i have an extruded disc (l5-s1) pressing on the l5 nerve causing left-leg pain. this started 4 weeks ago. i am following my doctor's advice to give it 6 weeks total before doing a first esi. so i have 2 weeks left for that.
for these last 4 weeks, i have been taking ibuprofen 3x800mg and gabapentin 3x300mg daily. after 2 weeks from hell, the pain started to go down, however i have a dropped foot now, with mild pain in the early morning but not later in the day since i only stand and avoid sitting down.
i have a concern that i wont know if i am actually getting better or is it just the medication that is masking my pain. so, i decided with my dr's recommendation to wind down from these drugs gradually over 8 days. after 2 days, i am now down to 2x300 mg daily. today i started feeling more leg pain than a few days ago, even when i stand during the day.
i am curious if it could be that gabapentin can temporarily cause increased pain while withdrawing from it, or is it that the disc is still pressing badly on the nerve and nothing really improved for me. if it is the latter, i have no choice but to do an esi...
anyone have experience with temporary increase in pain during gabapentin withdrawal?
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diagnosing spinal problems can be very difficult. in many ways it’s like a game of clue. especially, when the diagnostic tests come back negative – no trouble found! then it’s 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.specific comments :personal opinion, not medical advice :
as with any medication, if you do an slow reduction of a medication , drink plenty of water, there should not be a problem. but before you attempt to reduce your gabapentin,
contact your doctor for their advice.
but since you are already doing that and are beginning to experience more pain, i would contact your doctor to discuss it.
i was on neurontin for several years, the reduction from 2600mg to 300mg took me about 3 months. no problems. i have noticed from time to time an increase nerve related pain (shock, twitch, etc) that i always had before using the nerve medication.
--- ron dilauro, spine-health system moderator : 11/19/15 17:25est