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sleepyheadssleepyhead Posts: 2
edited 05/15/2015 - 11:01 PM in Lower Back Pain
In couple more hours going to be in agony,the pain is increasing slowly each hour.

About 18 months ago i bent over to pick towel up heard crunching sound in my back.The pain was quite bad,over next couple days the pain become horrendous.Over the next couple months was given various mild painkillers,sent to pyhsio usual exercises.Nothing,the pain still persisted 24/7.Lived a nightmare.
Back,fourth the doctors.Then about 4 months ago one doctor at the surgery prescribed me dehyracodeine.
Took them for couple weeks,i noticed if i combined 3 x 30mg of dehyracodeine with one 50mg tramadol i was almost pain free,life was on the up.Could clean the house,do certain exercises even do the garden.
At physio began to talk to nurse about getting on my bike get some proper exercise.(Its the painkillers,but i thought i was getting better).

My problems began when i raised my concerns with my doctor that i may becoming addicted to dehydracodeine.Had a problem with heroin 10 years ago,have been clean since.
He suggested we reduced it to 40x30mg a week,he use to prescribe me 80 tabs,Great.
At this stage i have never mentioned it to him that i take tramadol with my dehydracodeine

I take tramadol + 200mg of modafinal for my narcolepsy/cataplexy,after hurting my back i noticed my seizures (cataplexy) stopped.Told my consultant about this and he told me he was aware of tramadol and its effect on cataplexy.
Use to have up to 20-30 a day,havent had one since taking tramadol.

After couple days reduction the pain began again,contacted my doctor again,his whole attitude had changed,he told me my back there was nothing wrong with my back its more likely a opiate problem "lets see you walk".
I flew into a rage and said "how dare you speak to me bla,bla" and walked out of his surgery.

Pain is kicking in,dont know what to do,have no doctor,no meds,going to be in agony in morning.
Have appointment in June for injections to my lower lumbar region,but thats a long time in chronic pain.


  • LizLiz Posts: 7,832
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  • SavageSavage United StatesPosts: 5,427
    You say you never mentioned to doctor you were taking tramadol with doctor's prescribed med...and you also stopped taking med you were previously on...since tramadol effectiveness.

    All doctors really need to know every med you are taking and recently discontinued meds........and have at least general awareness of all your conditions.

    You mentioned that you felt better and resumed activities..gardening..etc... With pain relief I found I still need to be aware of my body's limitations. I believe the pain to be warning system for me to guard against further injury and at least not aggravate current injury.

    My medications never fully relieve the pain and I never feel high or like that. But pain is tolerable and meds keep me out of ER.
    I have learned to appreciate some pain as guidance on my activity level.

    Meds can play a part with our emotions and mental state at times.
    I don't know if your anger at doctor is part of your nature or a result of pain and frustration.
    But I have found the need to be more accommodating with doctors in their search of finding which meds to best suit me.
    For me it has been trial and ...try again.

    Your doctor may have been acting in response to you telling him you were afraid of becoming addicted, again.
    Is there possibility to apologize to doctor... re', maybe misunderstanding on your part? Or being in so much pain you over reacted?

    When my miserable spine issues first reared its ugly head, I too, on one occasion, become irritable with doctor.
    My case, I believe it was my depression doing most of the talking as I felt such hopelessness with initial care doing nothing to relieve my pain...and excessive sleepless nights...sleep deprivation....I was wide eyed, or wild eyed, exhausted, and wanted to pull my hair out. I was definitely not able to communicate with doctor in beneficial way.

    Your doctor may reconsider and continue to help you to reduce the pain. Then in June..I am guessing, you will be seeing another doctor for pain relief. It's best not to take a chance on getting reputation of being a difficult patient. Your charts do follow you....for any doctor to be fully informed and to properly treat you.

    Day to day pain bad enough, but week to week or waiting a month....I would think you do need to seek doctor help.
    I wish you the very best in finding pain relief.
    Spine-Health Moderator
    Please read my medical history at: Medical History

  • Hi Savage,thanks for reply.Think its Doctor who owes me a apology Prior to him asking "So how can i help you" He had a good go at me for missing a appointment i did not miss.This argument got quite heated.I proved my point,the appointment did not get off to a good start.

    Now i had to ask him to increase my meds as the reduction was to much and the pain had returned to its previous level.So i tell him the best way for me to control the pain is 3 dehydracodiene 1 tramadol,taken twice a day.
    His reply was "what ? i cant prescibe ,that its not done that way".

    Trying to explain to him that the reduction from 80 tabs to 40 tabs per week was not lasting me,and kept running out of meds over week-ends,i need you to increase it slightly.
    It was the doctors attitude,smirk on his face and telling me that its a opiate problem and not a back problem i had.
    "come on lets see you walk",gesturing to the space in his surgery and laughing.He was really annoying and i was in pain.
    He was well aware i was taking 1 tramadol a day to prevent seizures caused by narcolepsy and if not maybe he should of checked what meds i was taking befor prescribing dehydracodiene. He was humiliating me,so i told him not to speak to me that way,if he did not believe i had back problem he was wasting my time and left his office (with out prescription)lol
    This is the same doctor who rranged for injections...need to sleep...
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