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Chronic Pain
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Posted 7/30/2012 5:10 PM (GMT 0)
i went back to my ortho who screwedme over by stopping my meds while on vacation or whatever and because he knew he f$^ed up  he wouldnt even see me he had a PA come and talk to me when i needed a MMI paper for workers comp filled out. hes never had a pa see me , when he walked past the room to talk to a nurse he walked rly fast and wouldnt even look in the direction of the room. its really amazing that a doctor who seemed to be my friend and helped me alot for past year all of a sudden is doing this.  i finally started goign to PM dr he started me on oxycontin 20mg every 8 hr instead of morphine 30mg every 8 hr i like the oxy better but i think ineed 30mg atleast since i still have good ammount of bt pain, he lowerd my oxy 15s to 5 a day  which im gona talk about him moving them back to 6, since i need 2 at a time for it to work,   2 for am, 2 incase i need in afternoon and 2 during night. also am on valuim 10mg q6 as needed which helps me sleep  just wish he would up the oxycontin so i dont need asmuch oxycodone cause i need atleast 30mg to help get rid of most of the pain. i also use heatingpads and stuff going to look into asking him for litoderm patches and ketamine pain cream

anyway sory for my ramble just amazed how messed up doctors are

Posted 7/30/2012 5:48 PM (GMT 0)
Sorry you had such a bad experience with that particular Dr. Unfortunately there are some out there that don't have our best interests at heart.

It would be a bit strange for this new PM Dr. to up your BT medication as the entire point of going on long acting medication, which is the Oxycontin in your case, is to not need BT meds except once in awhile.

The are not meant to be taken every day, especially no more than one or two.

So, just don't be surprised if they up the Oxycontin but start dropping the amount of the short acting Oxycodone.

The main reason is that if you use your BT meds in the maximum dosage, every day, then when you actually have a flare/high pain time...they won't work the way they are supposed to.

As well as many states are changing the regulations to limit the amount of short acting medication a patient can take for a long period of time.

Because right now you are taking more BT medication 75mg a day and only 60mg of your Oxycontin....So they may up your Oxycontin to something like the 40mg, every 8 hours and give you one-three of the 15mgs Oxycodones to have for BT pain if needed. It's the same milligrams and same medication....it's just more of the long acting med which is better for chronic pain.

Just throwing out some numbers....but my point is that I just want you to see how usually chronic pain is managed by many PM's and not be caught off guard if they do it this way.

Keep us posted..
Posted 7/30/2012 6:39 PM (GMT 0)
Thank you, Does anyone know how helpfull epidurals are?? he wants me to get oen in my neck.

when i go back on 8th i am deff going to tell him tht the mg of oxycontin im on is working the same as the morphine i was on which i was having alottt of bt pain with, (meaning i want/need him to up the oxycontin dose).
Posted 7/30/2012 7:25 PM (GMT 0)
It really depends on the person and the issue that is wrong. I have had numerous ones over the years and they have helped for a good 3-6 months. I have also gotten cortisone injections which help reduce inflammation. Same thing with a course of oral steroids.

If they are offering this as a pain reduction method...you should take it as you'll never know unless you try it yourself.

As I've mentioned in the other thread...chronic pain management is so much more than just the opiates or medication we take.

There is exercise, yoga/stretching, physical therapy, aqua therapy, TENS unit, massage, acupuncture, ice, heat, cognitive behavioral therapy, not smoking, eating well, maintaining a healthy weight, injections, steroids, counseling, etc.

That's why I was hoping this new PM would help you figure out the best comprehensive pain program that can get you down to a 5 or so with all of the above..

Keep us posted.

 

Post Edited (Snowbunny21) : 7/30/2012 1:36:31 PM (GMT-6)

Posted 7/30/2012 7:35 PM (GMT 0)
 

 Hello Luie!

      Thatr is a question that will get many different answers here. As we all know, everyone is different, so the results will also be different. I have had several Epidural's...and had different results with them. If insurance will pay for them, I think it is worth trying, but remember, it is only a temporary mask at best if they do work. I also ask for sedation when I have them done...there is just no sense in suffering through the process if it's not needed.

    I agree with snowbunny,...and believe that your BT's med's are a greater daily dose than your ER med's, and sounds like it needs to be discussed with your PM. It's can be a long process to get your med's set to where you can enjoy some sort of quality of life....so be patient and give it some time. It can take several months, if your PM will only see you every 30 days.

     Take care, and keep working on it, but remember you are only going to get so much relief, and you do not want to be totally pain free to the point if something else is going wrong with your body...that you will not find it in time. I hope you understand that.. rolleyes

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