I have chronic back pain it's not getting any better. I am in pain management I feel like oxycodone acetaminophen 10 mg 325. 4 times a day is not strong enough anymore what would be the next step to ask for on an increase. I'm waiting a pending surgery I'm going for a second opinion I have 5 herniated disk in my back the worst one being the S5 L1 it's 4 to 5 millimeters out pressing on my spinal cord I hurt down my left leg I've already had one surgery on my neck the six and seven was fused, I also have chronic headaches everyday I wake up in pain I go to bed in pain something has to give I'm ready for surgery I just want to make sure it's the right thing
I'm not a doc but here is what I would...
I would increase the Oxycodone since it works for you. If you were not watching the clock for the next dose, what do you think would hold you ?
You have developed a tolerance to that dose. You could come off of them gradually and get your body free of the meds so when you go back on they will be more effective.
However, realistically, you are on pain meds because you need the pain relief.
You also need to go into surgery with your pain controlled so you can sleep better and ready for rehab.
I would increase your dose to 15 mg every 4 hours with the Tylenol.
You just have to keep Tylenol under 4 grams per day because it can cause liver failure.
I'd put you on Cymbalta or Gabapentin for the leg pain. Your leg is hurting because your back problems are putting pressure on the sciatic nerve. These are not pain pills. They are specifically for nerve pain. The Cymbalta is also an anti-depressant at larger doses. Most chronic pain patients have a degree of depression.
I had chronic headaches resulting from cervical spine issues. Constant/24 hours a day for years until...
I found my miracle drug !
Imitrex ! It's been around for awhile and I had no side effects. You take it once a day. Within 20 min my squinting went away. The ringing in my ears stopped!
The only problem is that most insurance companies only issue #9 per month because it's not good for daily use indefinitely. After I got rid of the headaches initially, I only need them 3-4 per month.
I bet you don't sleep very well. Headache relief will promote better sleep.
I take Ambien 10mg with Trazadone 100mg.
Best wishes through your surgery.
Rehab exercises are very important for your long term prognosis. Work at it !
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