I had a Lisfranc fracture of my foot 2 years ago and since have had a miserable time with arthritis and nerve pain. My Dr told me on Friday that he is not really sure where to go from here, but we should use this week to come up with ideas on what to do next. I thought he was the 'idea and script' man and I was the whiner with a sore foot.
I have seen previously a chronic pain specialist who said that my drug regimen was OK, but I never asked him what I should do if my Dr didnt know what to do. I have also seen a Ortho surgeon who thought I should not take anymore drugs and just take vitamin C and if I wanted my foot amputated he would refer me to a Psych Dr, because that is the first step in the process. I was referred to these Drs because my Dr thought it would be good to have another Drs opinion.
My drugs are 600mg pregabalin and 50mg amitriptyline at night. 20mg/10mg oxycodone/naloxone, 665mg paracetamol three times a day and 100mg tramadol as needed, usually once a day, sometimes not at all.
My nerve pain drives me crazy, absolutely crazy. It feels hot, cold, tingly and sometimes like it is not their at all. When my foot was first repaired the surgeon said if he had to cut through the nerve bundle he would because function was more important and I thought OK, whatever.
The constant achy/stabby 8/10 pain is just ridiculous, I mean, its so bad, I just want to, you know what, I dont even know.
The drugs I take cause restless leg syndrome, especially amitriptyline, making my legs twitch at night, my drugs have been changed around to reduce this to no avail, my Dr wants to control pain first then twitchy legs second.
My physiotherapist told me I needed to walk, I told her I couldnt, but she told me I needed to maintain the movement that I had and by gently stretching the tendons I would gain more. It was the best thing, my foot no longer swells up but I still get alot of pain. So I walk with a limp, but I make walking a priority everyday.
I have read heaps of Chronic pain posts in the past couple of days and compared to everyone else I think, yeah, I am not as bad off and I am probably a whiner. But I really dont know what would treat chronic pain other than the drugs I already take.
Many thanks for reading my post.