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Misc The Pain Management Mega Thread version 3.0

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Yeah, there's a balance you have to find. What's most important (especially in pain management) is finding a great physician that you trust and have a great doctor/patient relationship. I've always been really meticulous about this, I don't like to see doctors I can't speak my mind with.
 
tricomb said:
Yeah, there's a balance you have to find. What's most important (especially in pain management) is finding a great physician that you trust and have a great doctor/patient relationship. I've always been really meticulous about this, I don't like to see doctors I can't speak my mind with.
Click to expand...

^this. Also educate your selves on other treatments that are available. If you walk in knowing only about opiates and nothing else it does raise suspicion. So make sure you research other things that help your condition and talk about that too. That will help the relationship.

On my next visit I'm going to ask about him prescribing me a tens unit and maybe a hot tub script. I can file it on taxes and if you have a script you pay no taxes on it. I also want to talk about different medication options. I think I need a long acting and a break through medication. Idk what he will say because this will be my second visit since last summer.
 
Would it be a bad idea to go to a suboxone doctor in between me running out of pain meds and me being able to get into pain management (about a month)...I just don't wanna go completely without for that long...I have a feeling I'm just gonna keep seroquelling myself into coma if that's what I have to do...fuck it...lose a month of life to spare myself the suffering...

Any suggestions/advice on this situation, and what should I do about finding a sub doctor for temporary pain management?

My doctor won't Rx these meds anymore because legally "she thought I was safe on my meds," but "now she can't be certain, and feels it should be handled by a specialist"...damn internist...if you just gave me what worked this probably would have been a non-issue lmao...
 
noted...don't go for the one sub doctor in town...so any ideas on what to do?

Should I save my last patch for the week before I go to the doc? or just go in on nothing?
 
Hey guys (and gals) I am just checking in quickly...


Pain has been escalating last 3-4 days and today I woke up somewhere between 8-9, had trouble standing and was late to my shrinks office because it took me 20 minutes to get myself up to take a shower.

Apparently my neurosurgeon has been off both last week and this week, but his NP who I email back and forth quite a bit, told me its on his desk and she will make sure he sees ASAP. She ended the message saying "Don't worry, we wont forget about you"....The comment struck me emotionally as I've lost so many friends and relationships due to my addictions before my back went out, keeping my strung out (for the most part) going on 7 years next january.

I am glad that I now take meds as prescribed, don't hold on to the bottles, and use my experience in Rehab last year and my twice a week therapist appointments to ensure I continue to make myself a better man and a better person overall, even if that doesn't include my body physiologically. I even found a percocet in my methadone container that mom had accidentally put in. I took it out and brought it to her, and I saw that glimmer of potential in how I behave differently since rehab, and take responsibility for my actions that hurt others.

Anyway, thanks again to this thread and the amazing little community we have carved out for ourselves here on BL!

Mike
 
Hello all! I have been so damn sick for the last 2 wks, I haven't even had the energy to get online. Now I'm finishing a ZPack and somewhat back to normal. Other than my raspy voice and shallow breathing/soggy lungs. The migraines alone made me burn thru meds like crazy so it's going to be rough getting by til Thursday. Hope you all are doing well. I'm going to skim over what I've missed after seeing some new people in here. I still want to lay in bed all day, but hopefully I'll get to talk to the outside world this weekend :)
 
I hope you get to feeling better soon!!
I know sickness can make your hair hurt. I hope your pain is managed and your 100% in a few days.

It sounds like you might have pneumonia :(. Drink plenty of fluids and that should help with your terrible migraines.
 
I am still pretty new to BL What I haven't found in BL yet is a forum or group dedicated to Pain Management. Is this megathread the place for CPPs? There are so many issues that Chronic Pain Patients share and I have a bit of experience being a patient in Pain Management for about 5 years and living and working in pain for 10 years prior to getting a definitive diagnosis.

