Views on Tramadol for chronic back pain.

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Hibee
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   Posted 6/13/2012 3:16 AM (GMT -6)   
Hi

My back has been really playing up and had to call the doctor out yesterday as I could not move without intense pain in my lower back to the point I was sick.

I have been taking Co Codomol 30/500 for the pain but they were not helping and my doctor has changed me to Tramadol 50mg which he said was a stronger pain killer. They have helped with the pain a little but not completely I was just wondering what others views on this medication were? And have you found it a good pain killer?

Hibee

Ps I also take lyrica for anxiety but found out that it can also help for pain.
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

Fusiongirl
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Date Joined Apr 2012
Total Posts : 608
   Posted 6/13/2012 7:50 AM (GMT -6)   
Hibee
The problem with back pain is that you can be screaming in agony one minute and better the next. Nerves play a huge part too. I would say tramadol is a good pain killer at this point, maybe the dose needs looked at or other meeds introduced. I would be loathe to go on to an stronger opiate based pain killer at this point. In my experience nothing takes back pain away, just helps make it tolerable. Lyrica should help too if nerves are involved. An anti inflammatory might be useful too.
Maybe a chiropractor or physiotherapist would offer you some help and relief. Anything is worth a shot. Keep going with the tramadol, sometimes it just takes time and patience. Ice and or heat can be good, hot baths. I have found that it is just worth trying a few things, some may help, some not.
Hope this helps, feel free to ask if there is anything you can think of. Hope things improve for you soon.
Best wishes
Jane

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 6/13/2012 7:54 AM (GMT -6)   

 

  Good morninmg Hibee! wink

       I have tried the tramadol shortly after my fusion surgery back in 2010, but had little success with it. The success rate here on the CP forum is rather mixed...but we do see members doing well with it. As you know everyone is different so you may expect a mix bag of comments on it.

      Sorry I'm of little help here, but at least this will bump up your thread for you.

    Take care,

     SE wink


Moderator Chronic Pain Forum

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alsoinpain
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Date Joined Jun 2012
Total Posts : 353
   Posted 6/13/2012 7:58 AM (GMT -6)   
Hello Hibee,

I've used tramadol and it took the edge off but didn't really provide much relief for me. I've also heard people who tramadol works great for. I have a co-worker who swears by it. So my advice would be to give it a shot. I hope that helps.
My DX: There is fairly advanced, moderate to severe degenerative disk disease at L3-L4 and L4-L5 with endplate sclerosis and osteophyte formation and moderate facet osteoarthropathy. There is a transitional left lumbosacral segment with articulation of the transitional segment and the sacrum, also referred to as Bertolotti syndrome. There are degenerative changes at C5-C6 with disk space narrowing and spurring and uncovertebral spurring.

cogito
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Date Joined Oct 2010
Total Posts : 926
   Posted 6/13/2012 8:22 AM (GMT -6)   
Hi Hibee,

I've been using tramadol (mostly in the ER form as Ultram) since 2007. Until recently, I found it effective for my hip problems and o.k. for my back pain. I started with the IR in 2006, then moved to 200mg daily in the ER form the next year. A few years later, I moved up to 300mg.

It has multiple mechanisms of action: opioid receptor, NMDA receptor and Serotonin release. Because of the latter, it is also prescribed off-label for depression. Personally, I think it was helpful for my mood if not my energy for the better part of 5 years (though I hope to be off it very soon, as I think it has finally come to be inadequate for pain and no longer affecting my mood or energy).

We're all different, but I for one really did benefit from it for about 5 years.
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).

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 7281
   Posted 6/13/2012 9:25 AM (GMT -6)   
Hi Guys


Thanks for the replies to my post. I am finding it is just taking the edge of the pain this is the worst my back has been I am worried that one of the bulges in my back has gone herniated will need to go and see the doctor again but house bound at the moment.

Thanks for all the advice its appreciated.


Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

dor1813
Regular Member


Date Joined Jan 2012
Total Posts : 76
   Posted 6/13/2012 9:40 AM (GMT -6)   
I take Tramadol during intense backache.  It helps though but not for my wrist tendinitis, doesn't touch at all.

grandmaroses
Veteran Member


Date Joined Jan 2011
Total Posts : 1355
   Posted 6/13/2012 10:27 AM (GMT -6)   
I took tramadol for 6 months and while I was taking it worked extremely well however when it stopped it was sudden. The only side effect I got was an extreme headache. I hope it works well for you.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 7281
   Posted 6/13/2012 10:32 AM (GMT -6)   
Thanks for the information guys

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

bkm
New Member


Date Joined Jun 2012
Total Posts : 1
   Posted 6/13/2012 12:30 PM (GMT -6)   
I took Tramadol for a few months on a trial basis and I didn't have any results -- negative or positive. It may just be that I have such severe pain (though luckily only a couple hours a day on average) that I didn't notice. On that note, has anyone had any success with meds for managing severe pain? They think I have abdominal epilepsy, and it's a rare condition so I don't expect anyone to have any firsthand experience, but it's worth a shot. :)

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 7281
   Posted 6/13/2012 12:35 PM (GMT -6)   
Hi bkm

Welcome to the forum. Lyrica is often prescribed for severe pain I take it myself but for other reasons (Anxiety) I don't really no much else about different types of pain killers but I assume anything morphine based will be the best for pain but doctors are often reluctant to prescribe them.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 6/13/2012 3:05 PM (GMT -6)   
I was on Tramadol for close to a year and it worked extremely well....The key is that you really can't nor should you judge a medicine based on what it does or doesn't do for others...

I firmly believe that one's mind can be very powerful and if someone reads or hears that something doesn't work for others...they begin to not give it a fair shake themselves...

Even though we are all connected by pain....we are all so unique with what causes our pain...how much pain....metabolism....other medications....etc.

So...it's really about working with your Dr. and any new medication has a trial period with adjustments as needed.

But I have always given a new medicine a 100% try for a month barring any emergent reactions....

And as I'm sure you know....chronic pain is much different than acute pain. With chronic pain....the best a PM hopes to get someone to is a 5 on the pain scale...It's not about "stopping" the pain...

As well as you and your Dr. need to come up with comprehensive plan to help lower your pain in additon to the medication as that can't be the only thing.

It sounds like you haven't had a recent MRI which you definitely want to get so that you aren't just masking the pain if you need surgery.

I wish you luck and hope that this helps in the mean time...
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
 
 

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 7281
   Posted 6/13/2012 3:17 PM (GMT -6)   
Hi Snowbunny21


Thanks for your reply and advice I am going to give it a good try my doctor was talking about referring me to a pain clinic at my last visit so will need to talk to him about that as the pain has got worse since my last visit.

Thanks again

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 6/13/2012 3:39 PM (GMT -6)   
I hope I didn't sound mean...LOL...I certainly think that we all like to share our thoughts on here....I just would hate for you or anyone to not give a medicine a fair try as they may read discouraging things about a medicine online...

I really hope it works for you...and that you get a new MRI asap...and if you need to get referred to PM...then that would be good to find a comprehensive plan of action to help your pain in addition to medication...

Sending some hugs (( ))
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
 
 

grainofsalt
Regular Member


Date Joined Aug 2010
Total Posts : 215
   Posted 6/13/2012 4:00 PM (GMT -6)   
Personally, I feel Nucynta (tapentadol) is a similiar but superior medication. Its basically modelled closely to the m1 metabolite of tramadol, so its stronger than tramadol in narcotic action but weaker than the other C-IIs like oxycodone and morphine so it causes less sedation. Like tramadol, its essentially also an SNRI, but has NRI properties more potent than tramadol, but SRI properties weaker than tramadol. Therefore its usually classified as an MOR + NRI centrally acting anaglesic. Its a C-II, so despite having reduced abuse liability and the fact that it builds tolerance considerably more slowly than morphine and oxycodone, its tightly regulated.

As for tramadol, I do feel it is good for moderate nerver related pain......and tapendadol is basically a single step up and can treat up to moderate severe pain. BOTH have limitations due to low opioid actions and SNRI affects (therefore higher doses have unpleasant side effects), but both also have less gastro effects too.

