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Lossing all hope

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Chronic Pain
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Rodeogirl
New Member
Joined : Oct 2014
Posts : 1
Posted 10/8/2014 9:04 PM (GMT -8)
I have been suffering with chronic back pain since September 2005 due to a car accident I was in. It took me two years to finally be at the top of the list for surgery. I had an infusion February 13, 2007. I went for months of painful therapy and pain medications. Ever since the back surgery I have had unwanted increase in back pain. I have noticed that over the years the pain has increased and is much worse in the winter and when it is damp outside. I really started looking more forward to summer. Summer was the time when I had less pain and was more mobile. This summer was a big disappointment. I had more pain this summer then last, due to the dampness, and there were nights when it wasn't so nice out. I had been warned by people I know who have had some kind of metal in their body tell me that the cold can cause you a great deal of pain and they were 100% right. As soon as I get outside the cold instantly goes right into my back. The rest of my body can be warm but my back is like putting your hand in a freezer. I have purchased back wraps that lets off heat for 8 hours so that I can get out and do my shopping or go to appointments. It does keep my back fairly warm but as soon as I remove it, the pain becomes much worse and many of times unbearable. There are days when I can't even get out of bed. I try to sleep in different positions, pillow between my legs, heating blanket under my sheets but once the cold sets in I'm doomed.( the heating blanket shuts down after a certain time. I have spent many of nights frustrated and in total tears just praying that I would be given a miracle and have all my pain disappear.

I have become depressed and I feel at times like giving up. I hate living this way but I am also afraid to try a lot of pain medications in fears of becoming addicted. I started going to a pain clinic and tried some of the narcotics, but I hated the effect they gave me and again I was afraid to be addicted. I eventually asked to be transferred to a closer clinic as the drive was long and in the winter I had more pain. I just couldn't handle it. By the time I'd get home my pain was even worse. I also know that when I was tense it would also irritate my back even more and the highway I had to take to the clinic was very dangerous in the winter even for someone who hasn't got chronic pain. Before I was transferred I took a Pain management Educational 6 week class. I learned a lot and met a lot of other people living with some kind of chronic pain. When I transferred to a clinic closer to me I first informed the doctor of my fear of being addicted. He seemed to have understood and said he could still help me. I started using the Butran patches and was increased slowly in hopes that it would be my pain relief. It did give me some comfort but I still had those days when the cold set into my back and the patches helped in no way. The doctor started to give me pills to use for those really painful days but I learned that they were narcotics and I didn't feel right. I would feel off, light headed, some gave me horrible migraines and some even made me vomit. I was so discouraged as I know that there are other medications that can help me with pain and that aren't narcotics but he hadn't given me any.

I went in one day after my husband had noticed that my back was becoming quit bruised as my pain got worse. I was finding other bruises on my body which didn't make sense. I explained to my pain doctor and also showed him the bruising on my back and in other areas. I was shocked at his reaction. He told me that it was my fault and that he couldn't do anything for me due to me not wanting to take any narcotics for pain. He just gave up on me. He told me that I need to go to my family doctor for pain medications. I felt so alone. I left the clinic and sat in my truck and cried. I didn't know how I was going to do this alone. I got home and had another break down. My daughter sat with me and comforted me for some time.

I ended up getting a call from that same doctor that very day. I had my phone on speaker so that my daughter could hear what he had to say. She was floored and speechless. He had the nerve to call me up to tell me that my bruising was from a heating pad. I have used one at certain times but I can reassure you that it wasn't from a heating pad. The heating pad that I have used is much safer then the original ones. The heating pad I have, wraps around your waste and has three settings. It also has a timer on it. It instantly goes off after 20 minutes. I contacted the company who makes the heating pad and they reassured me that, the heating pad has been made to not burn your skin. My daughter decided to do her own test and she used the heating pad over the weekend for 48 hours straight. Every time it would shut off she would turn it back on. Within the 48 hours, she had no burns on her back. I also had a friend who is a nurse drop by and look at my back. She told me that what was on my back wasn't a burn from a heating pad it was from the pain. I can't remember the name she gave me but she explained that if you have a great deal of pain it can cause bruising. She pulled up a web site and read to me all the details. I went to my family doctor and showed him my back and he agreed with me. It was bruising and not a burn. My doctor was very disappointed in how I was just discarded.

