Can't seem to get pain relief

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New Member

Date Joined Mar 2012
Total Posts : 3
   Posted 3/7/2012 8:37 PM (GMT -6)   
I have been in pain since a work accident back in December 2010.

I unfortunately have a very high immunity to medication so we have been having a hard time finding medication that can deal with my pain.

I am currently on Nucynta 250mg every 12 hours, Lyrica 300mg every 12 hours and oxycodone 10gm x 2 every 4 hours.

Even with all of these, my pain level is constanly at 8-8.5.

I have been diagnosed with disc bulge at L4/L5 and L5/S1 which touch my sciatic nerve. I constanly have pain shooting down my right leg and can barely feel my feet because of numbness. Some days I can't get out of bed as my feet are so numb I have no control over them.

Any comment on anyone using these types of medication or anyone having the same type of pain would be greatly appreciated as my life has pretty much been put on hault since this work accident.

Thank you and have a great day!

Regular Member

Date Joined Feb 2012
Total Posts : 88
   Posted 3/7/2012 9:23 PM (GMT -6)   
Welcome to HealingWell. I know exactly how you feel. I have been dealing with L4-L5 back problems for several years now. I went for over a year before my Dr. finally decided to do surgery. After coming out of the operating room he told my wife he was glad we did the surgery become there were issues that did not show up on the MRI's and other test that had been run.
It is really hard to say what will help you because as you know everyone has different tolerances for medications and respond differently to therapy and medical procedures.
Not knowing all your details, I'm only left to guess what has been done for you so far. There are spinal injections that can reduce the inflammation. There is therapy that could help. There are different medicines you could try. If you have had therapy and they used an E Stem unit on you and it helped you may be able to get your Dr. to prescribe a Tens Unit or a Portable E Stem unit. They helped me with my pain some.
I have chronic back pain and was diagnosed with failed back syndrome and Degenerative Disc Disease. I chose to have a Neuro Stimulator device implanted in my spinal cord to help with my pain. But I would think long and hard before I went to that extreme if I were you. There are risk associated with every procedure you choose to do. Right now I'm still having additional problems that were brought on by having the Implant Surgery and it was done in May of 2011.
I'm sure there are others on here that can provide even more info for you but I suggest that you give more detail as to what test have been done, What type Doctors you are using, and what all has been done for you already. I've been in the forum for only a short while and have been very impressed with the knowledge all these people have to offer if you give them more to work with.

I wish you well and hope you find relief soon.
Darn Me.
You don't stop laughing when you grow old
You grow old when you stop laughing !!!

New Member

Date Joined Mar 2012
Total Posts : 3
   Posted 3/7/2012 9:42 PM (GMT -6)   
Thanks for the reply.

I have tried physio therapy, chiropractors and acupuncture. I have tried pretty much every pain medication there is except. Agood friend of mine is a pharmacist who specializes in pain management and he is working with my doctor to find a solution but nothing has worked so far.

I am also on the wait list to see a specialist for those injections you spoke of but it will another four months until I see him.

An operation is the absolute last resort for me...I will try anything else before having an operation.

My main concern is fixing the problem rather than just deal with the pain as I am only 27 and have a baby on the way. If anyone has any suggestions has to exercises or anything they did to reinforce their back, those would be greatly appreciated.

I have lost over 70 pounds since this injury because I was overweight so that was an important step in getting better.

I'm wondering if anyone has had any luck with exercising in a pool to help fix the issue.

Regular Member

Date Joined Feb 2012
Total Posts : 88
   Posted 3/7/2012 11:24 PM (GMT -6)   
With you having a Pharmacist who specializes in pain management as a friend I'm sure he can offer you a lot better info than I can about Medicines.
I really feel for you being in that much pain and not being able to see a specialist for 4 months. I would think your present Doctor would be able to help you get that moved to a closer date. My Family Doctor got me in to see a Orthopedic Doctor within a week of him calling.
If you haven't tried a Tens Unit or E stem they may help mask some of the pain until you can get to that specialist
Sorry, I don't have more to offer you but maybe someone will comment that does.
You don't stop laughing when you grow old
You grow old when you stop laughing !!!