I lost a fantastic job to the bastard(pain). Being on disability at relatively young age is frightening, discouraging, humiliating, and many other "ings". CPPs like myself need some support from other members in the same boat. If this thread was created for that reason please let me know.
 
Hey all...

Been feeling a 7 most of the day...8 when I first woke up, but after shower and meds, got a point shaved off...I've got a question for the veteran CPP opioid users...If I know I'm going to go into withdrawal, would it be wise to down a bottle of magnesium citrate before going into withdrawal so as to reduce the amount of times I need to go to the bathroom while I'm in an intensive outpatient program that lasts 6 hours, 3 days per week? (considered partial hospitalization)

Also, can anyone think of a way to get treated for pain in between my internist and pain management which will leave me w/o pain meds for a month? I don't think this program can help me with pain meds, and I've been considered opioid tolerant for more than a year and a half, so a month without doesn't sound too appealing lol...sorry if this sounds like sourcing, I'm really not trying to ask how to obtain a Rx...just treatment...as stated above by tricomb, apparently it isn't a good idea for a CPP to go to a sub doc for a month...

Once again, thanks for all the support this thread brings and hope you all have as painless of a day as possible...

On a personal note, hope you get to feeling better soon samsonite...being sick on top of chronic pain is never a fun situation, whether it be dope sick, or sick-sick...
 
My diagnosis- hmmm, My diagnosis is constantly evolving with time but the greatest source of pain is from moderate to severe DDD at L4-L5, L5-S1, with severe arthritis of the facets at almost every lumbar level. I have not had any scans of the rest of my back but I am certain their are other problems. I had an Xray that showed a recurring compression fracture (will not heal completely) with arthritis at T5. That was the diagnosis about 5 years ago. The most current MRI shows narrowing foramina and some nerve impingement at L5-S1 which is causing, forgive me but we are all grown ups I hope, acute pain in the groin.

In the past 3 years I have dislocated my left shoulder 2 times because it is missing 1/4 of the humeral head due to it breaking apart during my first (yes, that's 3 in all) dislocation. The bone is floating around the shoulder joint causing occasional pain. My right shoulder has a torn rotator cuff from a shoulder separation last spring and a malformation of the right acromion process of the scapula that produces constant bursitis.

Well, that is it in a walnut shell. I have heard of far worse but since everything is degenerative it probably will only get worse. My fist PM doc told me they wanted to start me on Norco because by the time I am 60 they don't want my tolerance to be so high that the meds I will need wont work. That was kind of a discouraging statement for me to hear.

I am on SS disability. They only denied me once. That is a story in itself but I am sure many other chronic pain patients are doing or have done the whole disability dance which is pretty painful in itself. I wont ramble on as I tend to. I was asked for a diagnosis and I will keep it at that. It has only been about 5-6 years in PM but a lot of procedures along the way so I hope I can provide some assistance as well as receiving some here at BL. People here have already given me a great deal of much needed feedback.
 
Jktm said:
Hey all...

Been feeling a 7 most of the day...8 when I first woke up, but after shower and meds, got a point shaved off...I've got a question for the veteran CPP opioid users...If I know I'm going to go into withdrawal, would it be wise to down a bottle of magnesium citrate before going into withdrawal so as to reduce the amount of times I need to go to the bathroom while I'm in an intensive outpatient program that lasts 6 hours, 3 days per week? (considered partial hospitalization)

Also, can anyone think of a way to get treated for pain in between my internist and pain management which will leave me w/o pain meds for a month? I don't think this program can help me with pain meds, and I've been considered opioid tolerant for more than a year and a half, so a month without doesn't sound too appealing lol...sorry if this sounds like sourcing, I'm really not trying to ask how to obtain a Rx...just treatment...as stated above by tricomb, apparently it isn't a good idea for a CPP to go to a sub doc for a month...

Once again, thanks for all the support this thread brings and hope you all have as painless of a day as possible...

On a personal note, hope you get to feeling better soon samsonite...being sick on top of chronic pain is never a fun situation, whether it be dope sick, or sick-sick...
Click to expand...

