I forgot to say that I am a diabetic and take oral medicine. I also take anti-depressants like cymbalta, trazadone to help me sleep and clonzapame for anxiety. the doctor told me it would help with my sleeplessness but it hasnt help me nohings help so far. im so tired of hurting....View Thread
I have been in constant pain for over 15 yrs now. It seems like it just gets worse as time goes on. I have been told for over 10 yrs now that my doctpr suspects Fybromyalgia but wont ever give me a diagnois. I am tired all he time sometimes I cant even get out of the bed. I have worked for over 30 yrs and soon will be ready for retirement so Im not a stranger to work. If it wasnt for having to pay the bills Id probably not even want to get out of bed because of hurting so much.15 yrs ago when my 15 yr old son tapped me on the shoulder and I hollowered at him saying to quit that hurt. my son said "mom, I bearly touched you." I continued to feel pain and different areas of my body like my shoulders, back,legs, arms and buttocks started hurtin with the slightest touch. I can lay down or be just sitting or standing in one spot for as short a time as 20-30 minutes and Im in so much pain I cant stand it. My muscles and joints also have gotten to were they feel so stiff and can hardly pick my legs up sometimes after Ive been working or getting up from sittng after a little while. I also have this constant pain in my legs. I ask my son sometimes to press on certain places on my leg and it gives me a little relief then it starts hurting again. Over this time period I have had so many pains in my body to start hurting that I dont know wether they are different aliments or just pains from one problem with different symtoms. Please tell me what might be wrong with me or tell me where I can go to get some answers as my current doctors office wont give me any answers.View Thread
I am a 38 yr old female that was diagnosed @ 22 with Bi-Polar 1. I have managed my illness over the years and Im doing quite well now. Finally after all of my hospitalizations, meds, etc. Last Setember I married a wonderful man. He is my 3rd husband I swore I would NEVER get married after the other 2! But, I was alone and never had a serious relationship with anyone after what I went through with my twins father. Ok, rambling now. Anyway, I was diagnosed with Fibromyalgias Myositis, Polyartritis and Chronic Pain Syndome. I see my Rhuemotologist regularly. Unfurtunately, due to my extreme med. allergies to a page long list of medications and drug interactions with my Bi-Polar meds my options for treatment are limited. I have been referred to a pain clinic. I am very knowladgable in the medical field, but I am having a hard time understanding these diagnosis. I am declining pyhsically rapidly. If anyone could help me understand my conditions better and maybe give me a prognosis I would be greatly appriciative! Thank youView Thread
There have been variable successes of lumbar-spine fusion surgeries reported in patients with work-related low-back injuries causing chronic pain. But fusion surgery is apparently not the best choice for lumbar pain. A new study proposes that long-term outcomes, including return to work, are actually better without the surgery. At the time of followup, almost all categories of outcomes were worse for patients who underwent lumbar fusion surgery. Just over one-fourth (25.93%) of lumbar fusion patients had returned to work compared with two-thirds (66.62%) of those treated without surgery. Among patients who underwent surgery, 36% experienced some type of complication and 27% required repeat surgery. Furthermore, 11% of the surgical patients were classified as having permanent disability but only 2% of those treated without surgery. Nearly 85% of surgical patients were continuing to take opioid analgesics compared with 49% of controls, and the average daily dose of morphine-equivalent oral opioids taken by surgical patients was higher after than before surgery.
A potentially confounding factor in this study is that the group of legally-represented patients had a poorer retrn to work rate and that time off from work was also a factor. However, taken into consideration, these confounding factors do not account for the significant standard deviation variation among the fusion group.
hi, folks i'm new to this site but long-time acquainted with chronic pain. my peripheral neuropathy is a by-product of an anti-rejection drug i took for a few years about 11 years ago for a lung transplant. after years of every type of pain control treatment possible, i finally got a NSS implant last november 2010. the trial worked unbelievably well. rejoiced at the possibility of a pain-free walkable life again!
however, after 4 months on the stimulator, several adjustments, and methadone 3 times a day for supplemental relief, i feel as though i'm back to square one. feet swell quickly, stinging/burning is apparent from the moment i wake up and walking is again very painful. my neurosurgeon is aware of my disappointment and advised me to continue as is for at least 6 months more.
needless to say, this is very dis-heartening. have any of you had a similar experience to mine, and what is the outcome. DOES the stimulator's pain relief improve as time passes? (btw, the leads have not shifted out of place), supplemental drugs taken? stimulator explanted? next option? any helpful information would be appreciated.
