Hi there. I am so sorry to hear this has happened to you. The only thing I can say is that you need medical attention as soon as possible. PLEASE, do that NOW if you haven't already. You do not want to mess around with a head injury. Nobody here, or on the internet anywhere, can...or should try to....diagnose or even give suggestions when it comes to something as serious as a head trauma. From what you've described, this isn't just a little bump on the head, but instead is a head trauma. Please, again, get some medical attention as soon as possible and do not drive yourself. Take care of yourself........View Thread
My husband and I both had this procedure. (I've had many, many surgeries...yes.) Anyhow, my husband chose to have it done the way you did....with what's called 'twilight sleep' (Versed) but my husband was pretty much awake the whole time. He was given just enough Versed to relax him and dose off and on. I chose to use general anesthesia. Do NOT be afraid to ask for general anesthesia if you want it. If you need the other side done, just ask your doctor to do general anesthesia then. If he/she refuses, then I'd find another surgeon. I have always believed that the choice to use general or local anesthesia should be left up to the patient, not the doctor, unless there are medical reasons as to why you can NOT have general. I've been very fortunate to have doctors that have always left the choice up to me. I do understand though, that a lot of people do NOT want to go under general. That's OK, too. In the end, you need to way the pros and cons yourself. If the 'local' and just a tiny bit of 'twilight sleep' wasn't enough, you might want general next time....if your doctor will do it. (It's the anesthesiologist you need to talk to, by the way. Tell the anesthesiologist to sedate you before the block is started.) Hope this helps you some. Take care!View Thread
First, let me say thank you for serving our country!!
Second, whatever you do, do not use the patches. I can not believe they would start you off with Fetanyl patches. Didn't they start you off with regular strength Vicodin at least? Even then, from my own experience with almost the exact same problems you're having, try not going down that path. Over ten years ago I was given regular strength Vicodin and have worked right on up to HIGH, HIGH doses of Oxycontin and Oxy IR (all legal, of course, through pain management). You build up a tolerance and the doses have to be increased over time. My tolerance to narcotics now is that of a horse. I kid you not.....
I have L5-S1 Radiculopathy with most, but not all, of the same symptoms you're experiencing. I was a bodybuilder prior to a car accident when I was 29 where I was at a dead stop on the freeway and the person behind me didn't notice all 4 lanes had stopped, and she hit me at 70 mph. From that point on it was all downhill with doctor after doctor, going to pain mgmt, having injections, and even doing Bi-Lateral RF Lesioning which basically is done under fluoroscopy where the doctor 'burns' the nerve ending going to the pain area. It can work wonders for some people. It helped me for only one week....I also had a spinal cord stimulator put in that never did work for the pain. It was removed last year so I could have an MRI since it wasn't working anyhow. (If you get a spinal cord stimulator, or anything like that, you can NOT have MRI's and then you're stuck having CT Myelogram. NOT FUN AND VERY PAINFUL. They do not sedate for it, either.)
All I can suggest is to try to get a good pain mgmt doctor, do NOT use the Fetanyl patches if you don't have to (because they're highly addictive and you'll end up down the same path as I have) and ask about another updated MRI, especially now that you're having some more problems.
The type of pain you're describing, at least some of it, sounds like nerve impingement at the L5-S1, yes. Ask about a prescription for Neurontin (generic is gabapentin and is inexpensive). At least it's non-narcotic and will help for nerve pain/damage. There's also anti-inflammatories. If you have to use a narcotic pain reliever, start low with a low dose of Vicodin. There's a newer nerve pain medication out called Lyrica, too.........
Of course all of this is suggestion only from my own experience. Always follow your doctors orders but at the same time, don't be afraid to speak up and ask about other treatments, medications, etc.. Mainly, try to get to pain mgmt. Pain mgmt may start from the very beginning and take time but at least they can get to what is the cause of your pain (most of the time but not all the time) etc.. For me, though, MRI's show NOTHING. I'm now 48, have been on disability for 10 yrs and haven't been able to work since the accident. There's been another accident, 2010, where I got t-boned. I live off of pain medication now. I would just hate to see anyone have to go down the pain medication 'road' I have. There is always the possibility that you will have no answers and have to learn to live with the pain as I have. I hope this does not happen with you. You may have a herniating disc that needs surgery and that may help 100%. You just never know....
