Friday, October 24, 2014

Monday, August 03, 2009 kk, Community Member, asks

Q: constant pain, seems to be worse at night

I have pain when I walk and mostly at night on the left side, where my leg connects to my hip and down the left side to my knee and down to middle part of my leg.  I can't sleep at night, this is when the pain is the worse.  Do you have any suggestions?  I also take Pravastatin Sodium, 40Mg.

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Answers (10)
randy100, Community Member
8/ 5/09 7:38pm

Hi,

 

Before I go to bed, I take a continuous release pain medication and also take 2 mg. or so of  2 different types of benzodiazepines and I usually go right to sleep and will sleep for about 4 hours and then will wake up in pain again, intractable pain (chronic pain) is no fun at all as we all know that have it. 

 

Depending on the time of night or early morning hour, I will take immediate acting pain medication and another 2 mg. or so of 1 type of benzodiazepine and go back to sleep for awhile or I will get up early, depending on what time it is.

 

Doing this takes care of my pain and allows me to sleep as well, without doing that I wouldn't be able to control my pain or sleep.

 

Everyone has a different way of doing things and everyone is different but this is what I have found that works the best for me and has for a long time.

 

Wishing everyone a comfortable and pain free evening and night if possible.

 

Randy.

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jo, Community Member
8/ 5/09 5:57pm

I have tried melatonin in the past when I couldn't sleep due to bad back pain and migraines. It's a natural supplement, I believe available in 3mg and 6mg tablets. You can get it from Walgreens, or a natural foods store, even some grocery stores. You take it 30 min. before you want to sleep, and you will start to feel a little sleepy. I have had better luck with that than with the tylenol p.m. since that makes me groggy when I wake up. Good luck!

 

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sue041, Community Member
8/ 5/09 6:49pm

I take 75mg of xanax at night along with 300mg of Neurontin and 75mg of Nortriptyline. Sometimes I can fall asleep, for about two hours then I am up till after 4 the the morning. It is so hard to lay still when you are hurting and can't find a position to help you relax.

Best of luck.sue041Yell

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ALifeWorthLiving, Community Member
8/ 5/09 6:15pm

Has your doctor provided you with any stretches that you can do before you go to bed?  I went to a chiropractor in early 2006 for severe lower back pain.  This was the first Chiro. that I have been to (and I've been to many) that taught me stretches to do every day and whenever my back starts to act up that have made it possible for me to manage and alleviate the pain.  In my case, much of my pain was caused by muscle spasms.

 

I need to do these stretches right before I go to bed or I, like you have pain that keeps me up.  In some severe cases, I need to take ibuprofen, which acts as a muscle relaxant.

 

Might be something to try.  Hope it helps.

 

Deb

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stadalberts, Community Member
8/ 5/09 6:35pm

Is it possible you have problems with your sciatic nerve? I have pain in the locations you describe, and I will occasionaly get a spinal injection, which clears it up almost immediatley.

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Chris2245, Community Member
8/ 5/09 11:21pm

I also have pain at night.  I am tking Trazodone 50mg. and Zaleplon 10mg. (which is Sonata)  Sometimes this is not enough.  I used to take Rozerem, but the ins. co. jacked up the price too high.  So, anyway, I take Valerian and 12mg. of Melatonin.

I also take a Tramadol about a half hour before going to sleep, this is my pain med.  I sleep with a long body pillow under my stomach & between my knees.  I sleep on my side.  You might have sciatica.  Have you seen your doctor about this?  It's horrible having pain all of the time.  Then people in your life dn't seem to get it!  (Sorry about that!  It kind  of slipped out!)  Anyway, maybe this might help.   

