I was in a car wreack 5 months ago, i had major face reconstruction, 12 pins and 2 plates put in my hip and a shattered arm. now i have a pinched siatic and peroneal nerve my left leg from knee down is numb and i have foot drop. i wanted to ask how to appoarch my doc for a higher dose of my fent patch i'm on the 25mcg one now but i'm back in pain in 2 days. i'm only 24 so whenever i ask him for anything he gives me a look like i'm a drug addtic. 
Have you asked your doctor for a nerve pain medicine,like neurotin or lyrica?
Have you a pain Doctor? I would tell your Dr. that you're not getting any relief with that patch. Take care Charry
L5-S1 herniated disc with tear with disc material in contact with S-1 exiting nerve, arthropy facet joints L4-L5. 5 Epidurals. Facet joint injections and last epidural on April 8th. 64 trigger point injections. Off work 16 months due to back and leg pain. Not a surgical candidate x 2 Ortho opinions. (history C5-7 osteoarthritis and DDD) 3rd opinion NeuroSurgeon Oct. 6,2009
MS Contin 120mg, lyrica 150 mg, celebrex, Cymbalta 60mg, lasix 20mg, flexeril, amitriptyline 20mg, oxazepam 30mg for sleep. Excercise ball, recumbent stationary bicycle 30 mins. day, posture-pump for lower back. Tried PT, accupuncture, traction.
http://www.livestrong.com/article/14700-self-affirmations/
Charry (pronounced Sherry)
i'm on neurotin 600mg tabs 3 times a day i really don't like what i read about side effects. and no i've just been seeing my fam doc since the crash and my truama and orto and all the others. my neuroligist gave me lidoderm patches but i don't see the point at all. i aslo get viks the 750 es ones but there not all that helpfull. this sucks tho i can't work yet (ironically made the wheelchair i had at the hospital) well some of the parts. just really sucks like i said i'm only 24 the way i'm looking at it now is this Fu*** up the rest of my life. i'm a baby when it comes to pain too
If the only side effects that you are worried about are the ones you read about as opposed to the ones YOU are experiencing, don't worry. The main concern is DOES IT WORK FOR YOU. If not, you need to see a pain specialist, preferably not one that only throws more drugs at you. I mean an interventionist. One who uses procedures to kill, or at least mame the nerves that are causing the problem.
Good luck. I hope you find one as good as the one I have.
Describe your pain in detail to your doc. Tell him where it hurts, what makes it worse/better etc. Also, tell him all the things you can't do, especially the smaller everyday things. Tell him the smaller goals you have like going to work for a whole day. It sounds like it might be time for a pain management specialist, your injuries definitely warrant it. Oftentimes, general practice docs are reluctant to give stronger meds, but pain management docs are trained to specifically treat pain. I'm 21 and have had back problems for 6 years, the past 2 being severe. I know what it's like to have a doc give you 'the look'. Finally after 6 months of being with my doc he decided to try to manage my pain with the same patch you have once me made sure that I'm not crazy or faking. I say you can't fake an MRI!!! In my very, VERY humble opinion, I know people of all ages have problems with docs/adequate meds, I feel that younger people have a huge problem because the War on Drugs targets teens/young adults. My doc even told me that if I was older and had 'lived my life' he would treat my pain better!!! Not in those exact words but
!!! I told him that I'd never make it to the point where I had 'lived my life' because I was barely able to get out of bed and shower even with the max dose of Norco I could take. I completely understand the doc frustration although I could never imagine getting so little help with the injuries you sustained. I feel for you! I'd like to help you however I can, just send me a private message...
