Discussions that mention valium

Pain Management board


Dear Bilbo,

Thank you so much for responding to my request for info. I am just lost right now and trying to figure out which path to take.

OK, here is my story...I am a 36 year old RN, a nursing administrator at an ambulatory surgical center. Happily married with two small boys, 5 and 9. Life in general is full of blessings...my one cross to carry...chronic upper left quadrant back pain.

Beginning 2 years ago, I began having left shoulder, neck and arm pain. It would come and go, but gradually it became worse each time. I got to the point that by the end of my shifts, I couldn't wait to lay on ice and take an Ultracet. Night time was the worse. I just couldn't sleep. My primary care physician referred me for an MRI. It showed a 6mm herniation at C5-6. She referred me to a physical medicine doc that for 18 months told me I was "too stressed and if I could only relax, my pain would go away". My one nerve conduction study showed no problems. He injected lidocaine/steroids into what he referred to as trigger points, stating that my rhomboids were the real problem. He encouraged me to change jobs, go on vacations, etc. We tried PT and Valium 2mg at night for muscle relaxation. He gave me a limited amount of Ultracet to take on the bad days, but mostly I was to use the Vioxx daily to control the discomfort. In the meantime, when none of this was working, I went back to my PCP for a sore throat and she added...she really thought most of my pain was from depression. She started me on Zoloft and Elavil. Guess what? I am not and have never been depressed. Although, someone telling me my pain was all in my head really ticked me off. I took the pills to see if they would help, but they really only made me very sleepy.

Back in October 2004, I had the worst flare-up ever and called to see my physical medicine doc, but he was not on my new insurance plan, so I was referred to a new doctor who is an orthopedic surgeon. He reviewed the MRI and listened to my history....he said the pain was all from the herniated disc. My second MRI showed the same measurements, but now spinal root compression. Also, the MRI was limited to the neck, but it did pick up one thoracic herniation. (Is this what you were talking about?...I will have to look up where the report said it was...it must have been high since it was picked up on the neck study) Since I had tried PT twice in the past year without success, I went straight to ESI. After two without any relief in symptoms, I was relieved when he suggested the cervical discectomy and fusion.

So I underwent that procedure on 2/28/05. For about 4 weeks, things seemed to be better. I tried to stop the meds after 2 weeks (because I had to go back to work) but my doc freaked out. He said I atleast had to stay on the muscle relaxers while I was in the collar. The area about 2 inches to the left of my spinal column and about 4 inches down from my neck has never let up. It is a deep aching, burning pain the radiates up and to the left at times. The pain meds dull it but they don't make it go away like they do with muscle pain etc. The neck and arm pain have truely resolved, but the shoulder pain escalated with a vengence this last week and much to my dissapointment, I am back on Norco and Skelaxin again. Actually laying on ice at the moment. This stinks. My doc put me on a steroid dose pack and told me not to over-react, that set backs were expected. To be honest, the worst of my pain pre-operatively was the shoulder pain, not the neck or arm pain. I just now wonder if I went through this surgery for nothing and that is depressing.

Anyway, my wonderful husband and my two boys are very supportive...I am blessed to have that. I am just a very busy and active nurse, wife and mom and I have to get past this. I frankly will go nuts if this doesn't let up.

Thank you for listening. If you have any thoughts, I would love to hear them. Also, do you think 8 weeks post-op it is a good idea to get a second opinion from a neurosurgeon? My husband just wants this fixed ASAP so that our whole family can return to life as it should be...

Have a good evening,
Dianne
Quote from BilboCameron:
I get to have another one next week. YAY!!! This time they really need to up the meds prior to the injection as I was in agony during the process. Unless I get commitment from the Dr before hand then I will pass. It hurt soooo bad.<

Hi Bilbo,
We do not have much in common except for the fact that we each have had procedures having been sedated with Versed..at least I am sure I did and it sure sounds as if your sedation was involving Versed as well as probably Demerol or something similar. My point in bringing this up is this; my first couple of procedures with Versed as the hypnotic med...the one that makes you forget the whole thing; went splendiferously...didn't remember a thing...I was sold on Versed. Somewhere down the road I started remembering things during the scopings...painful things and this occurance became more and more frequent until I no longer accept Versed as conscious sedation. I have become immune; I believe anyone can become immune. My GI Dr. and I had to come to an understanding about sedation cause I wasn't about to undergo any more painful procedures when there is so much available in this drug line. We settled on a hefty shot (IV) of Valium and Fentanyl or Dilaudid. I remember things but am spared the pain. Don't let the anesthesiologist give you the runaround. Let them know Versed has outlasted it's usefulness and demand another drug. They will fight you on this possibly and I am not sure why so be ready to politely drive your point home. No more Versed for me and the scopings are w/out pain. They are not ESIs but nonetheless the pain control needed is similar. Hope this might help.
Shesparkles
Yup, it was Versed and Fentanyl. I really complained of severe pain during the procedure and he gave me more Versed but no Fentanyl. I just heard him say give him 2 more of Versed. Still hurt. They like to keep the ESI patients for 30 minutes after the procedure. I was ready to go as soon as they took me into recovery. 5 minutes later I walked out. I swore to the Dr that the meds did nothing to me. He said, "well, you are not a cheap date" which was pretty funny actually. :p

During the procedure he also used too short of needle for the ESI. Had to go and get a longer one (took time) and I had to go thru the pain AGAIN!

We will be getting a few things clear before the next time! lol

Thanks for the info! I will look into valium as I have had it before and it worked great!

Quote from SheSparkles:
Quote from BilboCameron:
I get to have another one next week. YAY!!! This time they really need to up the meds prior to the injection as I was in agony during the process. Unless I get commitment from the Dr before hand then I will pass. It hurt soooo bad.<


Hi Bilbo,
We do not have much in common except for the fact that we each have had procedures having been sedated with Versed..at least I am sure I did and it sure sounds as if your sedation was involving Versed as well as probably Demerol or something similar. My point in bringing this up is this; my first couple of procedures with Versed as the hypnotic med...the one that makes you forget the whole thing; went splendiferously...didn't remember a thing...I was sold on Versed. Somewhere down the road I started remembering things during the scopings...painful things and this occurance became more and more frequent until I no longer accept Versed as conscious sedation. I have become immune; I believe anyone can become immune. My GI Dr. and I had to come to an understanding about sedation cause I wasn't about to undergo any more painful procedures when there is so much available in this drug line. We settled on a hefty shot (IV) of Valium and Fentanyl or Dilaudid. I remember things but am spared the pain. Don't let the anesthesiologist give you the runaround. Let them know Versed has outlasted it's usefulness and demand another drug. They will fight you on this possibly and I am not sure why so be ready to politely drive your point home. No more Versed for me and the scopings are w/out pain. They are not ESIs but nonetheless the pain control needed is similar. Hope this might help.
Shesparkles