I saw my regular PM on Monday. Last time I saw him, he was in a weird mood, but this time, everything went fine. I didn't want to discuss any new meds with him but rather just get refills.
I also let him know I was seeing an interventional PM on Wednesday (today). I just got back and though she had some good ideas. We discussed facet injections and ablations as possibilities for the future, but wants to try just trigger point injections for now. She also wrote me scripts for Naprelan and lidoderm patches. I've used lidoderm before and didn't get much benefit from it. But I'll give it another shot.
For the Naprelan (time-release naproxin) I'm concerned about long-term daily use. Higher doses of NSAIDs typically cause me stomach upset and heartburn. The script is for 750mg, but in a 24hr time-release formulation.
I'm wondering about whether others have used a time-release version of naproxin and what their experiences have been.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray