My experience may not be of any value to you, but I'll throw it out there.
My pain is Peripheral Neuropathy from Diabetes.
I STARTED at pain level of 10 in my feet/legs up to my knees.
The nice thing was that my PCP gave me the catalog of PM clinics in the area and told me to 'pick one' and I picked the best one, luckily.
The doctor I chose tried me out on many different medications, tried 3 nerve blocks, just about
anything I was willing to try. He didn't refuse anything; his attitude was that it all provided input to come to the right final decision. I myself stayed away from Morphine and Methadone, because of the stories I had heard - mainly about
Well, of course, NOTHING worked. Either they worked enough for me to tell they were doing something, but I couldn't tell what, or they worked not at all and the pain level stayed the same. Even the nerve blocks; they provided NO relief.
It finally came down to implants or Methadone. All along he had suggested Methadone as an option, so I took that option at this point. He prescribed Methadone, with Morphine as BreakThrough medication.
This combination provided more relief than anything but Oxycodone. Problem with the Oxycodone is that it took 1 hour to start providing pain relief, and provided relief for almost exactly 2 hours. This, our of the 6-8 hours it is supposed to provide relief. But WOWSER! did it make me feel good; I can understand addiction to that one, and told my PM that it probably shouldn't be something I got a lot prescribed to me.
And that ruled out OxyContin, as well, since it is a long term OxyCodone.
Therefore, my PM gave me an option to go with an implant, but otherwise I get Methadone + Morphine or I get nothing. I am at the end of all options for pain relief as far as he is concerned.
I take Methadone 20mg 2xDaily and 10mg 1xDaily, and Morphine up to every 4 hours/day for breakthrough.
And then live with a 4-5 pain level consistently. Lately, breakthroughs between 8 and 9 are somewhat more common.
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer
& Chomp Prayer