage only the fact that the nerve is not transmitting normally . Think you need a good workup done by a surgeon who will help get the pressure off the nerve if that is what is required (definately not the guy who caused the problem in the first place).

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    Pooby
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    Old 07-25-2005, 07:58 AM   #82
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    Re: Radicular Pain & Topamax?

    Allen,

    Did they ever determine the exact cause of your nerve impingement and if so is there nothing that they can do to relieve it. What kind of investigation did they do? Also how long have you been on methadone. I would think that every avenue of treatment has been explored so I am just asking. I may find myself in a position of no solution but I have 40 years of back problems and surgery behind me. I have no good levels left and my problems are multiple. I am disabled and unable to walk without a cane. I do take neurotin but it is useless unless you are on high levels. High levels of neurotin do offer the best relief I have found but it does make you very tired. Opiates have not given me any relief.
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    Old 07-25-2005, 08:03 AM   #83
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    Re: Radicular Pain & Topamax?

    Pooby,
    Both doctors are working together on the pinched nerve. PM is sending the Surgeon the report. I do not know how it works, but mine DID show a pinched nerve in the S1 & L5 almost immediatly.
    Hubby was there with me (during the EMG) and he was told the same thing I was.
    The Surgeon is doing the second Selective Nerve Root Block this Friday, so he will have the report about the Nerve before hand.

    AllenSD,
    I haven't taken Methadone yet, they are waiting for me to return from Montana before beginning it. I'll be gone 3 weeks and it doesn't give them enough time to adjust it before I leave, so I was given Duragesic Fentynal Patches until I return.

    The Surgeon finally called this morning and since the Selective Nerve Root Block is the one that was so painful (my face was buried in the pillow SCREAMING IN PAIN, as if someone poured ACID in my thigh down to my toes 6 times), I told him I was more afraid of jumping like I did during the first one and the needle going into my spinal cord than anything else and requested Versed this time. He called and agreed to the Versed.
    I don't want to be asleep, just not is so much pain that I am jumping when he touches the nerve again. So I am Thankful for that.
    StarDust

     
    Old 07-26-2005, 11:53 AM   #84
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    Cool Re: Radicular Pain & Topamax?

    Good luck with the nerve block.

    I had a horrendous experience with a discogram over 20 years ago and I still remember the pain. Face pressed in pillow drooling (not screaming) just loud loud whining moan...lol Pressure did not release off the nerve like it is supposed to. Oh well that is one test I don't want again so I know where you are coming from about the nerve block.

    Sending a big hug and let us know how things turn out.
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    Old 07-28-2005, 09:42 PM   #85
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    Re: Radicular Pain & Topamax?

    Hi Guys/Gals, just diagnosed with radiculopathy pain. About 2 months ago bent over to pull up my jeans and WOW!!!! Thoracic area in left back went into the spasms from ....! Tried to self medicate with Advil 800mg 3xd for about 2 weeks and did not improve. Went to MD and he gave me Skelaxin to relax the muscles and Ultram for pain and said to keep taking the Ibiprofen as above. Within 2 hrs of taking the Skelaxin the spasms decreased a whole lot and I could turn over in bed etc. Heat also felt better than ice. So I was going along feeling better and better until the front of my thigh from groin to knee decided to "go to sleep". I am an RN and working full time in a hospital. Rehab unit which includes pain management. When I make my med passes which take about 1hr is when the pain can become unbearable. Tears rolling down checks etc. I am pushing/pulling a 50lb med cart. I can take Ultram without sleeping etc side effects like some people but by the time it kicks in (15min-30min)the episode has subsided anyway. At night it is just numb and tingling so I am luckier that some of you in that respect. I am stuck in this stage right now. I don't have the severe pain problem at home except when vacuuming. I went in today and the MD decided to do an MRI to see if the pain is caused by a disk, degeneration etc.He prefers I hang in there and treat with exercise meds heat cold massage etc and see if it will clear up. On the dermatone scale the pain is definitly coming from L1 and L2.
    Someone else mentioned this: when I went for my annual gyn exam I nearly fell off the table when she tried to insert speculum for exam. Now I have had a 10 1/2 lb baby without any meds and this pain was beyond that. Having read someone else's experience on this board I see what the problem was! My gyn is a women but was pretty put out with me. I am on Tamoxifen and she had planned to do a uterine biopsy in her office. I have had that there before and it was bearable. This was NOT! Had to have general anesthesia. I had told her about the back/thigh problem but she didn't connect it. Will have something new to tell her in 6 months.
    Today I was given Neurotin to take at night. Starting off with 300mg and going up to 600mg in a couple of weeks. Doesn't sound like that is enough compared to what youall say and what some of my patients take. We will see.
    Glad to have found this board to exchange ideas.
    Red,Texas

