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Long/short term meds inquiry

scottishkrumpetsscottishkrumpet Posts: 35
edited 06/11/2012 - 8:46 AM in Pain Management
I am just so confused and I don't want to cause any trouble; however, my PM PA has had me on three long term opioids and with this one my cervical pain is gone (thank the Lord) but my lumbar is very bad. On top of that I FELL down my stairs Mon. morn, I am very injured, difficult to walk with knee injury and for heavens sake guys, I took the full impact on my rear ribs close to my thoracic spine. I'm bruised in several other places. I went to my primary and he ordered several x rays, don't know results yet.

Here is my question, and I'll make it brief. I hear from other pain patients that they take a long term med and one for breakthrough pain. My PA never prescribes a breakthrough drug. I so appreciate the help with my cervical spine that I am afraid to ask for anything more to help my lumbar problems. She always asked how it is when I am bright, alert, and SITTING DOWN. The pain starts when I stand up, never mind trying to get my house chores done and my gardening is in small spurts.

Am I supposed to ask outright for something to manage my lumbar pain while trying to live a comfortable life? I am just 65 and I don't want to have a sour puss for the rest of my days. Ideas?


  • When she asks how you're doing, start your sentence with "well, this (month, week, etc) has been..."

    My pain management changed for the better when I started doing that instead of telling how I was that minute. I am always honest, but give a summary of the time since my last visit instead of a snapshot of my time in the office, which was almost never helpful.

    Will that help?

  • Sorry to hear about your fall and hope you're healing alright. I only mentioned to my Dr. that the pain meds only last so many hours and said I have too much pain waking up from sleeping with whatever sleep I get because the pain meds wear off after 4 hours so she increased my ER meds but mainly except for one time I've been on only Extended relief meds. It took a few visits to her to get somewhat tolerable relief especially the car rides are so bad with bumps and vibrations now it's not as bad and I don't feel sleepy or anything with long acting meds but maybe at first. But yes you're right it's a delicate situation bringing up any name of a pain med with your Dr. Good luck and hope she works with you. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Do you keep a pain diary at all? I found that to be the best tool for myself as well as the doc in tracking the effectiveness and timeliness of the meds I was taking. I could show how long it took before the meds began to work, how long they worked for, and how long I had to suffer before the next dose was due and then kicked in.

    Sorry to hear about your fall. I hope that nothing is seriously wrong and the additional aches and pain go away quickly.

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