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The Pain Management Mega Thread v2.0

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Are you referring to a spinal cord stimulator? As a person with DDD and 3 lumbar fusions I have been told that this might be a solution to my long term pain issues but I am hesitant to implant anything into my spine that involves electrical stimulation beyond what my own TENS unit provides. Why has your doctor indicated that this might be a solution for you?
 
Hey brighton been a while. as for drs and making it up as they go along, my pm dr prescribed me 3 drugs together that cause serotonin syndrome when used together...and another dr nearly killed me by prescribing the wrong meds so I really do wonder where they obtained their degrees from at times.

How has your pain been dude?

Oh jesus. Yeah I can't believe the stuff that comes out of doctors mouths sometimes! Pains pretty mild as of late, got over my kidney stones (I don't recommend them) and my wrist has been behaving. Just have to wait for my broken toe to heel now. Im counting the days =D

how are you?
 
Hate to pollute this thread but I'm losing it. 8.5/10 and rising, unable to get out of bed, cant crawl to the bathroom, snowballs chance in hell of me making it out to my car, can't afford professional transport or hospital fees, no one's answering their phones, neighbors aren't hearing me screaming.

I am fucking done with the healthcare industry, they have done nothing but prove to me time and time again that they care about no one but themselves, their precious DEA#s, no fucking human being should go through this, let alone someone my age. I give up.

Honestly I think I'll have to die before the doctors start caring about how they treated me.

Guess I'll keep on trying to reach someone to help me out of bed, nothing else I can do complaining won't get me anywhere.. Must....make....it....through.......this......somehow.


Sorry to hear what going on bud. The healthcare system is fucked up, and the 95% of the doctors don't give a shit about the young people in pain.

Just think positive, we all know we have those bad days where nothing goes right.
 
Mt heart goes out to you, because I have been there, not in as extreme condition as yourself... I was pretty well cared for through -
age 20's through 30's for the most part but it went screaming downhill from there on out.
 
Almost ended over 2 years of refraining from IV drug use this morning, not for abuse either, just to save myself the money I can't afford the bill for the morphine they'd have given me in the hospital.
 
Hey folks, have any of you ever tried Kratom?

I'm sure for some of you with a huge opiate tolerance it would be totally useless, but I've found it to be incredibly effective.

As of now, on an empty stomach I'm taking about 7-10 grams of the powder and find it to be about equal to taking 3 10mg norcos. It also can be made into a tea which is really effective.

It's also exciting because I was using it consistently for about 3 weeks and ran out. I was expecting to have withdrawal symptoms but....nothing. I'm really really excited about this stuff and figure I would share it with you all!

Oh, and it's LEGAL and available online for a very reasonable price.
 
I am 24 and suffor horribly from ankylosing spondylitis with uvitis which is an extreamly painfull inflamatory eye condition. I first got pains in my lower back and leg at around 12/13 but while they were very bad they were extramly rareand didn't last long like maybe a few days. When I was 17/18 it became chronic in my hips and lower back. Once I became 20 it started spreading to joint in my body; hips, legs, feet, back, neck, sholder, arms hands, chest, ect There are days when I can barely move.

When the new laws in fl made me have me have to switch to a pain specialist I was getting worried at first but it ended up working out for me. She kept my hydrocodone script at the same dosage but switched them to ones with less apap and replaced my garbage tramadol with morphine. Right now my daily dose for my AS is 4x10mg hydrocodone, 3x30mg morphine er, 3x800mg gabbapentin, 4x500mg sulfasalazine(2 500mg pills twice), 5mg prednisone, and 4mg tizanidine. It does not eliminate it and I am still in pain all the time but it does make it bearable. I was put on humira in the past but ended up 10x worse instead of better.

