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Slippery slope?

Hi, I'm brand new to this site/forum. I looked for a forum today because my neck was hurting so very so much. I tried a muscle relaxant last night and my pain was worse than before. I've had back and neck pain for 20 yrs. I have a prescription for hydrocodone, but have been very cautious about using it. I have been on pain meds off and on for many years. The last time I was prescribed them I wound up abusing them. My doctor never questioned me, but I knew I had to stop, so I detoxed on my own . Horrible experience! My problem is that I'm coming to realize I may need to be on opiates the rest of my days, and I'm fearful that I will come to abuse them again. I was trying not to take them everyday, but my pain has been too much to tolerate, and I've taken them each day this week. I'm worried I'm on a slippery slope. What to do?
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Comments

  • There are some non-opioid pain killers on the market. Perhaps you could try those. I think one is tramadol/ultram, although it's probably not as effective as hydro condone. I'd say it's best to tell your doctor upfront about your concerns and work together to map out a plan of action that keeps the pain away at less of a risk for abuse. You could also consider other alleviating methods such as hydrotherapy or Pilates to help strengthen your core, which also helps reduce pain.
    2015: Thoracic protrusions C7-T1, T3-4, T6-8
    Dec'13: 360FusionL4-S1 w/bone graft
    2013: 3x2-level disc injections: 12mo surgery postponement
    Dec'12: DiscogramL4-S1
    Sep/Oct'12: Bi-lateral Rhizo AblationsL4- S1
  • In what way were you abusing the meds before? If you have a partner or someone else you live with, maybe they could keep the meds in safe and dispense them to you, one dose or a few doses at a time.
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  • Because I've been managing this pain for 20 yrs, I've tried and still incorporate many other treatments. These include the ideas you tried to help with Sarah. It's facing that I need to use some opiates (because they are the only med that has worked). I'm looking for support in accepting the pain indefinitely, and support in using the medication as prescribed ONLY. I need the confidence to both use the medication when I need it to help myself, and confidence I can use it responsibly. I have to use it responsibly, because I can't lose the opportunity to use it. It really is the only medication that relieves my pain, and my pain has gotten to levels that I can't bear. I need to know this can be done. I live alone except when my teenage son is here 3x/wk. I can't ask him. Additionally, I'm a doctor in a small town. This means I feel the need to protect my professional relationships and reputation. I need to believe I can do this and without the shame of addiction. Any thoughts?
  • just a suggestion but you might want to take your last name out of your posts........
    who is prescribing your medications right now? are you on a pain contract? or is another doctor providing the medications to you?
    i am including a few links for you that i wrote, that might help you a bit.......

    https://www.spine-health.com/forum/pain/chronic-pain/chronic-pain-treatment-step-step
    https://www.spine-health.com/forum/treatment/pain-medications/dos-and-donts-pain-management
    https://www.spine-health.com/forum/treatment/pain-medications/pm-your-first-visit-what-expect-what-ask

    these are ones written by others or gathered through various members...
    https://www.spine-health.com/treatment/pain-management/pain-management-chronic-back-pain
    https://www.spine-health.com/treatment/pain-management/treatment-options-neuropathic-pain
    https://www.spine-health.com/forum/treatment/pain-management/common-pain-management-procedures
    https://www.spine-health.com/conditions/chronic-pain/chronic-pain-coping-techniques-pain-management

    if you need help kate, you can always pm one of the moderators........we will help as much as we can......

  • You should not use your last name in posts if you want your issues to be private. I was doing a google search yesterday for "pain forums for kids", & 2 of the hits I got were my own posts on Spine Health, so if people use the right search words, they could find your post, & your a Dr. & all. I think this is why so many people make up screen names.
    We can't always control the cards we are dealt in life, but we can control how we play the hand
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