This is my first post, I've been lurking for quite some time now and thought it was the right time to take the plunge. Just a little bit about my situation. I hurt my back In September 09, unknown cause. Just woke up one morning and couldn't get out of bed. Thankfully, I had just bought an insurance plan. I went to a first Ortho Consult. Quick X-Ray's done which came up negative. My PCP had put me on Vicodin 7.5/750 every 6-8 hours and physical therapy. Needless to say it was barely helping my pain. I called repeatedly and was told that my doctor only prescribed Vicodin so I should find a Pain Management Dr. I found my first PM doctor and set up an appointment with him. He continued 7.5/750 Vicodin and sent me for my MRI. When he saw the results he upped me to 10/325 (Norco). Saw him for a follow up where he suggested Transforaminal Epidural. However, due to my injury happening so close to the purchase of my insurance policy, an investigation was opened to determine whether I had a pre-existing condition. I did not feel comfortable having a procedure I didn't even know if it would be paid for. He gave me 90 5/325 Percocet and said if I wasn't ready for an Epidural by the end of the script that I would not be able to come back for another appointment. I started seeing PCP for pain management. My doc would only give me 60 10/325 Percocet at a time, which meant I had to go every 10 days to see him. Met with a Second Pain Management doctor who basically called me a drug seeker and drug addict. Back to the Primary Care Physician. My mother who is a nurse forced the doc to put me on around the clock OxyContin to reduce the amount of APAP I was taking. My PCP discontinued 10/325 every 4-6 and put me on 20mg OC every 12 hrs. Again, clearly under medicated I sought out to find a new PM doctor who would work with me until my insurance issue got cleared up.
I found a doc who was willing to work with me and switched from OC 20 to Opana 20mg 1-2 every 12 with 10mg Percocet up to 4x a day for break-thru pain. I couldn't afford the Opana anymore so he switched me to MSCONTIN 30mg 1-2 every 8 hours. All the while I was extremely conservative with the meds, just took enough to take pain away. Never ran out early, stored as many as I could for the "bad days".
On Feb 24 2010 after filing a claim with the State Board of Insurance my condition was deemed not pre-existing. So I had my first epidural. Now I find that the pain is very different. It's not as constant and it is definitely easier to deal with in the morning. However, the night time seems to be the absolute worst. I can't seem to get the right amount of relief. I'm also on Flexiril and Xanax to help relax. I was wondering if anyone else has this problem and if their doctors give them something different or stronger for PM pain relief? At this point I only take 4 MSCONTIN 30mgs One at 8am, one at 4pm, two at 11 , 4 Percocet 10mg(1pm, 5pm, 9pm, 12am), 3 Flexiril, and 2 .25 xanax. Yet I am not able to get the relief I need to sleep. I'm awake till all hours of the night.
Going for my second Transforaminal Epidural today. The last one left me really sore for two days, and then I was A LOT better for 2 months. Now the pain is different, it used to be bad in the AM now I can deal with just an Aleve from 7-12, but at night I can't get the pills down fast enough.
Thanks for any info you guys might have.