In combination with my opiates weed works wonders for my pain and allows me to go down on them. It also helps with my axiety, depression, and very bad insomnia. It is such a shame I get drug tested. Even though I don't get tested every time I still play it safe and only smoke for a week then stop since I don't want to fail another test.
When I failed with my previous doc even though she knew about my insomnia and was complety aware that at the time my uvitis acting up which made my eye feel like it was litterly on fire, unable to take the tiniest bit of light, and made me unable to see out of it she still had the fucking nerve to call me 9 am to tell me I failed and bitch at me. My mom answerd the phone and tried to tell her I was sleeping and sick but she demanded to speak to me. When I got on the phone I tried to hand it to my mom since I was too tired and sick to take her verbal abuse and judgement; I had just fallen asleep at 7 am yet she refused to speak to my mom. That call caused me to have a full fledged panic attack and nervous breakdown and my eye condition which was starting to improve got even worse than it was the prevous week. I made an apointment the next day to straighten shit out shit her. She spat out a bunch of the stereotyepical DARE bs. When I told her it helped me sleep her exact words were " it helps you sleep because other peoples says it does; tobaco used to be advertised as something to relax you but is actualy a stimulent". I didn't even bother responding to it since i was so sick I didn't have the strengh. She was going to drop me as a patient but I was able to get her to keep perscribing me opietes by seeing a psycologist for a pain managment evaluation. Luckly the psycologist I saw was pretty chill. Funny that after I had to quit weed for 4 months I was put on benzos for sleep so I wouldn't have to drop out of college which are 100x worse than weed.

I will write some more stuff about my condition and current doctor in better detail when I am not so tired; I just wanted to get this off my chest.
 
Tricomb you have my massive sympathy. I'm in a similar position although yours sounds more extreme. I get the feeling that healthcare professionals just think a 25 year old is wasting their time. I've just come off the phone from my GP who was incredibly dismissive to me and told me he couldn't see me today - despite the fact I don't even want to see him, I just need to him to give me a referral which I've already been in to the GP to get two weeks ago, but they want to see me again before they send it off "to get a full history" even though they have a full fucking history because I've been with them for three years. It's not even the fact I can't get an appointment (let alone a referral) which is the worst - I just don't need to be treated like some sort of resource consuming leech.

All this only because my pain management consultant hasn't called back for weeks, despite saying he was going to, and has ignored all my emails. Any phone call to his office goes straight to answerphone. I understand that they're busy but for fuck's sake, people are ill.

I just want to SCREAM at the contemptuous cunts, do you know what it's like to be up all night in pain knowing that you can't take the opioid painkillers you once could unless your pain is truly awful, because you're frequently at this background level of pain and you'd quickly end up dependent again. Of course I don't, because they are the gatekeepers to my secondary physical healthcare, mental health care and of course analgesia. The disdain flows downwards in my direction only.

In the meanwhile I'm trashed on benzos just to try to sleep but I can't because it's still too painful so I have to rant incoherently to my mother, my friends and on bluelight, lie in bed wishing desperately for distraction, or walk around town like some sort of zombie wishing desperately I was in bed. I don't think I've ever been this pissed off on benzos before.

Time to break out some DHC - of course it won't really help the pain much, but I daren't use anything else. It might take the edge off and usually gives me a bit of energy. I wish there were non-opioid drugs with significant antinociceptive effects. I don't know whether pain or dependence is worse.

Sorry. /rant
 
Im in the same situation at the minute in tears constantly from the pain. my meds aren't touching in, smoking is doing nothing I just dont know what to do. what is methadone like for pain relief I am allergic to fentanyl patches unfortunately or I'd be on 125 mcg per hour and meds for break through pain. I cant get oxymorphone in this country or Id give that a try.
 
I feel your pain.

No one else on this forum knows what its like to read a post from someone who typed it in agony. Most of my posts yesterday were amazingly coherent for having my vision clouded by tears.
 
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I am 24 and suffor horribly from ankylosing spondylitis with uvitis which is an extreamly painfull inflamatory eye condition. I first got pains in my lower back and leg at around 12/13 but while they were very bad they were extramly rareand didn't last long like maybe a few days. When I was 17/18 it became chronic in my hips and lower back. Once I became 20 it started spreading to joint in my body; hips, legs, feet, back, neck, sholder, arms hands, chest, ect There are days when I can barely move.

When the new laws in fl made me have me have to switch to a pain specialist I was getting worried at first but it ended up working out for me. She kept my hydrocodone script at the same dosage but switched them to ones with less apap and replaced my garbage tramadol with morphine. Right now my daily dose for my AS is 4x10mg hydrocodone, 3x30mg morphine er, 3x800mg gabbapentin, 4x500mg sulfasalazine(2 500mg pills twice), 5mg prednisone, and 4mg tizanidine. It does not eliminate it and I am still in pain all the time but it does make it bearable. I was put on humira in the past but ended up 10x worse instead of better.

