Pain Management

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Veteran Member

Date Joined Dec 2004
Total Posts : 921
   Posted 7/11/2007 6:38 PM (GMT -6)   
Hi all,
I had my first pain management visit today. I had an occipital nerve block and started on duragesic pain patch...Hopefully it starts working soon. After the nerve block I felt pretty good-but it didn't last long. Did anyone else have the same experience?
Off to bed (not even 8 pm) oh, well...Maybe tomorrow will be a better day
Sara-Migraine/Headache Forum Moderator
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*~*Just because someone doesn't love you the way you want them to doesn't mean they don't love you with all they have*~*
ER Treatment Form

Regular Member

Date Joined Apr 2007
Total Posts : 189
   Posted 7/12/2007 8:17 AM (GMT -6)   

Sara, how long have you had migraines and how often do you get them?  I am just wondering at what point does the neurologist send you to Pain Management?  What meds have you tried?  I am anxious to see how the block works and also how the Duragesic patch works.  What dosage is your patch?  Also, was the injection painful and how long did it help?  Did you have a migraine when you went in?  Sorry for so many questions!

Just want to say thanks for the ER form you have on here - I have printed it and can't wait to get the neuro to fill it out. 

Hope you are feeling better. 

DX:  Migraines since June, 2006, kidney stones
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray

Veteran Member

Date Joined Jan 2006
Total Posts : 1308
   Posted 7/13/2007 9:06 AM (GMT -6)   
Hi Sara,

When I had the Greater Occipital Nerve block it took 24 hours to take full effect. Unfortunately for me the full effect wore off after 2 weeks. I do know that other sufferers have found that it's effects do last much longer than that.

As far as the duragesic patch is concerned I am afraid I have had no experience with that.

When I had the GONB I was in a bad attack which I had been in for 9 hours at the time of injection. After 3 hours the attack suddenly lifted, but then it does that quite often anyway, so it could have been the GONB or it could have been the attack lifting naturally anyway.

Interestingly when I have a severe attack like that I always have one exactly 24 hours later, and then quite often a further 24 hours later after that, and the next day I did but it was very muted and the pain levels were not nearly so high! The third day the attack was missing altogether!!!

I hope this works for you Sara. Take care

Co-Moderator of the Migraine/Headache Forum

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