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Harm Reduction The Pain Management Mega Thread - for all your questions on dealing with chronic pain

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The reason a lot of people rub or massage a painful area isn't because that sensation relieves the pain exactly, but because the rubbing/massaging sensation competes with the pain sensation going to your brain so you're brain can't interpret as many of the pain sensations.

Transcutaneous Electrical Nerve Stimulation (TENS) basically work on the same principle except in a more efficient manner. They produce sort of 'white' stimulation, stimulation not exactly pleasant or painful that competes with the painful stimuli so your body can relax and your mind can focus elsewhere. When you are pain, your body tries to adjust around the painful area or elsewhere to compensate which often causes more problems and your mind can't help but focus on the pain. TENS, although not working likes opiates or muscle relaxants, largely tricks your body and mind regarding how much pain you are in (or stiffness, spasm, etc... I was using pain generically throughout).

I was very close to purchasing a TENS unit but I got my stiffness/spasm issues worked out with daily PT, relaxation techniques and to a lesser extent, medicine. Based on what I know of your situation from here and elsewhere, I would probably give it a go.

Good luck, and if you could, please let us know how it works out for you!

Take care
 
I was in a serious car accident last week, but have had a serious heroin habit for the last 7 years , so the doc today put me on 80mg oxiconitin twice daily and up two 4 oc 30 ir's a day for breakthrough pain.... its not cutting it cause my tolerance was already too high, can I increase the oxy dose or how about switching to dilaudid or oxymorphone?
 
Dilaudid and oxymorphone suck orally (ive done em both, and thats my opinion on them). Oxycontin is a great medication, being that it is a good analgesic, and is long acting. Just tell your doctor that they aren't working, or that you have a tolerance already to opiates.
 
well, he knows I have a tolerance, thats why he basically asked me.... what do you want for pain? how could I improve my situation? I can eat about 10 of the oc30ir's and it gives me a slight nod.... thats a pretty high tolerance. Is there a way to get fentanyl on board, also how hard is it to get on a pump?
 
Unknown said:
Dilaudid and oxymorphone suck orally (ive done em both, and thats my opinion on them).
Click to expand...

Yeah they "suck orally", as they have a low BA, but as far as analgesia goes oxymorphone is pretty great imo (i havnt used hydrmorphone orally),
What way did you mean it I'm curious?
 
TheMatador said:
Yeah they "suck orally", as they have a low BA, but as far as analgesia goes oxymorphone is pretty great imo (i havnt used hydrmorphone orally),
What way did you mean it I'm curious?
Click to expand...

Oxymorphone did not produce analgesia. It also increased my tolerance a lot in a short period of time.
 
Yeah, saying that oxymorphone doesn't produce analgesia is just false, maybe it only did a little for you for whatever reason, but it does produce analgesia....
This fact is not contested.
....And in most patients, it produces excellent analgesia....

I'm with C2tL, how were you using them? To get high perhaps ;)?

If oxymorphone didn't produce analgesia it wouldn't be one of the most popular painkillers on the market right now.
It is used in almost all the pain management clinics in the U.S. right now, and is one of the most popular opioid analgesics used in pain management at this present time for the very reason that when used as directed it produces excellent analgesic effects.
The majority of the people in my pain management clinic are on OpanaER with or without OpanaIR for the reason it is an excellent analgesic, almost all of these people have tried at least 5+ narcotics in their lifetime in search of relief, and most have them have tried up to 10 before finding Opana which finally provided them with relief, I'm talking about a large group of people here, this is not a coincidence.

Edit: No, they are not picking Opana as their narcotic because it is good to get high with when used nasally if anyone is thinking that. This is a very strict clinic and everyone is very committed to pain management, not getting high. At our clinic we are constantly and randomly tested to make sure the levels of our medication are steady, so nobody fucks around.
 
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^I agree. Oxymorphone/Opana has blown up in recent years and is some of the most commonly used medications in pain management. It seems a lot of PM doctors switched patients to or started using this when oxycontin got so much heat with the lawsuit and all.

