What is the best pain reliever out there for long term use?? I have severe chronic pain and need to know what the best pain reliever is. I have tried vicodin and percocet does not work that great need something stronger I think. I have 6 herniated discs between my neck and back and am in pain daily and constantly. Can't ever sleep a whole night. Can someone please help me?
I need help with my pain?
Added 6 Nov 2010:
So far none of the pain relievers i;ve taken have helped enough. They help a little but not enough so I know I need something stronger just don't know what I should suggest to my pain dr???
Well for long term use, I would talk to your doctor about an Intrathecal Pain pump which can distribute medicine all the time through your back.
I am so sorry to hear that you are in so much pain, but I can relate as I have 2 completely deteriorated discs (they are gone) in my lower lumbar, plus a herniated disc, a torn disc, a blown disc, scoliosis, degenerative disc disease, and the nerves in my spine are separating. Not to mention all the other medical issues wrong.
I would highly suggest asking your doctor about sending you to a Neurosurgeon and asking the Neurosurgeon about an Intrathecal Pain Pump. I have one and it works really good, but I also take oral pain medicine for the break through pain. Ask your doctor about that and see if they can help you with getting one put in, if that is what you choose to do like I did. It might just help! The pain medicine I take is Oxycodone 15 mgs 5 x's a day and Robaxin 750 mg 4 x's a day. This is just a suggestion to talk to your doc about.
Good luck and I hope this helps.
I have had a long history of neuromuscular pain, I have had polio and this past winter we had a terrible snow and Ice storm I had to be out and I caught a fall that further damaged vertebraes and disc in my back and neck regions, I see a doctor who specialies in Chronic pain, throughout time I have taken various medications some have helped, others I had side effects that were extreme enough until I was unable to tolerate them. the medications you mention are usually given for short acting pain, lots of the pain specialists usually prescribe a medicine that is of longer acting (8 to 12 hours) so that your body has medication on board to treat pain that is not short in duration.
then they usually prescribe what is called breakthrough pain medication to be taken inbetween your long acting medicines to cope with flare-ups, I take a drug called Opana 40mg 1 every 8 hours then hydrocodone (Norco) 10/325 that can be used inbetween doses of long acting pain medicine. there is also Fentanyl patches they are placed on your arm or a surface and adhere and the body absorbs medication from the patch and usually is changed every 3 days, there is also MS Contin which is a morphine type drug, Oxycontin, also Dilaudid which is hydromorphone (it is a shorter acting narcotic but for some is quite effectibe) some doctor's use medications such as Neurontin, Pristiq are some of the drugs commonly used for depression but in some people these drugs work very well not due to depression but it works to help the body cope with the pain, some doctors even use one or more of these things in combination, Also prescription and OTC doses of Ibuprofen and Naprosyn are sometimes used because they also help especially with neuromuscular type pain, and as you were told they can even implant what I believe (if I recall correctly a neurotransmitor) which delivers pain medication but I believe it has to be implanted, At least in the state that I live in most of the Pain management doctors prefer to try the long acting drugs to see how you react and then that is always an option. It is my sincere hope that you achieve the pain relief that you need, there are many talented, caring compassionate people who are on this site, stick around maybe you will find others who also can give you other valuable advice, I just want you to be the best you can be abd achieve the appropriate pain control that you need to function.
Your primary care doc can get you started, but you need a referral to a pain specialist, for pain management. THEY will determine the right treatment and medication for your specific needs. In fact, if you go in asking for a specific med, your doctors will suspect drug seeking behavior and are not likely to treat you at all. Doctors now require you sign a contract about your medication use as well as random drug testing. This is NOT here say. It's based on personal experience and discussions with my doctors. Also be aware that your contracts will be denied or canceled if you doctor shop and pharmacy hop. Also seen as suspicious drug seeking and abuse. Legitimate pain will be treated, by appropriate medical professionals
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