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When strong opoids should be introduced



  • It tok a discogram to diagnose my annular tears which are extremely painful. It sounds like you may need a new doc that is willing to get to the root of your problem.
    Also. it took me 4 years to get to the strongest meds. You don't want to start out strong if you can help it because you will build a tolerance and need to have meds increased.
  • I'm sorry you're having this pain so young. I can understand how frustrated you are with inconclusive tests and no real answers for your pain. Sometimes it takes a long time to reach a diagnosis and it will require additional testing like the ones mentioned above- discogram and possibly a ct/myelogram. But it all depends on your doctor.

    What type of doctor are you seeing at the spine center- Ortho or Neuro? I went to a spine cinic and was started on Norco, Soma, and Neurontin as well as PT and epidural injections. I ended up having surgery for the disc herniations I had. I suffered complications and was sent to pain mgt where my meds to bumped up to Fentanyl 25mcg patches, Norco for breakthrough pain, and Neurontin for sciatic pain. I had a 2 level fusion later on and I went up to 100 mcg every 2 days of the Fentanyl patches in a period of a year. I was changed over to Ms Contin 180mg's daily plus 60 mg a day of the short acting morphine, and now I take 80mg of Oxycontin a day and 60mg daily of Oxycodone. Yes, I went through 2 surgeries, more PT, more epidurals, more tests, etc and it was in a span of about 2 years. My problems have gotten worse during all of this and that is why I'm on so much medication (see sig line).

    Unfortunately it may take a long journey similar to mine in order to get a clear diagnosis and treatment. Mercifully my problems were seen right away from my first MRI and that is why my treatment moved on so quickly. I know it's not easy to be patient and go through hoops when you're in pain. You may even have to find another doctor if you're told there is nothing else to do for you. You have to keep going until someone finds an important clue as to why you are having so much pain. Meanwhile, don't give up..keep researching and keep looking for a doctor who will truly listen to you. Take care
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  • i had to have mri's cat scan. nerve tests and disography on 2 disc before strong meds were given. i started out with methadone percocet, then disc was so bad i went on 20 mg of oxycontin then went to 40 mg of oxy with percocet ir breakthrough then 40 mg of oxy with fenatly suckers for breakthrough this with injections also. then when i got strong meds i had to sign a contract. problem was that my pain dr retired and had to get a new one. i asked my old one for reference so that made it easier. new one tired subtly to get me off my meds but i convinced him that i needed that med and dosage and now he never hastles me
    you just don't go in and mention you want strong narcotics
    major red flag and they will show you the door
    i saw a guy in wheel chair show up and say it has b een a couple of years bu the dr gave me a time release pill and i don't know name but i want to try it. needless to say they showed him the door. don't even bring up subject of narcotics. inho drs give out naisds because they don't wnat to give out narcotics
    remember take 2 aspirin and call me in the morning
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
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