First PM Visit - Somewhat disappointed

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New Member

Date Joined Mar 2011
Total Posts : 14
   Posted 4/9/2012 5:20 PM (GMT -6)   
He said my pain wasn't too bad, because he palpated on my back, arms, and legs and none of that hurt to me. All the doctors I've been to have done that and that has no effect on my pain, but I know that my pain really hurts and is frequent, it's just not brought on by touching. Is that uncommon? Do most of you cringe in pain when the doctors do that test?

Anyway, he prescribed me an NSAID and some muscle relaxer. I guess those are okay to keep taking the tramadol with? Also, he prescribed PT, which I haven't tried before, so we'll see.

Veteran Member

Date Joined Oct 2009
Total Posts : 5028
   Posted 4/9/2012 7:15 PM (GMT -6)   
Welcome contranigma, to the forum.
If he's checking for fibromyalgia tender points, just touching may not be pressing hard enough. It doesn't have to be hard enough to cause pain in a normal person, but it does take a certain amount of pressure for some of us. A lot of doctors don't know exactly where to press either. I've been tested by several docs, including my pain doc, who didn't get it right. My rheumatologist has me nearly jumping off the table.

NSAIDs and muscle relaxers are frequently prescribed for fibro and other types of pain. They work for some, not for others. Some meds, like Flexeril, can cause serotonin syndrome when prescribes with tramadol. I've gotten this from even taking both at low doses within 24 hours. I start with muscle twitches, progress to severe overheating and turn beet red. I carry diazepam with me, with my PCP's blessing, because that will stop the reaction.

If your doc diagnoses fibro, you may have to try a lot of different meds before you find the one or combination that works for you.

I don't get much benefit from NSAIDs, but am helped with only 5 mg amitriptyline (Elavil) at night on top of the tramadol. I can't go any higher because amitrip also causes serotonin syndrome - for me. Amitrip also raises serotonin - like tramadol does. I must need just that little bit more of a boost.

Regular Member

Date Joined Apr 2011
Total Posts : 463
   Posted 4/9/2012 9:37 PM (GMT -6)   
i just found out from my Pdoc (& Gastroenterologist) that Tramadol is common 2 react with tons of medications. And Tramadol & Naproxen R not good 2 take on a daily basis cuz it is very hard on Ur stomach & liver. i was very shocked @ this cuz 1-of my Doctors prescribed both of those 2 be taken daily (knowing that i have an ileostomy & i already take Tyl. #3 for something else, but not for pain).
And honestly, Tramadol & Naproxen do not even touch the pain level. i can't believe that it can help anyone 4-pain...Lol  i'm assuming that it helps someone cuz its so commonly given out. i'm not sure if it doesn't help me cuz i have a Huge tolerance level.
Well, good luck. Keep us posted.
Ur Healingwell Friend,

Veteran Member

Date Joined Oct 2010
Total Posts : 932
   Posted 4/9/2012 9:55 PM (GMT -6)   
I once went to a doctor who pressed on my cervical vertibrae and said that they are not the cause of my pain since if they were, I would be screaming in agony from his touch. He then decided that my problems are caused by my shoulder. He said this even with an x-ray in front of him that showed my scoliosis.

Needless to say I never went back to that quack. Since then, my vertebrae have become more tender, but still touching them isn't too painful. Six inches away, though, there is a burning spear jabbing into me right now.

When I get injections into my back, the doctor presses quite hard and I tell her when she's hit a trigger point. The injections are extremely painful, but just touching, even forceful, is trivial by comparison to the pain I'm in just from the routine of the day.

As for tramadol and other meds, the only major issue I am aware of is serotonin syndrome, which could occur if you're taking anti-depressants. For what its worth, I take Ultram ER 300mg and have no trouble with muscle relaxants or NSAIDS. I find that the Tramadol makes a difference with my hip pain and I can really feel the difference on the days where I forget to take it. But it isn't enough to keep my back pain under control.
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 & 2-3x 10mg Hydrocodone daily. Oxycodone 10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia). [/gray

Veteran Member

Date Joined Jul 2009
Total Posts : 2042
   Posted 4/9/2012 10:08 PM (GMT -6)   
I know someone has to hit me in the right spot with the right amount of pressure before it hurts. When they do "get it right" it is all I can do not to either go running for the nearest exit or punch them in the head.

If someone presses just outside that area it actually feels good especially if the palpitate (thump) the area.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.
Moderator Depression Forum.

Regular Member

Date Joined Jun 2011
Total Posts : 95
   Posted 4/10/2012 8:06 AM (GMT -6)   
I think that this is the wave of the future. Doctors and pain management specialists are going to become increasingly unwilling to prescribe truly effective medications due to the current hysteria over narcotic painkiller abuse. I'm glad that I am only using tramadol now and that it works for my pain. If I needed something stronger, I probably wouldn't be able to get it.

Regular Member

Date Joined Mar 2012
Total Posts : 124
   Posted 4/12/2012 4:55 PM (GMT -6)   
Do you have Fibro? NSAIDS don't work for Fibro generally as Fibro is not an inflammatory illness. Any Dr. that first suggests that to me, I know that they don't know much about it. It may help with the pain reliever part but that's it.

As far as hurting from the touch itself - I don't hurt much from the touch. Many people always apologize after they hug me and I tell them don't worry I'm a hugger! I hurt on the inside like I've been beaten to the bone. Soma works for me as a good muscle relaxer.

Of all of the Dr.s I've seen, the PM Dr was the least effective or knowledgable in my opinion. She even had Fibro. Her attitude was one of "dont' try to pull one over on me as I have it too and I know all about it". HUH? Her bedside manner was a huge turnoff to me.

My diagnosing Rheumy was awesome, gave me great info! Unfortunately he doesn't treat Fibro. I now drive an hour one way to see a rheumy who treats me. He is up on the latest news and research and is willing to travel this long road with me. We try lots of different things and although lots of things don't work but he doesn't give up on me - at least he hasn't yet. LOL

I say mark this one off your list and move on to the next. There ARE good Dr.s out there who are willing to help. We're not easy because we're not a quick fix. Dr.s like to fix and make all better.

Good Luck to you!
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