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Saw Pain Mgt NP

TraseeTTrasee Posts: 571
edited 06/11/2012 - 7:43 AM in Pain Management
I had my first visit with Pain Mgt Nurse Practioner today. That had to be one of the most thorough exams I have received since I started having back problems 4 yrs ago. NP seems to be on same wave length, nerve damage and muscle spasm.

I am going to keep up my PT, of course. My medications were changed to MS Contin 15mg 2x's a day and Neurontin 300mg 3 x's a day Hydrocodone 7.5/500 for b/t pain. All the changes in hopes of controlling my pain so I can be more active. Walking 2 blocks daily and pt 2 x's a week aint getting it. I want to walk miles!! I am looking forward to seeing if this is more helpful. I have heard lots of bad things about the nerve medications, but I am willing to try just about anything. And a generic is a good thing for my wallet.

Onward and Forward! No looking back.

Thanks for reading,


  • I am also having trigger point injections next Tuesday. Those sound like a good plan :)
  • :D :D :D :D
    Sorry I'm not up on your current situation as I've been on SH inconsistently lately. If I remember correctly, you had gone back to work. Are you still working? Sounds like you're having a boatload of pain. If you are still working, how do you function at work with the meds you're taking?

    Sounds like that NP was great. It's so distressing to be just passed through like french fries through a pass thru window in the drive thru lane 8} .

    You know I started walking again last week around my neighborhood -- did 50 minutes the first day and another 50 a day later. Felt great UNTIl all the joint pain set in --- I had to pull out the oxy yesterday -- felt like all my joints had lost their lubrication and were pulling my muscles too tight. I know how frustrating it is to make some forward progress and than get slapped back down.

    Take care of you and look foward to hearing how the new med line up works for you.


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  • Hey Judy,

    Thanks for the reply, I hate to hear you are having a lot of pain too. Maybe it's just something we have to learn to live with. I am currently off work on a leave of absence. I was just unable to sit and stand at my work station. I have leave until May 19th. I am hopeful, that in the next few weeks I can get some relief with better pt and new meds. Hopefully the injections will help, as well.

    I really feel this has to be the change I need. I have been very down about my recovery and new added pain. This whole process has been such a

  • Sounds like you had a good appointment and liked the new pain management person. Does she work with a doctor or how is that handled?

    Don't start off worrying about side effects from neurontin. Many people do just fine on nerve meds. I've been on both Neurontin and Lyrica on several different occasions. My surgeon just put me on Neurontin, again, but just one at bedtime. Neither one did much for me, but I am having a new type of nerve pain, so he wanted me to try this, taken at a lower dosage and just once per day.

    Remember that it takes awhile for Neurontin to "kick in." You won't know for awhile whether it is working, or not. Did she tell you to build up gradually?

    I hope you get good results from your new medications.

  • Hi Gwennie,

    The NP I saw does work with a Dr. And she made sure to instruct me how to build up the dosage of Neurontin. I am only taking it at night the first week, second week twice a day and third week three times a day. She said exactly the same thing, it takes a while to tell if it is working. I am hopeful!!

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  • It sounds like this NP is very thorough and I'm glad you got some pain meds so it takes the pain down so you can get exercise and sleep. I hope this can help you have a better recovery from surgery. Praying for your complete recovery. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Thanks Charry,

    This has been an ordeal. I hope they can help too. It's funny, I was reading your signature the other night and realized how many things you have had and no surgery. I am so happy that you have been able to find some relief finally without going to that extreme. Now that mine is done, I wonder if it was a mistake but it's done, so I'm just finding a way to cope and feel better.

  • Glad your appointment went well. Here's hoping you are on the road to feeling better!

    Take care,
  • j.howiejj.howie Brentwood, Ca., USAPosts: 1,732
    It sounds like your appointment went well. I hope you get good results with all of the new changes and additions. And I sent you a pm.
    Good luck, Jim
    Click my name to see my Medical history
    You get what you get, not what you deserve......I stole that from Susan (rip)
    Today is yours to embrace........ for tomorrow, who knows what might be starring you in the face!
  • Traci,

    That is great you found someone that you feel is very thorough and get along with well. I too take MS Contin and I have no problems with it making me feel drugged (I take 60mg 2x a day), when I was on a lower dose I did notice it was not working for as long as they say it does and I had to take 3 a day. It took me a week or so for it to not give me a head change and now when I take one I cant even feel it (but it does work for me, because if I miss a dose I'm in lots of pain).

    As far as the Neurontin, I know there are many people that this works wonders for. I have tried a few nerve meds and I dont do well with them, they put me in a fog and dont seem to help with my pain? Everybody is different of course and I wish you the best with this.

    Hope to hear good news from you soon and I will catch you in chat........ Mitch
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