thank you so much. (someone suggested medical marijuana, but its illegal in this state and i doubt jail would improve my quality of life.) tofucookieView Thread
I had to quit taking my arthritis meds due to surgery tomorrow. Getting my gall bladder out. When I quit taking them 5 days ago, throbbing pain engulfed several parts of my body. My diagnoses is severe osteoarthritis in my spine causing pinched nerves that affect most of my body. Since I have never had this throbbing pain in my ankles and feet. I wonder if something else might be wrong or if my arthritis is worse than I thought or if it is a side effect of stopping meds. Any clues? KarenView Thread
I have a problem that has been going on for months now and cannot find it in my heart to explain my actions...
Posted by An_223012
I have a problem that has been going on for months now and cannot find it in my heart to explain my actions to my doctor. I have been wearing the duragesic patch for about a year now, and have had issues keeping it in place. I found the tegaderm tape and it helps quite a bit, yet I resort to the horrible habit I adopted a few months ago. I like to use a hot pack on it several times a day. In the beginning it was as if it helped the patch stick better for the 48hrs I wear it. Then it became a sort of comfort. Then it became a great distraction. What I mean is that I have burned my legs as a result of the hot packs and now there is visible scarring. The scars aren't raised and it never blisters, but it is unsightly. I'm embarrassed to take my clothes off and for anyone to see the top of my legs. I can't stop the behavior because it has become like an addiction - like those people who "cut" in order to be in control of their "pain". If my leg is buring a little, then my other chronic pains aren't so bad. I've been very ashamed to admit it to anyone. I know that this is ill-advised considering the patch could deliver the medication to quickly, and various other reasons. But I still continue to lay on the hotpack daily. I rarely get a "high" from it so I don't know why I crave the sensation of warmth/burning. I'm a really messed up dude, I guess, but that is I want to declare annoniminity (sp.). I don't know if other's advice will help me but I need a swift kick in the rear I guess. Also, I never really have had my pain under control, I just try and go with what the doctor recommends and don't hardly ever ask for an increase in medication. Please, someone help with this. My legs are awful looking and I don't know if the tissue will ever look normal again. I'm so embarrassed. Thanks, anonView Thread
This has become a huge problem for me in the last 2 years. I have been on pain meds for over 5 yrs now and Methadone for the chronic pain for the last 2. Recently I went thru some very trying times with my husband's health and was a great deal of stress. I held up great during the surgery and recovery times and everything. Now that he is back to work, I feel like I am falling apart. I can't remember half of what he tells me. I am very concerned because my Mom suffered from Alzheimer's and dementia. I know it can be passed on to family but what age? I really need some answers.View Thread
I have been on methadone for chronic back pain for the last 3 yrs. It does help my pain but I am very concerned that if something were to happen to me, say an accident, how would they control my pain? I really want to change to something else but I'm scared to death about having to go off of it. Has anyone else had to deal with anything like this before?View Thread
My doctor is switching me from methadone and oxycodone to Exalgo 16mg Qid with 4mg dilaudid for break thru pain. Does anybody have any experience with exalgo for there main pain medication. also any problems with your insurance covering the cost.Thanks RBView Thread
iv sufferered fybromyalgia most of my 52 years, am i the only one who has ''tried it all'' to no avail? im tired of being treated for ptsd, ect, when the 'hell' from the fybromyalgia, 'brings on! my other issues, the rare times im not in pain & lifeless, i DONT GET DEPRESSED,( FYBROMYALGIA 'BRINGS ON PTSD ECT), BECAUSE I CANNOT FUNCTION AT ALL WITHOUT SUFFERING AFTER!( MY BODY WONT ALLOW ME TO DO WHAT MY MIND WANTS TO)View Thread
This occurred last night while sleeping when i got up this morning I cannot fully straighten out my leg without a sharp stabbing pain on the backside of my leg ( backside of knee joint) any ideas of what it may be? I don't dare try to straighten it the pain is way to sharpView Thread
fasttimeport posted: I am a 36 year old female with three boys. I have fibro and a unknow muscle disorder That causes may muscles to spams so bad I lock up and can not walk . I can see the spames craw up my leg and something jaw spams and locking. I have live with it for 8 years now. It is getting worse and as of the last two year I can feel it spam in my heart now. This last week I was taking to the ER because I could don't stop the spams the meds. This time was bifferent because I lost scence of everything around me and lost focus on anything seveal times. I my getting wores and don't know what to do .I have too much meds and too much pain. I am at the point I would just like to pass on. But I have my boys hold me to life. The ER was mean as always. They always say it is panic attack. But I am clam their is not panic. I just breath hard due to the pain and the spam in may jaws. I am so tied of them treating me as a panic attack. They give me somemuch stop the spams and send me home where after the meds wear off I back in the same shape. I am so tired of people not understanding. And not having a clue does anyone have my problem that can help.View Thread
after daughter born (i was 36) have nerve damage in legs i can onlysay it was the epidheral. i had lost...
