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Need the right pain cocktail? HELP


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Old 07-09-2012, 05:58 PM   #1
robinb3463
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Need the right pain cocktail? HELP

I suffer from chronic pain. I will try to be as brief and concise as possible. I have diabetic neuropathy, neck pain(with headaches) due to a failed anterior cervical fusion, rotator cuff pain, and arthritis. When I reach forward I get shooting pains down the back of my neck into my shoulders. I suffer from lower back pain that runs down my right leg. On 12/5/11 I was in a severe car accident. I hit an electrical pole head on 55mph when I swerved to avoid a deer. I awoke three days later from a medically induced coma with a broken hand, chipped vertabrae in my back, cracked rib, a crushed pelvis and hip (which was rebuilt) and until recently, 2 undiagnosed tears in my medial meniscus (which the ortho said was nerve pain.). I am in constant pain. The hip surgery was not successful and once it is healed I will need a hip replacement. Everytime I move the hip/pelvis joint is excruciating. I will need knee surgery soon to repair the tears. The knee and shin constantly ache. All my life when asked on a scale of 1-10 what is your pain level? I would never say 10 because I considered natural childbirth a 10. Not anymore! I am losing my mind. My doctor has me on 10mg oxycodone 5x daily. It barely takes the edge off and in two hours I need more. I see very little difference in my pain level when taking this pill. I looked into a pain management center and was told they could not see me until November!! I have thought about asking my doctore for 10 mg percocet 4x daily with 5 mg oxy for breakthrough pain. The problem is....it is "breaking through" all the time. What, if anything, can I ask my doctore for? I know I will not be "pain free" but I want to be able to function somewhat. I as sick of waiting around for the "next" pill. Should I be on a long acting pain med? Should I be on a stronger pain med? I am sitting here crying, wondering if this is how it will always be. I want to be my old happy life of the party self but I hurt to much. Someone out there give me something to say to the doctor tomorrow that will lead to minimizing my pain somewhat. I am 49/f and I do not work. Thanks in advance for any info or advice u may have.
Robin

 
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Old 07-09-2012, 07:35 PM   #2
mzpain
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Re: Need the right pain cocktail? HELP

Hi Robin,
It sounds like you need stronger meds and definately better coverage. The first thing that comes to mind is the Fentanyl Patch. It would give you the 24/7 coverage that you need. Then you could always take the oxycodone for break thru pain. Hopefully your doctor is familiar with the Fentanyl patch. You really need to tell your doctor how much pain your in on your current pill plan, it sounds as if you are under medicated. I'm no doctor, but I do know that the Fentanyl patch is worn for 3 days and gives excellent coverage of pain. Good luck and let us all know how it goes for you.
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Old 07-09-2012, 10:18 PM   #3
tortoisegirl
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Re: Need the right pain cocktail? HELP

Hi there! I really recommend against asking for meds by name/dose...you can easily get labeled a drug seeker. I would have a heart to heart with your prescribing doctor...go into detail about your pain levels, how the meds you are on are barely helping, what this is preventing you from doing, and what your goals are (a reasonable goal is to have 50% relief). Yes it sounds like a long acting pain med could be helpful, because in your case, it seems like you'd been one to be able to benefit from treatments such as physical therapy? Its ideal to "fix" any problems which can be fixed before resorting to opiates, but sometimes that road is going to be so long that it may make since to take two paths at once.

I'd also see if there are any other pain clinics which could get you in sooner. Be sure to ask to be on a cancellation list, if they have one. A pain clinic is likely going to be much more helpful than seeing a non pain specialist, although not all pain clinics are good ones. You want one which offers a multitude of treatments. I've heard it recommended to go through Medtronic, a company who makes nerve stim devices and pain pumps, to ask about doctors, as they work with some of the top doctors in the pain management specialty. Best wishes.
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