Mental Pain with Physical pain....

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Regular Member

Date Joined Dec 2008
Total Posts : 21
   Posted 12/22/2008 7:49 PM (GMT -6)   
I have 2 herniated discs and am about to get an injection in my facet joint next month. the pain has been wearing n me that I want to ask for something to "cheer"me up. Do i talk to my Pain mgmt about this or my regular dr? ...or will I have to see someone else?
I dont want pain management to think i just want pills....but what else is there to talk about with them...
It just seems with my sales position, constant pain and other things...there has to be something to help.
Qty 5 (15MG Oxycodone) Per day
Soma 5 times a day
IB-Profen 500MG 5 times a day

Tens Unit 1-2 hours per day
Lidocaine Patches - 2 per day
Chiropractic help 2 times per month

Veteran Member

Date Joined Nov 2007
Total Posts : 6795
   Posted 12/22/2008 8:45 PM (GMT -6)   
Hi, Rwolhar,
Sounds like you might be talking about an anti-depressant. That's something many of us need (myself included) not only because of the emotional pain that comes with all the losses in our lives from CP, but the physiological process of pain actually is similar to that which creates depression. Add to that many of the medications we take depress the CNS. So I would suggest talking to either doctor - kind of depends on who is the best one. I mean does your pm just do injections, or is he/she prescribing your pain meds, too. If so, then that's hwo I'd talk to. But even talking with your PCP would be fine, as long as he/she knows enough about how the pain meds are affecting you.

Anti-depressants can take a few weeks to reach their full effect, so I'd suggest getting started as soon as possible. I know with the holiday it may be tough to reach any of your doctors, but someone who's seeing your regularly might not have difficulty calling in an anti-depressant over the phone so you can get started. Have you ever taken one before? If you've taken one that's been effective, you could ask to be put back on that. Sometimes it also takes awhile to adjust the dose. Another helpful piece of all of this is to talk with a psychologist or counselor who has some knowledge of chronic pain issues. You're not crazy, but the stress of all of this takes a toll on us, to say the least. I'd suggest asking about the anti-depressant, and then a referral to a pain therapist.


Post Edited (PAlady) : 12/22/2008 6:49:05 PM (GMT-7)

Veteran Member

Date Joined Jul 2007
Total Posts : 554
   Posted 12/23/2008 12:21 AM (GMT -6)   
I have 6 herniated discs, I hear ya! The injections are going to be a hit or miss.... they last me a few weeks. My PM dr prescribes my anti-depressant- but its done to help with the pain as well..... Amitryptiline is an old school medicine, it doubles for pain & depression. Its only $4 (no insurance) through WalMart. I also take Cymbalta, which helps with the depression & I also have fbromyalgia. And it does take up to a month sometimes to get them working- and DO NOT try and come off of them without talking to your dr. Some of them DO cause withdrawls. I don't know if you have ever considered talking to a therapist- but it does help. Maybe your PM dr could refer you to one. There are therapists who specialize in chronic pain. But, either way you are on the track to healing because you recognize it in yourself that you are having depression issues. Its so common with us CP'ers.... sometimes you just need a friendly page to type on. These people on here are friends, who I may never even hear their voices, but know anytime of the day I can come on here and there is someone who will listen... no matter what the topic. It feels good to not be alone. And I always say, never underestimate the power of a good massage. PAlady is right, if you have a regular DR who treats you for pain, or even your regular PCP- maybe they can just call you in something...... probably depends. Keep us posted!
RX's: Oxycontin 80 MG 2x's daily; Dilaudid 8 MG 4xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100 MG 3x's daily (pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil

Veteran Member

Date Joined Mar 2008
Total Posts : 3089
   Posted 12/23/2008 1:19 AM (GMT -6)   
Hi rwolhar,

I agree with PAlady that either your PM or you pcp could probably prescribe you an antidepressant. Since pain & depression are intimately related, many medication-providing PM's will prescribe antidepressants for their patients (even if they are not being used to treat the pain). On the other hand, if you see your pcp regularly & he knows what is going on, I'm sure you can make an appointment and talk to him about how you feel and request to be put on antidepressants. Either way, you need to tell one of your doctors how the CP is effecting your life as a whole & make sure that they know that you are having a hard time dealing with the pain emotionally and that it is causing you to feel depressed. Asking for an antidepressant in order improve the quality of your life is not an unreasonable request.

I also agree with PAlady & kttn that you should go see a psychologist (one that specializes in or is familiar with CP is the best). It can be helpful to talk to someone who is impartial. A psychologist will also be able to give you suggestions about how to deal with the way your pain effects the rest of your life, etc. As PAlady said, many of us here take antidepressants and I think just about all of us see therapists, it's just something that comes along with the CP.

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