It sounds like your Dr. does allow a pretty hefty dosage of rescue medicine for you to keep on hand...so that is good...I would still call him to see what he has to say though and let him know you are having a hard time after a fall..
Are you having extreme numbness, tingling...or loss of movement in any extremities? This is where you would go to the ER to make sure you didn't injure anything further...not for pain control necessarily.
Or is it just pain involved...And I say 'just' in the sense as not having an actual issue where you have ruptured the discs now...or just having aggravated pain from the fall...
I know everyone has their own view of what the ER is for...I happen to believe for myself...I only go in true emergencies for life/death as I do agree...that it's not meant to be for just extra pain medicine. That is where I believe contacting your Dr. is very important..
Now...if he says for you to go to the ER to get an MRI done if you are having symptoms of a severe rupture of a disc....Then it would be cleared by your PM and he could call the ER to let them know you are coming in...
It's certainly up to you...and I don't think there is a right/wrong...everyone needs to make their own decision on this issue...and I don't fault anyone for going if they need to.
So..if you aren't having emergent symptoms for that...Then with all the extra medicine you have taken both muscle relaxers and opiates...on top of your regular meds...just logging off the computer and getting some rest today might help...
Again...I don't think you can go wrong by involving your Dr. today and talking with him about
the extra pain and the fall..
I'm praying for you! I hope that this is just a flare and no further damage was done..
SB and "the pup who snores loudly"
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha"))
ACDF with hardware, allograft bone Nov. 2005
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006