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Blumrninglry, Community Member
8/ 6/09 8:12am

Chronic pain can be very difficult to manage but there are some small things that can help you re-take control.  Have you tried meditation before bed?  What about Yoga or some other daily stretching/relaxing routine?  You might ask your doctor if seeing a physical therapist would be a good idea - and they teach you stretching and exercises specifically for your pain.  This could lessen the sciatic nerve pain you describe radiating down your leg.  A warm bath followed by a cup or two of chammomile tea is relaxing.  Do you have one of those large gel-packs that can be cooled or heated before placing on low back/hip region?  They are available at most medical supply stores in the larger sizes and are good for relaxing muscles as well.  Good Luck and Sound Sleep!

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jerry hesch, Community Member
8/ 9/09 10:12pm

NICE SUGGESTION RE USE OF ICE OR HEAT, HOWEVER, THE GEL PACKS DO NOT GET COLD ENOUGH FOR ME. SO I FREEZE SEVERAL WATER BOTTLES AND APPLY THEM DIRECTLY. YOU CAN EASE THE TRANSITION OF REAL COLD BY APPLYING A VERY WARM WET TOWEL, BETWEEN SKIN AND FROZEN BOTTLES, SEVERAL LAYERS THICK AND IT WILL CHANGE FROM WARM TO COLD TO FREEZING RATHER GENTLY. I KEEP IT ON AT LEAST 15 MINUTES. ALTERNATELY ICE CUBES IN SEVERAL 1 GALLONG ZIP LOCK BAGS WITH AIR REMOVED IS GOOD FOR LARGE AREAS.

REGARDS

JERRY HESCH, MHS

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ptlevinson, Community Member
8/ 6/09 8:22am

Hi,

 

Based on the other answers, I'd ask whether you have had an MRI to show if you have herniated discs? The other responses are helpful for people without herniated discs, but you can stretch until the cows come home and the pain won't go away if a piece of your disc is sitting on a nerve. When this is the case, I have found that only carefully managed narcotics help me sleep through the night. I'm on Oxycontin b/c my body acclimated to codeine. But I usually only use at night, and pace myself with acetaminophen during the day.

 

PT can possibly get the disc to recede. If that works, great. If not, surgery may be an option. I had 2 surgeries in the 90s and was able to function for 12 years until just recently when another disc went. I may have to have more surgery, but may just deal as well. I was approved for disability, which relieves the pressure to work full time (in fact prohibits it), and I only took that step after 18 years and multiple issues. Talk to your doc about an MRI, be as conservative as you can stand, and good luck.

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prplehaze, Community Member
8/ 8/09 10:01am

I agree that this could be a disc problem and, if so, then stretching is not likely to do any good.  I have had four surgeries, the last of which was a two level spinal fusion, which unfortunately had complications so the pain has never actually gone away.  i would try stretching if I could, but I can't.  Pain meds don't really help sleeping since they only reduce pain to tolerable level and not really to where I can sleep.  One thing I would suggest is to see how different positions affect you.  Through trial and error I discovered that the only position in which I had any hope of falling asleep and staying aasleep for a couple of hours was sitting propped up with several pillows and with my knees propped up on another pillow.  I can't sleep on my side or on my stomach which were my preferred positions before my last surgery.  You just have to keep trying different positions with different combinations of pillows.

 

I storngly urge you to have a scan done - MRI is preferable to determine if there is a disc implicated.  However, only go through surgery as the absolute last resort.  The latest literature indicates that disc issues are just as likely to resolve themselves without surgerya as with and once you have a single surgery, you are more than likely going to have more.  Good luck.

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jerry hesch, Community Member
8/ 9/09 10:16pm

ALSO CONSIDER DISCOGRAM, AND CT SCAN, EACH TEST TELLS SOMETHING DIFFERENT. USUALLY A DISCOGRAM IS OF COURSE COUPLED WITH FLUROSCOPY BUT ALSO WITH CAT SCAN IMAGERY WITH/WITHOUT CONTRAST. THAQNK gOD, THEY ARE BEING RE-"POPULARIZED" FOR THE CERVICAL SPINE, VERY RELEVANT FOR SOME SUCH AS MYSELF-I ASKED FOR ONE: BINGO!!!!!!!!!!!!!