Thank you, again, for serving our country and I wish the best for you. I wish the medical care our veterans get would improve. Right now it just plain stinks.......Keep me posted, ok?View Thread
Taking a SSRI type antidepressant like citalopram with a SNRI type antidepressant like Cymbalta may cause a condition called serotonin syndrome so for long term drug therapy it is contraindicated. If you were to wean off the Cymbalta while starting the citalopram, then for a short while at low dosages for each, you could be on both at the same time. The citalopram may well help you more with the anxiety and depression than the Cymbalta which is more for just depression and neuropathic pain. You might also consider a medication such as hydroxyzine (Vistaril). I believe it would be less expensive than the Abilify and is used to treat anxiety. Best to discuss these options with your doctor. Keep in touch,View Thread
I can only give some suggestions as I've been dealing with chronic pain for almost 20 years and have also been run through the 'gammit' of everything out there and every type of doctor. (My chronic pain started with a major car accident 20 years ago, being rear ended at a dead stop, at 70 MPH). However, you didn't give much information. You had mentioned that she has proof with medical paperwork but didn't mention proof of what. You mention therapy but not what the therapy was for or what type of therapy she had. You also mentioned that she had back surgery but didn't mention what she had back surgery for. And, what type of medications is she on... I have also sat in here in so much pain that I will cry, as your mom does. It can be not so much from the pain, but from the actual FRUSTRATION of not getting any answers from these doctors now-a-days.....but also from the pain, LOL. I really, really want to give you and your mom some suggestions but I was wondering if you could give me/us some more history as I mentioned above.....what back surgery did she have; what type of therapy is she doing or has she done; what treatments has she already had; what medications has she already tried; what area of the back; etc., etc.. Like I said, I've been dealing with chronic back pain, chronic bursitis (side of the upper thigh/hip area), I've had Bi-Lateral RF Lesioning at the L5-S1, I've even tried a Spinal Cord Stimulator; I've had numerous steroid injections for the pain, and I've been on the strongest narcotic pain medication for almost 12 years now, etc., etc., etc.. So, if you would/could give a little more information, I would LOVE to try to give you both some suggestions as there might be something your moms doctors are missing or haven't tried. (This is the time I wish I could somehow give you my email address without the whole world getting it, LOL.) Anyhow, please post again with a bit more info and I'll keep checking my inbox. I'll post again as soon as I read your updated post, ok? Please take care of yourself and your mom. BTW, how old is mom, if you don't mind me asking? Sincerely, TerryView Thread
(This is a second post as I don't think my first one went through because I hit a wrong key. Please forgive if this is already posted....) Hi there. First, let me say how sorry I am to hear that you're in chronic pain now. Without going into too much of MY history, I can totally relate to your pain and how you're feeling. After getting rear-ended on the freeway at 70 MPH, which was at a dead stop due to traffic, I have dealt with chronic, severe pain for almost 20 years now.......from the L5 all the way down.......
Anyhow, NO....MRI's do NOT cause pain. But, I can understand someone thinking that they do, especially when they're already dealing with chronic pain......let me explain and see if this makes any sense to you:
First, we're already in pain, right? Next, we're asked to lay down on a cold, rock-hard surface ON OUR BACK. Then, just in case that's not enough for those of us already in severe pain, we're shoved into what I like to refer to as an empty Tylenol/gel capsule.....this capsule isn't even big enough to shove a worm into let alone a human being! LOL. Next, we're told to 'relax'.....uh, yeah....right. Relax. Not a problem. LOL. And if all of that STILL isn't enough, we're then told that the MRI will take a minimum of 30 minutes! (Let me get this right: you want me to lay down on hard surface in a practically air-tight gel capsule, relax AND hold still for a minimum of 30 minutes??? ARE YOU CRAZY??)
LOL. Anyways, for me this all causes more pain because we're laying on not only the hard surface for an extended period of time, but we're laying on areas of our body that are already in pain. We're on a hard surface, holding still, and all that does is causes me, at least, to stiffen up which in turn causes more pain. As we're laying there on painful areas of our body, I have no doubt that nerves are getting 'pinched' so-to-speak, so then we try to get up after the MRI and find that we're in even more pain. This pain carries on, for me, for hours, if not days. Laying there like that, too, 'shifts' my low back (for lack of better words) so then I start with the knife-stabbing pain throughout the low back. (On the other hand, I LOVE MRI's only because when I'm in one, I get this surge of energy that I can not describe. It's a low 'buzz' feeling that makes me feel good. Now if I could just get rid of the physical pain.......)
