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?
Thanks for sharing this. The point here is that you can safely use narcotics for a lifetime with mininal danger of addiciton, side effects or damage to your body. If you continue to experience chronic pain, do NOT stop using your pain medications (unless you experience unbearable side effects). Like your psychiatrist, I do not understand why you would decide to detoxify when you continued to experience chronic pain.View Thread
"dbf1120," it would be highly unusual for a physician to discharge or refuse to medicate a patient just because the patient visited an ENT, chiropractor or other non-MD. Frankly, I've never heard of it. But, I'll take your word for it.
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.
Myndamarie, you have been misinformed. Opiate pain medications (narcotics, in general) are completely safe, used as directed. Because opiates are a natural substance in the body (why else would we have opiate receptors in our brain?), they CAUSE NO DAMAGE TO INTERNAL ORGANS. Please check the research for yourself. The only way a healthy person can be damaged from using narcotics is if you use too much, use it too often (abuse it) or if you have a very significant allergic response. It is a common but mistaken belief that opiates cause bodily damage. Used as directed, they do not.View Thread
I've been using Fentanyl for more than 15 years and it has been a godsend. Initially, Fentanyl Transdermal removed about 80% of my pain. Of course, after 15 years, one cannot escape tolerance.
Only a handful of people have been killed with Fentanyl Transdermal, and almost all of them were drug abusers who cut the patches open so that they could mainline the drug. Check the research and evidence. Used as directed, almost nobody has died from Fentanyl exposure.
Fentanyl Transdermal remains a safe and highly effective medication for chronic pain. It is the most potent pain medication available. My experience with the Fentanyl Transdermal system has been awesome. It allowed me to work nine years longer than I thought possible. Side effects have been minimal and manageable.
Pay no attention to Fentanyl deaths associated with drug abusers. Used as directed, it is very safe and highly effective.View Thread
What do you mean, "hooked?" Less than 3% of chronic pain patients become addicted to narcotics. This is characterised by stealing it, buying it illegally, obtaining multiple prescriptions from different physicians and taking it for reasons other than pain. If that is what happens to you, then you might be addicted.
However, if you mean that you require more medication than you used to use in order to achieve the same effect, then you are not "hooked." You are tolerant. There is a huge difference. Addiction (being "hooked") is a psychological disorder in which you use pain medication to get high. Tolerance is a physical reaction to long-term use of one medication. Please take a moment to do the reasearch. Tolerance is simple to deal with. Addiction is a much more difficult disorder to treat. So, do you use your pain medication to get high? If so, then you may be hooked. If not, you are just tolerant and temporarily rotating to a different medication will solve the problem.View Thread
Addiction to narcotic pain medication is a psychological disorder, characterized by people who take too much medication, run out too early, obtain multiple prescriptions from different physicians, who steal it, buy it illegally on the Internet and (most importantly) who use it for other reasons than for pain.
Dependence is a physicial condition in which an individual becomes accustomed to using a drug (not just pain medication) and must taper it off gradually when (if) it is no longer required.
Tolerance is another physical condition in which larger dosages of a medication are required over time in order to achieve the same effect.
Dependence and tolerance are unimportant to the patient because they can be easily dealth with under a physician's care. For example, I'm happy to be dependent upon a pain medication. If I ever stop using it, all I'll need to do is taper it off slowly.
Tolerance is also easy to deal with. The physician will prescribe higher dosages to achieve the required pain relief. When one reaches the highest safe dosage and becomes tolerant, you simply rotate to a different mendication for a couple of months. Then, you can return to the original medication with peak effectiveness.
I hope that this helps you understand that you don't need to stop your pain medication for fear of addiction. Unless you have prior addiction disorders, it will likely never be a factor for you. Keep using your medication and continue feeling better with no concern. Your fears are most likely unfounded.View Thread
Dee, screw your extended family who consider you a "drug addict." The next time they are in chronic severe pain, they can be a hero and buck up (or, in reality, watch them beg for medication). Why remain in needless pain just to serve the ignorance of some family members? Do yourself a favor and disregard the ignorance.
Considering your damage, I'm not surprised that you are in chronic pain. And, it's likely that your condition will become degenerative.
One of the best ways to manage your situation is with a comprehensive pain management program. There are dozens of treatments short of surgery, including injections, traction, decompression, exercises, Yoga, meditation, systematic relaxation, accupuncture, PT, TENS, kinesiotherapy, biofeedback, hypnosis, combinations of medications, spinal cord stimulator, intrathecal infusion pump, etc.
In terms of medication, the key is to discover which combinations of medications work best for your unique body chemistry. The operative word is "combination." This can include both long and short-acting narcotics, along with an anti-depressant (to maximize Seratonin) and (in your case) an anti-convulsant, to inhibit neuropathic pain. More often than not, chronic pain patients respond best to using a long-acting narcotic as your mainstay (Kadian, Oxycontin, Fentanyl Transdermal, etc.) and also a short-acting drug (Oxycodone, Hydrocodone, etc.) for breakthrough pain. With chronic pain that has neuropathic and nociceptive components, three or four medications used together can far outperform any of the drugs used alone. To accomplish this, you require a physician willing to let you try many different medications.
The key to managing chronic pain is with the complete arsenal of treatments. The slight benefit obtained by one or two options can become multiplied into significant relief with the use of several added options. Discover which treatments and medications work best and manage your pain better. Good luck.View Thread
Previous research has demonstrated a clearly negative influence of chronic pain on health. Now, a new study portrays a profound link between severe chronic pain and death; inflicting nearly a 70% greater mortality risk than even cardiovascular disease.
Even after adjusting for various confounding sociodemographic factors and effects of long-term illness, patients with severe chronic pain had a 49% greater risk of death compared with all-cause mortality and a 68% greater risk of death compared with all cardiovascular-disease-related deaths.
The most critical information to take away from this research is that withholding appropriate pain medication is a virtual death sentence. Physicians who "don't believe in" using narcotic pain medication must read this comprehensive new research study. By withholding appropriate treatment, these physicians are sentencing some of their patients to an early death.
Secondary to this, families and friends of severe chronic pain patients must never try to dissuade the patient from using all appropriate treatments and medications to reduce pain. Convincing such a patient to avoid narcotics, if and when they are appropriate, is equivalent to pushing them into an early grave.
Instead, physicians and families must encourage the chronic pain patient to employ each and every possible treatment, including comprehensive pain management programs and powerful pain medications. It is no longer a matter of making someone more comfortable. It's a matter of life and death.
This new research is comprehenisve, vetted and validated. The methodology is convincing. The group sizes are well over minimum levels.
REFERENCE: Torrance N, Elliott AM, Lee AJ, Smith BH. Severe chronic pain is associated with increased 10 year mortality. A cohort record linkage study. Eur J Pain. 2010(Apr);14(4):380-386 [abstract here >.View Thread