Posted by An_223011
after daughter born (i was 36) have nerve damage in legs i can onlysay it was the epidheral. i had lost weight prior to preg felt good now feel terrible also alot of pain in tail bone when i sit for periods of time what can i doView Thread
Hello, I'm not sure I'm in the right place or not, but this group was the closest to what I'm going through....
Posted by An_223009
Hello, I'm not sure I'm in the right place or not, but this group was the closest to what I'm going through.
So, I had a surgery back in March 2009 to add inches to my lower left leg to correct a birth defect. I was under the impression that I would initially have the surgery and recover within 6 months tops. I had no idea that 21 months later, I would still be "recovering" from this event. The first surgery in March went very well. I had an external fixator on my leg for 5 months, wore a cast for a month, then got my walking boot. Everything was supposed to get better and I should have been walking soon. Unfortunetly a completely unforseen complication occured. During my rehabilitaion and recovery my leg was actually bending the opposite direction! I can't walk on a bent leg! there is no way! It took us (the doctor and myself) to determine that another surgery and more external fixators would have to be installed to correct the curveture in my leg. June 2010 I had the surgery and shortly after, more complications. The pins supporting my leg had almost all become infected, and there was no real way to treat them. These wounds became larger and more inflamed and I was struggling every day to just make it through until the next. I had to keep the pins on until the bone healed and the pins could be removed, which meant 4 months wearing the fixator. This became more and more difficult for me to cope with since there was no way to treat the growing ulcers around the pins sights. The end of Oct finally comes and we get to remove the pins!! I was excited to get rid of the damn metal gear and focus on my recovery, the only problem is my ankle still looks crooked to me. The doctor says it is because my muscles have tensed up in that position and need to relax in the straighter position. I can only really do that by standing on it, and that hurts since the muscles are so tense and I have lost ampel amounts of muscle in my lower leg. I have been taking pain meds the whole time, but now he wants to cut me back, maybe even take me off of them completely and I'm not too confident that completely stopping the meds will be benificial to me. I only take one pill a day. Surprisingly that manages my pain. But if he wants me to continue to "straighten my own limb" I do not want to remove the meds completely. I don't know what to do anymore. I can't work due to my condition, I haven't been able to do anything "fun" in almost 2 years, the meds are giving me mood swings, flu like symptoms from reducing my doseage and I feel utterly trapped. Sorry this post was so long, I just wanted to explain the situation and possibly get some feedback. Thanks for listening PixiView Thread
According to the Wall Street Journal, five surgeons at a Kentucky hospital are among the largest recipients nationwide of payments from medical-device giant Medtronic Inc. Medtronic pays surgeons to use their hardware and instrumentation. In the first nine months of this year alone, the surgeons—Steven Glassman, Mitchell Campbell, John Johnson, John Dimar and Rolando Puno—received more than $7 million from the Fridley, Minn., company.
Corporate whistleblowers and congressional critics contend such arrangements—which are common in orthopedic surgery—amount to kickbacks to stoke sales of medical devices. They argue that the overuse of surgical hardware ranging from heart stents to artificial hips is a big factor behind the soaring costs of Medicare, the government medical-insurance system for the elderly and disabled.
Conservative spine surgeons argue that a spinal fusion is appropriate only for a small number of conditions, such as spinal instability, spinal fracture or a severe curvature of the spine known as scoliosis, and that financial incentives have caused the procedure to become overused. The most hotly debated use of spinal fusion surgery centers on patients who merely suffer from aging disks, a condition known as degenerative disk disease. Fusion by the Numbers View Interactive See hospitals' case counts and total Medicare reimbursements for spine fusion, 2004-2008.
One health insurer, the nonprofit Blue Cross and Blue Shield of North Carolina, announced in September that it would stop paying for spine fusions performed on such patients beginning on Jan. 1. The insurer said that the procedures are "considered not medically necessary."
