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Do pain meds cause more pain?

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Old 01-24-2007, 12:08 PM   #1
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Join Date: Sep 2005
Location: TN
Posts: 49
orchidflower24 HB User
Do pain meds cause more pain?

[/I]I just returned from an appt with my PM. Four months ago I had an ALIF lumbar fusion at L4-5. I continued to have pain and just finished three nerve root injections, with some relief. My PM dr is puzzling me...she says that the meds I am taking can cause pain, themselves. Has anyone ever heard of this?

Please respond, as I am thinking of changing PM dr, since she has not seemed to be very happy after I had the nerve root injections done at the same location as my neurosurgeon.

Thank you... any advice would be appreciated.
Hope that you are having a pain-less day!!!

God bless all of you.

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Old 01-24-2007, 01:09 PM   #2
Join Date: Dec 2006
Location: CA
Posts: 1,569
forginon HB User
Re: Do pain meds cause more pain?

What pain meds are you taking?

I know of a couple of circumstances where the meds themselves can contribute to increased pain. But this usually involves taking very high doses or having taken a med for a very long time. Headache sufferers can find that their meds can cause rebound pain, with the meds actually causing an ever increasing cycle of pain. I had this happen with daily chronic headache and vicodin. The solution was to stop the vicodin and use another class of medication.

Hyperalgesia is another circumstance when a pain med can worsen the pain. The report I read involved morphine, and it had to do with the "excitatory pathway" that meds in the morphine line can effect. Bottom line? The research participants had been on morphine a long time and found that the drug had caused a condition where taking any more of it worsened the pain. The solution here was opioid rotation, substituting the morphine for another opioid - in this case I believe it was the fentanyl patch.

But again, these situations involved long time use or heavy doses of these meds before they could blame the drugs for added pain.

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