It might take a while with the new PM before he is comfortable with increasing your BT med to anything stronger. Methadone is a great painkiller. Are you taking the BT medication very often? I know that with BT meds, if you are taking them with some regularity that it can be less effective than if you are only taking them when you have severe pain spikes.
I don't know how long you have been seeing this new PM but if it is a recent change, I would hold off a bit on asking him to increase the BT meds.
Are you using ice and heat, to help manage the increased pain levels?
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.