JERRY HESCH, MHS 

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zenkitty, Community Member
8/ 7/09 8:32am

I make sure I follow a strict bedtime routine.  I relax with a good book or an hour of tv before bed.  I also take flexeril and ultram before bed.  That combination helps with pain and relaxes me enough that I can let go into sleep. If I get up to use the bathroom at night, I fall right back to sleep.  I have done this for several years and it really helps.  I still have an occasional night where I have trouble falling a sleep and/or staying that way but they are very rare.  I feel rested and ready to go when I get up in the morning. I hope this helps.  In peace, zenkitty

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nancyk, Community Member
8/ 9/09 5:38pm

Have you considered myofascial trigger point release of the iliotibial band or psoas muscle?

 

Also I sleep only on my right side with a regular pillow between my knees and my knees together...a kind of fetal position and take 2 mg klonopin about 3 hrs prior to bedtime or at bedtime. However klonopin is addictive in that you will go into withdrawal if you try to get off it. But it works for me. In addition to your pain I also have tarsal tunnel syndrome so the pain runs from my groin to my foot. Klonopin also raises your alpha, which we already have too much of, but cost/benefit ratio!

 

Also I love my hot shower and exercises before bed!

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jerry hesch, Community Member
8/ 9/09 10:26pm

"I also have tarsal tunnel syndrome so the pain runs from my groin to my foot." wHO NAMED THIS TARSAL TUNNEL SYNDROME?  You could have several other things going on, an ilioinguinal neuropathy coupled with genitofemoral (femoral portion) could refer groin to calf, the calf pain from the terminus of the femoral (femoral portion of genitofemoral) nerve (saphenous nerve), and if there is any pain closer to the symphysis pubis or within the scrotal sac (part of the epididymus or "nut" - in the vernacular), yes the anatomy in this region having considerable overlap from other proximal nerves and furthermore from even 2 different regions of the spine. However, from groin TO the foot is not explained under the rubric tarsal tunnel. You may call me if you like as it is difficult to elaborate in written format. I cannot help but wonder if you might be underdiagnosed. 

gotta go

jerry Hesch, MHS

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nancyk, Community Member
8/12/09 2:38am

Jerry:

 

I don't think I am underdiagnosed. Yes,I have post-infectious IBS, 3 abdominal surgeries, herniated lumbral sacral discs, FMS, bow legs, knocked-knees, etc. But I have been to 8 good orthopedic and podiatric specialists and  have had EMGS and ultrasounds to confirm tarsal tunnel and to eliminate the possibility of double crush. I won't go on from there as the list becomes a litany. I often forget all I have. It's like Oh--that too! Sometimes I'm glad when I have severe pain in one place, because I forget about the pains in other places. Like the IBS becomes a non-issue. It's like when they stop knocking you on the head with a hammer, you notice your knees are burning,,etc.

 

My definiton of Fibro is "whatever you have, FMS will make it worse."

 

Right now I am in a good phase generally, and I hope it continues. Thanks for you concern!

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sjd, Community Member
8/11/09 8:05pm

I have tried various remedies. Hope some works for you.

1. i take lyrica 2xday, mobicic 1xday tends to help with the bone pain, mepergan no more than 1/day. Lyrica helps with the burning stabbing pain.

2. topical ketaprophen creme, mixed at a pharmacy-it is tacky feeling and takes forever to dry but if someone can massage it it does good before i go to bed.

3. physical therapy does help, they told me where i could get the heavier weight heating pads with moisture,

4. freaky but-wear non-binding diabetic socks to bed at night-it almost alleviates leg cramps, a cup of tonic water before bed stops them too-it has quinine in it

5. flector patches, feels like a cold wet fish on your back, but it helps, i have to tape mine on though.

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By kk, Community Member— Last Modified: 03/30/14, First Published: 08/03/09