Some recent studies have suggested poor outcomes for spinal fusion. A study published in the Journal of the American Medical Association, or JAMA, in April found that Medicare patients with a condition called spinal stenosis who had more than two vertebrae fused, a procedure known as a complex fusion, were nearly three times more likely to have life-threatening complications than patients who had a less invasive procedure known as a decompression.
Another study of workers' compensation cases published this year in the online edition of the journal Spine showed that patients who had a spinal fusion were much less likely to return to work within two years after their surgery than a group of patients with similar conditions who didn't have surgery, and that 27% of them had to be re-operated on. Their rate of permanent disability was more than five times as high as the patients whose spines weren't fused, and their daily intake of powerful narcotic painkillers increased by 41% after surgery.
Anyone here from the York, PA area? Just heard they have a new Orthopaedic & Spine Specialist Hospital. I'm getting a little frustrated with my current management of my joint pain issues, and am considering going for a second opinion...or maybe this is the third? Anyway, if anyone is familiar with the facility/ortho group I'd love to hear from you!View Thread
I just had my second injection for post-herpetic neuralgia resulting from Shingles. My first injection, five days ago, gave me some relief and encouragement. After the second, I soon experienced tingling and pain on my face, nose, and other facial areas. It has continued into the second day. Is it unusual to have a negative reaction following such a positive after the first injection?View Thread
Hi guys, I'm Emmie, 42yrs old and a 10yr sufferer of severe lower back pain with radiation to hips and legs with a new diagnosis of fibromyalgia. I'm in so much pain I feel like screaming - any little thing I do brings on more pain. My injury occured after on the job accident and I have a worker's comp Dr. that doesn't seem to care about what I feel, etc. and I worker's comp won't let me change Drs. so I'm stick with doc and staff that I don't feel the communication goes 2 way. I applied for disabilty in summer and still waiting to hear results but pain Dr. isn't very supportive or caring about this issue or anything. I've been depressed and anxious for months which keeps getting worse due to our money or should I say lack of it along with pain, etc. We are pretty much broke and getting closer to completely broke quick. I pray to God daily and beg Him not to let us lose our home. I want to stay in our home so bad but we are about to be in situation where we can't make payments. The only med. insurance I could find is so expensive I am going to have to let that go in a couple months and be without insurance, can't afford my meds - Oh God I can't take all of this. I feel like curling up in bed and never getting up. I don't have mental or physical strength to handle all these problems, to handle losing my home,etc. I just want God to give my husband a job with benefits that pays enough for our bills and for me to get disability to help pay bills. I feel so guilty that I can't contribute to household income anymore. Everything is just such a horrible, horrible mess. Please pray for me and my husband Tim.View Thread
Here's the problem. I'm on Oxycodone for break through pain, and MSContin for long term pain relief. The...
Posted by An_223008
Here's the problem. I'm on Oxycodone for break through pain, and MSContin for long term pain relief. The problem is Morphine makes me too tired. I sleep too much. Which is fine if I'm just sitting home, but it's not on the 1 or 2 nights a week I have to work. So I want to ask my doc to change me from MSContin to something else, but I don't know what else won't cause drowsiness? Does anyone have any ideas? If I could have the OxyContin pills that might be the answer, but my insurance won't pay for that pill. So I get the immediate release Oxycodone pills, and I'm on the maximum he can give me. He has offered me Dilaudid several times, but I never had that drug. I need something that will either perk me up, like Oxycodone does, or at least not make me sleepy like Morphine does. Any ideas?View Thread
Over the last year, I have had issues with right side pain. I have a history of kidney stones and have medullary sponge kidney. I have had chronic UTI's in the last 4 months. I have seen GI, GYN and urology, but noone or CT scan can find a cause for my side pain. My other symptoms are: my immune system is shot- I get every cold or flu that goes around. In the morning my fingers are swollen and my ankles stay swollen. I have been diagnosed with spinal stonis in my lower back. I can't sleep at night and am always tired- I get up at least 4 times a night to use the bathroom. Lately, have had accidents at night and when I have to go to the bathroom I have to get there. I started before the right side pain with IBS, but that has resolved itself. My body aches all the time and walk around like a 60 year old woman. I am 39 and can't seem to find any answers. Any advice would be appreciated.View Thread
I recently had some dental issues which required some prescriptions for pain meds. I recently found out that my insurance company sends quarterly reports of Prescriptions issued to all providers who prescribed the meds. They indicated to me that they like to do this to keep the practitioners on the same page and it was for patient safety. Anyone else have a problem with this? The reports are so vague they don't explain to the prescribers the reasons for the prescriptions. Therefore it just makes you look like a doctor shopper and then you lose all your providers when they get the reports.