EVERY opioid that agonizes the Mu receptors in the brain produces analgesia, that is indisputable. Maybe for you, Unknown, it was unsatisfactory but it does produce analgesia.

I see heroin users saying codeine and tramadol have no effect for them but that is due to their tolerance, its not that those drugs don't produce analgesia.

Its just silly to say an OPIOID ANALGESIC doesn't produce analgesia!
 
Artificial Emotion said:
Why do pain management specialists aim to reduce pain from 8 or 9 out of 10 to about 4 out of ten when they can successfully reduce the pain even further with a higher dose?

In general how many times higher is a recreational dose of an opioid than a therapeutic one in most individuals?
Click to expand...

Trying to make people completely pain free also creates unrealistic expectations in patients.
In theory, PM MDs utilize the smallest dose of medication to bring pain levels in patients down to more manageable levels. Seeking to eliminate pain completely, or close to 1-2, requires much more medication which leads to a quicker raising of tolerance and medication dosages. The goal is to manage pain and make daily life more livable for those suffering with chronic conditions, not to make them pain free.
In short, too many negative issues arise when attempting to depress pain down to as low a level as possible.
 
Everyone's body is different. And no, I wasn't taking them to get high. My abuse occured wayyyy after this. Don't accuse others of abusing something, and stating their experience is wrong.

Since oxymorphone is not a prodrug, maybe my body rapidly metabolized the drug, or perhaps the bioavailability was extremely low for me?

PS i remember reading numerous threads by members stating that drug X doesnt work for them.
 
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As far as the "I can't shit" problem due to all the meds I take for chronic pain, I swear I found the answer. I eat two Activia yogurts a day (the Jamie Lee Curtis stuff) and It is the ONLY thing I have found that works. Trust me, I have tried it all. I am still on all the meds only they added Valium, I still can't work or do anything and spend at least 22 hours+ flat on my back. Of course disability rejected me (my doctor considers me totally disabled, permanently) so appeals, lawyers etc. Thank God I have a husband who supports me, but with one income in this economy my stress level and depression are through the roof, we can hardly pay our bills and do without anything that isn't food, rent etc.
 
^i agree on the yogurt theory. it's a large part of my diet with muesli and bran and helps me maintain normal bowel movements. obviously the bran and muesli contribute as well.

the better your diet, the better your body functions are going to be.
 
Whada hell?

Ok so still going through massive crap with my back. Now I have four buldging discs and a dropped foot?

No one wants to do surgery because I am so young, blah. but anyhow, I usually get reg ol vicoden 500s, or Percocet 350... the other doctor i saw the other day for back specialty gave me 90 tramadol (wah wah wah), Then his partner gave me vicoden 7.5s and I thought they didn't work at all.


Now I have Oxycodone 5mgs, I haven't taken them yet but from what I hear its like baby asprin?

Is the tramadol really stronger? I didnt really like the tramadol, It didn't take away my pain, just made me a little jumpy.

thoughts?
 
7.5 mg of hydrocodone = 5mg oxycodone equianalgesically speaking and I have never seen someone refer to oxy as 'baby aspirin'... that made my jaw drop. To some here, 5mg is a tiny dose, but to the opiate naive that will definitely kill pain.

I'd take 5mg oxy over 7.5 vicodin over 50mg tramadol... in that order but that may just be my preference.
 
Yeah What the heck where they thinking, but i was so confused not seeing the apap stuff.

I took 3 5mg oxy with one 50mg tramadol and I got a nice euphoria going, hate how voices get louder though, but its nice. and my back feels really good.
 
For some reason, 5mg of oxycodone works better for pain than 15mg of hydro. Though i probably would have more of a buzz off the hydro. It just does not kill pain for me like the other.
 
I'd like some suggestions please, I'm going to the pain clinic on Friday to get my meds changed. I'm on fentanyl patches and oral morphine solution, for background and breakthrough pain respectively. For various reasons I want to change from the patch to another strong opioid. I also want something that actually works for breakthrough pain at the prescribed dose, so I'd like to change from oral morphine solution to something else. What in your experience or opinion is the best combo to change to?
 
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