In combination with my opiates weed works wonders for my pain and allows me to go down on them. It also helps with my axiety, depression, and very bad insomnia. It is such a shame I get drug tested. Even though I don't get tested every time I still play it safe and only smoke for a week then stop since I don't want to fail another test.
When I failed with my previous doc even though she knew about my insomnia and was complety aware that at the time my uvitis acting up which made my eye feel like it was litterly on fire, unable to take the tiniest bit of light, and made me unable to see out of it she still had the fucking nerve to call me 9 am to tell me I failed and bitch at me. My mom answerd the phone and tried to tell her I was sleeping and sick but she demanded to speak to me. When I got on the phone I tried to hand it to my mom since I was too tired and sick to take her verbal abuse and judgement; I had just fallen asleep at 7 am yet she refused to speak to my mom. That call caused me to have a full fledged panic attack and nervous breakdown and my eye condition which was starting to improve got even worse than it was the prevous week. I made an apointment the next day to straighten shit out shit her. She spat out a bunch of the stereotyepical DARE bs. When I told her it helped me sleep her exact words were " it helps you sleep because other peoples says it does; tobaco used to be advertised as something to relax you but is actualy a stimulent". I didn't even bother responding to it since i was so sick I didn't have the strengh. She was going to drop me as a patient but I was able to get her to keep perscribing me opietes by seeing a psycologist for a pain managment evaluation. Luckly the psycologist I saw was pretty chill. Funny that after I had to quit weed for 4 months I was put on benzos for sleep so I wouldn't have to drop out of college which are 100x worse than weed.

I will write some more stuff about my condition and current doctor in better detail when I am not so tired; I just wanted to get this off my chest.

The doctor at the pain clinic I go to is very nice, understanding, logical, and sympathetic but sadly I only got to see her the first two appoints. Now I just see the nurse practitioner who is an unsympathetic stupid bitch who knows nothing about medicine or what it is like to be in pain. Last time I went she was treating me like such shit that I wanted to spit in her face.
I was telling her how my constant bad sleep issues and always being up for over 24 and sometimes almost 48 hours and waking up and falling alseep at the weirdest hours is preventing me from taking my meds at the exact same time each day. She had the fucking nerve to say I was making excuses and that I should set an alarm multiple times a day to get on a scheduel with my meds. She tried to give me trazadone for my sleep. I refused it and told her another doc tried to put me on it and I only took it twice and decide I did not want to take it because of all the side effects I got and had read about with anti depressants. She kept insisting I need something for my axiety and depression. She also said "you don't see tons of news paper articles about them like you do wih your pain meds". 1 they are just as bad if not worse than opiates and 2 I have seen several news paper articles about anti-depressants.

Another thing that really pissed me of was she kept incisting I was overtaking my hydrocodone when I really wasn't. She was saying how I should only be taking 3 10s a day yet I am perscribed 120 which is 4 a day. While the bottle does say every 6 hours the actual doctor told me that while I should try not to take 4 a day it is ok if I need to. Also if I took 3 pills a day then that would mean I was getting 30 extra pills a month since I get 120 10s and 3 pill a day would be 90 a month. There is no way the doctor would be giving me 30 extra pills concidering how strict they are now.The nurse actualy brought up all the ods and deaths in her argument. I told her those people are abusing massive amounts and shooting and she said no they are not lots of people die from taking them exactly as they are saposed to which is a fucking lie. There is no way somebody like me who has been on opiates daily for 4 years is gonna od from a dose as small as 90mgs of morphine and 40 mgs of hydrocodone a day. Even a non-tolerent person would not od from that.

Having to go down by that 1 pill is really making a differnce in my pain relief and quality of life. Well once I build up some extras from going down this and next month I could go back to taking the normal amount and still have extras left in when she counts my pills. The nurse was too stupid to understand that my extra morphine was there because I went down a few month prior and not the prevous month. Hopefully I will see the actual doctor next appointment so I can straighten things out and be honest.
 