I told my doctor that I need something for my pain and that the pain doctor told me that I was to get him to prescribe me something for my pain. Unfortunately my doctor wasn't able to, due to the new rules. He told me to contact the pain clinic and tell the doctor that he needed to send a letter to my family doctor stating that he was no longer treating me and that my doctor was to treat my pain.. That never ever happened. He only sent my doctor a letter saying that he couldn't help me because I refused to take any narcotics. I called three times asking him to send the appropriate letter so my family doctor could help me manage my pain and its been months. I have been suffering all these months and the pain is getting even worse. I figured after a few months that my family doctor would finally help me with my pain knowing that no other doctor is giving me pain medication but he is paranoid now with all the rules and doesn't want to get himself in trouble. I can understand his point but my records would show that I haven't seen any other doctor for pain medication. I have been taking Tylenol #1 but they only help a little bit. Taking to much Tylenol is also dangerous for my liver. I am at the point where I am even more depressed and I have lost weight and all hope. I can't eat because the pain is so unbearable that I feel so sick to my stomach. I don't know what to do anymore. I have had people tell me that maybe my only way to pain relief is street drugs. That is the biggest NO for me. I have never and will never try any kind of street drugs. I have also been told to have a few stiff drinks.


That to is a big NO for me. To top it off I have type 2 diabetes and I'm on 500mg of Metformin twice daily. I have a sleeping problem which I was diagnosed 4 years ago. I take sleeping pills but they are no longer helping because my pain is so bad It keeps me awake. I also need to say that I have had my family doctor for over 20 years but I have noticed lately that he isn't on the ball as he use to be. He has talked to me about sending me to another pain clinic that has opened and is close to me but it has been 3 months and he still hasn't made any arrangements for me. I have gone in and reminded him and I have also called his secretary to ask her to remind him but still nothing has been done. Last week I had to make a heart breaking decision. I decided that I need to find another doctor in hopes that I can get some help and get into a clinic.. I had my first visit Monday and she seems very caring and understands my pain and frustration. She talked to me about a pain clinic that she has sent some of her patients to and is going to refer me to that clinic. I will find out the results this Friday. I hope that she is on the ball and does, because I really don't know how much more pain I can take. I thought giving birth was painful. The pain I have to live with each day is so much worse. At least once you deliver, the pain is gone.

I know I have rambled on but, this site seems to be where people can let it all out and release some of their emotions and frustration. I just want to have more painless days then I have been having. I don't know what a day is without pain. I have a very supportive husband and kids but I see how my pain stresses them out and I don't want to put my family threw it. I have found that my daughter worries all the time about me and I can see how it's caused her some depression to. It's just wrong that my family also suffer. I actually feel some what better letting this out.. I feel like some of the weight has been lifted off my back.
I just want some help and some relief from the pain. I have been falling farther and farther into a deep depression and I'm scared I won't be able to come out. Is there any hope and if there is, WHERE?

Post Edited By Moderator (nvrthesame98) : 10/9/2014 4:06:04 AM (GMT-6)

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quincy17
Veteran Member
Joined : Feb 2013
Posts : 1280
Posted 10/8/2014 10:49 PM (GMT -8)
RG,
I am a tad confused . . . Are opioids a BIG NO for you as well? You stated at the first third of your post that the pain Dr. Wrote your GP that he couldn't help you because you refuse to take narcotics. I was also an adamant NO pills kind of guy but cancer has changed my mind. If I'm right on this subject, let me know please. There are some very mid opioids out there that might take the edge off the pain, you might be at the stage that opioids are the only thing left. . . Q

PS: Welcome to HW!!!
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Sometimes i am me (HT)...
Elite Member
Joined : Mar 2009
Posts : 22607
Posted 10/9/2014 1:41 AM (GMT -8)
i wanted to read your post but i am vision impaired. if it can be put into paragraphs i will try. in the meantime i send many healing thoughts your way.
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nvrthesame98
Veteran Member
Joined : Jun 2008
Posts : 6706
Posted 10/9/2014 2:42 AM (GMT -8)
Hi and welcome to CP! I went in and inserted paragraphs as HT said many of us are vision impaired and reading without breaks is impossible and I didn't want anyone who possibly could help you not to be able to due to reading issues.

