Hello so a background of my problem is I am active duty military Navy, in the last 3 years of service i was subjected to punishment to my back from riggerous hikes for 15+ miles at a time with 100+ lbs load bearing, and loading/unloading trucks for field ops with 100+lb cans of equpment. I have developed inflammatory problems of my lower back with the combination of over time degenerative disc. I am in constant pain throughtout the day about a 5/10 with spikes at night after a day's work at about 8/10. Im currently on 5/325 norco and tizanidine muscle relaxer. I've been taking both for "breakthrough pain for about a month. I have absolutely no relief during my time of intense pain but some not complete relief when the pain is just moderate. My predicament is I'm worried asking for an upped does would put a profile on me being in the Navy as a drug seeker. I am in a pain mngmt clinic outside of base or active duty care. Should i adress this to a doctor or maybe ask for a different kind of drug? I'm lost here and being in pain at all times even periods throughout the night has me at a loss and im just not myself. HELP!
All you need to do is tell you dr that your treatment is not helping. Maybe another muscle relaxer will help. Have you tried an NSAID? I totally understand back pain that doesn't have an acute injury, being a nurse, they really don't want to believe you that its from wear and tear over time. Just increasing the med you're on might help. Switching to percocet might help. An extended release med is the best for chronic pain, but I'm wondering if they'd let you work if you were on it.
Hey there. I also suffer from lower back pain from bulging discs. The 5/325 is the lowest dose. I take the 10/325 with anti inflammatories it usually works well. I would talk to your doctor but don't ask for a different med or an increase. Just tell him what you have just written on here. You are in a lot of pain and your meds are not giving you relief. Then ask is there something else you could try or what else can you do to help alleviate this pain? Hope this helps and hope you find some relief soon
Kaismama & lucy are right - you need more pain relief. The way you go about getting it is going to make a big difference in how the doctor will work with you. If you go in asking for a certain thing, automatically it will be suspicious.
You mentioned both meds as "used for break thru pain" - this confuses me as break thru meds are what is used in addition to other med. The other med being your main source of pain control, and break thru meds are for when the main meds don't work. Are you on any other pain med?? If these are the only 2, and I will assume that unless you tell me different., you just need to be honest with pain doctor about how you are filing. Tell them how your day is affected, how your sleep is disrupted, the more details the better. Good idea to write down everything you can think of that makes it worse. Having written documentation is very important. Nothing fancy is required.
Keep a log of how you feel thru out the day, describe how bad it is when at its worst. Having a daily log of your pain gives your doctor something he can use to back up any changes he thinks you need. Use as much info as possible to get your point across, like leaning over to brush your teeth and spit is hard on you, as an example. Give him so much info about how what you are taking helps minimally, as it will go much better if he/she thinks it is their idea. Pain docs especially need to have back up to justify their changes. It could be a change in dose, or a med change, depending on your circumstances.Put on your "diary" how long it has bothered you, along with other things already mentioned. Nothing is too small to mention, even if it is only taking out the trash. More details the better, and by keeping this daily log, you will have something to take to different doc if it doesn't work where you are being seen now. I have a doc that actually reads my logs, even tho I write them with the intention of having something handy to read to them, pointing out along the way how terrible you feel. If they ask to keep it, ask if they can make a copy for their records. This way, wherever you get seen, you have originals. I have different pain problems, but, a lot of experience in dealing with pain docs. It is getting harder and harder to get total relief. For me that is not even an option. But, to make it tolerable. Especially since you are in the Military, you need to decide how far you are willing to go, as I have no idea how this could affect your job. Start your daily logs, detail, details, see pain doc as soon as you can, make it clear you are simply in need of relief, that what you are taking is not helping enough. Be honest. I believe these are the best ways to get the best treatment you need. Hope you feel better soon, Good Luck. Let us know how it turns out or if we can help in any way. Your service to our country is appreciated!!!
Hi! I too agree with all the answers! But, why don't you ask your dr if you can go see a dr in physical medicine? I had a bad hip for 20 years. The drs kept telling me I was too young for a replacement so I had to wait 12 yrs! With the wait I was putting all my weight on my left leg for so long that now my back has suffered. I too have DDD and DJD disks and joints. The phys. Med Dr will evaluate you and your x-rays and that dr will tell you if the injection therapy is right for you. Its kind of like a spinal block. They will inject (while looking at an x-ray) first a dye so they can watch the flow of the medicine and they will use a steroid like cortisone along with a pain killer. This is by no means a cure but it could slow you down on the norcos and relaxers. I swear by my 800 mg Motrin for inflammation and drs smile at you when you ask for that! Take your time with it, if you start taking more and more norcos they will not help as much and they are very addictive.
The injection can keep you with little or no pain (in your spine) for about a month give or take but your back muscles will need massage, ice and heat therapy and an anti-inflammatory (800 Motrin). When I went to a phys med dr and she gave me the injection and as soon as I stood up I could just about run without pain! They do limit you on only a few shots a year so you might want to plan it out. Good luck! This has helped alot of people I know plus it cuts down taking the heavier meds so you can stay thinking clear. Hope this helps! Nanimal
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