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Starting to wonder if I even need narcotic pain meds anymore

24

Comments

  • Have you tried aqua therapy at all? Just the warm water alone might help your muscles feel better. Doing exercises in the water was wonderful for me. I hated having to get out of the pool.

    Keith
    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • LC84LLC84 Posts: 599
    edited 04/07/2014 - 5:22 PM
    No I haven't. I don't have access to a pool at the moment. I just worry about setting of a back pain flare by going from no pressure on my back while in the pool, to added pressure when I get out. The last time I was in a pool, once I got out I felt the added weight, then the back pain took me down to the ground. Could have been a coincidence but it's not a pleasant memory. That's also when my nerve pain started again. I'm sure I will get back in at some point. I have soaked in a hot bath to help relax the muscles.
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
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  • thoracic spine painthoracic spine pain Posts: 566
    edited 04/07/2014 - 1:36 PM
    When my pain meds started not working for the twelve hours they are supposed to, I took them earlier, after 8 hours, so I would have 16 hours relief until I went to sleep. I do have sleepers that work. That helped me get through the day. The only problem is that you wake up in the morning with pain and withdrawal symptoms, but as soon as I took the morning med - about 45 - 60 minutes later the pain and withdrawal symptoms go.

    It was much better than being in pain for four hours during the day. Lying down with a hot water bottle in tears and pain while waiting to take the next pain med. I did that for a couple of years until I worked out I could sleep during the night so didn't need them when I was asleep. I don't want to increase the meds. I've had this for a long time now so had to work out a strategy where I could function during the day and this worked.

    It's a way I don't have to increase my meds as now my body is so tolerant to them. I have been able to cut down daily 40mgs of the meds. As everyone said once the pain hits really badly it's too late - no matter how many meds you take they don't seem to work, better to take them as soon as the really bad pain sets in.

    I learnt this from this site - I didn't realise - even though I knew that the meds weren't as effective when I had the pain for hours before taking anything.
  • LC84LLC84 Posts: 599
    edited 04/07/2014 - 3:31 PM
    I appreciate the advice. I don't always sleep through the night. Sometimes I do, but it's common for me to be up every couple of hours or so. I usually plan my meds to take them before I go to sleep so I can at least try and be well rested. Unfortunately that's not always the case. I haven't asked about any sleep aids, but I really don't want to take on any additional meds until I get through the transition from Lyrica to Neurontin.
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
  • The fact that your pain has worsened lately and now your meds aren't helping as much sounds more like tolerance than you not needing the med anymore. I'm in the same situation. My pain got worse and my med is making only a very small difference now. Maybe you could ask your doc about a long-acting med. I have heard they are better for chronic pain because one does not build a tolerance as easily. Don't ask me how that works.
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  • LC84LLC84 Posts: 599
    edited 04/07/2014 - 5:26 PM
    I currently get my pain meds from my PCP but I'm in the process of finding the right PM Doc. I have a really good relationship with my PCP. I have an appointment this week and planned on discussing options including what I should be taking in the meantime for proper pain control. My pain has worsened since my last visit so I'll see what he recommends.
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
  • So my PCP thinks I should continue the Percocet at this point until I find the right PM that may to want to adjust what I'm taking. I suppose the little bit of relief I can get from it is better than nothing. He also started Celebrex to see if that may help with inflammation since other NSAIDS I have tried ( Meloxicam and ibuprofen) haven't really helped. I'm hoping the increase in Gabapentin will help more than anything. The Valium really helps with my spasms but my Surgeon seems apprehensive to continue it long term. Skelaxin didn't help in the past so he may decide to try something else. I'm still figuring out the right mix of meds to provide me the most relief.
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
  • dilaurodilauro ConnecticutPosts: 13,531
    Many doctors are not going to want to prescribe Valium for a long time. It can be very addicting. There are so many good muscle relaxers out in the market. Some of them ,
    • - Flexeril - Knocked me out and felt I was drunk the following day- Soma - Works well, can be addicting- Zanaflex - Very good, but at times I could be half a zombie- Baclofen - Very effective, dosage can be played with. (my choice, also what I am taking now)
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • The Valium has helped with the spams without making me feel zombie like or strange which is why I like it. I understand why he wouldn't want to continue it long term. It's unfortunate that it can be addicting because it helps me with no side effects. Maybe another one will be just as effective. I appreciate the information, it's very helpful.
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
  • My surgeon wants me to try Flexeril- Since everyone is different I hope I don't have the same symptoms you did.
    Progressive DDD
    Osteoarthritis
    Chronic S1 Radiculopathy
    Discectomy L5-S1 2002
    Discectomy, Laminotomy/Foraminotomy L3-S1 January 2014
    Bilateral SI Joint Fusion and 2 level spinal Fusion October 2014
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