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What works???

What has worked for you guys for pain management. I know everyone is different but I am going to see my pain doc Tuesday and want to have some ideas to bring along so I can at least suggest. Currently am taking methadone, ibuprofen and Tylenol and gabapentin, acupuncture, massage, and some breathing gentle yoga. Have tried cymbalta, hydrocodone, Tylenol 3, lidocaine patch. I have had 2 spinal fusions and have been on OxyContin and the heavy heavy meds but am going back to school soon and those made me very loopy!


  • sandisandi Posts: 6,343
    edited 09/01/2014 - 5:14 AM
    Pain medications are only one TINY part of a comprehensive pain management program. Relying on medications alone is not helpful for you in the long run or the short run.
    Physical therapy, aqua therapy, biofeedback, injections, stretches, excercising, yoga , not just breathing, ice, topical creams, ointments, and more are all part of the program that you should be using to manage the pain.
    Use of pain medications alone, or with no excercise program that you participate in daily, isn't a good program.
    You are taking a significant amount of medications, but you need to incorporate the physical aspect of pain management to get better overall results and control.


  • Aqua Therapy was wonderful when I had it available. Resting in a hot tub, just hanging from swim noodles in the deep end of the pool feels good.

    I'd suggest you check Ron Dilaro's profile. He has tried many alternative treatments some with good success. Regarding meds, It's really difficult to suggest because each person reacts differently to each and like Sandi said, meds are just one block of pain management. When I went back to college a number of years ago, I tried not to take anything during the school day so that I wouldn't space out. That being said, I'm on Opana ER 20 mg x 2 daily with Opana IR 10mg PRN. This medication is the first I've taken where I do not feel any side effects other than my pain level being reduced. I'm able to get through the workday pretty good except when I have flare ups (like right now).

    One thing to consider with school - see if you can do any of your classes on-line where you can do them from home. Also, if your going onto the campus, check into ADA accommodations for your comfort they may have.

    One last thing; I'd be very careful requesting a medication by name from your doctor. Depending on the relationship you have with your doc it could be a sign of someone trying to get a stronger medication. As a suggestion, you may want to pose the question to your doctor as you did on this board. "What would you (insert doctor here) recommend medication AND exercise wise that will help you stay focused in class and as pain free (or under control) as possible"? He/she might have a regiment you could follow that would help.

    Best of luck.
    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • EnglishGirlEEnglishGirl Posts: 1,825
    edited 09/01/2014 - 11:29 AM
    My pain management clinic had a chronic pain psychologist. She was very good at helping me develop coping mechanisms to deal with everyday things which are particularly difficult for me, driving, sitting etc. She was very knowledgable in alternative therapies too, meditation, visualization, airomatherapy etc. It was covered by insurance & it only took a couple of appointments for me.
    If you haven't tried the different injections I'd ask about that. There could be some that will help. If your doctor isn't part of a large clinic with resources he could refer you to a therapist who deals with increasing your strength & endurance. That could help with returning to school. It's always a good idea to keep our bodies moving when we suffer with chronic pain but for me it's been important to have knowledgable specialists who considered my diagnostic tests before developing routines. Have you had a physical therapist take you through your restrictions & correct posture, lifting, bending etc. with your particular spine problems?
    Osteoarthritis & DDD.
  • EnglishGirlEEnglishGirl Posts: 1,825
    edited 09/01/2014 - 11:36 AM
    If you like lidocaine patches you could ask about ketamine cream. Mines a compounded cream that containers ketamine, lidocaine, muscle relaxants & nerve meds. It doesn't affect my mind & it's handy to have when you're out (at school) & need something for pain. You can just pop to the bathroom & put it on.
    I also had Diclofenac (antiinflamatory) patches that I could wear all day.
    Osteoarthritis & DDD.
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