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Best pain mess for severe chronic neck and shoulder pain?

SallyannSSallyann Posts: 2
edited 11/28/2014 - 3:13 AM in Pain Medications
I'm a newbie and wish to know if the fentanyl patch is better than hydrocontin (sic)? Had work accident in 1994--was on Ty 3 until 14 months bedridden then neck surgery in 2008. C5-6, C6-7 fused. Shoulder survey in 2011. Was on Percocet and fentanyl but got off Percocet 5 years ago and fentanyl patch 4 years ago. Been back on Ty 3 nod it does nothing. Finally found a good doc today, who will put me on what I want. He's trying me on 2mg of hydro.. 2x a day (12 hours part), plus 1 mg dilaudin. He says fentanyl doesn't release dosage consistently as do pills. He said its a low dose. I'm to see him next week. Also Botox is an option w another doc, but I've read horror stories so don't think I will try it. I hate Percocet and won't take it. I have to be careful as I got addicted before and weaned myself off. But I can't take the pain now that I'm in school to get a job and start working. I don't want to lie in bed all day with ice ad heat. Any advice is greatly appreciated. Thanks!


  • http://www.spine-health.com/forum/announcements/spine-health-announcements/welcome-spine-health-how-get-started

    A doctor is not good when he will prescribe anything the patient wants.........that's the wrong basis to use for determining whether a doctor is good or not....... You want a doctor who will first determine what is wrong, then go over the treatment options with you, and discuss the various pros and cons of each option given. There is far more to pain management than just the use of opiates to manage pain, there are therapies, alternative medicines and treatments, yoga, pilates, swimming, and psychological therapies that all combined are used to manage pain.
    Having only been on tylenol three at this stage, fentanyl is a huge jump in medication and really should not be an option until and unless you have tried all other modalities and medications in between the spectrum of pain medications, and combinations of neuropathic medications, muscle relaxers etc, before jumping to fentanyl.
    People who need around the clock pain management typically are put on immediate release medications at first, then once they are stable converted to an extended release version of the medication for better overall pain management without the ups and downs that come with short acting medications.
    It sounds like you are fairly young, so you have a lot of years to deal with pain, and you are going to want to start at the lowest effective dose of any medication and stay there as long as possible.
    You also should really look into the other options for managing pain, and use them as often as you can to help give you other tools to manage the pain, aside from the medications. They are only one small part of the overall pain management picture.


  • Thanks. I have been on a gambit of meds since injuries in 1990. I'm 54 and have been in chronic pain for 24 years with lots of physio, yoga, swimming, massage, acupuncture, and meditation/therapy. I chose to get off strong meds 4 years ago and treat by alternative modalilities. Now that I'm back out in the world I need meds along with swimming, massage 2 x weekly etc. I'm going to be taking cbt training as well. Since I've been dealing with this for so long, my new specialist is starting me on the lowest dose possible. I had to discontinue hydro something as it made my heart race and insomnia over the last 24 hours. He suggested I get by with 6 Ty 3 a day or a long lasting codeine-which I haven't tried before. I don't want Botox injections in my neck given all I've learned thru research. The fentanyl patch worked while I was on it for 3 years but its so addictive I got off it. I think I will stick to Ty 3 or try the long lasting codeine and more swimming as I hate the way stronger opiates make me feel having been off them for 4 years. I tried medical marijuana in the summer and it made my pain worse and made me I'll. cessamet doesn't work either. I like your suggestion about muscle relaxants. I will talk to him about this Thursday. Lyrica made me I'll too. Thanks for your help!
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  • EnglishGirlEEnglishGirl Posts: 1,825
    edited 11/28/2014 - 9:59 AM
    I've always done pretty well with the lidocaine or Botox shots. I assume you're talking about trigger point shots I've never had Botox for anything else. What are your concerns? There are possible side effects with everything. Trigger point shots are the most basic really because they're going into muscle & not my spine. They really do help a lot of people. The Internet is full of horror stories. I don't think I'd have any procedures if I read everything. Have you tried any procedures, shots, nerve burning etc?

    I take muscle relaxants. I'm on Baclofen at the moment, took Tizanidine for years. I find that a combination of pain & muscle meds work best for me.
    Osteoarthritis & DDD.
  • Have you tried Aspercreme also Epsom salt creme?
    Katherine Peterson
  • Maybe I missed it...what is wrong with your neck? I had surgery on Feb 28/14. ..acdf...c5..6..7..going to have to have another surgery..Jan or Feb have a bulging disc! Having to take percocet. Wishing you all the best of luck.

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