unrelenting pain

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BarbF
Regular Member


Date Joined Oct 2010
Total Posts : 27
   Posted 3/21/2012 1:02 AM (GMT -6)   
Hello Everyone!
 
Im pretty new to this board, but I have checked out the fibro. section. I guess Im not quite sure where I shoud be posting due to my "situation". I hae been diagnosed w/ fibro, but I also have some pretty nasty nerve pain due to spinal issues. I was in a bad car accident in Dec. of 2005 that left me w/ a right kneecap up into my thigh (had surgery for that), and alll sorts of spine issues -discs  at C5/6 and C6/7 exploded, so I had a fusion done and a bulging disc at S1 that I had a discetomy. I now have th issue that the "artifact" (as my Dr calls all of the metal that part of my 2 level fusion in my neck) is now putting some pressure on my spinal cord. After consulting w/ my Spine Dr. I opted to go with the "wait and see" approach as I don't want any more surgeries unless it's a life or death situation.
So, my actual question is: How do I go about asking for a referral to pain management? The proble is that Im a social worker (and I have a sister who is a ER nurse), and "drug seeker" pops into my head when pain management is talked about. What really does a pain management Dr. do?? Im about ready to try anything to get rid of my nerve pain...
 

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/21/2012 1:46 AM (GMT -6)   
Hi Barb...

Welcome to Healing Well. Many of us post here and in other forums as well. So, you are welcome to post in both places...

I'm sorry to hear about your car accident... and I'm also sorry that you are struggling w/ fibromyalgia. I have several chronic pain/health issues - and I also have FM, too.

You get a referral to a PM doc through your primary care doctor.

The point of a "good" pain management doctor is to manage your pain by finding what works best for you. This may involve medication, a variety of procedures (injections, nerve blocks, etc), physical therapy, TENS unit and on and on. There are a group of PM doctors that "only" do procedures and won't touch medications.... Most of us, though, have PM doctors that do both.

Medication doesn't necessarily mean a narcotic - although many of us here do use that as part of our pain management. But there are also nerve medications, muscle relaxers, etc.

While I do understand what you are saying about the "drug seeker" analogy... many of us here work hard to change that way of thinking, because it's something that most chronic pain patients - unfortunately - have to deal with (other people's misconceptions about pain, narcotic pain medication, addiction, etc).

Most CP patients take their medications responsibly - just as a diabetic may take insulin or someone with high blood pressure takes heart meds. Addiction for CP patients is actually very, very low.

Anyway, welcome to the group here, and I hope you'll continue posting. Before or after your fusion - did you ever take medications for your pain? Have you ever tried a nerve medicine? I have nerve issues in my back, as well as severe carpal tunnel syndrome - and I'm on neurontin, which is a nerve med.... it does help me.

Take 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

BarbF
Regular Member


Date Joined Oct 2010
Total Posts : 27
   Posted 3/26/2012 7:57 PM (GMT -6)   
Hi Tina,

I do take neurontin for my neve pain, and I was taking lyrica before that. I also have msucle relaxers, but I still have pain thats making it hard to even walk somedays. I've asked around to people whohave also had injuries/fibro about what Doc's in our area are the better ones to see, and I think Ive narrowed it down to one office that seems to be the best fit for me. I want something done to help w/ this pain, but Im not ready to quit work and stay home (bc I won't drive w/ narcotic pain meds in my system).

stingray
Regular Member


Date Joined Oct 2009
Total Posts : 175
   Posted 3/26/2012 8:43 PM (GMT -6)   
Hi Barb
First let me welcome you to the site. It won't take you long to discover that there are alot of us who suffer from chronic pain from all sorts of reasons. When your pain begins to rule your life your no longer in the take a couple of tylenol and a bag of ice and carry on group. I think most if not all of us have felt like were doing something wrong by taking narcotic pain medication. The stima is awful right now with so many news stories about abuse. Like Tina said we are no different than someone taking medication for some other medical problem. The good pain clinics can offer you a variety of treatments as Tina mentioned. As for asking your family physcian about referring you to
a pain clinic, I won't think twice about it because most family docs want you to go to a pain clinic especially if it's going to involve pain medication. I wish you all the best and good luck with your search for a good pain clinic. Keep us up to date on your progress and again welcome to the site.
Stingray
Chronic Back Pain, Anxiety, A little Depression, Left foot problems...foot growing in length and big toe growing out sideways, Osteoporosis,11 surgeries total..right foot twice, right knee 3 times, right elbow, throat/neck, spinal fusion, left elbow, left knee, currently deciding on whether to have surgery on left foot.
Meds: Oxycodone, Oxycontin, Clonazapam
Birthday July 18th

zizz
New Member


Date Joined Mar 2012
Total Posts : 9
   Posted 3/27/2012 5:24 PM (GMT -6)   
Hi Barb:

I'm sorry to hear that you are experiencing so much pain. I hope that when you feel comfortable enough to be referred, a pain management specialist helps you find the ideal medication to help make your life a little easier.

I have a connective tissue disease that involves periods or "flare ups" of very severe pain. I take a narcotic medication as prescribed, along with Tylenol and a non-narcotic muscle relaxer but what truly helps my pain the most are the immune suppressants I take.

I wish you the best.

zizz

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 3/27/2012 11:59 PM (GMT -6)   
Barb,

I'm glad you asked around and seem to have come up w/ a doctor to see. Let us know if you make an appointment and how it goes.

Driving/using narcotics is an individual choice thing.... but there are many of us here that do still drive. I would never, ever drive while using a "new" medication that I didn't know the effects of (not only do I have to think of my own life, and the lives of others on the road, but I have eight precious lives that I haul around all the time).... that being said, I've been on my meds for years now and I'm completely comfortable driving on my medications. But, again, it's a individual choice thing.

Also - if you do need to work and so forth - if the doctor does choose to add in a narcotic, you could consider using it once you are home to decrease your pain and hopefully aid in a better night's sleep for you. I have fibro, too, and I think that sleep (or the lack thereof) plays a huge role....

Anyway, take good care - and keep us updated.
--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
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