I developed acute compartment syndrome in my right leg in 1995 from a crush injury. I had severe pain for a couple of years after. While it subsided, it never really went away. It would get bad in the fall and into the winter. 75 mg of lyrica twice a day did keep it in check.
about a year ago the pain began increasing to a severe level, with regular episodes of outright mind numbing stabbing attacks that are like a wild lightning storm.
I titrated up to 450 mg of lyrica. Aside from the fact that it only reduces the pain by about 20%, I am unable to function because of the loopiness.
I had a sympathetic nerve block on July 29th and I got two days of relief before the pain came back. A recent EMG showed that there is no response below the knee in any of the nerves. The damage was quite severe and there was little recovery.
Yesterday my GP recommended adding 10-20 mg of elavil at night. If that provides sufficient relief, I can then try lowering the lyrica to a manageable level, somewhere around 200 mg per day. I wasn't that loopy at that level.
I am back in the pain clinic on Sept 8th. If the above does not work, I know the next step is narcotics. Up until recently, I would never have agreed to go there. However, at this point, I will try anything. If the elavil does not work, I don't really have any other options, do I?
I guess that is my question. Does anyone have any advice?
Though we have great doctors here, I wonder if we are a little removed from the mainstream here on the island!
regards and thanks!