I have to ask this question and please take no offense, have you researched the difference between addiction and dependence? Has none of your Dr's explained there is one? Please do so and you might find the blue sticky information threads at the top of this page helpful I in better understanding chronic pain, narcotics therapy and many other issues we live with in this CP journey.

Your life seems unbearable, your depressed by your own admission, you don't have much life outside pain and yet none of that trumps the fear of addiction? Butrans is narcotics just as oxycontin, morphine, hydrocodone, same classification, same potential for abuse and addiction but less pain relieving quality?

Dr's don't generally care to continue to see patients who complain of horrific amounts of pain yet refuse treatment? You said there are non-narcotic meds that could help you but he wouldn't prescribe truth them? Why? Likely because he has tried them enough with ppl who have like symptoms or issues as you and they offer no relief? Why did you not ask your PCP for those meds if he doesn't feel comfortable writing narcotics? Most primary Dr's these days stay clear of all the hassle required to treat PM patients.

None of us given the choice would be on narcotics and most of us fought against that for as long as it took for us to realize this isn't living and our constant suffering has a terrible bearing on those who love us as your finding out by your daughter and the fact that the chronic part of CP means this is Not going away and continuing to suffer and the effects of that suffering on my family and self makes any fear of possibly becoming dependant on a med seem trivial at best.

It's nice to think there is a quick fix and that surgery and therapy, etc can make something chronic go away. In reality chronic isn't going away and the best chance we have of living a somewhat normal life is to be open to the idea that we may have to do many things together to bring the pain issues to a point of bearable and restore some quality back into our lives.

Good luck with your search for a Dr and I apologize for sounding harsh but you have to reach the first step to living with CP so you can and that's understanding what CHRONIC is.

Welcome aboard and you will find that helping others and gaining whatever knowledge available is an important part of HealingWell.
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jpjr50
Regular Member
Joined : Jul 2013
Posts : 415
Posted 10/9/2014 4:37 AM (GMT -8)
There are narcotics meds that aren't addictive.  Xartemis XR comes to mind, it's a daily pill that doesn't dissolve (takes 12 hours) quickly so it doesn't hit hard.  Nucynta is a mild narcotic extended release tab which also is non-addictive.  So there are some options here and non-narcotic meds like Tramadol (few others).  Do not get discouraged, there is help out there.  We've all been through the "I give up" stage before.  I can control my pain monthly with meds and help from my PM Dr. 
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freebutterfly70
New Member
Joined : Sep 2014
Posts : 11
Posted 10/9/2014 9:50 AM (GMT -8)
My heart goes out to you - so very sorry for the daily pain. I'm glad you have a loving family - do you also have other support like a therapist, support group or a church family to lean on? Have you talked to any of them about the pain management issues to get their perspectives?
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Mercy&Grace
Veteran Member
Joined : Jun 2013
Posts : 1918
Posted 10/9/2014 11:43 PM (GMT -8)
Xartemis XR contains oxycodone and acetaminophen and for some people it can become addicting. But, unless you've have a drug addiction problem or have in the past, you shouldn't have any problems taking meds like Xartemis XR. As someone said earlier there is a difference in dependency and addiction.
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jpjr50
Regular Member
Joined : Jul 2013
Posts : 415
Posted 10/10/2014 5:30 AM (GMT -8)
I took Xartemis XR for 2 months and I can tell for me it had zero addicting qualities.  For an example I took Exalgo (dilaudid ER) for 2 months and went through withdrawl when I stopped taking it (had a thread about it last year on here).  For both Xartemis and Exalgo you cannot feel that you've taken it since it is a daily prevent med.  However, I knew exactly when I stopped taking Exalgo big time (withdrawl) where as Xartemis when I stopped I got nothing. 

Nucynta (Tapentadol) for me is the same thing.  I don't even know why it's in the opiod category.  It does nothing for me when taken on it's own.  I feel nothing when I've stopped taking it after years.

 

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Mercy&Grace
Veteran Member
Joined : Jun 2013
Posts : 1918
Posted 10/10/2014 6:31 AM (GMT -8)
jpjr50, I know what you're saying and I am the same way. I haven't ever had any problems taking or stopping the meds I've taken that can be addicting for some people. But, just because you, I and others can take these meds with no problems doesn't mean that everyone can. Most of us who have been walking this chronic pain journey for a number of yrs are familiar with the meds and those that may cause psychological dependency as well as physical dependence. But, not everyone is well versed on these topics. I just wanted to clarify for the OP as well as others who may read this thread that Xartemis XR contains oxycodone and can cause psychological addiction in those who are inclined to have those problems. The OP hasn't answered the question about why they can't/won't take opiates.
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jpjr50
Regular Member
Joined : Jul 2013
Posts : 415
Posted 10/10/2014 7:48 AM (GMT -8)
I know what you're saying, caffeine is psychologically addicting, so is nicotine, etc. Some people can handle such things and some can't.

