I injured my lower back at school 30+ years ago. Soft tissue damage was the diagnosis at the time, but as the years went by, the pain had gotten worse, so in 2010, my GP ordered various scans including an MRI. This threw up I had an old fracture of L1 end plate with degenerative spondylosis. I was prescribed physiotherapy and refereed to pain management clinic. I was prescribed nortryptaline, bupronophine patches, these ended up not being strong enough so the patches were changed to under the tongue quick release bupronophine, these too weren't enough so my GP made the choice of "Zomorh" 40mg twice a day along with nortryptaline, gabapentin and baclofen 10mg x 3/day. Lately the pain is getting past all these meds, is there any other form of pain management available that is more effective. I heard something about implants
There are many options stronger than morphine plus there is no analgesic ceiling on morphine. You have plenty of room to go up in dose on your morphine or possibly take three times a day rather than twice or you could consider other long acting drugs like OxyContin, Opana ER, Dilaudid or Exalgo, Fentanyl transdermal, methadone to name a few.
My gabapentin is 300mg 2x morn 1x midday and 2x night. I have been referred to pain clinic again but was directed to spinal physio, he has said he can improve my mobility but won't get rid of pain, and will still have pain, this is the problem I have with my local NHS health care. Already my present meds are making me drowsy, with most days of week affected by lethergy, plus not doing much help with my ADHD and autism spectrum disorder
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