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Going to pain management Dr.

Feb 22, 2015 5:43 PM

So going for my first visit to pain management Dr. Next week........I have fibromyalgia and it hits me with a vengeance. The nerve pain is unbearable!!! I take Gabapentin and Cymbalta for nerve pain. I hate Gabapentin it makes me stupid! I have no short term memory. I take Advil and 5 mg hydracodone (which barely touches my pain) for general pain. I also tend to build a tolerance to the hydracodone. I then have to stop taking it and suffer for a little so it will work again. Doing that now!

I work a full time job I'm a single mom, I'm just keeping my head above water!

I told my GP I didn't want to go to a pill mill. I live in Florida there are a ton! He explained that he also didn't want me to go to one that won't give me any pain medication. I never thought of that side. . So here I go.

Please if anyone has any advice on meds or what has helped them so I can have questions ready.

Thank all of you

Feb 22, 2015 7:13 PM

I'm going to follow this post, due to the fact that I'm planning on talking to my PCP this week about the possibility of me seeing a pain management doctor. Maybe I can get some good advice as well. Thanks in advance.

Feb 22, 2015 7:23 PM

Cspinelli, I went to one of the best pain clinics. I have major back issues from degeneration and osteoarthritis and osteopenia. I received epidural steroid injections at the cervical, thoracic & lumbar areas over a 2 yr period. It's still effective for the back joints and my last was a year ago. But it doesn't touch the fibromyalgia.

Feb 22, 2015 7:36 PM

Hi Cspinelli, I have been all of the med from my rumutologist, and my pain management lyrica, hydrocodone, Cymbalta, gabapentine, non steroids medication, baclofen, and now I'm about to have surgery on 3/12 fusion L-4-5 to get some kind of relief I have degenerative disc and not for sure

Feb 22, 2015 7:39 PM

That's will work

Feb 22, 2015 7:48 PM

I'm in FL as well and my pain management doc is awesome. While he gave me Norco and Methocarbamol for spasms/pain, we are treating the underlying cause with shots for now which means significantly less pill popping. Ask your new doc about all your options. I love my doc!

Feb 22, 2015 9:00 PM

I take tramadol ER (extended release) in the morning. The lowest strength is 100 mg and I'm not sure what the highest is, maybe 400 mg but it's usually good to start at the lowest. I also take cymbalta 90mg and that helps my nerve pain but get excessive sweating and memory loss. Both unpleasant but nothing else has touched the burning nerve pain that is so horrible. In addition, I have regular tramadol and zanaflex ( muscle relaxer) for breakthrough pain. I only take those for severe pain because I'm sure it makes my memory and clarity even worse. I also use a TENS unit pretty regularly as well as kinesiology tape for help in extra painful areas. A good pain dr can offer you more though. There are pressure point injections, epidurals, spinal cord stimulators and other goodies 😳. Sad that we have to even resort to these but if you want to improve your quality of life and the pain isn't coming from something that can be healed or cured, one has to do what you have to do. It can't hurt to get blood work done of micronutrients as sometimes a deficiency can make a huge difference in how well your body functions and recovers. Good luck!

Feb 22, 2015 9:21 PM

Thanks to all! It is so sad. I'm so tired if pain!

Feb 22, 2015 10:56 PM

Cspinelli, I've been going to pain management now for 18 years.. The same doctor. When I first started out, I was prescribed physical therapy, biofeedback, trigger point injections, massage therapy, breathing and relaxation techniques, etc.. Along with that, I was placed on Zoloft for my depression and Oxycodone for pain (10mg). I've had 28 surgical procedures in the last 22 years and it has taken its toll. I've been diagnosed with Fibromyalgia, Degenerative Joint Disease, Degenerative Disc Disease, long Thoracic Nerve a Palsy, Grave's Disease, thoracic Spondalytic myelopathy, sciatica, moderate lordosis, CRPS (Complex Regional Pain Syndrome), being tested for Lupus and Costochronditis. After many years, I've tried Gabapentin, cymbalta (both gave my horrible side effects so I couldn't take them), Neurontin, which did not help and of course continued with all my treatment. As I progressively got worse, I couldn't do a lot of p/t, etc. My meds were changed again to a stronger pain medication. When it became so intolerable I couldn't work any more, my meds hey again changed. Anti inflammatory meds don't help and OTC meds don't help. The gammit of meds kept changing. I then had a Neurostimulator Implant at level C-2 and it was a Godsend.... It broke and I had to have it replaced (5 times to be exact). Now there is so much scar tissue, adhesions, impingements, etc., they cannot replace it or remove it without paralyzingly me. The end result... The ONLY thing that helps me function now are strong meds. (Morphine 300mg/day, Oxycodone 120mg/day, Ativan 3mg/day, Zanaflex 16mg/day, Zoloft 200mg/day, Restoril 30mg/night). You'd think with all that, I'd be a zombie but it just helps me get by and I still carry a pain level between 7.5-8 out of 10 ON the medication... I am now working on going natural. Getting a naturopath doctor, trying acupuncture, acupressure, massage, as well as incorporating several things into my diet. Dark greens, legumes, magnesium with D, B Complex, as well as FRESH, organic herbs such as Basil, Sage, Ginger, Turmeric, and also taking Gluten OUT of my diet. I'm sorry this is so lengthy and I hope it's been of some assistance. Best of luck, I will pray for you and, once again, welcome to the community Superman!!!

Feb 22, 2015 10:58 PM

Sorry, I meant Cspinelli.... (I got my posts mixed up... Fibro Fog. LOL!!!) 😳

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