I've had severe back pain for over ten years and been prescribed every opiate there is. Dependency has been standard for me but I recently developed an addiction which I am currently trying to overcome. The problem is that my pain is out of control again. I'm 28 and have been through about 7 back surgeries including multiple lumbar fusions and discectomies. I've tried all of the codones/morphones (roxy,oxy,hydro) and oxycontin, MS contin, kadian, fentinyl, subutex, methadone, etc. HOW DO I GET RID OF THE PAIN WITHOUT OPIATES!? I don't want to do surgery again. I've tried every modality and non-narcotic option. If a narcotic is the only way I can live a somewhat normal life, what's the best one to be on... meaning, which one is less addicting? Maybe there's something out there that I don't know about. I don't see a winning solution here but any advice would be appreciated. THANK YOU!
15 May 2011
i have heard from people that the IR pain meds have a higher addiction rate... like if some1 takes oxycontin 20mg and 10 percoset for break through, that would be more addicting than just 30mg oxy with no IR like percoset... I think my dr thinks the same... he didnt say why but he stopped my 5mg IR breakthrough after the 1st week and said he changed his mind and just increased the oxy.
also according to alot of people that take them and dont need them... they want oxy or roxy and no morphine. so maybe morphine would be best to not become an addict... also(lol) take the least amount possible and fight any urge to want to take more or some just to get a lil boost of energy.
Hope this helps ya a lil :)
15 May 2011
Have you tried Lyrica, Neurontin or Cymbalta? These are non narcotic medicines that help nerve pain. You might also consider Celebrex, a non steroidal anti inflammatory, that helps arthritic type pain. These are just of the few medicines that might help.
As far as the opiates, they are all addicting, don't know that one is any less addicting than another. Physical therapy, which I'm sure you have tried, is another important avenue to pursue. Learning the exercises to keep the muscles strengthened around the spine for support is critical.
Guess you have probably tried all the above, but maybe there is one that might be helpful.
15 May 2011
Hi spinalmess. I can sure empathize with your dilemma. A short back round so you know I'm talking from experience and not out of my azz. As I type this, I'm 6 days post op from my 3rd spinal surgery, still in lots of pain and obviously prescribed strong opiates. First op was due to burst fractures at T-12 to L-2, the result of a car accident. 80% spinal cord compression with many bone fragments in the spinal canal cutting in to the cord itself. That was Sept 09. Those injuries set off a chain of events that led to removal of the original hardware and another surgery to repair 2 discs at L3-4, 4-5. The accident had caused so much pressure on my spine I developed more bone spurs than my surgeon had ever seen. It took him 5 hours just to remove the spurs @ L4-5 and fit me with hardware.
Anyway, before all this, I was a chronic back pain sufferer who's also tried every procedure and medication you can think of. Injections, RFT's, facet blocks, facia injections, zapping nerve roots, etc. When someone asks me should they have surgery because they found a bulging disc on their MRI, my answer is always no! Avoid surgery at all costs! Besides, there's so many techniques now that can actually CURE these bulges. I don't know your history or why you needed the surgeries, but I DO understand the frustration you feel. I would investigate some of the new techniques they have come out with. Start with NIH (National Institutes of Health) they are always looking for volunteers to try out these new procedures and medications for all kinds of ailments. They perform 100's of clinical trials each year. There's also homeopathic remedies but not many people have much success with them.
As far as the opiates, the higher doses of the ms contin (100mg or 200mg) and 10mg oxycodone for breakthrough pain is the least expensive, yet provides very good pain control. Of course this is my opinion only. And always consult with your doctor. The bad news is it's addicting. But remember, these medications are there for people like you who legitimately need these strong meds. Also remember there is a difference between dependance and addiction. Addiction CAN turn in to abuse. Statistics show that when doctors fail to adequately control chronic pain, many of these patients turn to self medication and end up abusing these meds.
I'm really sorry I haven't a good answer for you. Each chronic pain sufferer has different approaches and ideas on how they think their pain should be controlled. I know you worry about addiction. Until you find an alternative method to control pain, please, at least do not let yourself suffer too much. It would also be to your benefit to talk with an addiction counselor. They can help you watch for signs of addiction and give you the tools to avoid any possible abuse in the future.
I wish you the very best and hope you find some pain free days very soon.
16 May 2011
yea thats a tough situation alot of people are in. addiction comes along with the deal i think. anyone in this situation has an addiction on one level or another. i have been professionally detoxed from OC's and detoxed myself from all the others. i think it is impossible so far to be totally pain free. i've had em all to. try cymbalta. i have been taking it for anxiety and pain. i just had my 60mg dose doubled after a year to 120mgs a day. that is my baseline painkiller and i have been taking it for pain before the fda approved it for back pain. it takes time to start working but it has helped me quite a bit. i also take norco- hydrocodone 10/325 up to 6 or 8 a day. i like that because its less addictive to me than oxycodone. I also have nucynta which is a synthetic kinda morphine. i have the 75mg and take them at times. a new killer NSAID is zipsor. it is gel filled 25mg only and i take 1-4 a day.
i think after all these years of pain that a person has to figure out what combination of painkillers works best for him or her. I have lidocaine patches... time release naproxen called naprelan,and on and on... i got a lot of drugs in my arsenal, and have had to figure out what works best for me.there is also nerve block injections that can last for weeks. i have only had one but i was almost completely pain free for about three weeks. find a good pain management doctor, there are alot of new drugs and various ways to ease the pain a bit. so in direct answer to your question in my opinion anyway is find what combination of things works best for you and do it. with a good dr behind you, whether its a narcotic or not... if it helps, use it. back pain just sucks and i have realized that i will always have some level of pain everyday, no matter what. hope this helps. i feel for ya.
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