I am 45 years old, 21 years ago as a passenger I was ejected through the passenger door (not window), bowing the door outwards and breaking the latch, of a full size truck. I sustained over 80 broken bones including my rt. hip (5 pins), Lt. femur (titanium rod), crushed Lt. knee (metal & plastic), pelvis fractured in 3 places, Compression fractures of L1,2,3,4,and 5, crushed Lt. ankle and 5 breaks between Lt. knee and foot, rt. foot 2 breaks and rt. ankle 1 break. broken collar bone and shoulder, radial wrist fracture, and several other bones, it's hard to recall them all 21 years later, without consulting my medical records. I also suffered 5 ruptured discs, 3 bulging discs, herniated c3 with pinched nerves. And now have 3 types of arthritis, osteo, rheumatoid, and psoriatic. alot of soft tissue damage, ruptured vein which causes veinistasis. Sorry, but I really need some good advise, and thought maybe if I told most of my problems, I might recieve some. Before the accident I was in excellent physical condition, I worked out, and ran every day, and I was 24 years old. Probably the only reason I survived the accident (according to my doctors). almost 2 years after the accident I did go back to work for several years, but everyday was a struggle and eventually I was unable to do my job. Now to the point, having never taken any drugs, I was able to make it OK on 8 tylox a day after getting out of the hospital until I had healed enough, then actually made it with nothing for a short time, but was put on Vicodin sometime before the plant I worked for called me in for a meeting, wanting to put me on the plants disability plan, I was later told they were afraid I would get hurt on the job because my ability to do my job considerably diminished, I was no longer able to hide the difficulties I was having, even though I was up to 4 percocet 10 a day. Since leaving my job, I have been in Pain Management. The amounts and strengths of medicine have been increasing since then. I am now up to 3 Oxycontin 80mg, .3 Roxicet 30mg for breakthrough, and 4 Tramadol per day, I also use Lidoderm patches as needed. I am very concerned about my situation You need to know that at 1 time I was on 3 OC80, 3OC40, 5 Roxy 30, and Fentanyl suckers eacn day. I had to come down some from all that, my pain was well controlled, but I didn't like being messed up all the time. Can anybody tell me of a better medicine/ or combination that could possibly help me, without taking so much or being in a fog. Fentanyl patches workd great I thought, because they were constant, no waking up hurting bad, but i can't wear them becauso of my psoriassis. Thank you very much for any help and God Bless! Buddy
Wow you sure have a reason to thank God. The fact that you are alive is a miracle. As far as pain control, you could investigate Dilaudid (hydromorphone) or Opana (oxymorphone) which both come in an extended release formula for around the clock pain control. The Opana is stonger than the Dilaudid and may work better than the Oxycontin. Since you are opoid tolerant you may want to reconsider the fentanyl suckers. The only other avenue to investigate that I can think of is the use of methadone. Methadone will give you pain relief without making you messed up. You may still have to take some break thru medication but should be minimal.
Wishing you the very best,
Hi, i am absolutely amazed that you have recovered so well from such a horrific accident! I've never before heard of such terrible injuries to one person! Ok, well you might want to consider amitriptyline; it is primarily an anti-depressant but is also used for its pain killing properties and for combating insomnia. I have taken them for about 2 and half years for my back injury and they are great. I take 50mg an hour before bed and i wake up feeling fine, no drowsiness, grogginess. I also take tramadol which you say you are taking, i always try to be careful when talking about tramadol as they are highly addictive, but just wanted to tell you that if they are working well for you, you can increase the dose safely. I take about 8 a day most of the time, again for my back injury. I hope you find something to relieve the pain, it must be terrible having to suffer with it everyday. Good luck
You might do quite well considering Methadone. It is considered a long acting pain medication and can be given in a wide range of doses. Many people find Methadone superior in pain relief in comparison to other opioid medications. Be sure you are working with a pain management specialist to control your pain. They have had a great deal more education in the area of pain control than a primary care or family Dr/general practice Dr. Have an honest and frank discussion with your Dr. you might find it useful to keep a pain diary. You can go on to a site like the National Pain Foundation and download a pain diary to fill out and take to your Dr. This will help you to determine how your pain behaves during a period of time and this can help the Dr determine the best course of action for you.
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