I don't post much here, but this is a topic that concerns me. I went for 28 years or so, with no pain control. I never got or asked for anthing. I would get T3's that might cover the very peaks of the pain, but it never did anything for the pain mountain.
I too - never wanted narcotics, as a matter of fact - I fought and railed against the meds for at least 2 years, after I was diagnosed with chronic pain. And when I looked back at my world, I had been experiencing those symptoms for at least 15 years, if not longer. The thing is this, uncontrolled pain, causes the neuropathways of the brain to be altered. What in fact happens is that as the pain gets to the brain more and gets to take over, it develops what I call a "pain rut". This is my way of describing the situation. After years, the rut becomes a paved hyway and because of this, the pain gets a fast ride straight to your brain. Hence- increased pain as time passes. This is true and holds as long as the disease that underlies the condition is stable. If it increases, then the pain increase too! Makes sense?
If you wish to decrease the meds - it is simply not a plan to just decrease the meds and hold onto the chair like your going to rip the arms off it, or clench your teeth and grin - all the while your blood pressure is climbing through the roof and your bowels have let go, cause pain will manifest itself in unpleasant ways. That paves those pathways. Having adequate pain relief when needed - and doing things that take your mind off the pain, like a hobby or dinner or something that you liked to do in the past, allows you to break the pain cycle.
It really comes down to getting really adequate meds and then using them to get your pain levels down to a point where the "pain hyways" are broken. This takes a lot of time and once the brain stops "hearing" the pain screaming at you, it starts to forget about
the pain and begins to build NEW pathways. This is described as neuroplasticity. You can find good research here and other places that describes this and how it works.
I trust that you have worked or started with Mind Body Medicine - in its simplest form, meditation and everyone can use that - It takes about
30 to 45 minutes per day, but you can learn to do it quicker. Once you have used it repeatedly - you can involke the benefits in as little as 2 or 3 minutes. It can help lessen pain - by a level or two. And help to make it bearable. You can learn how to do this off of any website, there is no wrong way to do it, just by doing this changes the pain paths.
Also - worry and the emotional side of pain are connected to each other as all of this is processed in the same part of the brain. So almost everything that goes on in life, gets a chance to affect and effect the pain we deal with each day. Learning to use the meditation -daily allows you to not fall into old habits of reacting negatively to the pain and then starting a high pain cycle - due to the emotional bagage that goes with things. It requires a bit of faith, that things will work out - in the end, we just don't know how to get there just yet.
I never imagined that my journey would have also lead me to reduce my meds, but I do.
And a word about
the meds. I don't know why I was started on morphine, but I was. It was cheap, still is. I have been on other meds and spent time on Fent as well. The Fent was needed and I used it to break the pain paths that had been built up by the years of trying to live without any meds. Once my mind stopped listening to the pain, there was a point where I switched back to morphine. I still use it, because it is cheap and since cost is a consideration, consider asking to be put on the old standby - It works!
Truthfully- I hope you find some relief. As for wondering about
addiction. You don't hold back insulin from a diabetic, this is exactly the same situation. There is too much misinformation on the web and doctors are not much better when it comes to being educated about
how pain patients react to meds. We live it every day. :) C45
25+ Years, Sciatica, Lumbar back pain, Severe Stenosis L3-L4, DDD, Chronic pain - because the acute pain was never treated, Duh!
Post Edited (Centurion45) : 9/14/2009 9:58:31 AM (GMT-6)