I suggest you try to find a really, really good neurologist if you don't already have one. You may already have a doctor you're happy with, though. (I only suggest a neurologist as this is what helped me when my nerves were completely pinched in my neck and I needed surgery. Neurologists also handle back surgeries, etc.....Is your doctor a neurologist?)
I try to make light of all of this as laughing helps me with pain. But I also know how serious chronic pain is. I hope this helped you at least a little bit. If it didn't, maybe you were able to laugh a little.......?? LOL. Take care of yourself and keep us posted, ok? TerryView Thread
I'm almost 48 years of age now, female, and I've been dealing with bursitis for many, many years. BursITIS is an inflammation of the bursa, you are correct, as ITIS means inflammation of.... With that said, ibuprofen, aspirin.....any of the NSAIDS may help, if you do not have a history of ulcers or any stomach problems at all. If that does not help with the pain, and after most OTC medications have been tried, doctors will then try prescription medications, also usually NSAIDS. After that, the next step, depending on the doctor, would be NSAIDS combined with a possible narcotic pain reliever such as Vicodin. Next step would be sending you to either pain management or a D.O. to get an injection of steroids directly into the bursa. I went through this for a few years, not only for my bursa, but my entire low back as well. I can honestly say that they did very little for me, maybe taking SOME of the edge off. Other than that (oh, you can try icing it, too), not much to do. You do not want to remove the bursa and I don't know too many doctors willing to do that unless the bursa is completely shot. Even then, I'm not too sure about removing/replacing the bursa. So, try the above.....NSAIDS, acetaminophen (which will only take some pain away, not inflammation as acetaminophen is NOT an anti-inflammatory), icing the bursa area, then moving on to either pain mgmt or a D.O. who can try steroid injections into the bursa. (This can take some time if you have an HMO, lol) I can totally relate to not being able to walk up stairs and trying to get up after even just short periods of sitting. Also, bumping the bursa area up against something???.....I DON'T RECOMMEND IT, hahahaha.....it hurts, LOL. Take care of yourself. I hope this helped you out some.View Thread
They gave you the prednisone and cream thinking it's hives. The picture looks a little bit like hives but I'd say it's something else. I've had hives pretty bad, myself, and prednisone works but only if it's a high dose. I'm guessing they only gave you the pack, the 5 mg. pills where you start off at a high dose then wean down. That does not work. What worked for my hives was the 20 mg. prednisone pills, taken three times a day (or can be taken all at once) for 7 days......no weaning down. Hives were gone in 2 days. Yours looks like something else is going on OR you need a higher dose prednisone. It looks similar to hives but not completely like hives.....(I have never had hives, though, on my feet and fingers. It's usually everywhere else. LOL.) If I were you, either get to your primary care doctor if you have one (this all depends on type of insurance) and get a referral to a dermatologist. I was going to say podiatrist if this was only on the feet but since it's in other places as well, and it's not going away, try to get to a dermatologist as soon as you can. I sure hope you get it taken care of as I know how miserable itching can make a person. Ugh.... Good luck with it. Take care and let us know how everything works out. TerryView Thread
We live out in the dairy preserve area of Chino, CA, so we have a TON of spiders here. Everything you've described sounds EXACTLY like a spider bite. By the way, Indomethacin is just another NSAID like Piroxicam. That's it. It will not help much for a spider bite except, in hopes, of getting swelling down. He needs an antibiotic right away (doctors should have known this, should have given him AB's, along with the anti-inflammatory) if not an IV of antibiotics. The way you've described what his foot looks like, describes the same way my husbands foot looked when he was bit by a spider! And we can't necessarily find the spot we were bit at, either. A lot of doctors will say, "Well, I can't find any spot that tells me you were bit by anything.". That is a crock. Especially if it's swollen the way you've described it, red, warm, etc., etc.......it makes it that much harder to find a bite mark. I suggest you get a bit 'pushy' with these doctors, find a second opinion if necessary ( and NOT in the same medical group as these doctors will always agree with their colleagues), and make it clear to them that you do have violin spiders (aka: brown recluse) AND black widows, etc., etc.. I'm thinking it's one or the other. A brown recluse bite, though, is worse than a black widow, leaving you with fevers, excruciating pain and wishing you were dead. Please, if his foot is still the same today, get him to a doctor ASAP. I know I have not seen the foot at all, but what you describe tells me there just might be an infection. Good luck and please keep us all posted. TerryView Thread