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csw2@bex.net
P.S. Most of us with chronic pain can manage it better with a long-acting opioid. That helps you avoid the ups and downs associated with varying oral medication plasma levels. Long-acting drugs, such as Kadian, Oxycontin (which is exactly the same medication you currently use, Percodan, but in extended release format) or Fentanyl Transdermal (which is a patch that provides pain management for 48 to 72 hours) are examples of effective long-acting pain medications. You can then save the short-acting drugs for breakthrough pain. Just a thought.
Good luck.View Thread
csw2@bex.net

csw2@bex.net
csw2@bex.net

csw2@bex.net
"Unbelievable," I am so sorry to hear about your unsatisfactory physician care. It's not appropriate to wish chronic severe pain on another person, but if this physician could experience your pain for just a week, he might develop some compassion. Many of us require a long-acting narcotic and also a short-acting narcotic for BT pain, in addition to an anti-depressant (to inhibit the reuptake of Seratonin and an anti-convulsant (for neuropathic pain). Remove any of these and the pain jumps higher. Remove two of them and the pain can become unbearable. I know exactly how you must feel.
I hate to say this, but you might wish to consider moving to a medium-to-large city, where you can find dozens more pain management physicians, as well as compassionate internists and general practitioners. There are doctors willing to prescribe as much medication as each patient requires unfortunately, they can be difficult to locate. WebMD does not allow us to name or recommend specific physicians. But rural places are likely to have few, if any, of these doctors.
Speaking of moving, and this is only meant as food for thought, a large percentage of chronic pain patients benefit significantly from using THC, the active ingredient in marijuana. There are several states that allow for medical marijuana, with a Rx. There is also a medication with THC as the active ingredient, Marinol (Elan Pharmaceuticals). Created to inhibit the nausea and weight loss associated with chemotherapy, Marinol can be prescribed off-label for chronic pain. Again, I'm not suggesting that anyone here break the law. I am only repeating the fact that many research studies tout the efficacy of THC for chronic pain and that many states in the US now allow it legally.
I don't know how many PM techniques you have tried. Many of us have discovered significant efficacy associated with mind-body treatments, such as biofeedback, Yoga, systematic relaxation and meditation. Others benefit from TENS, acupuncture and hypnosis. If injections don't work in the first few tries, research reveals that future iterations as just as likely to fail, as well. Do not put yourself at risk of spinal nerve root puncture and permanent nerve damage if injections are not helping.
I wish that I had better answers for you. What makes your situation all the more frustrating is the fact that many physicians continue to prescribe long and short-acting narcotics simultaneously because... IT WORKS! How simple it sounds; use two narcotics and manage your pain, or use one of them and suffer. Use none and suffer even more. Some physicians need a refresher course in The Hippocratic Oath. Good luck.
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csw2@bex.net

csw2@bex.net
csw2@bex.net

csw2@bex.net
You CAN take the narcotics you require and minimize side effects. To manage that, you need to visit an allergist. There are medications that will reduce the itching. I'd bet that a combination of anti-histamine medication and Rx-level cortisone cream will drastically reduce the itching.
I too had side effects from pain medication. Most of them dissipate after the first few weeks or months of use. Others can be managed by using anti-histamines and topical steroidal creams. But, you need to put up with the itching for those weeks and months before it dissipates. That's the hard part.
Finally, I live with constant severe pain. I've had it for more than 40 years. Honestly, with my severe pain, I would love to have to deal with itching, as long as the medication worked. I suppose we all have our own level of tolerance for pain.
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csw2@bex.net

csw2@bex.net
Going to a chiropractor with an unstable neck (cervical vertebra) is like pouring gasoline on a fire. Chiropractors are NOT physicians. They do not go to medical school. They do not participate in a residency or a fellowship. They have minimal or no hospital privileges and they cannot write a Rx. In essence, going to a chiropractor for an unstable spine is like asking your auto mechanic to perform brain surgery. The chiropractor is over his or her head. I've encountered literally dozens of patients in physician waiting rooms over the past 40 years who were damaged permanently by chiropractors. I'm talking about permanent paralysis as a result of going to a chiropractor.
If you have had an MRI and you have been examined by a physician who informs you that you have a problem with a muscle or tendon, then go to a chiropractor to your heart's content. But know this... chiropractors use X-ray imaging for diagnosis. Yet, spinal discs and tumors do not visualize on an X-ray. If you had a tumor and you went to a chiropractor, you would never know about it until it had metastasized into a fatal cancer. Are you willing to risk your life by seeing a chiropractor? I don't know about you, but I would not allow anyone to examine my spine unless that person was not only a physician, but had also completed a residency and a fellowship in spine surgery. If you want to maintain or improve your health, then go to someone with the initials "MD" after his or her name. All others, especially chiropractors, are a dangerous substitute. They are not a physician. They never graduated from medical school. Isn't your health more important? Don't you deserve to be treated by a REAL doctor? Of course, Caveat Emptor!
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csw2@bex.net

OK, I have the same problem. I only feel OK when I lie flat. But I tried PT and it made me worse, three times. I still want to have a life. Two pain clinics later and still severe pain. So, I take really powerful pain medications. Guess what? It works! In 40 years I haven't become addicted. I take exactly as much as I am prescribed. In return, the drugs extended my career by 9 amazing years, just when I thought I had to stop. I took vacations with my family and I was a good husband and father. It helps me now in retirement. I have no adverse side effects whatsoever. So, why not use it, if necessary?
I'm happy that you were able to get better. Many of us will never get better. In fact, most of us will get worse. Therefore, I ask, why not strong medication? The rate of addiction is between 0.7% and 3% (http://www.ncbi.nlm.nih.gov/pubmed/20091598?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=1,http://updates.pain-topics.org/2011/01/study-finds-low-risk-of-rx-opioid-use.html . It allows you to do much more than you otherwise could hope to accomplish. Your family and friends will thank you for it. And why wouldn't you want to have less pain all of the time. Medication allows many of us to feel useful, not simply exist. I don't want to exist. I want to live. I can only do this with medication.
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If you are in as much constant as I am, you definitely require powerful pain medications. The trick to find the right combination of drugs. This can often be: 1) a long-acting narcotic, 2) a short-acting narcotic, for breakthrough pain, 3) an anti-depressant, to inhibit the reuptake of Seratonin and 4) an anti-convulsant, for neuropathic pain. None of these drugs would work nearly as well taken alone. But, in combination, they can be a powerful pain relief mechanism. Don't be afraid to experiment with a physician until you find the best combination for your unique body chemistry.
I prefer to have my internist handle all of my medications. It's easy to incur cross-medication side effects when different physicians are prescribing for you. If your current internist or general practitioner will not prescribe them, then continue to move on until you find one who will. If that fails, try a pain management physician.
You can also decrease your pain with a wide variety of pain clinic treatments, most of which are non-invasive or minimally-invasive. I've been to two pain clinics and I was able to try dozens of treatments. Just one of those, biofeedback, allows me to reduce my pain by up to 20% at any given time.
Good luck.View Thread

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