Much love and understanding,
Lisa
thanks lisa i will start being more directive in where and why i have pain. work sucks tho i'm a machinist so i stand in front of a machine all day, and my leg starts killing me now when i walk or stand in one spot to long feels like all the blood is rushing in my leg. i think i'll ask him to reccomend me to a painmanagment doc, there is one right up the road from where i live. My friend is going to him and says he's alright. i personnaly would like to stay on the patch tho just a higher dose and mabye some meds that will help me with just genral pain too. But i do not want shots. i have another friend ( well a friends little brother) that gets severe headaches everyday they had him on alot of hardcore drugs for only being 13 now there doing nerve blocks and giving him needles of i don't know but whenever i see him he just sitting on the couch nodding off and i don't want to be like that.
well medic the neurotin i really don't notice anything if i miss a dose or two but i keep taking it because my doctor said that you have to be weened off it or you can get seizsures and stuff. neurotin is really the only med that bothers me even tho i don't get side effects and i'm waiting 3 month's now to go back to my nueroligist, and if he doesn't have an answer for me by now i'm gonna flip 3 months for an appointment is ridiculous. and right after i see my fam doc and on the 4th i see my ortopedic and he might release me i think he's only for my hip and arm and both are better, just the nerve damage and foot drop and the constant pain. it'll be wierd going to work again but whatever.
hi there
im so sorry for what you've been through , and for what you will go through !
you need to go back to your doctor and tell them the pain is 'unchanged' or maybe it 'helped a bit' - or - it has had 'no effect at all'
which ever it is - let him know - you dont need to 'ask' for these meds - you just need to keep UPDATING the docs as to how your pain is AND if your in control if it, or not.
Start keeping a Pain Diary and take it EVERY time you see a doc.
Use a PAIN SCORE (0-10) 0 is not pain 10 is worst pain ever
for me i started on 25mgs.hr, it went up to 100mgs/hr but that was too much for me and all i did was sleep (not much of a life, even though it WAS pain free almost!)
so now im on 75mgs/hr and top up with Oramoph which is GREAT for 'break through' pain
perhaps you can mention , that you've ''heard'' that Oramorph is good too !!
good luck , love mel xx
I Feel For You , I Really Do xx
I have been on a 50mcg patch for about a year. The first time I was prescribed the patch it was to be changed every 72 hours. At my next appt we changed it to every 48 hours. With me the patch empties in 2 days instead of 3. After 2 days the pain is terrible and I start having withdrawals so we changed it.
That might be an option for you.
Cervical myelopathy, 14 surgeries to date, Severe OA, bilateral knee replacements, DDD, 13 MRI’s, 6 sets of spinal cortisone procedures and dozens of cortisone shots in other areas for OA. Right resection of A-C joint surgery is upcoming (left was done 12 years ago, by far the most painful of all my surgeries).
well guys this sucks my nuroligist told me today that my foot drop is pretty much perment and so is the pain. he wants my to try lyrica 50mg i never had it before but he's weening me off my nueroton and adding in the lyrica. i goto my MD tommorrow he's been in charge of my meds so far i'm gonna see about getting my patch upped a dose or to change it every2 days because it does start wearing off after the second day and the third i'm in pain but i can tell it's not as much as it could be. after i left his office i pretty much sat in the car and cried after hearing the news with my footdrop/pain i have a long life to live with this now. i'm also gonna try and see if my MD thinks i should start going thourgh pain managment. Damn horriable day i'm gonna go smoke a j.
weee the doc gave me 50mgc/h patches today and i put one on earlier hopfully it helps better, but he still gave me the vic's again but i told him i probly won't take any of them he said just use them if you need to.
well im 21 and i was hit in iraq with a ied and blew out the back of my leg and now i have nerve damage bc of that i cant feel the bottem of my feet or my big toe but the only thing i feel is pins and needles where i have no feeling. im wearing a medical boot to prevent foot drop and also i was maxed out on neurotin and it wasnt doin anything for me but now they are weening me of of it and on to lyrica. so we will see how that does for me. i hope it works for the both of us
you see a Pain Specialist.
There is a wealth of meds out there and they need to find the correct combination to suit you. And in time that combination may need to change.
Some family doctors are nice but just not clued up enough on safe combinations of these meds, espcially when you aare taking opiates.
I hope you find some relief soon.
Spondy, DDD, Spondylolysis - Dynesys and S1 PLIF 2007, revision PLIF BMP L4/5 Feb 2008 and revision PLIF September 2008....failed fusion. Lots of pain, unsteady and slowly running out of patience!
Itsalongwalk is Itsabloominlongwalk!