Maybe the OP will specify why they can't take a certain med.
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Dixie6
Veteran Member
Joined : Aug 2014
Posts : 1022
Posted 10/10/2014 10:39 AM (GMT -8)
Hey RG...First let me say that I am sorry that you are suffering.  It helps to feel "heard". I read in your post that you should "hear something Friday" regarding a potential new PM.  Have you heard anything yet?

Dixie

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quincy17
Veteran Member
Joined : Feb 2013
Posts : 1280
Posted 10/10/2014 2:34 PM (GMT -8)
Hiya Rodeo,
Here's a quote fromthe NM law on pain management which includes the definitions of addiction and physical dependence. I thought it might help: " Addiction" is a neurobehavioral syndrome with genetic and environmental influences that results in psychological dependence on the use of substances for their psychic effects. It is characterized by behaviors that include one or more of the following: impaired control over drug use; compulsive use; continued use despite harm; and, craving.
Physical dependence and tolerance are normal physiological consequences of extended opioid therapy for pain and should not by themselves be considered addiction.

The difference between the two is clear, one is primarily psychological and the other is primarily physiological. Your post seems to include Rx drugs like OxyContin and Oxycodone as street drugs. Yes, they are available on the street along with many other prescribed drugs but please don't let that discourage you considering them for helping you to lead a more normal, functional life . . . Q

PS: Definitions from "Management Of Pain With Controlled Substances/ State Of New Mexico"' 04/03/2005.
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White Beard
Veteran Member
Joined : Feb 2009
Posts : 3740
Posted 10/10/2014 3:41 PM (GMT -8)
Hi Rodeogirl and Welcome to Healing Well Chronic Pain Forum. It definitely seems that you have had a really hard time of it! Allot of people have fear of addiction when using pain meds. And you have gotten allot of good responses about this subject. I think in allot of ways it just comes down to a question about the quality of life and setting your priorities on how to attain it! As previously stated there is a big difference between addiction and dependence when using pain medications. Allot of medications can cause physical dependence, ( your body literally becomes dependent on having that medication to function and if it is suddenly taking away, the body reacts to that in various ways) this can happen with heart medications and blood pressure medications and a host of other medications, including medicines that treat diabetes! Some of these medications can be extreme dangerous and can even be fatal if you suddenly stop taking them for a long period of time! That is why it is extremely important to be properly weaned off of such medications. However with a majority of pain medications, if you suddenly quit taking them, your body will probably have a reaction, and although it will often be very very unpleasant, it is highly unlikely that it will be fatal or leave you with any injury or damage!

As long as you use the prescribed pain medications as prescribed, and you are only using them to manage your pain, you have little to fear about addiction, yes your body will probably become physically dependent on them just as it is with any other medication that you might take, i.e. blood pressure medications, medications for diabetes, etc. But actual addiction is rare when taking pain medications properly to treat pain! The people that are addicted to prescription pain medications, are not taking them to treat physical pain and they are usually not taking them as prescribed either! To put it bluntly they are abusing the medication, and make it allot more difficult for the ones that use and need pain medications legitimately !

I wish you well on your journey to find relief for your pain, again I Welcome you to the forum, and know that when your here on this forum your not alone with your pain!

Good Luck to You!

White Beard
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Screaming Eagle
Veteran Member
Joined : Sep 2009
Posts : 5005
Posted 10/11/2014 7:05 AM (GMT -8)
…..I'm going to have to disagree with the member who states that Nucynta is a mild narcotic and non addictive. Nucynta comes in many different strengths, and a patient can certainly become dependent on it.

SE
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Screaming Eagle
Veteran Member
Joined : Sep 2009
Posts : 5005
Posted 10/11/2014 7:07 AM (GMT -8)
Hello Rodeogirl and Welcome!

…..lots of good reading here! Enjoy the forum!

SE
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