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Pain Meds Not Working Any Suggestions

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:23 AM in Pain Medications
I had surgery on july 17, 2008 and still have not gotten the post-op pain under control. I had a 2 level fusion L4-S1 for a fractured vertabrae and am now in double the pain I was in pre surgery!

I was originally sent home with lortab 10/500, valium 5mg, flexeril 10mg, and lyrica 75mg. My NS will not give me anything stronger than the lortab, so I decided to talk with my PCP and she has been more receptive to dealing with the pain.

Since, I have tried MS Contin both 30mg and 60mg x 2 per day and got no relief what so ever, and two weeks ago I was switched to percocet 7.5/500 every 4 hours and it doesn't do much either. Is there anything else that I can possibally be given that will touch my pain without the tylenol?

To give you just a little history, I am 29 and got my injury from a powerlifting accident. Prior to the surgery i was in excellent physical condition and had never had any health issues. I can handle pain, however, this is really getting to me, the pain at times is almost unbearable!

I greatly appreciate any advice you all may have!

Thank You,

-Tim

_______________
July 17, 2008 2 level PLIF with hardware L4-S1, Laminectomy and Discectomy for fratured vertabrae.

Meds: Percocet 7.5/500, Lyrica 75mg, Flexeril 10mg
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Comments

  • Your PCP doc "should" be autofaxing your visits and scrips with the NS. You NS will probably get upset.... who cares.

    the primary concern of a surgeon (or any doc for that matter), should be the comfort of the patient without risking the health of the patient or society..... I love ideologies...ANYWAYS

    Keep talking to your PCP, reserach other pain meds like fentynol, norco, etc and assist the PCP in decision making for your treatment. Bear in-mind that you are not even close to high dosages of what you listed yet either; let your doc increase the dosages or set-up a different management program / plan

    On another note.... You an I are 1 day difference in similar procedures yet we have totally different recovery experiences.

    I would also ask your PCP to order a few tests to make sure everything is OK; maybe the NS missed something. Maybe the broken vertebrae is causing much more of a problem than I could possibly imagine,

    My two cents.......
  • I have tried Percocets, Valium, Flexeril, Vicodin and Lortab oh and Norco. But none of these have worked so my last PM doc gave me Opana. I was way too drugged up on 20 mg so I was then given 10 mg which was too little and settled on a 10 mg with a 5mg lol=15mg, perfect for me. Unfortunatly, I wanted my Primary doc to follow me an when i switched to him he turned me down. So now I am on Norco again and it isn't touching my pain. I am having my hardware removed next week, so I am hoping i might receive some reief. Hopefully, you can ask yout dr. about opana and it helps you! Good Luck
  • Thanks for the advice! If you don't mind my asking, I was wondering how your recovery has been? Mine has had its ups and downs, but I definitely have alot of pain while laying down and standing up, pain that takes my breath away!

    Thanks again!

    Tim
  • Hi, thanks for the reply! Is there a reason for you having to have the harware removed, just curious? I sometimes think that I can feel the hardware moving when i'm in alot of pain! Is the removal of hardware after a fusion typical? Sorry for all the questions, just trying to figure this all out.

    Thanks,

    Tim
  • Up and down also, but mostly up.

    I have renewed a long lost hobby being wildlife and nature photography since surgery and go to our Zoo, Biopark, etc about 4 times a week. I also just walk aroun the neighborhood and snap photos of plants and insect almost daily. The exceptions are when I do far too much, that's when the down days occur.

    As for lying down... I'm not sure ehat all you have tried, but here are a few suggestions:

    - on either side with a pillow under the head and between the knees supporting from just above knee to ankle

    - on your back with a pillow under your knees for slight elevation

    - on your back with a pillow under your knees for slight elevation and a pillow under your head

    - on side with pillow under head and a body pillow (really long one) draping top leg over pillow and slightly ahead of or behind the lower leg posision (like you are walking)

    Best wishes man, and keep us up on how / what you are doing

    sean
  • have they tried the MS Contin WITH Percocet? That is what I was on post op. I took 2-10mg Percs and 20mg Oxycontin twice a day.

    Lemme guess, you're one of us...the unfortunate who can't take Ibuprofen yet, huh?

    Best of luck to you!
  • dilaurodilauro ConnecticutPosts: 9,722
    For many spinal patients, Pain medications alone are not going to be able manage and control their situation.
    Each person is an individual, so that each person might have a different medication bundle.

    I always like to refer to this as our Medication Blend. Its a blend of pain medications, nerve medications, muscle relaxers, sleep aids and more if necessary.

    Everyone should understand that pain medications alone are NOT going to eliminate the pain. The strong medications can only mask your pain. Here is where the more effective pain management doctors come in. They will look at the total picture and see what medications you really need.

    I think it is any spinal patients mind is to cut back on the narcotics. That should be the goal. Since 2006 I was on Oxycontin ER (different dosages) to the point where I was able to eliminate that completely just a few months ago.

    For many who understand chronic pain, this is a trade off. You eliminate one pain medication, you probably need to step up something else. For me, it was increasing the exercise and activity. But as I said everyone is different the total
    medication plan is something your pain management doctor and you should work out together.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • j.howiejj.howie Brentwood, Ca., USAPosts: 1,728
    to a pain management doc. Most ns and os don't like prescribing narcotics. And it's really not there expertise. where as that is exactly what a pm doc. dose. It's his job to find out what drug or combination will give you satisfactory relief.
    Good luck, Jim
    Click my name to see my Medical history
    You get what you get, not what you deserve......I stole that from Susan (rip)
    Today is yours to embrace........ for tomorrow, who knows what might be starring you in the face!
  • I agree with Jim, a referal to a PM specialist might be a good route to take. As Ron said, just the right blend is normally what does the trick for each of us. A PM doc is generally more versed in working that sort of thing out whereas a PCP might not be.

    "C"
  • After going through the same things for almost 6 month, I went back to my PCP, who put me on With arachnoiditis my pain never gets below an 8. You need to be refered to a go Pain Clinic and specialist they are there to help us. Good luck! :H :H
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