Pain management....

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lifeispeachy
New Member


Date Joined Mar 2010
Total Posts : 12
   Posted 5/11/2010 6:04 PM (GMT -7)   
Hey, everyone! I've got my first appointment with a pain management specialist here in a few weeks and I was wondering what I should expect. I've been taking 5mg hydrocodone that my PCP prescribed me, but I usually have to take 3-4 to even touch the pain. I've filled out all my paperwork already and had my records faxed over... but I don't know how this appointment will differ from other doctor appointments. All I want is to be comfortable and be able to go back to work and enjoy my life. I don't know what the next step up from hydrocodone is. I was wondering what everyone else's pain management experiences were like and what kind of pain medications/procedures were utilized. Thanks so much! I'm nervous confused

Butterflake
Forum Moderator


Date Joined Jun 2006
Total Posts : 1551
   Posted 5/12/2010 12:39 PM (GMT -7)   
Hi Peachy. I went to a pain management clinic while I was in diagnosis limbo. They gave me something like a tens unit that disrupts the pain pathway and that helped some. They also injected my neck vertibrae with steroids which only helped til the steroid wore off. Lastly they sent me to physical therapy which helped some too.
 
Celebrex is my main pain med, along with tylenol arthritis, neurontin and of course prednisone. When I have to take a narcotic I prefer percocet. I sure hope you get some pain relief soon! Love, Butterflake 
Systemic Lupus ('05), depression, fibro, sjogrens, cns issues, diabetes, gerd, hypertension, colitis, stage 1 kidney disease  Lots of meds.  Donna 


aimsgirl16
Forum Moderator


Date Joined Jun 2008
Total Posts : 1469
   Posted 5/12/2010 12:58 PM (GMT -7)   
Sorry! I dont have any experience with pain clinics I just wanted to say I hope you can find something to relieve your pain! Have you tried taking 10 mg hydrocodone? That is the only thing I can find to help aleviate my pain when I need to!!!

Let us know what your experience is! I am interested in knowing :)!

puccini914
Regular Member


Date Joined Jun 2008
Total Posts : 363
   Posted 5/18/2010 3:26 PM (GMT -7)   
Just a note about Pain Clinics. Some are good, some are not. Some are just a place where the junkies get there fix. You'll know one of theses as soon as you walk into the waiting room and it's very uncomfortable to be there. I kept going, because I didn't have many options that excepted my insurance and weren't two hours away, and I really needed to get my pain meds somewhere. I had to drive an hour every month, and usually waited two hours once I got there. I saw a different "doctor" every time. I say this because I later found out that many of the "doctors" were students, completing heir fellowships and really had no idea about AI conditions. I'm seeeing a new pain specialist next week that seems better qualified. He is a Doctor of Internal Medicine as well as a pain specialist, so I hope he has a better grasp on the situation. At the last place I quized my doctor on which types of blood work I should be having done with all the meds I was on and he replied that I should have my eyes checked regularly. Guys, I'm on MTX, Topamax, Lortabs, and anthing else that might mess up your liver and I do get my liver, and complete CBC every month, but I hadn't told him that. That's when I decided to look elsewhere. I hope you et a good one, but don't be afraid to shop around for one that is truly qualified to handle your illness. Best of luck.

Jennifer

Taking plaquenil, atenelol,  Flexeril, Claritin, Zantac ,Trazadone, Ambien, Prednisone 5mg, super B complex, multi- vitamin, folic acid, 15mg er morphine twice a day and Lortab 10 3-4 times a day, Imitrex for migraines.  Allergic to all NSAID's and Ultram.   Mom of 2 boys 2 1/2 and 7.  Symptoms: Fatigue, joint pain and swelling,Raynauds,numbness,tingling,weakness, heat/sun sensitivity, mouth and nose sores, malar rash, migraines, awful hives, positive ANA, with speckled pattern, positive RF, negative anti-DSDNA, and positive for Sjorgen's Syndrome.

