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Amanda1983AAmanda1983 Posts: 1
edited 11/08/2014 - 8:13 PM in Chronic Pain
I am a 31 yr old female with 2 children. I have had chronic low back and leg pain for at least 10 years. I have had two surgeries. One in 2008 which was a laminectomy, and one in 2010 which they removed my L5 S1 disc due to it being "dead" and completely dried out. They also did a spinal fusion with hardware at L5 S1. That didn't do a whole lot for the pain. Wish I wouldn't have done it.
Anyways over the past couple years it is gradually gotten worse. I use to go in like 3 times a year for something for pain, but the last year has been horrible. I have been on 5/325 hydrocodone 2 tabs every 6 hours around the clock, I also take baclofen 20 mg 3 times a day. They are starting to not work. I just visited my pain management dr and she suggested weaning down on the hydrocodone and starting MS Contin. And the eventually doing a pain pump. I have had so many procedure done and they can't even do anymore due to the hardware being where it is. Nothing has worked except medication.
I just wanted peoples thought on what to do. It's getting hard to function. Or if people have been in the same situation what they did.


  • Hi Amanda. My kids are 8 & 4. My spine was pretty bad when I had my son & terrible when I had my daughter & it's just gone down hill since then. I know it's really bloody hard! I'm sorry. How many specialists have you seen? I'm a big believer in second opinions. I've driven myself crazy & have to admit I've seen nearly every surgeon in Texas (I'm exaggerating but not by much!) I'm not saying just keep seeing specialists until you find one that agrees to do something, just get another opinion from a respected board certified spine surgeon in your area.
    I don't have many options. I change medications when I find I've built a tolerance. That works for me. I've managed to keep my doses reasonably low by doing that. Do you have a lot of nerve pain? Have you tried the meds for that? It really depends what kind of pain you're experiencing. I've tried Cymbalta, Lyrica, Gabapentin, Savella, Gralise etc.
    I also use a prescription compounded cream that contains ketamine & other numbing, muscle relaxant, nerve meds. I use aromatherapy massage creams, hot Epsom salt baths, suppliments, exercise & physical therapy stretches. The ESIs & nerve burning procedures don't help anymore. I've recently started having my SI joint injected. I was surprised by how much pain was coming from there (I have a lot of bone spurs everywhere) the diagnostic shot relieved some of my back & quite a bit of my right hip, leg pain.
    I just keep chipping away at the pain the best I can. I suffer from osteoarthritis. Ugh!! Chronic pain is so hard. How old are your kids? I hope you get lots of support here. I've made some good friends & it really helps. People find it hard to understand what we go through. I've found it very isolating.
    Osteoarthritis & DDD.
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  • First of all it is normal to have to increase opiate medication. However when you are on a long acting medication such as MS-Contin which is morphine but has a coating on the pill so is taken between 8-12 hours your tolerance to the meds tend to slow.
    While I am on a large dose I have not had to increase my meds for 12 years. I am not the norm though. Since this is long acting I get a full night of sleep and good pain control without having to watch the clock waiting for when I can take my next pill. As far as pain pump that is usually sort of a last result if oral pain meds are not giving you enough pain relief. But with what you are taking now there are a lot of meds and doses to try. I have a feeling that more pain doctors are going to push pain pumps more then ever instead of using stronger opiate medication for pain. Maybe that will cover them with any problems with the new laws but is that the best choice for the patient.
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