For example, if you are going to a pain clinic, they are not going to prescribe medication for oral surgeries or other surgeries for that matter. My dentist recently refused to ever prescribe me a pain med because she got this report that showed I get pain meds from a pain clinic. As I said, the report is vague and doesn't explain the whole picture. All these reports do is arouse suspicion and make your providers not trust you.
Has anyone else had this problem? I think the insurance company needs to revamp these reports so that the providers can see what EXACTLY is going on. Even if you visit an urgent care just once, they will recieve a report of all the prescriptions you have recieved in the past 3 months. Then they make notes in their computer disallowing you to recieve any prescriptions for pain meds or other controlled substances. The pain clinic is not going to help you when you go to an ER after an accident. The pain clinic even told me (because I am under contract) that you can recieve RX's for pain meds outside our clinic for Surgeries, Dental problems, or colds that can be managed by your primary care. The pain clinic really doesn't care but all your outside providers get these unclear reports and then kick you to the curb. All the reports show is what was prescribed, the quantity, the pharmacy it was filled at and the doctor who prescribed it. I really don't think it is fair for insurance companies to do this without being more clear. It almost makes patients want to fill their prescriptions without insurance.
Please let me know if this makes sense to anyone or if you have had a similar experience.View Thread
I am sorry, I stuck it out as long as I could hoping that the email digests would make navigating this board quicker and easier. The new email digest format is totally different than the old one and it takes just as long to read and post as dealing with the board directly.
I find I must manage my time better, I will no longer be posting here or reading posts here with any regularity.
You can always find me on the regular Pain Management Board. I think that will be the only board I will read and post on regularly.
I am sorry I have had others asking about me and I have been away for so long. I did go through a regiment at the Mayo clinic and it was verified I had pelvic floor problems as well the Pudendal nerve is being pinched. That nerve is across the hip close to the sciatic nerve. The treatment plan is therapy first, which has been ongoing and a little helpful, but after so long damaged, it will take a while to help. Then I have an appt. to see a pain mgmt physician who will probably do some sort of nerve blocks into both hips, both upper and lower hips. (this is the thing the pain doc wanted to do at Mayo.) Since I was there for the entire week testing I decided to wait and have another opinion from the doc I have an appt with now, who is closer to home. I still have a very hard time sitting. The therapist has noticed the tailbone is hypermobile most of the time. Pillows do not help with sitting because of pain in the hips. If any one has a problem simular to this, or any suggestions please let me know. ThanksView Thread
I have several diseases. Lupus,RA,connective tissue disease and fibromyalgia. I have a problem with lots of...
Posted by An_223007
I have several diseases. Lupus,RA,connective tissue disease and fibromyalgia. I have a problem with lots of pain but the doctors I deal with will only work the the symptoms of their specialties.They don't work together as a team to look at the whole me problem. I feel like I.m spinning my wheels when it comes to answers for pain. Any thoughts on thisView Thread
My wife had an outpatient procedure a couple of weeks ago. Her pain doctor referred her to this...
Posted by An_223006
My wife had an outpatient procedure a couple of weeks ago. Her pain doctor referred her to this anesthesiologist who specializes in nerve blocks, but he is out of state. After the first treatment the doctor said she would have discomfort so he sent her home with 2 days worth of pain medications. The next time she went for the 2nd procedure, the doctor said that the government is cracking down on physicians and if he gives her pain medications while she is being treated in her home state (with similar drugs) he could go to jail. He said that it usually takes 1-2 months before these records are entered into a national database. I don't understand how she should handle the situation because the contract she signed with her regular physician stated that "he should be contacted in the event of an emergency which required additional pain medication for HER CONDITION". Now if she is prescribed something just for the procedure by the treating doctor, is she obligated to tell the referring physician (again) even if he is already aware of what the nerve block treatment entails? How can the referring physician justify prescribing "extra" medication (in the eyes of the law) to get her through the procedure that another doctor out of state is performing? We are confused and want to do things the right way without getting either physician into trouble, but I can tell that she does require the extra medication while she is "on the tale" and up to 3 days afterwards. Any input is welcome because we are new to these supposed "Regulations". Thanks for your help.View Thread
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