 

 


puccini914
Regular Member


Date Joined Jun 2008
Total Posts : 363
   Posted 5/27/2010 4:53 PM (GMT -7)   
Okay, so just a follow up on this new guy. So far I'm happy with him. He seems very knowledgeable and I really grilled him because some of his forms said to inform the doctor if you are allergic to shellfish or NSAIDs and I'm highly allergic to both. He does injections directly into the inflammed joint with ultrasound guidence and the science geek in me thought this was the coolest thing in the world. It was only the size of a laptop and you could see the needle and the medicine going in. It hurt like crazy, but I was so fasinated by the picture on the screen that I tried to just ignore it. My right hand hurt yesterday, but feels somewhat better today, but I had a lot inflammation(that I could actually see on the screen) in my left so it's still really hurting today. We'll just have to see what tomorrow brings. I have to say though that my level of confidence with this new doctor is so much higher then that clinic that seemed to only want to bill for monthly appointments and keep you hooked on drugs. Hope you find the best medical posssible, it is really worth the long hard search. Take care.

Jennifer

Taking plaquenil, atenelol,  Flexeril, Claritin, Zantac ,Trazadone, Ambien, Prednisone 5mg a  day,Topamax 100mg, MTX 15mg a week, super B complex, multi- vitamin once a week, folic acid,  and Lortab 10mg 4 times a day, Imitrex for migraines.  Allergic to all NSAID's and Ultram.   Mom of 2 boys 2 1/2 and 7. 

Symptoms: Fatigue, joint pain and swelling,Raynauds,numbness,tingling,weakness, heat/sun sensitivity, mouth and nose sores, malar rash, migraines, awful hives, positive ANA, with speckled pattern, positive RF, negative anti-DSDNA, and positive for Sjorgen's Syndrome.

 

 


lifeispeachy
New Member


Date Joined Mar 2010
Total Posts : 12
   Posted 5/30/2010 11:03 AM (GMT -7)   
Well, I finally made it to my appointment. I took a urine test, I'm guessing to make sure I don't have anything besides my prescribed meds in my system. I was asked a million questions regarding my medical history and pain. I was prescribed what he liked to call "Tier 3 narcotics" as well as some hydrocodone with less acetaminophen in it to keep me from getting sick to my stomach. He also gave me a prescription for Lyrica, which my rheumatologist is currently having me take on a trial basis. I have another appointment in 2 weeks to evaluate how I'm doing. Currently, I'm feeling much better... perhaps a little groggy. But, I return to work this coming week... and I feel like I have a decent shot now of succeeding! turn

puccini914
Regular Member


Date Joined Jun 2008
Total Posts : 363
   Posted 5/30/2010 11:17 AM (GMT -7)   
Sounds like you found a good on lifeispeachy. Lyrica didn't do much for me, unfortuneately, the Lortabs have always been what has helped me the most. Day 1 and 2 after the Kenelog shots are pure agony, but day 3 and 4 are much better. I have so many joints that hurt, I wonder if he's thinking of stabbing all of them or just the really bad ones? I have to say it again, that ultrasound thing he's got is soooo cool! Glad your appointment went well. Take care.

Jennifer

Taking plaquenil, atenelol,  Flexeril, Claritin, Zantac ,Trazadone, Ambien, Prednisone 5mg a  day,Topamax 100mg, MTX 15mg a week, super B complex, multi- vitamin once a week, folic acid,  and Lortab 10mg 4 times a day, Imitrex for migraines.  Allergic to all NSAID's and Ultram.   Mom of 2 boys 2 1/2 and 7. 

Symptoms: Fatigue, joint pain and swelling,Raynauds,numbness,tingling,weakness, heat/sun sensitivity, mouth and nose sores, malar rash, migraines, awful hives, positive ANA, with speckled pattern, positive RF, negative anti-DSDNA, and positive for Sjorgen's Syndrome.