     
    Old 07-28-2005, 09:54 PM   #86
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    Re: Radicular Pain & Topamax?

    Welcome Aboard Red!,
    I also prefer heat to ice, it makes it feel better. HOWEVER, I did get into trouble at the PM (pain managements) office. I was told no matter how bad the ice feels it is the best thing, Heat actually spreads the inflammation & Swelling further down the leg.
    I hope you find all the info you need here.
    StarDust

     
    Old 07-28-2005, 09:57 PM   #87
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    Re: Radicular Pain & Topamax?

    Vacuuming!!!!!!!! I don't think so. Now being a nurse you should know better. That is one household task you have to stop. Otherwise you are going to find yourself in even greater pain. It always boggles my mind when patients do things that can jeopardize their recovery. Well take 20 lashes with a wet noodle. Well, that level of neurotin did nothing for me. I take 1200 at bedtime with 60mg of codeine. Believe me I know from where I speak I must have had 100 back attacks and 40 years of problems behind me. You just don't want to get worse you want to get better and if that means a few dust bunnies so be it. Hope ya feel better.

    Hugs,
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    Old 07-28-2005, 10:35 PM   #88
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    Lightbulb Re: Radicular Pain & Topamax?

    Thanks Pooby,
    I forgot to mention that one. I haven't been able to vacuum for 6 months now.

    Tomorrow Morning is the big day, I go to the Hospital for the Selective nerve Root Block of the S1 & L5 And he will discuss with me the injection in the hip to take down the Swelling & inflammation as well. He's been out of the country so he doesn't even know about the pinched nerve yet. But he said he will talk to me in the Procedure room about everything he has missed up to date.
    I [B]DO[/B] get the IV Sedation with Versed, THANK GOD!!
    I'll let you know if it helps.
    Stardust

     
    Old 07-29-2005, 06:16 PM   #89
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    Smile Re: Radicular Pain & Topamax?

    Hi Guy's ,
    Well, The Selective Nerve Root Block turned out GREAT .
    He gave me the IV Sedation of Versed, Twice!, Instead of feeling a severe burning in my thigh to my toes, all I felt was a mild prickly feeling, he also did the injection in my hip where it is inflammed and swollen so I don't have to try to get back into his office before Wedneday. (When I leave for my trip).
    He told the Nurse to give me one more injection of Versed when he was finished to help keep the pain level down, and to rest for the next 24 hours.
    He recieved a copy of the EMG report and he also thinks it SHOULD release itself (the Sciatic Nerve). But to take it easy and don't aggravate anything, stay away from hot baths that will cause any swelling and keep icing it.
    So there IS HOPE .
    I'm just taking it one day at a time, and not let it ruin my vacation in Montana and I'll see him when I return.
    Love, Terri

     
    Old 07-29-2005, 07:14 PM   #90
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    Re: Radicular Pain & Topamax?

    Altogether a very positive post especially about the nerve eventually releasing itself. I am glad that the nerve block went so well.

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    Last edited by pooby; 07-29-2005 at 07:15 PM.

     
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