Hello everyone, I've got a question. I know I've got to go back and talk to my Doctor at the pain management clinic but I wanted to use you guys as a sounding board. I've suffered from chronic pain for years from osteoarthritis all over my body, bad feet, bad ankles, bad knees, herniated disks L5-S1 that I've had surgery on that has since reherniated, cervical narrowing, bone spurs / osteophytes at C5,C6 and C7 along with degenerative disk disease and a few other things. I've been on Tramadol, Lortab 5 mg and most recently Percocet 5mg (Oxycodone). I was finally referred to the pain management clinic at the VA by my primary care physician and the doctor there has placed me on MS Contin 15 mg time released to be taken every 12 hours and continued my Percocet 5mg (Oxycodone) to be taken every 8 hours for breakthrough pain. I have noticed that my pain levels have come down but they don't stay down especially if I am moving around or sitting upright, etc. If I'm standing I'm hurting after the first two or three hours with the sustained release morphine and a Percocet in my system. My question is this what would be the next logical step in progression with my pain management drug wise. Would an increase in the amount of Morphine and Percocet 10mg possibly make me be able to manage the pain for the full 8 to 12 hour period? My quality of life has increased due to my current pain medication regimen but it hasn't been fine tuned to the point where I can bear the pain levels for the time I am supposed to be able to with the current medications and levels. Any help or input would be greatly appreciated. I'm completely new to the Chronic pain management program and really don't have an idea as to the progression, etc. Before seeing my current doctor I had problems with my doctors even wanting to give me the Lortabs or Percocets. Thanks for any input or help you can provide.
James Michael Carmack, B.S. JPS, MSc / MSM, R.E.H.