I dont know about the magnesium, but loperamide can do amazing things while your in withdrawal. Do you have anything left to do a quick taper with? Thats sick that your doctor would cut you off like that, can you see another doctor at the same practice?

Sometimes I use poppy seed tea for pain. It works pretty well. I hope you can sort something out Jktm :)
 
Don't take a whole bottle of magnesium, or a whole bottle of anything for that matter...

Doug, if you've forgotten about this thread, here's a reminder.

It's not a good idea to see an addiction medicine specialist as a CPP to get pain relief from an opioid narcotic that is being prescribed for addiction. I mean, no matter how desperate you are it will likely have a severe negative impact on the pain management you will receive for the rest of your life, so for HR's sake, don't do that to yourself. Keep looking for the right doctor, they are out there it just takes so much out of you to find them.
 
Jktm said:
noted...don't go for the one sub doctor in town...so any ideas on what to do?

Should I save my last patch for the week before I go to the doc? or just go in on nothing?
Click to expand...

Doug, if I were in your shoes I would see if your internist would be willing to RX you something like Ultram, a very weak opioid but certainly better than nothing.

Other items I'd inquire about are: Neurontin/Lyrica, a non-narcotic muscle relaxer such as baclofen, and voltaren gel or lidoderm patches (both topical)

And absolutely don't get started with an Addiction Specialist if your intent is to continue with Pain Management. Suboxone is only a partial agonist but has a high binding affinity for the opioid receptor so you end up going back to PM after the Suboxone in more pain and with a higher tolerance to opiates in general for some time into the future.

PM me if you want to talk or need more advice, I am always available to my BL brethren who suffer from Chronic Pain day in and day out.
 
I was Rx'ed tramadol 50mg BID, flexeril 10mg TID, BuTrans 20µg(mcg)/hr, lyrica 150mg BID, and clonazepam 2mg BID, Effexor 150XR QD, Dexilant 60mg QD, and seroquel 50-100mg QN...all she will provide me with now is dexilant and effexor...I'm not sure if she'll provide me with the seroquel anymore...she said she refused to Rx me with pain meds or anxiolytics because of my "suicide attempt"...she "doesn't feel safe Rx'ing them to [me]" anymore...I asked about tramadol, she said no, so I quit asking after that...

And the magnesium citrate does the exact opposite of loperamide...and one bottle is one dose...it's the stuff they give you before major surgery to clean you out, so as to avoid "accidents" in the OR...it comes in a 10oz bottle with a little less than 17.5 grams of the salt dissolved in it...you just got to drink a mad amount of water with it...and thanks for that link tri...I did forget about that thread...

Currently at about an 8...heating pad starting to reduce the sharp, stabbing pain just above my right buttock and just below my waist, that shoots halfway down to my knee...

I don't think they can technically Rx me lidoderm patches because they're supposed to be solely for post-shingles pain...I've never had herpatic neuralgia, so I'm not in that boat thankfully...

She did call me in 800mg Ibuprofen though *rolls eyes*

Thanks for all the advice and support guys...I'll just ask advice when I start that out-patient program...maybe I can get the psych to Rx 3600mg of gabapentin daily for "anxiety" (but really pain) along with something else that will actually work on my anxiety...btw...is there much cross-tolerance between benzos and lyrica/gabapentin? Could me being on high doses of both of the latter partially explain my high benzo tolerance?

Sorry for another novel for those of you that made it this far lol...

Doug
 
I'm not sure if they're cross-tolerant but I definitely think that being on gabapentin and / or pregabalin will have a negative effect on the efficacy of your benzodiazepines, and probably vice versa.
 
Are you still taking Bu-Trans or do you have more of the patches in your posession? Honestly, if your regimen includes Bu-Trans normally, then I actually think seeing a suboxone doctor has very little drawback.

I was under the impression you were on the narcotic-type analgesics, so therefore getting a substitute Buprenorphine product until you see your PM for more Bupe-type pain medications.
 
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