You do have to follow the directions of your PM. Opiates seldom help with nerve pain, so you might want to discuss one of the meds specificallly for nerve pain- neurontin, topamax, Lyrica, and cymbalta, along with the old SSRI type anti-depressants all seem to work better for nerve pain than opiates.
As to when you take your meds, if you know that you are going to wake up at 5 am in pain, you can try adjusting your dosage schedule so that you can take one pill an hour before 5 am, and then your next dose as scheduled, throughout the day....that might help.
It is better to stay on top of the pain, rather than waiting for it to get bad before taking your pain meds. A steady blood level seems to help, rather than chasing the pain, once it escalates.
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.