surgery I asked my pain doc to dextox me slowly since my wc insurance denied my request for a rapid dextox so my doc is dextox ing me thirty mg a week I am doing okay as far as no throwing up or diaherra but I am started to have terrible right leg pain and across lower back pain I went to see my spine doc he ordered a MRI. but of course have to wait for authorization can u help me telling me what can I do to help me with this? Doesn't feel like withdrawal pain or restless legs from dextox it feels just likely back and leg felt right before surgery can it be all the pain meds were covering up all these problems has anyone had the same happen how can I function like tjis for the rest of my life I can't even walk? Please HELP. !
This sounds as your root cause of the pain has always been there, just the pain has been treated by the MS Contin. As you are now decreasing your dose, the pain is resurfacing again. You need to let your doctor know that is happening as going entirely without pain meds might not be the best route for you at this time.
Why did you decide to detox? Was this your idea or your Drs idea to detox? Once you use the word "detox" you are in the realm of addiction and not in the world of pain management any longer. That is why your pain doctor cannot continue to treat you as a pain patient any more. More than likely your pain was being controlled by the MSContin all this time and now you have dropped below the amount of medication you needed to control the pain and function. Many many back pain patients will need to be on opioids for the rest of their lives to control pain and live a productive life even after surgery. Let me set something straight though, if you had done a rapid detox, you would STILL have this pain and rapid detox is no miracle. It just gets the drugs out of your system faster. It doesnt mean that you wouldnt need them any longer or that it would be any easier for you.
If an addict detoxes, they still get cravings after rapid detox but they arent dealing with underlying pain like you are. There is no reason for them to be on pain medications. It is obvious that you have a reason to be on them. Sometimes when a person stops pain medication, they find the pain is severe at first, but in time, once their body adjusts to no opioids, the pain gets better. This may or may not happen depending on the cause of the pain. Your Dr. is encouraging you to go ahead with the detox hoping that you will adjust to the pain once the opioids are gone from your body. You can go ahead with this and try to deal with the pain and see if it does get better in time or you can wrap your head around the fact that you may need opioids the rest of your life to have a quality life and start over with a new pain management Dr. Next time if you want to see if you can decrease your dose, call it that, a decrease, not a detox! That way you can stay at a lower dose to keep you comfortable or you can go back up if you cant tolerate a lowered dose. Our country has this thing where it wants to make chronic pain patients feel like they are doing something wrong and they shouldnt be on opioids no matter what and the reality is that this isnt true. They want to treat chronic pain patients like criminals or someone living on the margins of society. There is nothing wrong with needing a medication to treat a chronic illness. Would you tell a diabetic to stop using insulin because he is just eating too much and shouldnt need that extra insulin and that it is all in his head-he should just mentally learn to control his glucose levels? No? Chronic pain is the same thing. It is a chronic illness that requires medication to control it. The only difference is that people freak out because opioids can be addictive. There is a huge difference between addiction and dependence. Many people (and some are doctors, nurses and government agencies who should know better) want to equate dependence with addiction. Diabetics are dependent on insulin. If they stop it, their blood sugar will shoot sky high. Chronic pain patients who have been on opioids for a while are dependent too. You take away the opioid, they will get withdrawal symptoms. An addiction is different. Addiction is craving a medication, using in spite of knowing you are harming yourself and others, having no control over the amount of medication they take and continuing to take more medicine for the effects (euphoria, drowsiness etc) rather than to treat pain. You do NOT sound like an addict to me. You sound like someone who has chronic pain, who was duped for whatever reason into thinking you shouldnt need pain medications. Workmen's Comp is NOT your friend. They DONT want to help you and do what is in your best interest. They want to get you out of the system and back to work! In fact, that is the main goal for even their Drs. They can even get bonuses to get you back to work quicker. Dont listen to anything any of those idiots tells you! You may have a good WC doc but believe me, even so, his goal is to get you off the WC system. You would likely be better off getting out of WC and use any private insurance you have to get treatment, if you have it. WC will make you feel like an idiot. They will treat you like you are a lying addict who wants nothing more than to soak the system because that is what they teach their workers. You dont have to end up on disability if you get a good PM doctor to get your pain under control so you can have the best quality of life possible. Dont allow anyone to make you think your pain is imaginary and all in your head. There is no reason for a well controlled pain patient who is taking their medications as ordered to "detox". That is just ridiculous! Now if you were truly having addictive behaviors then opioids may not be the right choice to help with your pain but you dont sound at all like that is the case. Good luck to you. I hope all works out in your favor. Learn all you can about chronic pain. There are some good websites out there, just avoid the ones selling something. Learn to be your own advocate. When you learn about chronic pain you can work better with your Dr to come up with the best solution for yourself. Dont give up! You are strong!
- MS Contin Information for Consumers
- MS Contin Information for Healthcare Professionals (includes dosage details)
- Side Effects of MS Contin (detailed)
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