For me personally, both will help with the pain but tramadol seems to have more sedation, possibly due to its stronger SRI effects.
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures helped for months, but pain is up and im having the procedure done again. Currently on 75 mgs of Nucynta (tapentadol - A MOR + NRI) 2 to 3 time per day and Soma 350 as needed.

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 7281
   Posted 6/14/2012 3:59 AM (GMT -6)   
Hi

Snowbunny no your were not being mean you have gave some good advice and advice I give over in the Anxiety forum when talking about medication. The pain is not as bad today but I am still planning a visit to the doctor to see about getting an MRI done. I found out a couple of months ago that I have Adult Scheuermann's Disease which has caused all sorts of problems with my spine.

Grainofsalt thanks for your post I have never heard of Nucynta but will keep that in mind I am new to all these types of medications but I do no about all the AD which can help with pain. I have just finished some physiotherapy which helped a little and I am about to start a mindfulness course which is supposed to help with chronic pain.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

Fusiongirl
Veteran Member


Date Joined Apr 2012
Total Posts : 608
   Posted 6/14/2012 8:11 AM (GMT -6)   
Hibee

I am glad your pain is improving, at least a little.

My mental health nurse introduced me to mindfulness a few months ago, just before my last surgery. I have to admit that initially I thought she had lost the plot but i was so wrong. She had only just finished the practitioners course and was 'trying it out' on me but I have to say the results have been good. I have had depression problems for a while and was prescribed escitalopram which has helped enormously, gave me my life back. But the mindfulness helps with the anxiety and when pain is bad. I am not good at 'letting go' but I have found that with mindfulness it is about living in the moment and I have found I can do that. Let me know how you go, I hope it helps you as much as it helps me.

Good luck

Jane

Hibee
Forum Moderator


Date Joined Oct 2008
Total Posts : 7281
   Posted 6/14/2012 8:24 AM (GMT -6)   
Hi Jane

It is good to here from someone who has done mindfulness I have heard a lot of good things about it and looking forward to the course as it will also help with my mental health difficulties. I am also on Escitalopram and have found that to be a good medication and has worked well for me.

Hibee
I try not to worry about the future -- so I take each day just one anxiety attack at a time.

ANXIETY & PANIC FORUM MODERATOR

Diagnosed with:- Asperger's Syndrome, dyslexia, gad, sad, ocd, depression, reactive arthritis and Scheuermann's Disease (Adult)
Medication:- 400mg Lyrica, 15mg Escitalopram, Serequel 25-50mg, 5mg Diazepam Naproxen 500mg, Co codamol 30/500 x 6.

grainofsalt
Regular Member


Date Joined Aug 2010
Total Posts : 215
   Posted 6/14/2012 1:50 PM (GMT -6)   
Glad I could be of some help Hibee.

It really comes down to what works for the individual. I'm enthusiastic about Nucynta because for me personally, it seems to have the least consequences, tolerable side effects (except at break through dosing), and works better than the C-IIIs in treating pain. It doesn't carry the tolerance building risks and has a lower risk for abuse than the other C-IIs (originally, it was supposed to be a C-III due to clinical trails showing limited abuse; but because its not mixed with asprin and has a suposed "likability" factor similiar to hydromorphone, its was required to be released as a C-II).

The downside is of course its newer and though it appears safer than some narcotics, synthetics are still a relatively new area in pain management, so we don't really know what the long term affects are.

One note about tramadol specifically. Tramadol has a long half life, roughly 6 hours. By comparison, Nucynta has about 4 hours half life and oxycodone has 3.5. Therefore, with tramadol, it tends to work better on repeated doses since its metabolites "linger". Its theraputic but no doubt, but you have to becareful to have that occasional window to allow tramadol to be cleared from the body so that toxicity doesn't build up. Although only a fraction of tramadol turns into the m1 metabolite, said metabolite has a half life of 9 hours.

Just my humble opinion. Best to ofcourse discuss this with your doctor and PMD :)
MRI revealed disc bulge and test injections revealed RA. Radio Freq procedures helped for months, but pain is up and im having the procedure done again. Currently on 75 mgs of Nucynta (tapentadol - A MOR + NRI) 2 to 3 time per day and Soma 350 as needed.

Post Edited (grainofsalt) : 6/14/2012 4:42:02 PM (GMT-6)

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