What can you do when opiate painkillers no longer relieve the pain of RA?
I know there are many other, non-drug ways of relieving pain -- accupuncture, imaging, meditation, distraction -- but sometimes the pain is too severe for those. People don't seem to want to talk about how they handle severe pain, but it seems like it's an issue that ought to be examined honestly and in the daylight. So when the opiates don't work, what's next? IS there anything?
Hi Wren,
Is this a theoretical question, or are you finding yourself in this position?
I think the answer would have to be specifically tailored to the problem. There are pain management centers, and things like combining some of the 'complementary/alternative' practicies you mention with biofeedback, hot and/or cold packs, TENS treatment for some conditions, say, lower back pain (transcutaneous electrical nerve stimulation). A pain management specialist will work with an individual patient to find a program that will work. I don't think the question can be answered in a general sense without considering the patient and the condition.
- Thank you for your input
- Ranked Helpful (1)
- Report Abuse
Wren
Thursday, October 08, 2009 at 11:24 AM
Have you ever tried the biologics like Enbrel, Humira, etc..?? I am so sorry you're having this problem. Even the doctors don't realize how severe the pain can be.
- Thank you for your input
- Ranked Helpful (1)
- Report Abuse
Hi Ellen. Thanks for your suggestions. This IS a theoretical at the moment -- I'm still able to deal with pain from flares with different types of pain relief, including the non-drug types most of the time. However, I'm finding that when I do need stronger meds, they're not working as well as they once did. They also make me feel sluggish and foggy after they've worn off. I'm hesitant to ask for other, stronger types; the stigma is embarrassing and humiliating.
Perhaps I'm worrying more than I need to, but I'm concerned about the future and what happens if the stronger painkilling meds are no longer effective for me. I guess it's a matter of exploring other options combined with "sucking it up." Thanks again for answering.