The doctor at the pain clinic I go to is very nice, understanding, logical, and sympathetic but sadly I only got to see her the first two appoints. Now I just see the nurse practitioner who is an unsympathetic stupid bitch who knows nothing about medicine or what it is like to be in pain. Last time I went she was treating me like such shit that I wanted to spit in her face.
I was telling her how my constant bad sleep issues and always being up for over 24 and sometimes almost 48 hours and waking up and falling alseep at the weirdest hours is preventing me from taking my meds at the exact same time each day. She had the fucking nerve to say I was making excuses and that I should set an alarm multiple times a day to get on a scheduel with my meds. She tried to give me trazadone for my sleep. I refused it and told her another doc tried to put me on it and I only took it twice and decide I did not want to take it because of all the side effects I got and had read about with anti depressants. She kept insisting I need something for my axiety and depression. She also said "you don't see tons of news paper articles about them like you do wih your pain meds". 1 they are just as bad if not worse than opiates and 2 I have seen several news paper articles about anti-depressants.

Another thing that really pissed me of was she kept incisting I was overtaking my hydrocodone when I really wasn't. She was saying how I should only be taking 3 10s a day yet I am perscribed 120 which is 4 a day. While the bottle does say every 6 hours the actual doctor told me that while I should try not to take 4 a day it is ok if I need to. Also if I took 3 pills a day then that would mean I was getting 30 extra pills a month since I get 120 10s and 3 pill a day would be 90 a month. There is no way the doctor would be giving me 30 extra pills concidering how strict they are now.The nurse actualy brought up all the ods and deaths in her argument. I told her those people are abusing massive amounts and shooting and she said no they are not lots of people die from taking them exactly as they are saposed to which is a fucking lie. There is no way somebody like me who has been on opiates daily for 4 years is gonna od from a dose as small as 90mgs of morphine and 40 mgs of hydrocodone a day. Even a non-tolerent person would not od from that.

Having to go down by that 1 pill is really making a differnce in my pain relief and quality of life. Well once I build up some extras from going down this and next month I could go back to taking the normal amount and still have extras left in when she counts my pills. The nurse was too stupid to understand that my extra morphine was there because I went down a few month prior and not the prevous month. Hopefully I will see the actual doctor next appointment so I can straighten things out and be honest.

Please don't take this post as belittling your situation, because it's certainly not intended to be that way. I just figured that I should preface what I'm about to say before I type the rest of this.

I think a lot of your frustration could be curbed if you sort of look at it from a lot of your doctors/nurses perspective. As far as opiate medication is concerned, pain management clinics have a gigantic amount of scrutiny placed on them from the DEA and they have report pretty much everything they prescribe you to the DEA. On top of that, speaking from one young pain sufferer to another, the DEA (and insurance companies) don't let doctors get away with prescribing opiate medications to young people, because it's hard for both of them, form an outsiders perspective, to understand why one would need high doses of a narcotic medication, particularly for pain.

A nurse practitioner has no authority to really do anything as far as changing your medications is concerned, and she really just needs you to follow the rules. That's pretty much her job.

I came to a realization a while ago when I was in your position (and this applies to almost everything in life) if everyone around you is against you, you're probably not handling something correctly.

When you're in a pain management program you have to follow the rules with your meds. If you don't, they're going to make your life harder because you've proven, to them anyway, that you have the capacity to abuse or misuse your medications. As stated above from a liability standpoint, your doctor doesn't want to deal with it. I wouldn't be surprised if your nurse practitioner is acting in accordance to what your doctor told her to do, but isn't being harsh as to not appear to be the bad guy.

I really do wish you the best of luck with your pain, but I think you're getting a pretty decent lot of medication, and I know people in bad shape like you that can't get those meds at all.
 
I wrecked my back and right knee pretty badly in a training accident when I was in the Army. After doing diagnostic imaging, they found that I had scoliosis, degenerating discs, compressed discs and sciatica. The Army doctors actually had me on a decent pain control regimen using 10 mg OxyIRs and diazepam for my symptoms. Once I returned home, my GP saw the meds I was on, and despite being a really good GP, he is an opiophobe and took me off of the OxyIR and diazepam, instead giving me tramadol and Norflex. Needless to say, this didn't help a lot. At this point, I frequently turned to dealers to get adequate pain relief, which is just one of the many reasons I eventually became an IV opioid addict. I went to physio and a chiro, and while this helped a bit, I was still really sore. When I went on bupe, my bupe doc would constantly say that the bupe would act as an analgesic. It does, but not to a great extent. I'm stuck now because I effectively can't go on any pain med regimen outside of tramadol. Most days, I have minimal pain, but I get those occasional days where my back is in intense pain. It's on days like that where I feel like I should have gone on methadone, because at least there'd be better analgesia. My hands are effectively tied until I get off of Suboxone, and even then it's going to be impossible to find a doctor that will get me on a pain control plan because of my history with addiction.

