Wednesday, April 23, 2014
Tuesday, September 20, 2011 Gina Wilkes, Community Member, asks

Q: I need to find a non narcotic pain reliever to replace oxycodone. What do you suggest?

dr says it is phantom pain in left arm and removal will not help pain-injury caused from accident, lost use of arm and hand, having extreme pain for 10 months taking oxycodone with only minimal relief. Dr wants to try non narcotic pain meds. What is the success rate with meds such as Lyrica, topomax, midrin, and is roxicodone a narcotic? Desperate for help with pain!
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Answers (2)
Nancy Harris Bonk, Community Member
9/20/11 9:25pm

Hi Gina,

 

If you are talking about phantom limb pain, that really is outside our area of expertise. There have been a few studies done with phantom limb pain and using a mirror to treat it. Continue reading more on this interesting treatment in; Mirror Therapy for Phantom Limb Pain.

 

If you are talking about Migraine I'm sorry to say that pain specialists may not be the best solution. Their primary goal is to manage pain, but that's not the best goal of Migraine management. As you know, it's just as important to prevent Migraines as to treat the pain and other symptoms. Pain management specialists seldom know much about Migraine prevention, Migraine abortives, and total disease management. Are you talking about Migraines or phantom limb? 

 

Anyone who has three or more Migraines a month needs to be talking with their doctor about prevention. There's growing evidence that Migraine is a progressive brain disease. A recent study showed that Migraines can cause brain damage, and that people with three or more Migraines a month are more susceptible to this damage. For more information, see Is Migraine a Progressive Brain Disease? and Yes, Migraines Can Cause Brain Damage.

 

There are now over 100 medications and supplements that can be used for Migraine and headache prevention. The frustration of trying to find what works for us can make it seem as if we've tried it all, but with so many possible preventives, it's literally impossible to have tried them all. See Migraine preventive medications - too many options to give up! for more information.

 

 

Trigger identification and management is an important part of Migraine management and preventing Migraines. You may have some triggers that you can avoid, thus preventing Migraines brought on by those triggers. Do you know what any of your triggers are? When working to identify triggers one of the best tools is a good Migraine diary. You can read more about this and download a free diary workbook in our article Your Migraine and Headache Diary.

 

 

Good luck

Nancy

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urbaneve, Community Member
9/21/11 6:35pm

Hello,  First of all, I hope all is well with you....

 

IMHO, since you have been on oxy for so long, I think you are going to have a hard time finding anything non narcotic to break that pain.  My suggestion would be to have a nerve block procedure done. Is he wanting to ween you off the pain meds and are you taking the pain meds just for the phantom pain.

 

Also, you might want to try a tens unit to help releive the pain.  Mine has worked wonders for me

 

As far as Lyrica is concerned, it worked for me for awhile, then stopped.  The topomax hasn't done a darn thing, I still get blistering migraines that last for 3-5 days.

 

Your biggest obstacle will be weening off the pain meds.  Not only will you go through withdrawl, but you mind will actually tell your body you are in more pain than you actually are. I would suggest getting off the oxy and trying methadone or suboxone. 

 

I hope I have helped, if you have any more questions please let me know.

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By Gina Wilkes, Community Member— Last Modified: 09/21/11, First Published: 09/20/11