i have had chronic low back pain for the last 5 years after i had a l4-l5 l5-s1 disc herniation(only diagnosed during the summer gone), i have been on a various amount of anti-inflammatory's that have not helped one bit, sometimes i get sciatic pain down my left leg,(but has started on right leg recently too) for the last 3-4 years i am taking tramadol and lyrica for the pain every day. current dose is 300mg tram and 325mg lyrica daily. have had plenty of anti-inflammatory and local anesthetic injections without relief, also have no break threw pain medication
over the last month i have had a pretty bad flare up, i have been to the doctors looking for local anesthetic injections in the hope of some relief. i am due to see a pain management doctor in feb coming for the first time. but the last time i was at my doctor i was literally in tears with the pain, she now wants me to come off opiate painkillers and try an anti-depressant, i have tried cymbalta before for the pain but again no improvement. she is worried i have an opiate dependance, which i do(as you would do taking them for the last 3-4 years every day.) i understand she is only a family doctor and is running out of options to do from her qualifications. but why now does she want me off tramadol when she knows il be going to pain management in feb? i said i will try it out for a week, she prescribed me diazapam to cope with droping the tramadol dose, i managed to get to half dose but i dont think its working so i am back to normal dose now, i will let her know on monday when i am back to see her.
i guess im just looking for advice to see if anyone has been through this situation before and have some advice on what to do? or say to the doctor?
by the way i am 23yo male
thanks in advance