I honestly don't know what I can do. I'm thinking that I'm going to get a referral to an orthopedic surgeon and a pain management doc; something I should have done a very long time ago.

EDIT: Would something like kratom help for bad days at all or would the bupe just cancel it out?
 
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^^
I would be really careful with methadone. It's really not a great solution and it would be a bummer to have to fein an addiction in order to acquire it.

I feel for you man, I've been tumbling around a similar situation.
 
Got it, sorry I misread your post.

I have abused IV drugs in the past and am currently not taking any opiate medications. My brothers both had issues with opiates as well, and were both on methadone for a bit of time.

I'm not sure exactly why, but I've noticed that everyone I've dealt with who is taking it talks at a glacial pace, and their thoughts just seemed cloudy. I seriously would get so annoyed with my brothers I couldn't even stand to be around them and to my knowledge they weren't even on that high of a dose.

I'm not sure exactly how suboxone works, but when they both inevitably got off methadone, the withdrawals were HORRIFIC. It gets into your bones, so it takes months to feel normal again. If I were you I would stay away.

Just my .02
 
And, I'm a big time Kratom advocate, but I don't know if it would work if you're on suboxone (I think it's unlikely). I'm really a big fan of the stuff though. I believe it would help with breakthrough pain.
 
Please don't take this post as belittling your situation, because it's certainly not intended to be that way. I just figured that I should preface what I'm about to say before I type the rest of this.

I think a lot of your frustration could be curbed if you sort of look at it from a lot of your doctors/nurses perspective. As far as opiate medication is concerned, pain management clinics have a gigantic amount of scrutiny placed on them from the DEA and they have report pretty much everything they prescribe you to the DEA. On top of that, speaking from one young pain sufferer to another, the DEA (and insurance companies) don't let doctors get away with prescribing opiate medications to young people, because it's hard for both of them, form an outsiders perspective, to understand why one would need high doses of a narcotic medication, particularly for pain.

A nurse practitioner has no authority to really do anything as far as changing your medications is concerned, and she really just needs you to follow the rules. That's pretty much her job.

I came to a realization a while ago when I was in your position (and this applies to almost everything in life) if everyone around you is against you, you're probably not handling something correctly.

When you're in a pain management program you have to follow the rules with your meds. If you don't, they're going to make your life harder because you've proven, to them anyway, that you have the capacity to abuse or misuse your medications. As stated above from a liability standpoint, your doctor doesn't want to deal with it. I wouldn't be surprised if your nurse practitioner is acting in accordance to what your doctor told her to do, but isn't being harsh as to not appear to be the bad guy.

I really do wish you the best of luck with your pain, but I think you're getting a pretty decent lot of medication, and I know people in bad shape like you that can't get those meds at all.


I do completely understand that this is the DEAs and pollitions fault not the doctors. I know how much stress and pressure they put on the doctors and the threat of loosing there practice I didn't mind and agreed when the doctor told me she would not keep me on clonazepam and just gave me one last script of it when I was put on morphine. I had already tapered off the clonazepam shortly before I started going to her so I was fine. The doctor there is very friendy and caring. She told while this dose can be dangerous I would be way worse off without them. The nurse however is pretty cold. I just hate how she was treating me like I'm a junkie when all I am trying to do is make it so I have enough relief to get out of bed.

Like I said before my anger lies with the way the nurse treated me overall and her knowledge of medicine not just that she condridicted what the doc told me as far as dosage. The nurse seems to think any medication that is not abusable is 100% safe; anti depressants being one example. What pissed me off most of all is that she said I was making excuses when I told her about my sleep issues. That really upset me because she does not have any idea how much it effects me. It along with my pain is why I had to drop out of college and wont be going to grad school. On counless ocations it was so bad I would hallucinate from sleep deprivation and there were times when I was ready to down every pill bottle in my droor because I could not take being so sleep deprived yet still not being able to sleep anymore. The sleep issue also makes my pain several times worse which makes me have to go up on my medication. Thankfully last week I started taking a combination of 5htp and another capsule with a bunch of differnt herbal meds in it; L theanine, melatonin, omega 3, ect. It is working amazingly for me and is helping me sleep just as good as weed does.
 
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