i have recently been diagnosed with degenerative disease which causes horrible leg and back pain and have been given tramadol and they are scared to give me anything stronger because i have a history of addiction i have also tried lortab 10/500 doesnt work either, any suggestions?
Hello, I am sorry to find out in this way about your disease, but you are not alone... we are a family, a virtual one.
No addictive meds for you then.
Antidepressants and antiepileptic drugs
Some antidepressant and antiepileptic drugs are used in chronic pain management and act primarily within the pain pathways of the central nervous system, though peripheral mechanisms have been attributed as well. These mechanisms vary and in general are more effective in neuropathic pain disorders as well as complex regional pain syndrome. Drugs such as Gabapentin have been widely prescribed for the off-label use of pain control. The list of side effects for these classes of drugs are typically much longer than opiate or NSAID treatments for chronic pain, and many antiepileptics cannot be suddenly stopped without the risk of seizure.
Other drugs are often used to help analgesics combat various types of pain and parts of the overall pain experience. In addition to gabapentin, the vast majority of which is used off-label for this purpose, orphenadrine, cyclobenzaprine, trazadone and other drugs with anticholinergic properties are useful in conjunction with opioids for neuropathic pain. Orphenadrine and cyclobenzaprine are also muscle relaxants and are therefore particularly useful in painful musculoskeletal conditions. Clonidine has found use as an analgesic for this same purpose and all of the mentioned drugs potentiate the effects of opioids overall.
Pulsed radiofrequency, neuromodulation, direct introduction of medication and nerve ablation may be used to target either the tissue structures and organ/systems responsible for persistent nociception or the nociceptors from the structures implicated as the source of chronic pain.
An intrathecal pump used to deliver very small quantities of medications directly to the spinal fluid. This is similar to epidural infusions used in labour and postoperatively. The major differences are that it is much more common for the drug to be delivered into the spinal fluid (intrathecal) rather than epidurally, and the pump can be fully implanted under the skin. This approach allows a higher dose of the drug to be delivered directly to the site of action, with less systemic side effects.
A spinal cord stimulator is an implantable medical device that creates electric impulses and applies them near the dorsal surface of the spinal cord provides a paresthesia ("tingling") sensation that alters the perception of pain by the patient.
Physical medicine and rehabilitation (Physiatry) employs diverse physical techniques such as thermal agents and electrotherapy, as well as therapeutic exercise and behavioral therapy, alone or in tandem with interventional techniques and conventional pharmacotherapy to treat pain, usually as part of an interdisciplinary or multidisciplinary program.
Acupuncture involves the insertion and manipulation of needles into specific points on the body to relieve pain or for therapeutic purposes. In 2003, the World Health Organization published an article synthesizing the scientific research (controlled trials) of the time, and concluded acupuncture is helpful for the treatment of pain in some cases of acute epigastralgia, facial pain, headache, knee pain, low back pain, neck pain, pain in dentistry, postoperative pain, renal colic, and sciatica. The authors also concluded acupuncture has demonstrated effectiveness in other conditions for which further proof is needed. This review has been criticized for giving too much weight to low-quality clinical trials, and including a large number of trials originating in China. The latter issue is considered problematic because trials originating in the West include a mixture of positive, negative and neutral results while all trials in China are positive (attributed to publication bias rather than fraud). An analysis of the 13 highest quality studies of pain treatment with acupuncture, published in January 2009 in the British Medical Journal, concluded there was little difference in the effect of real, sham and no acupuncture. There is general agreement that acupuncture is safe when administered by well-trained practitioners using sterile needles, and that further research is appropriate.
One reviews found low level laser therapy to be effective in reducing inflammation and pain relief well a Cochrane collabortion review concluded that in low back pain there was insufficient evidence.
I hope this information helps you, and I will continue to try and help, this is just the start.- OK
American Chronic Pain Association at 1-800-533-3231 or online at www.theacpa.org.
Even if you ask this of several people with the same exact condition there is no right answer as we are all so different even though chronic pain is so understood by us all who suffer from it.
Because of previous addiction if it was using/abusing pain meds before you were injured or even after it will be very hard to find even a stronger pain med to give you the relief you could have had if you had not used them to the degree of addiction in the past.
You are going to have to go outside the box to find what works for you and the more natural ways including physical therapy, possibly seeing an OT specialist who can aid tremendously in the most successful PT, and meds that are not opiates may be the best things in combination that could help you for now.
Anyone in chronic pain and on opiates can become addicts but most are considered dependent due to the pain but would withdrawal just like an addict if taken off pain meds.
I do not judge at all but seeing your post name it makes me wonder if that was your addiction drug?? If so, it is powerful and dangerous and has decreased the ability to ever have any pain med help your pain the way it would someone who hadn't taken it before in an abusive way.
I was injured over 11yrs ago and before that I had only been on low dose pain meds maybe twice in my life finding I never took them all having a bottle from 2yrs prior with some left in it and also wouldn't even take a Tylenol for a headache unless it got really bad so for myself the pain meds have worked after I was injured in chronic pain and disabled for life.
Please look at all the suggestions from another on this post as there are so many ways of treating pain. Maybe one day down the road an opiate can help but it will never help the way you would want it to even if you had never used them prior to.
Learning how to cope and live with pain not allowing it to control you is going to be the best but the hardest thing you will ever have to go through.
Again, I am not judging at all and wish you the best
- Tramadol Information for Consumers
- Tramadol Information for Healthcare Professionals (includes dosage details)
- Side Effects of Tramadol (detailed)
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