Posted 8/9/2012 5:10 AM (GMT -6)
I went to pain management once for issues with my back. I had urine screenings, I have had the psychological profile done to determine if I were an addictive person.
I found that the pain management doctor would be quick to bump me up on meds, since the more pills you take, the quicker you will build up a tolerance. I was in massive pain in my back and down my left leg. I also had Cortisone shots which only made me feel like I had the flu for 2 days, no relief with the pain.
I got bumped up again with the meds within 3 months, I took 2 pills (prescribed at 1 every 12 hours) of Oxycontin @ 30mgs. I don't particularly care for feeling that way, extended release that lasted darn near 24 hours. Also with having to drive 3 hours a day to get to work? No thanks.
The irony was, every visit he treated me like I was in the office for a fix. I understand their precautions but over all, he was terrible, attitude specifically.
I continued to see my primary physician throughout going to pain management. I did so to continue to ask questions because I had felt, is it just me or is this very quick to get me up there on meds? My primary also found what they were doing to not really make sense. My primary physician also has physical therapy offered at his office. So I was also doing PT and Chiropractic sessions along with the pain meds.
I had enough of pain management and their meds, their attitudes. I advised my primary I wanted to get off all pain meds, got on Suboxone which was supposed to be used to tapper down very much like Prednisone. My primary said it would take anywhere from 6 months to a year to get off it. I was done and off in 2 months, he was highly impressed.
Many months later due to still having too much pain, unable to sleep, I went back on 5mg of Percocet and I only take it if I really, really need it.
This way I do not build up a tolerance, that is the key to taking opioids.
I know I can control myself and my primary trusts me, especially since I kept him in the loop with pain management, their actions and the pills they were giving me. Also my ability to get off all meds in 2 months. He did tell me the insurance company called him to see why I got off all pain meds, only to go back on them. Yeah, I did, at an extremely lower prescribed pain med.
Now with Crohn's, I know it's different but I also had a constant flare for about 20 years. All along while being very ill, having the scar tissue build up within the walls of my intestine, I remained ill almost in a constant state. I would get sick a lot easier, blockages were happening a lot more and a lot easier. I never had anything to take or was given unless in the hospital. It led to an eventual lower bowel resection.
Yes, most doctors are afraid to adequately treat pain and the government has been making it even more difficult.
The ineptitude of the FDA whose experts can't differentiate between illegal use and necessary use. Their policies are causing those in pain to endure unnecessary agonies while the FDA tries to figure out how to control illicit demand.
I hope you feel much better very, very soon mtgman. When you have relief, try to cut back if possible on the pain meds. Yes it will be very difficult, the withdrawals are horrid but you want to lower your tolerance. This way when you take a pain med, it will be much more effective for you and provide you with the much needed pain relief.