... to a work injury I had 3.5 years ago..I have 3 ruptured discs in my low back, 2 bulged discs in that area, 4 bulged discs in my mid spine, a broken. Vertebrae in my mid spine, spinal stenosis in my lower spine, nerve damage to right and left sciatic nerve, and possible nerve damage in my neck... I've been seeing pain management doctor for 10 months and have told them my meds aren't touching the pain and they will not increase... i take norco 7.5 4x a day, neurontin 600mg 3x daily, zanaflex 4mg 2x daily... I've told them I have taken this medicine (hydrocodone) for as long as I've been injured and they still don't seem concerned, have developed ulcers because of this and to top it off my heart doc tells me if my pain was better controlled my blood pressure wouldn't be an issue... my question is, is there some type of guideline to get written oxycodone? I've been written the oxycodone 15 before and they worked much better, and they seem to last longer... thanks in advance!
Tell him you want something that doesn't have tylenol in it. Also ask your cardiologist to write a letter to your pain management dr about your blood pressure. Your pain doc knows that what you've taken for 3 yrs isn't helping you, unless he's an idiot. We build a tolerance to pain meds, and its normal to need more. He also knows that a long acting med is much better for chronic pain. He's trying to avoid writting for something stronger and getting DEA attention. Keep a pain diary until you see him again, put in it when you take the pain meds and its effect. Do you know the way to rank your pain?
Unfortunately there is no quideline how much should be given for what. They have to find what works and prescribe it. If this still doesn't work, I'd say find another pain dr.
Dear Robinson14 - Welcome to the DC site. Sorry I don't have much to offer about back pain, but, dealing with pain doc is something many of us have to do. Be ready for your next visit - keep a log of your pain, when its worse and for how long, what provides relief, if any, and point out in your daily diary how badly you feel, what you need to do and can't due to pain. The more details the better.I have found my pain doc is more interested when I go in with this info. Doesn't have to be anything fancy like a typed list. I keep a notebook and each day I put that days date. As I go thru my day, I make notes of how I am feeling and how it is affecting me. This works much better than just going in and saying "I have been in pain since I saw you last." I use this, too for my GI doc.
He actually takes the time to read it, although when written, I had not planned for anyone to actually read it, but, for a reminder of all I needed to pass along to help them understand where I am coming from. Written documentation of your pain, I think, carrys more weight than just telling them you hurt. Details VIP, even if minor, like lack of appetite, disrupted sleep, feeling tired, no energy, stuff like that usually accompanies pain. It will help give the over all picture of your situation. As mentioned on another post, it is getting harder to get pain meds. Be persistent, point out just how badly you feel, and have the log to back it up. It COULD help. Continue to keep these logs, so if you end up seeing a new doc, you will easily be able to tell them how you have been doing. Wishing you the best of luck...
I agree with what everyone is saying that you should keep a pain diary and bring it to your doctor. My other suggestion would be that you bring someone who sees you on a frequent basis and sees the pain that you are suffering. My husband has come along with me to several of my doctor visits, and it seems to help a lot to have someone verify that I'm not just making this stuff up. Also, you didn't say that you are currently seeing a pain management doctor -- are you? Depending on where you live, you may need a referral from your general practitioner or another doctor.
Good luck with this! Many of us here on DC face the same type of problems you are facing and have gone through what you're going through.
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