I'm not sure if I posted anything here about this appt yet; my memory is so horrible. I don't see my post though so probably not.
Last week I went to the pain clinic and overall it has been a great experience and I have alot of hope now. The nurse and doctor both spent alot of time with me getting to know what my issues are and doing the physical and mental assessment of me. The dr. went over every possible medication and what each was for, side effects etc... Then we discussed and decided to start low and work our way up if necessary. I started with tramacet but that didn't work for me at all. I called in after a few days when the pain was unbearable and the nurse called me back about 4 times with questions before finally telling me to take the percocet I had until I could get in to see him two days later. I saw him again yesterday and he re-assessed me based on the increased pain (I was having a really good day when I first saw him) and he recommended ocycontin and celebrex with percocet for breakthrough pain. Also he increased my Lyrica to 300 mg a day with most at night. I'm on day 2 of this and it is actually working really well.
Besides medication he did discuss things like injections and cutting the nerves but he said it was too late to do the injections (not sure what kind of injection, I forget) and cutting the nerves sounded very invasive for the limited relief it may give me and might not work for more than 2 weeks at that. Plus it would be a 4 hr drive to get either done. We did discuss trigger point therapy and I was given a brief instruction and told to get the book and work on it myself. I found the book as a pdf download today since the library copy wasn't available. He gave me a few physio type exercises to do as well.
The other big thing they did was discuss nutrition and supplements. I spent quite a bit of time with the nurse and have been put on a few supplements and a strict low-glycemic diet. This should result in weight loss as well as some additional pain relief. Its been going really well so far since I'm familiar with it. I put myself on a similar diet years ago for FMS and it did help so I'm hopeful.
Today was the best day I've had in a very long time. Of course I overdid it a bit but still only needed an additional 1/2 a percocet to deal with the pain before supper. I never thought I'd be one of those people that needs a pill container with 4 sections for each day of the week but with my memory and all the stuff I'm taking now I finally broke down and got one today. Sure makes keeping it all straight alot easier especially since some things need to be taken with meals, some at 12 hr intervals etc...
I wish everyone could have the experience I've had with such a great doctor and nurse team. Hugs and peace to everyone,