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Monday, November, 23, 2009
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my doctor is not prescribing me anything for my chronic pain that works. please help.

Medstudent489
12/11/08
Medstudent489
Topics:Ask the ExpertChronic PainLower Back PainNeck Pain

I'm 19 and have suffered from chronic lowerback and neck pains for a couple of years now, my doctor keeps prescribing me NSAIDs. I've tried to explain to him that they aren't working; They do nothing for the pain. I do know that opioids work for my pain, but only for a limited time. Do I have to go to a chronic pain specialist to get this type of medication, if not, then how could I communicate this with my doctor? I'm tired of constantly being in pain, and its' getting in the way of daily activities. I really don't think that my age has anything to do with it... I know a 16 yr old who is prescribed Oxycontin for headaches, so why can't my doctor give me something similar when I was diagnosed with chronic pain?

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Answers (3)
Sweetie
Friday, December 12, 2008

I am very sorry to hear that you have been suffering from chronic lower back and neck pain for years and at such a young age.  I just want to point out to you that you need to be extremely careful in taking opiods for pain.  My husband has been suffering from chronic pain - back and leg pain for 15 years.  He has had 2 surgeries.  The doctor was prescribing Tylenol 3 for years until my husband had stomach problems with it.  He then went straight to oxycodone.  He was initially taking 2-3 a day and went up to as high as 12 per day.  He is now trying to reduce the number with the intent of totally getting off the drug. 

 

Please be very very careful in taking opiods.  They are very addictive.  I will let the expert better handle this one, but I have done much research and apparently opiods will 'trick' your brain into thinking that you are having more pain and need more medication, wherein it is usually an addiction and you will get a tolerance for the amount you are taking and your body will crave more of the drug. 

 

The doctor should have monitored this drug and switched it up from time to time to avoid the dependance.  Your doctor should also be monitoring your blood on a perhaps 3 month basis to watch for kidney/liver damage.  My husband's doctor did not of these things.  He has been taking oxycodone for 5 years, with no breaks.  The drug is not working to relieve his pain.  We have recently found another doctor who will continue to prescibe oxycodone, with the goal to get off the drug.

 

He is seeing a rehab counsellor and may enter a detox centre to totally get off the drug and then see how his pain really is - if it is the drug or really his back.

 

He has also gone to a pain clinic for 3 weeks.

 

The side effects of this drug are horrible and are also withdrawal symptoms.  My husband has horrible mood swings, irritability, anger, severe sweating, fatigue, confusion, memory loss and communication problems with everyone around him, among other things.

 

Please, please please think long and hard before starting on a narcotic.

 

I would suggest that you get a referral to an orthopedic surgeon to see what is going on in your body.  Perhaps he/she will order an MRI and then will proceed with some sort of treatment plan.  This may include non drug therapies, exercise, physiotherapy, accupuncture, etc.

 

Read and research as much as you can and get your parents help if that is feasible.

 

Please consider all other options before starting on oxycodone or any other narcotic.  Your friend should also be careful about taking oxycodone for headaches.

 

Good luck and I hope you find some relief soon.

Miss Val
Sunday, December 21, 2008

Time to go to a different doctor or request to go to a doctor that specializes in pain management.  My heart goes out to you.  I know what it is to suffer with chronic pain and have doctor's think you are just med seeking, however, I do understand the difficulties they have disserning between the med seekers and the people who are truly in need of stronger medication so that they can have a productive life.  I don't blame them for misjudging sometimes as it is probably nearly impossible to tell the difference.  Doctor's have a very difficult and complex job so my best advice is to be understanding of their difficulty and switch so that you can get the help you need. :)

bob1947
Wednesday, December 24, 2008

bob1947

            Try hydromorphone 2 mg 4times a day as needed . I was on them for 3 yrs. and they worked just fine.

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This video explains where back pain stems from by taking you through the anatomy of the back. 

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