Veteran Member

Date Joined Oct 2010
Total Posts : 932
   Posted 3/7/2012 11:48 PM (GMT -6)   
Let me mention a few other ideas.
1) I'm assuming that your Nucynta is the time release. If not, then perhaps a time release med should be added.
2) some people (including myself) find tramadol particularly helpful for nerve pain.
3) If your piriform muscle is involved in the sciatic pain, there are particular stretches for that muscle that might help a lot -- they have for me.
4) I have also found that a hamstring stretch helps temporarily relieve sciatic pain.
5) various supplement that are supposed to help with nerve pain, including magnesium and phenylalanine.

Hopefully something among them offers you relief.

If not, you could also look into fentanyl patches, morphine, or other powerful opioids.
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

New Member

Date Joined Mar 2012
Total Posts : 3
   Posted 3/7/2012 11:52 PM (GMT -6)   
Thank you, I will look into those.

As for the medication, I have been on tramadol, morphine and fentanyl patches and they did nothing for me.

Veteran Member

Date Joined Aug 2008
Total Posts : 3193
   Posted 3/8/2012 2:46 PM (GMT -6)   
Hi TooMuchPain,

Welcome to the board... but I'm really sorry for all the things you are dealing with :(

I have a pretty high tolerance to meds, too. That being said, I was able to "reset" my baseline by tapering down on my meds for a few months. It was hell.... but now my meds work better. I used to be on the equivalent of about 650mg of morphine a day...

Have you tried other nerve meds - other than Lyrica?... like neurontin? This helps pretty well for my nerve pain. It helps w/ the numbness/tingling in my hands and feet. (I have severe carpal tunnel and I also have sciatica).

There are some stretches for sciatica.... When it's been really bad, I do anything and everything, lol. Try searching "sciatica stretches" on google.

Re: Cogito's suggestion of magnesium - I've also tried that w/ some success.

Congrats on the weight loss.... and your new baby!

Take good care - Tina
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

Veteran Member

Date Joined Mar 2011
Total Posts : 1276
   Posted 3/8/2012 5:28 PM (GMT -6)   
Hi TooMuchPain,

I don't know if I can add much to the great advice given so far, but wanted to welcome you to the group. Other meds that may be of use if you haven't tried them, are Topamax and Cymbalta.

Are cortisone injections an option?

Definitely look into stretches - sciatica stretch as Tina said, or 'piriformis stretch'.

Good luck :-)

Moderator - Chronic Pain Forum

Full body CRPS with spasms, dystonia & contractures, gastroparesis, orthostatic hypotension,bradycardia/tachycardia, bursitis, CTS, osteoporosis, multiple compression fx, disc bulges.

Oxycodone ER/IR, Topamax, Mobic, Somac, Cipramil, Midodrine, Vit D & C, SCS, baclofen/bupivacaine pump

Forum Moderator

Date Joined Feb 2003
Total Posts : 16788
   Posted 3/9/2012 4:19 AM (GMT -6)   
Hi TooMuchPain and I too would like to welcome you to the chronic pain forum. You mentioned being pregnant and I am sure this is contributing a great deal to your back pain. When is your baby due? I am assuming your drs are also working with your OB/GYN as far as what meds they all agree would be ok for the baby.

Wow, a 4 month wait to see an PM dr that does injections, thats crazy. Surely there is another one in your city that could see you sooner than that. Are you under the care of a pain mgt dr right now or not? Are they wanting to do epidural steroid injections, they are a series of 3 injections spread out a few weeks apart. Sometimes they work and some times they don't. Its just a gamble on any of the injections and procedures giving any relief. Hopefully these may help you.

Any way, I wanted to pop on and tell you welcome aboard....Susie
Moderator-Chronic Pain Forum
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