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Advice for pain management

twentytwentyttwentytwenty Posts: 2
edited 02/12/2015 - 1:54 AM in Chronic Pain
hi to everyone
i wanted to get some advice on pain management. afew years back i was in a car accident which resulted in a crushed spine, herniated discs and also peripheral neuropathy caused by my lower back injuries. for years i took the natrual route and now the pain is on a daily basis and i havent been coping too well with it.

last year i spoke with my old doctor about managing my pain and he put me on durogesic 50 patches. this was straight from taking panadine forte and i have heard since that it perhaps wasnt the best option.
the patches were amazing for me when it came to managing the pain- as in i had none! for the first time in years i was able to do things i could never have done before. i could do pilates for an hour and feel nothing after, i could sit like a normal human, move like anyone else and it was fantastic.
however the side effects sucked and i decided i wanted to change to something else. my doctor didnt think that was a good idea so after asking advice, i was directed to a specialist.
he prescribed me targin temporarily to get off the patches and then spoke about finding a new pain management that didnt involve opiates (which give me every side effect listed)

i had to stop seeing him halfway through this treatment and am now at a loss. does anyone have similar issues? i would love to hear of other people's experience and what worked for them long term.


welcome to spine-health

it would be very helpful if you could provide us with more details. so many times we read about members who have different tests and they all come back negative. isolating spinal problems can almost be like the game of clue. the more clues and information you provide, the better chances in finding out what is wrong,
here are some questions that you should answer:
  • - when did this first start?- was it the result of an accident or trauma?- what doctors have you seen? (orthopedic, neurosurgeon, spine specialist, etc)- what conservative treatments have you had? which ones?- what diagnostic tests have you had? and their results (mri, ctscan, xray, emg, etc)- what medications are you currently using? (details, dosage, frequency, etc)- has surgery been discussed as an option? (if so, what kind)- is there any nerve pain/damage associated?- what is your doctor’s action plan for treating you?

providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

please take a look at our forum rules: forum rules

please remember that no one at spine-health is a formally trained medical professional.
everything that is posted here is based on personal experiences and perhaps additional research.
as such, no member is permitted to provide
  • - analysis or interpretation of any diagnostic test (ie mri, ctscan, xray, etc)- medical advice of any kind- recommendations in terms of medications, treatments, exercises, etc

what could be good for someone could spell disaster for another.
you should also consult your doctor to better understand your condition and the do’s and don’t’s.

it is very important that new members (or even seasoned members) provide others with details about their condition(s). it is virtually impossible to help another member when all the details we have are

i’ve had this for years, it hurts, i cant move my shoulder – what could this be, what treatment should i get?

diagnosing spinal problems can be very difficult. in many ways its like a game of clue. especially, when the diagnostic tests come back negative – no trouble found! then its up to the patient and the doctor to start digging deeper. the doctor is like a detective. they need clues to help them move along. so, you as the patient need to provide the doctor with all sorts of clues. that is like it is here. without having information about a condition, its impossible for anyone here to try to help.

--- ron dilauro, spine-health system moderator : 02/12/15 07:54


  • The only success I've had without opiod medication is an SCS. (Spinal Cord Stimulator) Your injury sounds pretty extensive so no idea if the SCS if is an option for you, but something to ask your doctor about if you haven't already. My sister has one also. I had pretty good success for about 2 years until scarring moved the leads out of place and they were no longer sending impulses to the proper nerves. I have elected not to have the scar tissue removed and the leads re-aligned. My sister's still works great and has for several years. They will put in a temporary implant for 5 days or so to let you try it out and see if you like it before doing the full operation. My trial implant was much better than the final implant, but even so I was satisfied with the results. During the operation they wake you up and turn on the SCS to make sure it's placed properly. It's crucial you pay attention and get this right...it's hard to do, or at least it was for me because I was groggy, but if you go that route don't let them rush you at that stage. Also make sure if you get a rechargeable unit that it is placed where the belt won't slip while charging. Ask to wear a charging belt before you select the placement of the battery. No one asked me where I wanted the battery until I was being prepped for surgery and I made a bad choice. It should be somewhere you can easily reach with the control unit and recharger.
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