 

 


SmurfyShadow
Veteran Member


Date Joined Dec 2008
Total Posts : 2386
   Posted 5/30/2010 9:41 PM (GMT -7)   
I get morphine and oxycodone as mine. I only usually stick with the oxycodone. One 30 bottle of morphine lasts me about 4 to 5 months (but I only take it when really need to)
 
Smurfy Shadow/Desirèe 
DX: Wegener's Disease, Migraines, Diabetese Type II, PCOS, Lactose Intolerant, Benign Heart Murmer, Depression, Asthma, Asperger's Syndrome, Necrotizing Gramultous Inflamation in eye, A.D.D., Acid Reflux, Tumor Behind the Eye, Carpal Tunnel, Fibromyolgia, Clasterphobic, Arthritis
Medications:  Tri Nessa, Percocet, Metformin, Prilosec, Protonix, Zantac, Advair, Cingulair, Albuterol, Calcium + Vitamin D, Pro-Air, Pepcid, Rolaids, Zofran, Compuzeen, Refresh Plus Eye Drops  PRN: Epi-Pen, Albuterol Nebulizer, Benedryl
Undergoing Radiation Taking Lorazepam (Ativan) on Radiation Days


puccini914
Regular Member


Date Joined Jun 2008
Total Posts : 363
   Posted 5/31/2010 5:46 AM (GMT -7)   
Is it the morphine er? I was supposed to take the low dose of that as my round the clock pain med but the constipation was so bad I couldn't poop without exlax. AWFUL. Got off that one quick.  With two little boys in the house, I really can't take anything that might make me too groggy reguardless of pain level, the two year old konws if I'm out of and uses those times for his biggest mess making schemes.  LOL


Jennifer

Taking plaquenil, atenelol,  Flexeril, Claritin, Zantac ,Trazadone, Ambien, Prednisone 5mg a  day,Topamax 100mg, MTX 15mg a week, super B complex, multi- vitamin once a week, folic acid,  and Lortab 10mg 4 times a day, Imitrex for migraines.  Allergic to all NSAID's and Ultram.   Mom of 2 boys 2 1/2 and 7. 

Symptoms: Fatigue, joint pain and swelling,Raynauds,numbness,tingling,weakness, heat/sun sensitivity, mouth and nose sores, malar rash, migraines, awful hives, positive ANA, with speckled pattern, positive RF, negative anti-DSDNA, and positive for Sjorgen's Syndrome.

 

 


lifeispeachy
New Member


Date Joined Mar 2010
Total Posts : 12
   Posted 5/31/2010 12:06 PM (GMT -7)   
Do you know what else gets prescribed for breakthrough pain besides hydrocodone? That's what I'm taking for it, but even when I take like 3 it just doesn't seem to do the job. Any thoughts?

puccini914
Regular Member


Date Joined Jun 2008
Total Posts : 363
   Posted 5/31/2010 3:39 PM (GMT -7)   
Oh, well noting ever gets rid of all te pain. that's just something tat I've com to terms wit. The shots arereally seeming to help, I'm just nt sure how long it will last and how often I'llhave t get them. I'm hoping tha eventually the MTX will do somethig mre formy joints as well as the fatigue. right now I'm takin wha relief I can get and tryin not to look for perfect solutions, because there just really aren't a whole lot out there. Taking the edge off. enough that I can function with my kids, that's all I need. I'm takng te 10mg 4 tmes a day andthat's about all they'll give m at this point. I think they hold back on the big guns until you're really really sick.

Jennifer

Taking plaquenil, atenelol,  Flexeril, Claritin, Zantac ,Trazadone, Ambien, Prednisone 5mg a  day,Topamax 100mg, MTX 15mg a week, super B complex, multi- vitamin once a week, folic acid,  and Lortab 10mg 4 times a day, Imitrex for migraines.  Allergic to all NSAID's and Ultram.   Mom of 2 boys 2 1/2 and 7. 

Symptoms: Fatigue, joint pain and swelling,Raynauds,numbness,tingling,weakness, heat/sun sensitivity, mouth and nose sores, malar rash, migraines, awful hives, positive ANA, with speckled pattern, positive RF, negative anti-DSDNA, and positive for Sjorgen's Syndrome.

 

 

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