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Thread: what should i ask the dr for extreme pain.

  1. #11
    I have an appt on the 4th, I have to drive to Knoxville to see her so I might as well wait. My doctor won't do any changes over the phone.

    I need either stronger doses or more often on the time schedule. (I'm sick of taking medication. Took my last pain pill for the day. I hope the muscle spasms settle down.)

  2. #12
    If you get stronger doses or not, it sounds like the fentanyl patch does not last 3 days for you. So whatever else she does, it sounds like that needs to be every 2 days.

    As far as dose changes, there's plenty she can do if she likes.

    I hope you get some relief soon.

  3. #13
    Newpara, I am sorry about your pain. You are on your "6th" pain management doctor? And you state they either give you the the hard core pain meds or they're done? I really don't know of any reputable pain management system which will hand over narcotics on demand like that. You may be fishing for a long time. The reputable pain management clinics that I am aware of do not only look at the pharmaceutical perspective (handing out meds) but look at the pain from a multi-disciplinary perspective. I have found yoga, exercise, meditation, possibly physical therapy has helped with my pain management.
    I think you may get a more comprehensive evaluation for your pain at a larger medical hospital specializing in pain. I found this (UCSF):
    http://mountzion.ucsfmedicalcenter.o...t/patient.html
    Last edited by med100; 03-02-2010 at 07:45 AM.

  4. #14
    Senior Member medic1's Avatar
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    Quote Originally Posted by smokymtn memories View Post
    I have an appt on the 4th, I have to drive to Knoxville to see her so I might as well wait. My doctor won't do any changes over the phone.

    I need either stronger doses or more often on the time schedule. (I'm sick of taking medication. Took my last pain pill for the day. I hope the muscle spasms settle down.)
    Hey, I am over in the Tri-cities but I see a dr in Knoxville. Dr. Uzzle. He has been great. As for pain meds I take a Ultram 200 ER daily and then have Darvocet or Norco for breakthrough pain. Usually it is enough to take the edge off. For my neuro pain I take Baclofan and Trazedon. Reg pain meds dont touch the neuro stuff.

  5. #15
    Moderator jody's Avatar
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    Quote Originally Posted by NEWPARA View Post
    yes I meant norco.im on my 6th so called pain managment dr.IM sick of playing games witb them,They will start giving me hard core pain meds or they are done.IM the one that has to deal with the pain not them.IM thinking delodid or percocet,maybey somthing stronger!
    are these pain doctors treating other sci patients? that is what I ask when looking for a pain doctor. if they have experience in spinal cord injury, you are likely to be more understood, as far as treatment of pain goes. it may take calling down a list of available pain doctors. sometimes a physiatrist doubles as a pain doctor. those are the best for understanding the type of pain you are having, and how to treat it.

  6. #16
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    Quote Originally Posted by medic1 View Post
    Hey, I am over in the Tri-cities but I see a dr in Knoxville. Dr. Uzzle. He has been great. As for pain meds I take a Ultram 200 ER daily and then have Darvocet or Norco for breakthrough pain. Usually it is enough to take the edge off. For my neuro pain I take Baclofan and Trazedon. Reg pain meds dont touch the neuro stuff.
    So far I have not taken Baclofen or Trazedon but as I age, my burning is getting unbearable. I think we have similar injury levels if I remember right.

    What has worked for me the past five years is Cymbalta with 200mg ultram ER and darvocet (1 or 2) for break through.

    However, last fall the Darvocet stopped having any effect at all on my bone pain and I started on Oxy .5mg. I only take 1 or 2 depending on severity at night. I don't do it every night but some nights I hurt really bad.

    I have done well on the Cymbalta and ultram. However, I do think they have run their course.

    I have been referred to a physiatrist through my primary internal med doctor. Can yall believe I have never seen one? They were not even thought about when I had my injury 20 years ago.

    Newpara, when you go in demanding like you sound in your post, you are going to be treated as a drug seeker and you may not be able to get anything. It took me years to work up to the amount of drugs that I take now. For the first 15 years, I was lucky and did not need pain meds.

    There is a right way and a wrong way to go about this...(just sayin') and if you are on your 7th doctor maybe you are going about it the wrong way?
    T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

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  7. #17
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    Quote Originally Posted by NEWPARA View Post
    yes I meant norco.im on my 6th so called pain managment dr.IM sick of playing games witb them,They will start giving me hard core pain meds or they are done.IM the one that has to deal with the pain not them.IM thinking delodid or percocet,maybey somthing stronger!
    I've come to the point that percocet isn't working anymore. I'm starting to take them more than prescribed during waking hours. Tried taking a morphine sulphate (slow release) but that made me so constipated I had to quit it. Percocet did work for a while but I guess my body built up a tolerance or the pain evolved, it's like a creature with it's own evil agenda.
    Life has a way of throwing you a curveball once in a while, the trick is to never strike out.

  8. #18
    Remember, the percocet has tylenol in it - take too much, and you could kill your liver. I'm not saying you ARE taking too much, but please do be careful.

    If a controlled release opioid of some form would work better for you, there are a lot of things to try for constipation. There is even a new drug, Relistor, specifically designed for opiod-induced constipation.

  9. #19

    med change

    I am on MS Contin 30 mg 3x day extended release and was on 7.5 mg perc up to 4 a day for BT pain. The Percs weren't working as well since I had been on that dose for almost 3 yrs. My PM doc changed me to Nucynta up o 4 times a day and took away the percs. I am not impressed with the Nucynta. She mentioned trying Methadone. I am still on low end of med chart and she is freaking out about me being a narcotic failure. Yet another Doc in the practice doesn't believe in change. Funny how thay think differently

  10. #20
    Member wheelie's Avatar
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    Quote Originally Posted by TAM63 View Post
    Remember, the percocet has tylenol in it - take too much, and you could kill your liver. I'm not saying you ARE taking too much, but please do be careful.

    If a controlled release opioid of some form would work better for you, there are a lot of things to try for constipation. There is even a new drug, Relistor, specifically designed for opiod-induced constipation.
    I know, I don't do it that often. Honestly, I don't give a crap anymore. Back pain has dominated my life and I'm sick and tired, mostly tired. I'm going to see a good pain specialist soon, wish me luck.
    Life has a way of throwing you a curveball once in a while, the trick is to never strike out.

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