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ankle fusion

UnderPressureUUnderPressure Posts: 1
edited 12/09/2013 - 12:33 PM in Recovering from Surgery
ankle fusion

Hello this is my first post. I had surgery 5 days ago for a right ankle fusion and bone graf. I am still in severe pain despite being rx'd Opana 10mg every 6 hrs in addition to the regular 60mg of morphine sulfate I take twice daily with hydro condone 10 mg 3x's per day for break through pain. I have two broken discs and severe fibro. My surgeon put me on 5mg of Opana in addition to my 60mg of morphine sulphate twice daily. I am dying. Does anyone know if this is a large amount of meds because he now wants me to see a PM doc b/c he believes I am on way too much drugs someone please help me understand if he is correct. I feel crazy because I am in such severe pain and feel I am being under medicated when I read posts here. Any suggestions or insight would mean a lot.


  • sandisandi Posts: 6,343
    edited 12/11/2013 - 10:30 AM
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    You can't have broken discs, they are not made of bone. Do you mean herniated or bulging discs?
    There is a huge difference in the treatment of chronic pain and acute pain. Chronic pain is considered to be pain that lasts signficantly longer than the injury would typically indicate, usually 6 months past injury..Acute pain is pain that is felt at the time of injury or post op, usually short lived in that it lasts less than 4 months.....
    As far as your medications go, yes, you are on a substantial amount of medications considering what you say your conditions are. The short acting medications should cover your acute post op pain at this point, while your medications for treating your back pain should cover that.
    Part of what I think may be your problem is that you are taking 120 mg of morphine sulfate a day, along with taking your 'breakthrough " pain medications from what you have said with some ( alot of regularity), and then you have been given an additional 4 doses of Opana, which is a potent opiate on top of those medications to manage your post op pain..
    Your breakthrough medications use has only served to raise your baseline medication dosage, and now you have compounded the problem by adding the additional 40 mg of Opana on top of it.
    The use of long acting medications are to provide enough baseline pain coverage to cover most of your normal pain on a daily basis, without having to use the breakthrough medications. In other words, if your pain levels are a "8" most days, then the use of the long acting medications should bring your pain levels down to a 4 -5.......and you should be able to cope with that much of a reduction of pain, and get through the day, without the use of breakthrough medications. The goal of any use of pain medications is not to eliminate pain but to make it tolerable and reduce it enough to function. 50% is the goal that almost all PM doctors want to see for their patients. Once you have an injury, there is no such thing as "pain free".
    The use of breakthrough medications is only meant for those times when you do something that causes a flare up of pain that can not be reduced enough with the use of ice, heat, hot showers, or baths, rest, topical over the counter creams or other methods...then and only then should the breakthrough meds be used.
    Taking them every day or most days only teaches your body that it should have a certain amount of medications in your system and when you don't, it signals increased pain levels or withdrawal symptoms. It also leaves you in a position of having nothing to treat those days when the pain flares beyond what you normally have.
    So , the long short answe is that yes, you are on a significant amount of medications and a visit with a board certified pain management doctor who can give you other methods to deal with the pain is a very good idea.
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